Vaccines advised to ALL Sierra Leone visitors

Vaccines advised to SOME Sierra Leone visitors i The vaccines you need will depend on where in the country you are visiting, how long you will stay and what activities you will undertake during your trip. During your consultation our nurse will advise if you should consider any of the following vaccinations.

There is a risk of Malaria in Sierra Leone. London Travel Clinic offers a range of antimalarials to keep you protected

NOTE: British travellers should also ensure they have adequate protection from MEASLES, MUMPS and RUBELLA and TUBERCULOSIS, which are normally given as part of the childhood vaccination schedule.

Destination Information for Sierra Leone

The largely unexplored country of Sierra Leone, on the West coast of Africa, is being hailed as an up-and-coming destination for adventurous tourists. With incredible white sandy beaches, which are some of the best in Africa, stunning scenery and welcoming, friendly local people, it’s not hard to see why.

The civil war which plagued the country from 1991 and 2002, as well as the recent Ebola outbreak, has lead to difficult times for Sierra Leone, however it is slowly addressing the issues of the past and travellers are gradually venturing back, to discover this unique country.

Learn More

Freetown is Sierra Leone’s capital city, situated on the West coast, and offering a huge number of idyllic beaches which always remain quiet. This attractive city is filled with hidden gems, including a chimpanzee sanctuary, colourful colonial houses on stilts and the Sierra Leone Museum.

Banana Island is one of the main tourist spots, offering a beautiful tropical island with unspoilt views, beautiful beaches, and excellent walking and scuba diving opportunities. The country as a whole is blessed with an abundance of wildlife, including forest elephants and chimpanzees, as well as hundreds of species of birds and exotic insects.

If you’re taking a trip, it’s advisable to avoid the wet season from June to November, and opt instead to visit during the summer months of November to June.

Ebola Virus Disease in West Africa

A total of 33 new confirmed cases of Ebola virus disease (EVD) were reported during the week to 19 April 2015. This compares with 37 and 30 in the preceding weeks.

  • Guinea - in the week to 19 April, 21 confirmed cases were reported, this compares with 28 the previous week.Transmission is still confined to the west of the country and mainly in the prefecture of Forecariah, bordering Sierra Leone.
  • Liberia - the last confirmed case was buried on 28 March 2015; 42 days will have elapsed from this burial on 9 May.
  • Sierra Leone - in the week to 19 April, 12 confirmed cases were reported, this compares with 9 the previous week. Western Area Urban, which include the capital Freetown, reported 6 new confirmed cases, which represents 50% of the total number, compare with 4 cases the previous week.

As of 19 April 2015, more than 26 044 confirmed, probable and suspected cases of EVD and more than 10 808 deaths have been reported to WHO by the Ministries of Health for Guinea, Sierra Leone and Liberia. The distribution of the cases in West Africa is listed below, case numbers include confirmed, probable and suspected:

  • Guinea - 3565 cases and 2358 deaths, cases in last 21 days 70.
  • Liberia - 10 212 cases and 4573 deaths, cases in last 21 days 0.
  • Sierra Leone - 12 267 cases and 3877 deaths, cases in last 21 days 30.

Advice for Travellers

The risk of travellers becoming infected or developing Ebola haemorrhagic fever is extremely low, unless there has been direct contact with blood or bodily fluids of dead or living infected persons or animals. Healthcare workers are at particular risk, although practising appropriate infection control should effectively prevent transmission of disease in this setting.

Travellers returning from tropical countries should always seek rapid medical attention if they develop flu-like symptoms (such as fever, headache, diarrhoea or general malaise) within three weeks after return, and be reminded to mention to their health care provider that they have recently travelled.

Malaria and regions within country:

There is a high risk of P.Falciparum malaria throughout Sierra Leone, anti-malarial medication is advised.

Malaria chemoprophylaxis for high risk zones:

Doxycycline OR Atovaquone/Proguanil OR Mefloquine

If all other anti-malarials are not deemed suitable, Chloroquine plus Proguanil can be used but it is less effective.

