The HPV (Human papillomavirus) vaccine for cervical cancer and genital warts

Hepatitis A vaccination requires two injections for immunity, normally given six to 12 months apart and then provides 10 years immunity before a booster need be given.

Hepatitis B vaccination requires three injections for immunity - followed by a blood test to confirm full immunity.

The influenza vaccination (also know as 'flu vaccination) is available for any patient who wishes it.

It is especially advised for those over 65 and those with chronic long term conditions such as diabetes, asthma and other chronic lung diseases, chronic renal disease, chronic heart problems and those patients who are immuno compromised.

 

Patient registered at the Practice who fall into any of these catagories are not charged for this vaccination. Others may receive it and will be charged according to their status with the Practice.

This Japanese B Encephalitis vaccination requires three injections for immunity.

Pneumococcal vaccinations boost immunity against the pneumococcus bacteria (streptococcus pneumoniae) which is responsible for a significant proportion of pneumonia in adults and also for some meningitis and septic joint diseases in adults and children. Normally healthy subjects have good immunity to infection, but if resistance is lowered for any reason (prolonged stress, exposure to cold, age over 65 years, spleen removal or other illnesses affecting the immune system) infection may strike with devastating consequences - there is a 10% death rate in those who contract an infection if they are over 65 years old.

All persons over 65 years old should be vaccinated. It is often given at the same time as the flu jab, but can be also given at any other time if desired.

Others we would recommend having the vaccine are those with chronic heart or lung disease, liver disease, alcoholism, spleen removal or diabetes mellitus. A single vaccination is all that is necessary, and immunity usually lasts a lifetime. It should NOT be repeated within 3 years as a marked reaction may follow, but in spleen removal patients it may be boosted at 5 years.

We use the 23-valent vaccine (active immunity is developed against 23 varieties of the infective agent) for all persons over 2 years of age.

In many overseas countries, vaccination is also offered to children and if this is the case, the 7-valent vaccine is recommended for children under the age of 2 years.

 

This Rabies vaccination requires three injections for immunity.

 

 

 Single Measles Mumps and Rubella Vaccination

 Although The Southern Independent Medical Practice advises that children should be immunised with MMR in line with Department of Health guidelines, we do recognise that some parents continue to have have anxieties about this vaccination.

 All children should be immunised against measles, mumps and rubella for their own protection, but it is also important for this to be done to increase overall immunity in the population, what is called herd immunity.

In November 2008, it came to light that 500,000 children in the UK are not vaccinated against measles. This makes the risk of a measles epidemic very high indeed. All children should be vaccinated.

 In view of this, we advise parents who take up the separate vaccines that their children finish the full course of vaccinations. We will ask that a consent form is signed to this effect at the first consultation.

 The vaccines are manufactured in the United States, Switzerland and India. All the vaccines are endorsed by the World Health Organisation and imported by UK pharmaceutical suppliers who are licensed to import unlicensed medicines. All are manufactured to the same high quality.

 

Age to start vaccinating with single vaccines.

 

We advise that vaccination is not started before a child is 13 months old.

 

Interval between vaccinations.

 We advise that measles is given first, then rubella and then mumps, with an interval of between 6-12 weeks between vaccinations.

 Booster vaccinations.

 In order to provide protection into adulthood, children should receive a booster to measles, mumps and rubella, with the same intervals, from the age of 3½. We do not recommend testing a child’s immunity before giving a booster as it is traumatic for children to have blood tests and evidence has shown that a booster will provide good protection into adult life.

 

Contra indications to vaccinations

 We advise caution in the following circumstances:

·         Allergy to eggs

·         Children under 12 months

·         HIV infection

·         History of brain injury

 

 

We advise against vaccination if any of the following apply:

 

 

·         Child has a malignant disease

·         Some blood disorders

·         Active and untreated tuberculosis

·         Known impaired immunity

·        Previous extreme allergic reaction to any of the vaccine components or a known allergy to neomycin

·         Pregnancy

·         If child has a fever or is on antibiotics

 

After vaccination

 If you have any concerns following vaccination, the Southern Independent Medical Practice can be contacted Monday- Friday between 08:30 and 18:00. It is common for children to have a mild fever following vaccination and this can be treated with an age appropriate dose of paracetamol. Outside these hours, you should contact your own GP or local hospital in severe cases (this would be extremely rare).

