The benefits of introducing a workplace health and wellbeing programme are clear: it has been proven that a successful corporate wellbeing programme leads to higher productivity, decreases in absenteeism and lower staff turnover. Ultimately, if your employees feeling healthy and looked after at work, it allows them to reach their potential and helps your company to achieve its business goals.
Perhaps as a result of the growing evidence in favour of such initiatives, businesses are now investing more than ever into corporate wellness programmes.
But with so many options available, how do you begin to create your own bespoke workplace programme? Firstly, be prepared to set aside time and budget. At the initial planning stage, there are several important factors to consider: how to structure the programme to your company’s ethos and business objectives, how to ensure staff involvement (at all levels), considering the size of your workplace, personalisation according to the needs of your company and the requirements of individual employees.
At Fleet Street Clinic, we create bespoke corporate programmes across the UK. We work with companies of all sizes – from local businesses to City firms to international media agencies. We have a wealth of medical experts available, from hypnotherapists, osteopaths, dieticians, and can offer all kinds of services on site such as flu jabs, health screens and GP services.
We deliver programmes designed to boost the health and happiness of your staff, building and strengthening your workforce.
Want to find out more? You can visit our Corporate Healthcare Services page and make an enquiry. One of our Corporate Managers will be in touch soon.
During a dental appointment, your dentist will naturally look for abnormalities within the mouth and these include signs of oral cancer. It is important that in between dental appointments you also take notice of what is going on inside your mouth. If you notice any changes is it essential you tell your dentist or doctor immediately.
Mouth cancer can develop in most parts of the mouth, including the lips, tongue, gums, cheek and the throat. If it is caught early, the chances of surviving mouth cancer are nine out of ten – those odds are pretty good, and that’s why early detection is so important.
It can be hard to spot symptoms of mouth cancer, which is why it is important to regularly attend your dental appointments. Your dentist can perform a check-up and look for slight abnormalities that you might otherwise miss. If anything is found, your dentist will provide onward referral to a specialist for further investigation.
Given that early detection is so crucial for survival, it’s extremely important that we all know what to look out for. In between dental appointments you should look out for changes in your mouth health that could indicate mouth cancer.
Three signs and symptoms not to ignore are:
If you notice anything unusual in your mouth, it’s advisable to make an appointment with your dentist.
When checking for signs of mouth cancer you should follow the following routine:
Check if both sides look the same and search for any lumps, bumps or swellings that are only on one side of the face. Feel and press along the sides and front of your neck being alert to any tenderness or lumps to the touch.
Pull down your lower lip and look inside for any sores or changes in colour. Use your thumb and forefinger to feel the lip for any unusual lumps, bumps or changes in texture. Repeat this on the upper lip.
Use your finger to pull out your cheek so that they can see inside. Look for red, white or dark patches.
Then place your index finger inside your cheek, with your opposing thumb on the outside gently squeeze and roll the cheek to check for any lumps, tenderness or ulcers, repeat this action on the other cheek.
With your head tilted back and mouth open wide, your dentist will look to see if there are any lumps or if there is any change in colour. They will run their finger on the roof of your mouth to feel for any lumps.
Examine your tongue, looking at the surface for any changes in colour or texture.
Stick out your tongue or move it from one side to another, again looking for any swelling, change in colour or ulcers. Finally, take a look at the underside of the tongue by placing the tip of your tongue on the roof of your mouth.
Look at the floor of the mouth for changes in colour that are different than normal. Press your finger along the floor of your mouth and underside of your tongue to feel for any unusual lumps, swellings or ulcers.
If you find anything unusual in any of these areas, or are unsure of anything, visit your dentist or doctor as soon as possible.
You can book a dental appointment with Temple Dental.
We are very sorry to hear that Interhealth is ceasing to trade. As a hugely respected health practice, it is a great loss for Travel Medicine in the UK.
Fleet Street Clinic is in contact with Interhealth to offer support and provide continuity of medical care for existing individual and corporate Interhealth clients as required.
