Cholera often occurs in areas with poor sanitation particularly those experiencing natural disasters or war. It is an infection of the small intestine causing acute diarrhoea and vomiting, this can lead to dehydration and electrolyte imbalances making cholera a potentially fatal condition.
Signs and symptoms can develop 1-5 days after the ingestion of the bacteria and include vomiting of a clear liquid and pale, cloudy and painless diarrhoea.
As well as vaccinations you can prevent contracting cholera by:
- Avoiding ice from unknown water sources
- Only drinking water that is treated or from a sealed bottle
- Avoiding uncooked food
- Only eating fruit which can be peeled
- Maintaining good personal hygiene
Vaccination against cholera is highly effective and can offer up to 2 years protection.
Africa
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Meningitis ACWY
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
- Yellow fever
Middle East
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Diphtheria, tetanus and poliomyelitis
- Typhoid
East Asia
Destinations include India, China, Japan, South Korea, Singapore, Sri Lanka and The Maldives.
South East Asia is comprised of Thailand, Indonesia, Malaysia, Vietnam and Cambodia.
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Japanese Encephalitis
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
Australasia and Pacific
Destinations include Australia, New Zealand, New Guinea and islands across the Pacific Ocean.
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Japanese Encephalitis
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
Central America
Destinations comprise the distance between Mexico and Panama
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
- Yellow fever
- Consider if travelling east of the Panama Canal
South America
Comprised of thirteen countries in total including Argentina, Brazil and Peru.
Vaccines advised to all visitors:
- Cholera oral
- Hepatitis A
- Hepatitis B
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
- Yellow fever
Central and Eastern Europe
Vaccines advised to all visitors:
- Hepatitis B
- Tick-borne Encephalitis
- Especially if travelling between April – October and/or visiting forested areas of China and Russia.
Diphtheria is a bacterial disease usually spread through coughs and sneezes and can cause difficulties in breathing. At risk groups include unimmunized children and older adults who were not vaccinated as children. Planning to travel during the warmer months of the year along with the diphtheria vaccination are both ways of avoiding contracting the disease.
Tetanus is a bacterial infection which is introduced to the body via puncture wounds and burns. The most common symptom of tetanus is lock-jaw shortly followed by muscle spasms which may cause difficulty swallowing and in severe cases difficulty breathing. Two main ways of avoiding contracting tetanus are immunisation and avoiding injury.
Poliomyelitis is a highly contagious acute viral infection and is a particular threat to children. Poor sanitation is a key factor in the spread of the disease. Symptoms may take up to 20 days and can include fever, headaches, vomiting, fatigue, chest pains, and stiffness in the neck. In severe cases paralysis of the legs may occur and immobilisation of respiratory muscles can lead to death.
Measures to prevent polio in addition to immunisation include the following:
- Avoiding ice from unknown water sources
- Only drinking water that is treated or from a sealed bottle
- Avoiding uncooked food
- Only eating fruit which can be peeled
- Maintaining good personal hygiene
The DTP vaccination is usually part of the childhood immunisation programme in the UK and is required generally every 10 years.
Young adults may have already received this vaccination between the ages of 13-18.
Who will be doing my vaccinations?
- Your consultation and vaccines will be provided by one of our fully trained pharmacists in a private consultation room.
What do I need to bring?
- Please bring any past vaccination history you have
- If you have not already filled out the online consultation form and you are currently taking medications it may be useful to bring a copy of your repeat prescription so the pharmacist can review this
- If you are planning on visiting numerous places and feel you may struggle to relay this information from memory a note of the places you are visiting may be useful to bring along
- Please bring cash or a card in order to pay for the vaccinations you receive
What should I expect on arrival?
- You will be asked to fill out the relevant forms if you have not already submitted the online consultation form
- If you have already have filled out the online form you may be asked a few more questions, this is nothing to be concerned about and may depend on the answers given on the online form
- You will be taken into a private room to have your FREE consultation
- The pharmacist will discuss the vaccinations you require as well as any other travel and medical advice they feel is suitable for you
When should I come?
