Vaccinations, disease and malaria advice for your chosen destination:

Tokelau (Australasia)

Immunisations Malaria

Advice for All Destinations

The risks to health whilst travelling will vary between individuals and many issues need to be taken into account, e.g. activities abroad, length of stay and general health of the traveller. It is recommended that you consult with your General Practitioner or Practice Nurse 6-8 weeks in advance of travel. They will assess your particular health risks before recommending vaccines and /or antimalarial tablets. This is also a good opportunity to discuss important travel health issues including safe food and water, accidents, sun exposure and insect bites. Many of the problems experienced by travellers cannot be prevented by vaccinations and other preventive measures need to be taken.

Measles occurs worldwide and is common in developing countries. The pre-travel consultation is a good opportunity to check that you are immune, either by previous immunisation (2 doses) or natural measles infection.

Ensure you are fully insured for medical emergencies including repatriation. UK travellers visiting other European Union countries should also carry the European Health Insurance Card (EHIC) as it entitles travellers to reduced cost, sometimes free, medical treatment in most European countries. Online applications normally arrive within seven days. Applications may also be made by telephone on 0845 606 2030 or by post using the form which can be downloaded from the website.

For Travel Safety Advice you should visit the UK Foreign and Commonwealth Office website.

A worldwide list of clinics, run by members of the International Society of Travel Medicine is availble on the ISTM website.

Immunisations

  • Confirm primary courses and boosters are up to date as recommended for life in Britain - including for example, vaccines required for occupational risk of exposure, lifestyle risks and underlying medical conditions.
  • Courses or boosters usually advised: hepatitis A.
  • Other vaccines to consider: tetanus; hepatitis B.
  • No vaccine certificate required.

Notes on the diseases mentioned above

  • Tetanus is contracted through dirty cuts and scratches. This is a serious infection of the nervous system. A total of 5 doses of tetanus vaccine is recommended for life in the UK. Tetanus vaccine is usually recommended for travellers who will be in a country or situation where the correct treatment of a tetanus prone injury may not be readily available. 
  • Hepatitis A is spread through contaminated food and water and can cause liver inflammation and jaundice. In risk areas you should be immunised if good hygiene is impossible. 
  • Hepatitis B is spread through infected blood, contaminated needles and sexual intercourse, It affects the liver, causes jaundice and occasionally liver failure. Vaccination is recommended for those at occupational risk (e.g. health care workers), for long stays or frequent travel to medium and high risk areas, for those more likely to be exposed such as children (from cuts and scratches) and those who may need surgical procedures.

Malaria

  • Malaria not normally present unless the illness was contracted abroad.