If you are looking for continuity with Interhealth services as an individual, or if you require corporate services such as Occupational Health and Travel Healthcare including travel vaccinations, please get in touch.
For more information please call Fleet Street Clinic on 0207 353 5678 or email at info@fleetstreetclinic.com
Fleet Street Clinic is proud to be supporting this great campaign.
Dr Pilar Gesto, one of our highly-qualified dentists, explains why good oral health is key…
“In our busy and sometimes stressful lives, it is common to forget the power of a smile. This simple gesture can affect our work, our social life and our love life. But don’t worry. Beautiful smiles all have one thing in common: they always come from healthy mouths!”
To achieve a healthy and beautiful smile, simply follow the straightforward advice below:
Stoptober is a good time to reflect on smoking habits and how to improve health issues related to tobacco use.
Quitting smoking is one of the most effective ways you can improve your health and the benefits start almost immediately. And remember, it’s never too late to quit!
Blood pressure and pulse are normalised, blood circulation improves.
Levels of carbon monoxide in the blood decrease.
Your sense of smell and taste are improving.
Less or no phlegm in the throat, fewer breathing difficulties.
Your breath is fresher, your teeth are cleaner and energy levels higher.
Physical withdrawal symptoms will stop, and you can now go several hours without thinking about smoking. Your risk of blood clots (thrombosis) is reduced.
Coughing, blocked sinuses and breathing difficulties should subside. The lungs are better able to resist infection.
Lung function improves by 5%.
The risk of developing cardiovascular disease is halved.
The risk of developing severe pneumonia or flu is the same as for a non-smoker. Your risk of heart disease, angina (chest pains) and stroke continues to fall.
The risk of throat, oesophageal and bladder cancer is halved.
The risk of developing cardiovascular disease or thrombosis is the same as for a non-smoker.
The risk of lung cancer is halved. The risk of developing osteoporosis decreases.
The risk of lung, throat, oesophageal or bladder cancer is the same as for a non-smoker. But heavy smokers (20 a day) have double the risk of lung cancer for the rest of their lives.
If you need any advice or help to stop smoking, you can book an appointment with one of our GPs.
The WHO has issued a warning about recent outbreaks of measles in Europe and the USA. Cases of measles have risen rapidly in recent months in Italy, Romania and most recently in US.
Measles is a highly contagious virus with potential for serious complications.
Initial symptoms can include:
A rash appears after 2-4 days which can present as blotchy spots, often starting at the head and progressing down.
If you think you may be suffering from measles, or are concerned about risk of infection when travelling, please see your doctor straight away.
Make sure you are up-to-date with your vaccinations before you travel, including the measles, mumps and rubella (MMR) vaccine. If your child will be travelling, the MMR can be given from 6 months of age. If you have not had measles or if you have not had two doses of MMR, you may be at risk. Measles is easily passed from person to person and can be a serious illness in adults as well as children. It is never too late to have the vaccine.
Call Fleet Street Clinic for medical assistance, advice on vaccinations and travel precautions on 0207 353 5678 email info@fleetstreetclinic.com or book online now.
The 2018 London Marathon is just around the corner! Are you preparing for the run this year? If so, you’ll be very aware of the struggle ahead. A challenge like a marathon is incredibly rewarding but also tough on the body. Increasing your exercise capacity to this level pushes the limits of endurance both physically and mentally.
But even though this can feel torturous at times, you should not ignore recurrent pain or discomfort that persists after adequate rest. A common mistake is to push through and wait until pain prevents training before seeking care. By then, prolonged time off is often necessary to heal. It is estimated that 50 to 70 percent of first-time marathon runners drop out before their race.
As you increase your training and running, consider a biomechanical assessment. Slight problems in gait caused by many issues from footwear to posture to old injuries can cause new injuries (knees are particularly susceptible), or cause you to have to slow your pace or walk during the race.
Listen and respond to your body throughout training and recovery, and that finish line is waiting for you!
As you can imagine, a marathon takes its toll on the body in many ways. A post race assessment is well worth it, to identify any issues caused, not to mention a treatment to work out some of that lactic acid and to restore full function to the joints and muscles.