- If you require a vaccination course it is recommended to make your appointment 4-6 weeks before you travel. This is the case for the rabies vaccination, hepatitis B vaccination, Japanese encephalitis vaccination and cholera vaccination
- 14 days before travel is sufficient if only a booster is required
- If you have left your vaccines until the last minute we still recommend you come to the clinic as we can offer vaccinations, advice and malaria tablets if this is required
- Yellow fever vaccinations usually require 10 days before travel for full immunity however we can still vaccinate after this time period
What should I do if I can’t make my appointment?
- Please contact the clinic and we will be happy to arrange another appointment with you
Will I receive any certificates or leaflets?
How much does it cost?
- The prices for vaccinations are listed within the Prices section of this website
- The consultation and any advice you receive is completely free
What is your refund policy?
- We cannot refund any oral medications or vaccinations once they have been administered
Is there anything else I need to know?
Can I get any further information?
- If you require any further information please contact us on 0161 498 9743 or come in during our opening hours as listed on the homepage
Hepatitis A is a viral infection which can lead to inflammation of the liver. The virus is usually transmitted through contaminated food and water and is therefore most prevalent in areas with poor sanitation. Hepatitis A can also be transmitted between individuals with poor hygiene.
Signs and symptoms include:
- Fever
- Muscular aches
- Nausea
- Vomiting
- Diarrhoea
- Weight loss
- Abdominal pain
- Yellow discolouration of the skin and/or eyes
As well as vaccinations you can prevent contracting Hepatitis A by:
- Avoiding ice from unknown water sources
- Only drinking water that is treated or from a sealed bottle
- Avoiding uncooked food
- Only eating fruit which can be peeled
- Maintaining good personal hygiene
Vaccination should ideally occur at least two weeks before travel. Usually an initial injection will be followed by a booster injection to provide long-term protection.
Hepatitis B is a highly infectious virus spread through blood or bodily fluids and can lead to severe liver problems that may potentially prove fatal.
Signs and symptoms include:
- Mild fever
- Flu-like symptoms
- High temperature
- Gastrointestinal disturbances such as abdominal pain and/or diarrhoea
- Nausea and vomiting
- Yellow skin and/or eyes
The risk of contracting hepatitis B is linked to your exposure to blood or bodily fluids, such as during sexual intercourse, dental or medical treatment received abroad and tattooing.
Vaccination consists of three injections given over a period of one month or 6 months depending on your chosen course.
This vaccination is usually given for rural travel and is a viral infection usually transmitted by mosquitoes with the host being pigs and wading birds. Infection can cause swelling of the brain leading to permanent brain damage and death.
In tropical countries the risk of infection is consistent year-round, however in temperate countries the risk is increased during the rainy seasons.
Signs and symptoms usually occur 5-15 days after a mosquito bite and include:
- Flu-like symptoms
- Fever
- Confusion
- Convulsions
- Neck stiffness and paralysis
Vaccination is usually given as two vaccines over 28 days.
Malaria is spread through mosquito bites. It is the female Anopheles mosquitos that carry the Plasmodium parasite which passes into the bloodstream after a bite and is responsible for causing malaria. Bites mainly occur at dusk and at night. Signs and symptoms of malaria typically present 7-18 days after becoming infected and include fever accompanied by sweats and chills, headaches, muscle pain, vomiting and diarrhoea. However, in some cases symptoms may not present for up to a year.
The medications available to prevent malaria include:
- Tovaquone plus Proguanil (also known as Malarone)
- Chloroquine (also known as Avloclor tablets and Nivaquine syrup)
- Doxycycline (also known as Vibramycin-D)
- Mefloquine (also known as Lariam)
- Proguanil (also known as Paludrine)
The pharmacist you see at our travel clinic will be able to advise you on and provide you with the most appropriate form of malaria prevention, accounting for your age, any pre-existing medical conditions you may have, current medications you may take, pregnancy and the destination you plan to visit.
For those attending Hajj the meningococcal (ACWY) vaccination is a mandatory visa requirement and is also recommended for those performing Umrah.
- Meningococcal Group B
- MMR
- Shingles
- Chickenpox
All consultations are FREE of charge and arranged at your convenience.
