Cervical Cancer or HPV virus
The HPV virus can in some cases cause cervical cancer. The virus can be transferred by unprotected sexual contact. Since a couple of years there has been a national vaccination program consisting of a serie of 3 vaccinations. Those who are not covered by the national vaccination program can come to us for the vaccination serie against the HPV virus.
Cervical Cancer or HPV virus
Nowadays it is no longer necessary to put a Cholera stamp in the vaccination booklet.
The Dukoral vaccine may be considered when traveling with an increased risk of Cholera.
Diphtheria, Tetanus, Polio. This is a repeat of your childhood vaccination.
Diphtheria: this in an acute infection caused by an bacteria. This disease occurs worldwide as a childhood disease. The disease variates from skin diphtheria to lung diphtheria. Diphtheria can be deadly.
Tetanus: this is an acute infection caused by toxins of the tetanus bacteria. Tetanus occurs worldwide. The disease starts most of the time with headache and jaw pain. After some days, there will occur muscle stiffness and spasms. Tetanus can be deadly.
Polio: polio is a virus infection. People get infected because of a lack of hygiene. The illness often goed unnoticed, but can lead to paralysis and death.
Protection: 10 years.
F.S.M.E. (tekenencephalitis) Früh Sommer Meningo Encephalitis
Tick-encephalitis is caused by a virus. It is transmitted to humans through a tick bite and by drinking unpasteurized milk. The tick is found in large parts of central, eastern and northern Europe (European version) and in the former Sovjet Union, Kazakhstan, northeast China, Japan and Mongolia (Non-European version). A tick is active from March to November and lives in forests and grasslands. The Non-Eureopean tick is the most dangerous one. Ask a nurse at the vaccination centre of the vaccinations are eligible.
Two vaccinations before departure, with one month in between. After 9-12 months, you will need the third vaccination.
F.S.M.E. (Tick encephalitis)
FSME-immun is a vaccine that protects you for the Tick-borne encephalitis. The abbreviation FSME stands for the German name for the disease, Frühsommer Meningo-Encephalitis. The disease is caused by a virus that can be transferred by a tick. The virus can cause serious meningitis. In the Netherlands ticks that carry the virus are luckily very rare. But in large parts of Europe and Asia the risk of FSME is so big that it is advised to be vaccinated preventively.
Where does FSME occur?
When and where am I at risk?
Ticks occur in nature. You can find them on trees, shrubs and blades of grass. You are at risk of getting bitten by a tick when you are in a risk area or performing an activity where you find yourself between trees, shrubs or blades of grass. Activities that can be risky are walking, biking, camping or having a picnic. But also bird watchers are at risk. People who have a second house in risk area or even people who are walking over a lawn or garden in risk area can get bitten by tick.
Course of the disease
The seriousness and duration of the symptoms can differ. Two-thirds of the people who get infected with FSME have none to mild symptoms. With the remaining one-third of the people the disease develops in two phases:
The characteristics of this phase are similar to flu-like symptoms. These can occur 2 to 28 days after a tick bite but mostly 7 to 14 days after the bite.
Frequent symptoms are:
- Generally feeling ill
- (mild) fever
- Fatigue and body weakness
- Muscle strain and joint pain
- Nausea and vomiting
- Stomach ache and diarrhea
Part of the people who went through phase 1 will continue to develop a second phase. New symptoms occur after being symptom free for 1 to 21 days after phase 1. In phase 2 the central nervous system is affected. Encephalitis (brain inflammation), meningitis or spinal cord inflammation can develop. For these disease hospitalization is needed.
Frequent symptoms of phase 2 are:
- (High) Fever
- Severe headache
- Disturbed movement (ataxia)
- Muscle strain and joint pain
- Intolerable to light
- Paralysis and nervous breakdown
- Reduced consciousness, drowsiness and disorientation
- Cognitive problems
- Sleep disorders
- Hearing problems
- Swallow and speech problems
- Vision problems
- Nausea and vomiting
- Stomach ache, constipation and diarrhea
- Tremor in the arms and legs
- Neck pain and stiffness
- Disturbed balance
- Changes in personality and behaviour
- Emotionally unstable, anxiety and depression
- Autonomic dysregulation
- In rare cases epilepsy, seizures and coma
A higher risk at the serious progression of the disease is related to sex (the progression of the infection is often more serious with males than with females) and age (Above the age of 50 the risk increases).
Besides FSME tick can carry more viruses. In case of a single tick bite you can get infected with more than one disease. For example the combination of Lyme and FSME. In this case FSME can progress more serious.
This is a virus infection in the liver. The virus occurs after eating infected food and drinking infecting drinks. It occurs in countries with bad sanitation. After the infection, you will feel ill in in 2-7 weeks. The symptoms are the same as a flu, nausea, jaundice and dark urine.
40 years after two vaccinations. Hepatitis A
Schedule: Before you leave, you need an vaccination. After returning (6 to 12 months) you will get a second vaccination.
Hepatitis A & B combination
Protection: after 3 vaccinations, the protection for hepatitis A is at least 25 years. The protection for hepatitis B is lifelong.
Schedule: before you leave you will need two vaccinations with one month in between. After returning (6 to 12 months) you will get a third vaccination.
Children: Ambirix (hepatitis A + B): one vaccination before departure. After returning a second vaccination after 6-12 months. The protection is at least 40 years.
This is an infection of the liver. The infection is caused by sexual contact and blood contact (blood transfusion, needles, razor blades). The disease occurs worldwide. Most of the time, people will feel ill 2 or 3 months after the infection took place. Hepatitis B can progress to a chronic disease. To prevent the disease, use a condom and avoid being in contact with blood.