Useful Links

International travel clinic locator: www.istm.org

The Foreign and Commonwealth Office: www.fco.gov.uk

British Embassy

British High Commission Freetown
6 Spur Road Freetown
Sierra Leone

Email:  freetown.general.enquiries@fco.gov.uk
Telephone: +232 (0) 78124451 / 76541386 / 76541388 / 79061833

Vaccine Information for Sierra Leone

Disease & Source
Vaccination Details
Course
Price
Disease: Hepatitis A
Source: Contaminated food and water
Vaccination Details

One of the following vaccination courses may be recommended:

  • A single course injection of Havrix Monodose to cover against Hepatitis A
  • A course of three injections of Twinrix to cover against Hepatitis A and Hepatitis B
  • A single dose of Hepatyrix to cover against Hepatitis A and Typhoid fever
Course
Varies
Price
Varies
Disease: Diphtheria
Source: Person to person
Vaccination Details

A single injection of Revaxis will protect against Tetanus, Diphtheria and Polio. In the UK, the TDP vaccination against Diphtheria infection is part of the childhood immunisation schedule.

Course
1 dose
Price
£32.00
Disease: Tetanus
Source: Puncture wounds, burns and intravenous drug use
Vaccination Details

A single injection of Revaxis will protect against Tetanus, Diphtheria and Polio. In the UK, the TDP vaccination against Diphtheria infection is part of the childhood immunisation schedule.

Course
1 dose
Price
£32.00
Disease: Polio
Source: Contaminated food and water
Vaccination Details

A single injection of Revaxis will protect against Tetanus, Diphtheria and Polio. In the UK, the TDP vaccination against Diphtheria infection is part of the childhood immunisation schedule.

Course
1 dose
Price
£32.00
Disease: Typhoid
Source: Contaminated food and water
Vaccination Details

One of the following vaccination courses may be recommended:

  • Typhim Vi, single dose injection
  • Vivotif, 3 capsules
  • Viatim, single dose injection of Hepatitis A & Typhoid combined
Course
1 dose
Price
£50.00
Disease: Yellow Fever
Source: Mosquitos
Vaccination Details

Travellers to areas at risk may require a single dose injection of Stamaril. Nearly all affected countries require proof of Yellow Fever vaccination in the form of an International Certificate of Vaccination before they allow a traveller to enter. Failure to provide a valid certificate can lead to a traveller being quarantined, immunised or denied entry.

Course
1 dose
Price
£70.00
Disease: Cholera
Source: Contaminated food and water
Vaccination Details

A course of two Dukoral tablets, which is administered orally.

Course
2 doses
Price
£32.50
Disease: Hepatitis B
Source: Infected blood and bodily fluids
Vaccination Details

One of the following vaccination courses may be recommended:

  • A course of three injections of Energix B to cover against Hepatitis B
  • A course of three injections of Twinrix to cover against Hepatitis A and Hepatitis B
Course
Varies
Price
Varies
Disease: Rabies
Source: Animal to person
Vaccination Details

A course of three injections of the vaccine (Rabies BP or Rabipur) will cover against Rabies and is recommended. In the event of possible exposure to Rabies, urgent medical attention should be sought, even in those who have received pre-exposure vaccines.

Course
Price
Disease: Malaria
Source: Mosquitos
Vaccination Details

There are a range of different anti-malarial tablets that will be prescribed to travellers based on several factors, including: destination, medical history, family history, current medications, previous problems with anti-malarial tablets, age and pregnancy.

Course
1 dose
Price
£50.00

Non-Vaccinated Diseases

Disease
Source
Our Advice
Source: Insects
Our Advice: Use 50%+Deet insect repellent
Disease: Chikungunya
Source: Mosquitos
Our Advice: Use 50% Deet+ insect repellent
Disease: Dengue Fever
Source: Mosquitos
Our Advice: Use 50%+ Deet insect repellent
Disease: Filariasis
Source: Mosquitos
Our Advice: Use 50% Deet+ insect repellent
Disease: Leishmaniasis
Source: Sandfly
Our Advice: Use 50% Deet+ insect repellent
Disease: HIV/AIDS
Source: Bodily Fluids
Our Advice: Use a condom for sex and to never share needles or other injecting equipment (including syringes, spoons and swabs).
Source: Contaminated food and water, person to person
Our Advice: Tummy kit and Tummy Kit +
Disease: Brucellosis
Source: Animals to humans
Our Advice: Avoid eating or drinking unpasteurized milk, cheese, or ice cream (including queso fresco)
Disease: Leptospirosis
Source: Animals to humans
Our Advice: Avoid swallowing flood waters or water from lakes, rivers, and swamps. Avoid wading in flooded areas, especially if you have any cuts or abrasions
Disease: Schistosomiasis
Source: Parasitic Flatworms in fresh water ponds, lakes, rivers and canals
Our Advice: Avoid swimming or wading in freshwater. Drink safe water
Disease: Trypanosomiasis
Source: Insects
Our Advice: Use 50% Deet+ insect repellent

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