Please note the prices are listed as price per dose, for the total cost of your vaccinations please refer to the number of doses you may require as listed in the Course column.
Otherwise feel free to contact us and we will be happy to provide more information.
Price March Promise- We will match any genuine price
Vaccinations
| Vaccine | Price Per Dose | Course | ||||
|---|---|---|---|---|---|---|
| Hepatitis A – water borne |
| One dose for both adults and children | ||||
| Hepatitis B – blood borne |
| Three doses for both adults and children | ||||
| Combined Hepatitis A + Hepatitis B |
| Three doses for both adults and children | ||||
| Yellow Fever | £60 | One dose | ||||
| Typhoid | £30 | One dose | ||||
| Combined Hepatitis A + Typhoid | £60 | One dose | ||||
| Rabies | £60 | Three doses | ||||
| Diphtheria, tetanus and poliomyelitis | £30 | One dose | ||||
| Meningococcal Conjugate ACWY | £35 | One dose | ||||
| Meningococcal Group B | £95 | Two doses | ||||
| Cholera | £25 | Two doses | ||||
| Japanese encephalitis | £80 | Two doses | ||||
| MMR | £25 | One dose | ||||
| Tick-borne encephalitis |
| Two doses for both adults and children | ||||
| Shingles | £130 | One dose | ||||
| Chickenpox | £50 | Two doses |
Malaria Tablets and Antibiotics
| Medication | Price |
|---|---|
| Doxycycline | 40p per capsule |
| Lariam | £22 for 8 tablets (£2.75 per tablet) |
| Malarone (Generic) | £1.50 per tablet |
| Malarone (Branded) | £2.75 |
| Malarone Paediatric | £18 for 12 tablets (£0.90 per tablet) |
| Paludrine/ Avloclor | £24.00 |
| Maloff Prpotect | 24s £46.80 and 36s £70.20 |
Period Delay Tablets - £25 for 60 tabs or £20 for 30 tabs
Travel accessories
- Prices are subject to change, and dependent upon stock availability – see terms and conditions
Rabies is a viral infection usually spread from animals to humans via a bite or scratch. There is currently no treatment for rabies and infection is usually fatal causing inflammation of the spinal cord and brain.
Signs and symptoms include:
- Flu-like symptoms
- Pain at the area of bite or scratch
- Anxiety, confusion or agitation
- Delirium, hallucinations and abnormal behaviour usually indicate the progression of the disease
Vaccination involved 3 doses given over a month e.g. day 1, 7, 21-28.
If possible exposure to rabies does occur urgent medical attention is advised.
Tick-borne encephalitis is a viral infection transmitted via consumption of unpasteurised milk products or the bite of a tick. Transmission season is typically April – October and is mainly found in the forested parts of China and Russia.
Signs and symptoms usually occur 1-2 weeks after infection and include:
- General flu-like symptoms e.g. fever and headache
- Occasionally nausea, muscle pain and lethargy
Vaccination is given as a course of two injections two weeks apart with a booster at 5-12 months.
Insect bite avoidance methods should be exercised such as protective clothing and insect repellents, such products are available to purchase at our travel health clinic.
Typhoid is a bacterial infection often transmitted through contaminated food and water. Infection can cause intestinal bleeding, toxic heart disease, pneumonia, seizures, swelling of the brain and death.
Signs and symptoms include:
- Mild fever and chills
- Headache
- Muscle aches
- Nausea
- Loss of appetite
- Occasionally abdominal discomfort, constipation and/or diarrhoea
As well as vaccinations you can prevent contracting Typhoid by:
- Avoiding ice from unknown water sources
- Only drinking water that is treated or from a sealed bottle
- Avoiding uncooked food
- Only eating fruit which can be peeled
- Maintaining good personal hygiene
Vaccination is often required every 3 years.
When travelling to Central America this vaccination may be considered when travelling east of the Panama Canal. This vaccination may also be required when visiting South America. It is usually required every 10 years and a certificate is required for entry into some countries.
