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Hepatitis
Bell Pharmacy Bow

What is it and how do we get it:

Hepatitis A is a viral infectious disease, which can affect the liver. This disease is caused by the hepatitis A virus. The hepatitis A virus can be passed from person to person in food and drink, or by swimming in water contaminated by sewage. Symptoms of hepatitis A begin 3 to 6 weeks after coming into contact with the virus.

Symptoms of Hepatitis A:

These consist of nausea (feeling sick), fever and aches and pains. After a few days the whites of eyes and skin may become yellowish (jaundice). The severity and type of symptoms can vary. Young children may not develop jaundice. Most people recover completely but the illness is usually severe enough to keep people ill for about a month.

Childhood/ Routine Immunization program in the United Kingdom:

It is not given in the UK as part of routine immunisation programme.

Travellers going to destinations with Polio outbreaks:

When it comes to Hepatitis A, the Nurse or the Pharmacist at the Bell Pharmacy Bow, will go through the range of options with you before administrating the dose. This is because there are alternative ways you can get Vaccinated against Hepatitis A Virus depending on your assessment form and the destination you are Travelling.

Formulations / combinations of Vaccines
1: Hepatitis A
2: Hepatitis A and Typhoid
3: Hepatitis A and Hepatitis B
4: Hepatitis B

1: Hepatitis A (on its own)

Travellers who had 2 doses of Hep A vaccines in the past 20 years and the last dose they received was more than 2 weeks ago You are good to go
Travellers who had 2 doses of Hep A vaccines but the last dose was more than 20 years You need a dose for booster and it would be good to stay 2 weeks before exposing yourself to the Virus
Travellers who had only one dose of Hep A in their lives You need a dose for booster and it would be good to stay 2 weeks before exposing yourself to the Virus
Travellers who had non Hep A vaccination or those that are not sure They should receive 2 doses, with at least 6 months’ gap between each dose. If you are travelling and cannot wait for 6 months, you will be given the quicker alternatives. Talk to our clinic for more advice.

Inclusion and Exclusion list:

For patients above age of 1. There are inclusion and exclusion list that will be discussed with you during your appointment. You will be asked to fill in an assessment form with all your vaccination history details as well as any medical condition. Also we will go through any allergic reactions you might have. You can download the form here or you can fill it in during your appointment.

Name of the Vaccines subject to availabilities:

Name of the Vaccine Type of Vaccine Schedule (see notes above) Price per schedule including consultation
Havrix Hepatitis A (inactivated) vaccine 1 dose/ Maybe 2 doses, Please see the above tablet £47

There are many other manufacturers brands are available as well, which will be discussed with you during your travel clinic appointment. They vary between their age limit and the length of protection they achieve. We have a set price of £47 for all of them

2: Hepatitis A and Typhoid

For those considering to travel to areas affected by Hepatitis A virus, or the Typhoid bacteria as well as those that need to travel urgently, we, at Bell Pharmacy Bow advise them to use this Vaccine.

Travellers travelling in more than 6 months’ time You need one those of this vaccine but in 6 month time you need a booster of ONLY HEP A to have protection against both infections (Typhoid for 3 years and Hep A for at least 10 years)
Travellers travelling soon Have one dose 2 weeks before departure. This will give you protection against Typhoid and Hep A (since you didn’t have the Hep A booster, the protection against Hep A is not as great as above so please take extra precaution)
Travellers who had Hep A Vaccination but not Typhoid or other way round You will be given the non-combined vaccines for the infections

Inclusion and Exclusion list:

For patients above age of 15. There are inclusion and exclusion list that will be discussed with you during your appointment. You will be asked to fill in an assessment form with all your vaccination history details as well as any medical condition. Also we will go through any allergic reactions you might have. You can download the form here or you can fill it in during your appointment.

Name of the Vaccines subject to availabilities:

Name of the Vaccine Type of Vaccine Schedule (see notes above) Price per schedule including consultation
ViATIM polysaccharide of Salmonella typhi /inactivated hepatitis A virus 1 £80

There is another manufacturer brand available as well (Hepatyrix) , which will be discussed with you during your travel clinic appointment. They vary between their age limit and the length of protection they achieve. We have a set price of £80 for both of them.

Side effects:

The most common adverse effects are pain, swelling and erythema at the injection site. Systemic reactions including headache, fever, malaise, fatigue, nausea, diarrhoea and itch are reported less frequently.

3: Hepatitis A and Hepatitis B

For those considering to travel to areas affected by Hepatitis A virus, or Hepatitis B, we, at Bell Pharmacy Bow advise them to use this Vaccine.