Our osteopath Andrew Doody and podiatrist George Hill can help with any marathon-related complaints. For more training tips and advice, or marathon injury treatment you can book an appointment online.
Fleet Street Clinic is dedicated to maintaining a good supply of the chickenpox vaccine.
Our private chickenpox vaccine service is undertaken by doctors and nurses with long experience of vaccinating children. Our family friendly clinic is sympathetic to parents’ needs and concerns, and we welcome any vaccine-related queries. We operate a Saturday vaccination clinic once a month, the next will be held on Saturday April 8th.
To book your chickenpox vaccination for yourself or your child, you can book online now.
More women died from ovarian cancer in the UK (4,227) than from all other gynaecological cancers combined in 2016, according to Cancer Research UK. However, worryingly one in five women in the UK (22%) mistakenly believe that a smear test (cervical screening) can detect ovarian cancer, according to research Target Ovarian Cancer carried out with YouGov.
Speak to one of our female GP’s about any concerns you may have about your gynaecological history and your families medical history. During your consultation, we will also conduct a breast check and pelvic examination.
“In the UK a woman dies every two hours from ovarian cancer, but the earlier the diagnosis the better the chances are”
Professor Hani Gabra – Director of Ovarian Cancer Action Research Centre
Ovarian cancer is when abnormal cells in the ovary begin to grow and divide in an uncontrolled way and eventually form a growth (tumour). Every year 7,300 women in the UK are diagnosed with ovarian cancer.
The risk of developing ovarian cancer increases as you get older. The most common type of ovarian cancer is epithelial ovarian cancer, this usually occurs in women older than 50 years old. We don’t know exactly what causes epithelial ovarian cancer. But some factors may increase or reduce the risk.
Factors that increase the risk include:
Factors that may reduce the risk include:
With non-specific symptoms in the early stages. It is hoped that this new method of early diagnosis could help save lives.
Early Ovarian Cancer symptoms can be similar to those of other conditions, these some to watch out for:
It is important to contact your GP as soon as possible if you spot any symptoms that are abnormal for you.
We understand talking about your concerns and having an examination can be quite worrying and for some, embarrassing, therefore, to make you as comfortable as possible, all our well woman services are booked with a female GP.
Levels of protein CA125 in the blood are recognised as a marker for ovarian cancer. This simple and effective blood test will detect early stages of ovarian cancer. You can either have this as a stand-alone blood test or add it on to your medical for an additional cost. Please inquire for prices..
Links:
Target Ovarian Cancer
Cancer Research UK
For more information about Fleet Street Clinic’s Women’s Health Services.
You can also book a GP appointment online.
Ask the average person what viral disease they think claims the most lives, and HIV might be the likely response. However, this is not so, according to research in the Lancet. The research suggests that viral hepatitis caused 1.45m deaths in 2013 compared to 1.2m lives claimed by AIDS in 2014. What is Hepatitis?
Hepatitis is best defined as an inflammation of the liver caused by the hepatitis virus. There are 5 types of hepatitis virus called; A,B,C,D and E. Contaminated food is usually the cause of virus types A and E. Types B, C and D are spread via infected bodily fluid contact. Virus types B and C lead to the most deaths.
Hepatitis A and B are vaccine preventable. Many countries offer these vaccines routinely on the childhood schedule but this is not the case in the UK.
Vaccinations are needed to give protection against hepatitis A and B and they currently are not part of the childhood vaccination schedule in the UK. At the Fleet Street Clinic, we make it a priority to have a good supply of hepatitis A and B vaccines for children all year round. The hepatitis vaccinations can be given individually, or as a combined injection. For long lasting protection, several doses are required. Our vaccination team are highly trained, well-qualified and have dozens of years’ experience between them. Our vaccination service takes place in a clean, comfortable and safe environment.
You can learn more about our vaccinations here.
While hepatitis is causing millions of fatalities across the globe, you can take steps towards protection against the virus by booking an appointment for hepatitis vaccinations at Fleet Street Clinic today.