Cholera often occurs in areas with poor sanitation particularly those experiencing natural disasters or war. It is an infection of the small intestine causing acute diarrhoea and vomiting, this can lead to dehydration and electrolyte imbalances making cholera a potentially fatal condition.
Signs and symptoms can develop 1-5 days after the ingestion of the bacteria and include vomiting of a clear liquid and pale, cloudy and painless diarrhoea.
As well as vaccinations you can prevent contracting cholera by:
- Avoiding ice from unknown water sources
- Only drinking water that is treated or from a sealed bottle
- Avoiding uncooked food
- Only eating fruit which can be peeled
- Maintaining good personal hygiene
Vaccination against cholera is highly effective and can offer up to 2 years protection.
Africa
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Meningitis ACWY
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
- Yellow fever
Middle East
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Diphtheria, tetanus and poliomyelitis
- Typhoid
East Asia
Destinations include India, China, Japan, South Korea, Singapore, Sri Lanka and The Maldives.
South East Asia is comprised of Thailand, Indonesia, Malaysia, Vietnam and Cambodia.
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Japanese Encephalitis
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
Australasia and Pacific
Destinations include Australia, New Zealand, New Guinea and islands across the Pacific Ocean.
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Japanese Encephalitis
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
Central America
Destinations comprise the distance between Mexico and Panama
Vaccines advised to all visitors:
- Hepatitis A
- Hepatitis B
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
- Yellow fever
- Consider if travelling east of the Panama Canal
South America
Comprised of thirteen countries in total including Argentina, Brazil and Peru.
Vaccines advised to all visitors:
- Cholera oral
- Hepatitis A
- Hepatitis B
- Rabies
- Diphtheria, tetanus and poliomyelitis
- Typhoid
- Yellow fever
Central and Eastern Europe
Vaccines advised to all visitors:
- Hepatitis B
- Tick-borne Encephalitis
- Especially if travelling between April – October and/or visiting forested areas of China and Russia.
Diphtheria is a bacterial disease usually spread through coughs and sneezes and can cause difficulties in breathing. At risk groups include unimmunized children and older adults who were not vaccinated as children. Planning to travel during the warmer months of the year along with the diphtheria vaccination are both ways of avoiding contracting the disease.
Tetanus is a bacterial infection which is introduced to the body via puncture wounds and burns. The most common symptom of tetanus is lock-jaw shortly followed by muscle spasms which may cause difficulty swallowing and in severe cases difficulty breathing. Two main ways of avoiding contracting tetanus are immunisation and avoiding injury.
Poliomyelitis is a highly contagious acute viral infection and is a particular threat to children. Poor sanitation is a key factor in the spread of the disease. Symptoms may take up to 20 days and can include fever, headaches, vomiting, fatigue, chest pains, and stiffness in the neck. In severe cases paralysis of the legs may occur and immobilisation of respiratory muscles can lead to death.
Measures to prevent polio in addition to immunisation include the following:
- Avoiding ice from unknown water sources
- Only drinking water that is treated or from a sealed bottle
- Avoiding uncooked food
- Only eating fruit which can be peeled
- Maintaining good personal hygiene
The DTP vaccination is usually part of the childhood immunisation programme in the UK and is required generally every 10 years.
Young adults may have already received this vaccination between the ages of 13-18.
Who will be doing my vaccinations?
- Your consultation and vaccines will be provided by one of our fully trained pharmacists in a private consultation room.
What do I need to bring?
- Please bring any past vaccination history you have
- If you have not already filled out the online consultation form and you are currently taking medications it may be useful to bring a copy of your repeat prescription so the pharmacist can review this
- If you are planning on visiting numerous places and feel you may struggle to relay this information from memory a note of the places you are visiting may be useful to bring along
- Please bring cash or a card in order to pay for the vaccinations you receive
What should I expect on arrival?
- You will be asked to fill out the relevant forms if you have not already submitted the online consultation form
- If you have already have filled out the online form you may be asked a few more questions, this is nothing to be concerned about and may depend on the answers given on the online form
- You will be taken into a private room to have your FREE consultation
- The pharmacist will discuss the vaccinations you require as well as any other travel and medical advice they feel is suitable for you
When should I come?