Travellers travelling in more than 6 months’ time You will be given one dose and then 2 boosters at 1 month and 6 months’ time (Total 3 doses) to achieve protection for Hep A virus of up to 20 years and 5 years protection against Hep B virus
Travellers travelling soon Faster way is to receive 4 doses altogether, at 0, 7th day, 21st day and 12th month. After the 21st day dose, you will have good protection against the viruses. The forth dose at the 12th month is recommended in order to achieve protection for Hep A virus of up to 20 years and 5 years protection against Hep B virus.
Travellers who had Hep A Vaccination but not Hep B or other way round or those that are not sure You will be given either Hep A or Hep B vaccines separately, or use the accelerated protection vaccines as seen above.

Inclusion and Exclusion list:

For patients above age of 1. There are inclusion and exclusion list that will be discussed with you during your appointment. TWINRIX is not to be given during pregnancy. You will be asked to fill in an assessment form with all your vaccination history details as well as any medical condition. Also we will go through any allergic reactions you might have. You can download the form here or you can fill it in during your appointment.

Name of the Vaccines subject to availabilities:

Name of the Vaccine Type of Vaccine Schedule (see notes above) Price per schedule including consultation
TWINRIX inactivated hepatitis A virus and hepatitis B virus surface antigen 3 – 4 £65

There is another manufacturer brand available as well , which will be discussed with you during your travel clinic appointment. They vary between their age limit and the length of protection they achieve. If you start the vaccination with one brand, the boosters have to be of the same brand. We have a set price of £65 for both of them.

Side effects:

The most commonly reported adverse reactions are at the injection site and may include pain, redness and swelling. Other common reactions include fatigue, malaise, headache, irritability and nausea.

4: Hepatitis B

Hepatitis B is given as part of Childhood/Routine Immunisation programme in the United Kingdom.

It is given in Three doses – the first when the child is 8 weeks (part of 6 in 1 injection), 12 weeks (part of 6 in 1 injection) and 16 weeks (part of 6 in 1 injection).

Travellers travelling in more than 6 months’ time Even if you have had your childhood immunisation done You will be given one dose and then 2 boosters at 1 month and 6 months’ time (Total 3 doses) to achieve protection for Hep B Virus for 5 years. After 5 years a booster is needed
Travellers travelling in less than a month (This vaccination schedule is only available for 18+) Even if you have had your childhood immunisation done You receive 4 doses altogether, at 0, 7th day, 21st day and 12th month. After the 21st day dose, you will have good protection against the viruses. The forth dose at the 12th month is recommended in order to achieve protection for Hep B virus for up to 5 years.
Travellers that have not had their childhood vaccination or had some of it You will need booster dose/doses.

Inclusion and Exclusion list:

For patients above age of 1. There are inclusion and exclusion list that will be discussed with you during your appointment. You will be asked to fill in an assessment form with all your vaccination history details as well as any medical condition. Also we will go through any allergic reactions you might have. You can download the form here or you can fill it in during your appointment.

Name of the Vaccines subject to availabilities:

Name of the Vaccine Type of Vaccine Schedule (see notes above) Price per schedule including consultation
Engerix B Hepatitis B virus surface antigen, recombinant 3 – 4 £40
HBvaxPRO Hepatitis B virus surface antigen, recombinant 3 – 4 £40

If you start the vaccination with one brand, the boosters have to be of the same brand.

Side effects:

The most commonly reported adverse reactions are at the injection site and may include pain, redness and swelling. Other common reactions include fatigue, malaise, headache, irritability and nausea.

Hepatitis B

What is it and how do we get it:

Hepatitis B is a viral infection affecting the liver. can be spread by: a mother to their newborn baby, injecting drugs and sharing needles, having sex with an infected person without using a condom, having a tattoo, body piercing, or medical or dental treatment, having a blood transfusion, sharing toothbrushes or razors contaminated with infected blood, the skin being accidentally punctured by a used needle (needle stick injury), blood of someone with hepatitis B getting into an open wound, cut, or scratch. Hepatitis B isn't spread by kissing, holding hands, hugging, coughing or. Sneezing. After the virus enters the body, there is an incubation period lasting 1.5 to 6 months (average 4 months) until illness begins.

Symptoms of Hepatitis B:

During the incubation time, usually the patients have no symptoms except mild belly ache or diarrhoea.During the chronic phase (> 6 months after infection) hepatitis B usually progresses silently, with no symptoms at all during the first 10-20 years. Signs of severe liver scarring (cirrhosis) may include: Ascites (accumulation of fluid and swelling of the abdominal cavity), Star-shaped vein pattern developing on the swollen belly, Jaundice, Itching and Easy bruising and bleeding.

Travellers going to destinations with Hepatitis B outbreaks:

Please see above

Please visit http://www.fitfortravel.nhs.uk/destinations.aspx, after putting your destinations, this website will advise you which vaccines are needed. This website is regularly updated and is authorised by NHS.

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