What is it and how do we get it:
It's caused by a bacterium called Salmonella typhi, which is related to the bacteria that cause salmonella food poisoning. Typhoid fever is highly contagious. An infected person can pass the bacteria out of their body in their stools (faeces) or, less commonly, in their urine.
If someone else eats food or drinks water that's been contaminated with a small amount of infected faeces or urine, they can become infected with the bacteria and develop typhoid fever.The incubation period for typhoid fever is usually 8–14 days.
Symptoms of Typhoid Fever
a high temperature that can reach 39-40C. (it is likely that typhoid stays in you forever but without showing any symptoms). stomach pain, headache constipation or diarrhoea.
If typhoid fever isn't treated, the symptoms will continue to get worse over the following weeks and the risk of developing potentially fatal complications will increase. So coming from abroad with abdominal pain and fever should be a red sign to check for salmonella causing Typhoid fever.
Childhood/ Routine Immunization program in the United Kingdom:
Not offered in the United Kingdom
Travellers going to destinations with Rabies outbreaks:
| Travellers wishing to travel in 10 days’ time that are above age of 6 years, wishing to take oral Typhoid vaccine (Vivotif) | You receive the first oral dose, followed by booster at 3rd day and the 5th day. Then you will be protected for 1-3 years. |
| Travellers wishing to travel in 10 days’ time that are above age of 6 years, wishing to take oral Typhoid vaccine (Vivotif) but are also taking antimalarial tablets too | You do as above, once you receive the 3rd dose of Typhoid, give yourself 3 days break before starting Doxycycline, Malarone or Lariam, otherwise the antimalarial medications would inactivate the typhoid oral vaccine |
| Travellers travelling in 2weeks time that are above age of 2 years also they need quick one | You could have the 1 dose injectable vaccine that will give you 3 years protection |
| dose regiments | |
| Travellers whom had Typhoid vaccine more than 3 years ago | You need a booster at least 2 weeks before travelling |
Inclusion and Exclusion list:
For patients above age 2 years and over for injectable vaccine and 6 years of age and over for oral ones. 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 |
| Vivotif | Vaccine live oral | 3 doses | £30 |
| Typhim | capsular polysaccharide of typhi | 1 dose | £30 |
| Typherix | capsular polysaccharide of typhi | 1 dose | £30 |
| ViATIM (Hep A + Typhoid) | polysaccharide of Salmonella typhi /inactivated hepatitis A virus | 1 dose | £80 |
Side effects:
The most common reactions are pain, swelling and erythema at the injection site.
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.
Bow
Greater London
E3 5ES