- If you require a vaccination course it is recommended to make your appointment 4-6 weeks before you travel. This is the case for the rabies vaccination, hepatitis B vaccination, Japanese encephalitis vaccination and cholera vaccination
- 14 days before travel is sufficient if only a booster is required
- If you have left your vaccines until the last minute we still recommend you come to the clinic as we can offer vaccinations, advice and malaria tablets if this is required
- Yellow fever vaccinations usually require 10 days before travel for full immunity however we can still vaccinate after this time period
What should I do if I can’t make my appointment?
- Please contact the clinic and we will be happy to arrange another appointment with you
Will I receive any certificates or leaflets?
How much does it cost?
- The prices for vaccinations are listed within the Prices section of this website
- The consultation and any advice you receive is completely free
What is your refund policy?
- We cannot refund any oral medications or vaccinations once they have been administered
Is there anything else I need to know?
Can I get any further information?
- If you require any further information please contact us on 0161 498 9743 or come in during our opening hours as listed on the homepage
Hepatitis A is a viral infection which can lead to inflammation of the liver. The virus is usually transmitted through contaminated food and water and is therefore most prevalent in areas with poor sanitation. Hepatitis A can also be transmitted between individuals with poor hygiene.
Signs and symptoms include:
- Fever
- Muscular aches
- Nausea
- Vomiting
- Diarrhoea
- Weight loss
- Abdominal pain
- Yellow discolouration of the skin and/or eyes
As well as vaccinations you can prevent contracting Hepatitis A by:
- Avoiding ice from unknown water sources
- Only drinking water that is treated or from a sealed bottle
- Avoiding uncooked food
- Only eating fruit which can be peeled
- Maintaining good personal hygiene
Vaccination should ideally occur at least two weeks before travel. Usually an initial injection will be followed by a booster injection to provide long-term protection.
Hepatitis B is a highly infectious virus spread through blood or bodily fluids and can lead to severe liver problems that may potentially prove fatal.
Signs and symptoms include:
- Mild fever
- Flu-like symptoms
- High temperature
- Gastrointestinal disturbances such as abdominal pain and/or diarrhoea
- Nausea and vomiting
- Yellow skin and/or eyes
The risk of contracting hepatitis B is linked to your exposure to blood or bodily fluids, such as during sexual intercourse, dental or medical treatment received abroad and tattooing.
Vaccination consists of three injections given over a period of one month or 6 months depending on your chosen course.
This vaccination is usually given for rural travel and is a viral infection usually transmitted by mosquitoes with the host being pigs and wading birds. Infection can cause swelling of the brain leading to permanent brain damage and death.
In tropical countries the risk of infection is consistent year-round, however in temperate countries the risk is increased during the rainy seasons.
Signs and symptoms usually occur 5-15 days after a mosquito bite and include:
- Flu-like symptoms
- Fever
- Confusion
- Convulsions
- Neck stiffness and paralysis
Vaccination is usually given as two vaccines over 28 days.
Malaria is spread through mosquito bites. It is the female Anopheles mosquitos that carry the Plasmodium parasite which passes into the bloodstream after a bite and is responsible for causing malaria. Bites mainly occur at dusk and at night. Signs and symptoms of malaria typically present 7-18 days after becoming infected and include fever accompanied by sweats and chills, headaches, muscle pain, vomiting and diarrhoea. However, in some cases symptoms may not present for up to a year.
The medications available to prevent malaria include:
- Tovaquone plus Proguanil (also known as Malarone)
- Chloroquine (also known as Avloclor tablets and Nivaquine syrup)
- Doxycycline (also known as Vibramycin-D)
- Mefloquine (also known as Lariam)
- Proguanil (also known as Paludrine)
The pharmacist you see at our travel clinic will be able to advise you on and provide you with the most appropriate form of malaria prevention, accounting for your age, any pre-existing medical conditions you may have, current medications you may take, pregnancy and the destination you plan to visit.
For those attending Hajj the meningococcal (ACWY) vaccination is a mandatory visa requirement and is also recommended for those performing Umrah.