 

Single measles vaccination

Local redness or swelling around the site of the injection is common.

Fever or a mild rash, or both, may occur 5 to 12 days after giving measles vaccination.

 

We

Single Measles Mumps and Rubella Vaccination

 

Although The Southern Independent Medical Practice advises that children should be immunised with MMR in line with Department of Health guidelines, we do recognise that some parents have anxieties about this vaccination.

 

All children should be immunised against measles, mumps and rubella for their own protection, but it is also important for this to be done to increase overall immunity in the population, what is called herd immunity.

In view of this, we advise parents who take up the separate vaccines that their children finish the full course of vaccinations. We will ask that a consent form is signed to this effect at the first consultation.

 

The vaccines are manufactured in the United States, Switzerland and India. All the vaccines are endorsed by the World Health Organisation and imported by UK pharmaceutical suppliers who are licensed to import unlicensed medicines. All are manufactured to the same high quality.

 

Age to start vaccinating with single vaccines.

 

We advise that vaccination is not started before a child is 13 months old.

 

Interval between vaccinations.

 

We advise that measles is given first, then rubella and then mumps, with an interval of between 6-12 weeks between vaccinations.

Booster vaccinations.

 

In order to provide protection into adulthood, children should receive a booster to measles, mumps and rubella, with the same intervals, from the age of 3½. We do not recommend testing a child’s immunity before giving a booster as it is traumatic for children to have blood tests and evidence has shown that a booster will provide good protection into adult life.

 

Contra indications to vaccinations

 

We advise caution in the following circumstances:

·         Allergy to eggs

·         Children under 12 months

·         HIV infection

·         History of brain injury

 

We advise against vaccination if: any of the following apply:

·         Child has a malignant disease

·         Some blood disorders

·         Active and untreated tuberculosis

·         Known impaired immunity

·         Previous extreme allergic reaction to any of the vaccine components or a known allergy to neomycin

·         Pregnancy

·         If child has a fever or is on antibiotics

 

After vaccination

 

If you have any concerns following vaccination, the Southern Independent Medical Practice can be contacted Monday- Friday between 08:30 and 18:00. It is common for children to have a mild fever following vaccination and this can be treated with an age appropriate dose of paracetamol. Outside these hours, you should contact your own GP or local hospital in severe cases (this would be extremely rare).

 

Single mumps vaccination

 

Moderate fever occasionally occurs, but a high fever is rare

 

This vaccination is the Tetanus, Diptheria and Polio is combined into one vaccination.

Travel advice and travel health consultations are available for both registered and non-registered patients. These consulatations are with our Practice nurse who has special travel advice training.

We are a designated Yellow Fever centre and can provide a full range of travel vaccinations. We can also screen patients who frequently fly, especially to long haul destinations, for thrombophilia (a condition that predisposes to the development of deep vein thrombosis). We are also able to provide a full vaccination service, including annual ‘flu vaccinations. Please see the list for the different vaccinations available.

Tuberculosis (abbreviated as TB for tubercle bacillus or Tuberculosis) is a common and potentially fatal infectious disease caused by mycobacteria, mainly Mycobacterium tuberculosis. Tuberculosis most commonly attacks the lungs (as pulmonary TB) but can also affect the central nervous system, the lymphatic system the circulatory system, the genitourinary system, bones, joints and even the skin.

One-third of the world current population has been infected by TB, and new infections occur at a rate of one per second. Not everyone infected develops the full-blown disease; asymptomatic, latent infection is most common.

A rising number of people in the developed world are contracting tuberculosis because their immune systems are compromised by immunosuppressive drugs, substance abuse, or HIV/AIDS.

The rise in HIV infections and the neglect of TB control programs have enabled a resurgence of tuberculosis. The emergence of drug resistant strains has also contributed to this new epidemic with, from 2000 to 2004, 20% of TB cases being resistant to standard treatments and 2% resistant to second line drugs.

Normally a  skin test is administered in the forearm and then read 48-72 hours later to exclude previous or current TB infection. 

A negative test indicates the need for a BCG vaccination.

 

No further information available

No further information available