2 vaccination, one month interval, and a third vaccination after 6 to 12 months.
This disease is caused by an infected mosquito. The disease occurs in parts of Asia, mainly on the countryside. People will feel ill 5-15 days after the infection. Most of the time, there are no symptoms. If there are symptoms, they probably will look like a flu.
2 vaccinations on days 0 and day 28.
Note: sometimes a third shot is required after 1 or 2 years.
You will get a prescription from the pharmacy where you can get the tablets. The payment of malaria-tablets takes place at the pharmacy. In most cases you will have to start taking the tablets just before leaving to the tropics. Sometimes you have to start 3 weeks before departure. You should take them as told to you by the travel health specialist nurse.
You will get a personal malaria advice. Sometimes this advice is different from the standard advice, it depends on your health, your destination and the length of your journey. In Wageningen, Nijmegen and Den Bosch, a malaria consultation hour is held every week, where you will get informed in a small group of people.
This is free of charge. Please call us to find out when the next consultation hour about malaria will take place.
Meningitis A, C, Y en W 135
Protection: at least 3 years.
This illness is caused because of different bacteria and viruses.
Meningitis B (Bexsero)
Meningokokkenziekte is een verzamelnaam voor ziekten die worden veroorzaakt door een bacterie, de meningokok. Deze bacterie kan bloedvergiftiging of hersenvliesontsteking veroorzaken. Er zijn verschillende typen meningokokken. Meningokokken B komt vooral voor bij kinderen jonger dan 5 jaar.
Schema: Vanaf de leeftijd van 2 maanden kan iemand worden ingeënt tegen meningokokken B. Bij ons vaccinatiecentrum vaccineren we kinderen vanaf 6 maanden. Zuigelingen vanaf 6 maanden moeten twee injecties met het vaccin krijgen, gevolgd door een aanvullende injectie (booster). Tussen de injecties moet een interval van ten minste 2 maanden worden aangehouden. Een booster wordt gegeven in het tweede levensjaar, met een tussentijd van tenminste 2 maanden na de tweede injectie.
Afhankelijk van de leeftijd zijn er in totaal twee tot vier vaccinaties nodig.
In verband met de beschikbaarheid van dit vaccin dient u altijd telefonisch contact met ons op te nemen.
Pneumokokkenziekte is een verzamelnaam voor ziekten die worden veroorzaakt door een bacterie, de pneumokok. Deze bacterie is van mens op mens overdraagbaar. De pneumokok kan luchtweginfecties veroorzaken zoals bronchitis, oorontsteking of longontsteking. Een van de balangrijkste complicaties van griep is een longonsteking die veelal veroorzaakt wordt door een pneumokok in combinatie met een verminderde weerstand. Deze complicaties zijn vaak de belangrijkste doodsoorzaak bij dit soort infecties. De bacterie kan ook ernstige infecties zoals bloedvergiftiging en hersenvliesontsteking veroorzaken. Kinderen in Nederland kunnen sinds 2006 via het Rijksvaccinatieprogramma vaccinaties tegen pneumokokken krijgen.
What is Rabies?
Rabies is a viral disease that causes progressive and fatal inflammation of the brain and spinal cord. The virus is transmitted through close contact with saliva or blood from infected animals; if you get bitten, scratched, licked on broken skin the virus can be transmitted.
The virus occurs in more than 150 countries. In the Netherlands rabies infections are rare, the disease is almost always sustained abroad.
Shingles, also known as herpes zoster, is a contagious viral diseases that characterizes through formation of a rash with painful blisters on one side of the body. Shingles often affects one arm or leg or one side of the face, back or chest.
The disease proceeds in phases. In the beginning an annoying feeling arises at the spot where later blisters will arise. This can be painful but it could also be a tingling, itchy or burning feeling. A couple days later red little blisters will arise. These blisters are filled with fluid and can be very painful and itchy. After about 7 to 10 days the blisters will dry in leaving scabs. There is also the possibility that a week after the first blisters arise new blisters can arise. In some cases there are no blisters at all and only pain and itching. Shingles in the face can also cause an inflamed eye.
Tuberculosis Generally, no vaccination is given in Holland. Instead, a test is done.
We recommend the following travelers to do a check for tuberculosis:
-Travelers staying longer than three months at risk areas
-Travelers who regularly make short trips to risk areas
-Travelers who suspect being exposed to tuberculosis (local public transportation, or shelter with local residents or have had contact with sick people coughing)
It is possible to test tuberculosis with a mantoux test. A test should be done 10 weeks before departure and 8-10 weeks after return. The test is only required for the travelers who will stay abroad for a long time. On mondays and thursdays, you are welcome for the mantoux test.
Note: Regarding a possible vaccine against TB (BCG vaccination) you will receive further information if applicable.
Protection: 3 years.
Typhiod is a bacteria (Salmonella Typhi). Typhiod occurs after eating infected food and drinking infected drinks. The disease occurs worldwide, but occurs particularly in parts of Africa and Asia. It takes 1 or 2 weeks after the infection to feel ill. The symptoms are fever, constipation and diarrhoea.
This vaccination must be given at least 10 days before entering the country.
Yellow fever is a virus infection. The infection is caused by an infected mosquito. The disease occurs in Africa and South-America. People who are infected feel sick after 3-6 days. The symptons of the infection are much like the symptoms of a flu, because of the fever and myalgia. Besides, there may be complications like jaundice, encephalitis and bleedings, which can be deadly.
Protection: life long
In some countries, this vaccination is mandatory for getting a visa.