- Meningococcal Group B
- MMR
- Shingles
- Chickenpox
All consultations are FREE of charge and arranged at your convenience.
Please note the prices are listed as price per dose, for the total cost of your vaccinations please refer to the number of doses you may require as listed in the Course column.
Otherwise feel free to contact us and we will be happy to provide more information.
Price March Promise- We will match any genuine price
Vaccinations
| Vaccine | Price Per Dose | Course | ||||
|---|---|---|---|---|---|---|
| Hepatitis A – water borne |
| One dose for both adults and children | ||||
| Hepatitis B – blood borne |
| Three doses for both adults and children | ||||
| Combined Hepatitis A + Hepatitis B |
| Three doses for both adults and children | ||||
| Yellow Fever | £60 | One dose | ||||
| Typhoid | £30 | One dose | ||||
| Combined Hepatitis A + Typhoid | £60 | One dose | ||||
| Rabies | £60 | Three doses | ||||
| Diphtheria, tetanus and poliomyelitis | £30 | One dose | ||||
| Meningococcal Conjugate ACWY | £35 | One dose | ||||
| Meningococcal Group B | £95 | Two doses | ||||
| Cholera | £25 | Two doses | ||||
| Japanese encephalitis | £80 | Two doses | ||||
| MMR | £25 | One dose | ||||
| Tick-borne encephalitis |
| Two doses for both adults and children | ||||
| Shingles | £130 | One dose | ||||
| Chickenpox | £50 | Two doses |
Malaria Tablets and Antibiotics
| Medication | Price |
|---|---|
| Doxycycline | 40p per capsule |
| Lariam | £22 for 8 tablets (£2.75 per tablet) |
| Malarone (Generic) | £1.50 per tablet |
| Malarone (Branded) | £2.75 |
| Malarone Paediatric | £18 for 12 tablets (£0.90 per tablet) |
| Paludrine/ Avloclor | £24.00 |
| Maloff Prpotect | 24s £46.80 and 36s £70.20 |
Period Delay Tablets - £25 for 60 tabs or £20 for 30 tabs
Travel accessories
- Prices are subject to change, and dependent upon stock availability – see terms and conditions
Rabies is a viral infection usually spread from animals to humans via a bite or scratch. There is currently no treatment for rabies and infection is usually fatal causing inflammation of the spinal cord and brain.
Signs and symptoms include:
- Flu-like symptoms
- Pain at the area of bite or scratch
- Anxiety, confusion or agitation
- Delirium, hallucinations and abnormal behaviour usually indicate the progression of the disease
Vaccination involved 3 doses given over a month e.g. day 1, 7, 21-28.
If possible exposure to rabies does occur urgent medical attention is advised.
Tick-borne encephalitis is a viral infection transmitted via consumption of unpasteurised milk products or the bite of a tick. Transmission season is typically April – October and is mainly found in the forested parts of China and Russia.
Signs and symptoms usually occur 1-2 weeks after infection and include:
- General flu-like symptoms e.g. fever and headache
- Occasionally nausea, muscle pain and lethargy
Vaccination is given as a course of two injections two weeks apart with a booster at 5-12 months.
Insect bite avoidance methods should be exercised such as protective clothing and insect repellents, such products are available to purchase at our travel health clinic.
Typhoid is a bacterial infection often transmitted through contaminated food and water. Infection can cause intestinal bleeding, toxic heart disease, pneumonia, seizures, swelling of the brain and death.
Signs and symptoms include:
- Mild fever and chills
- Headache
- Muscle aches
- Nausea
- Loss of appetite
- Occasionally abdominal discomfort, constipation and/or diarrhoea
As well as vaccinations you can prevent contracting Typhoid by:
- Avoiding ice from unknown water sources
- Only drinking water that is treated or from a sealed bottle
- Avoiding uncooked food
- Only eating fruit which can be peeled
- Maintaining good personal hygiene
Vaccination is often required every 3 years.
When travelling to Central America this vaccination may be considered when travelling east of the Panama Canal. This vaccination may also be required when visiting South America. It is usually required every 10 years and a certificate is required for entry into some countries.
Manchester
Greater Manchester
M20 6FJ