As our glorious British Summer continues and everyone basks on the tennis court, our osteopath, Andrew Doody, calls time on an old problem.
Tennis elbow is a condition that causes pain around the outside of the elbow. It’s clinically known as lateral epicondylitis and often occurs after strenuous overuse of the muscles and tendons of the forearm, near the elbow joint.
You may notice pain:
You may also find it difficult to fully extend your arm.
The name tennis elbow is because the tennis backhand shot is a common way to develop the problem, however any strain or overuse can cause it.
Lesser known golfer’s elbow (medial epicondylitis) is a similar issue but on the other side of the elbow.
These conditions are easy to get but can hang around for weeks and months if left untreated. This is largely due to the fact that lots of the muscles in the hand and forearm attach to those two spots on either side of the elbow. This means that once the area is enflamed, most everything you do with the hand can re-aggravate it, from drinking a cup of tea (or Pimms) to opening a door (or raising a trophy).
Once diagnosed, treatment involves firstly reducing the inflammation with rest, cold compresses and anti-inflammatories, followed by massage and careful mobilisation to help relieve pain and stiffness and restore the range of movement. Specific supports can also be quite beneficial at this time.
Preventing tennis elbow is tough but here are a few pointers:
Increasing the strength of your forearm muscles can help prevent tennis elbow. Your osteopath can advise you about exercises to build up your forearm muscles.
Andrew Doody is an osteopath at Fleet Street Clinic and is fully registered with the General Osteopathic Council (GOSC). Book an appointment with him if you have any musculoskeletal injuries.
We undertake a full range of Occupational Health Services:
If you would like further information about our occupational health services or wish to discuss your company’s needs, our OH Administrator can be contacted on occhealthadmin@fleetstreetclinic.com or 020 7353 5678.
With the Rugby World Cup in full swing, our osteopath Andrew Doody takes you through some of the most common injuries in this most physical of sports.
This is the ligament on the inside of the knee. It stabilises the knee (along with the lateral collateral and cruciate ligaments). Due to the nature of tackling a player by hitting into the outside of the leg, this can often gap the opposite side, putting the ligament under enough strain to tear or even rupture. Quick changes of direction can also strain this ligament.
In similar circumstances as the MCL injuries during tackling, impact on the thigh can often cause severe bruising of an area as the soft tissues are smashed against the thigh bone with blood vessels being damaged and blood then clotting around the area.
The three muscles on the back of the thigh, commonly known as the hamstrings are often injured in many sports, not only rugby. Rapid changes of pace can strain the muscle, especially if it is not fully warmed up (although research is beginning to show it’s not quite as simple as previously thought). Mechanical issues in the leg such as gait on running can also add to the danger of a tear.
In a similar fashion, the calf muscle is often strained, usually where it attaches to the Achilles tendon. Again, overuse, especially on a tired muscle, can cause strains, as can the mechanics of the foot and ankle complex.
The one that has the spotlight on it most recently is, of course, concussion. Any blow to the head can cause varying degrees of concussion. This can be from mild to extremely serious. Very difficult to prevent in rugby, the emphasis has fallen on rapid identification of when a concussion has occurred and immediate action to minimise the danger of ongoing damage.
Rugby is a rough sport and it is always difficult to greatly lower the risk of injury without hugely compromising what is a great game. The RFU is working hard to achieve this though, through changes to the laws of rugby. As well as raising awareness of injuries, both in regard to preventative factors and response after injury occurs.
Osteopathy can stretch and condition the muscles and ease the pain; a routine of stretches to carry out at home can also be recommended. Andrew Doody offers a trusted osteopathy service which can assist with pain relief and also address the underlying causes of injuries, decreasing your chances of future injury.
If you have had a rugby injury or are experiencing any musculoskeletal problems, you can book an appointment online.
We are focusing on Sexual Health Awareness at Fleet Street Clinic this week, to encourage people to talk about their sexual health with health care professionals and help to diagnose and treat STIs.
Did you know:
– More than two-thirds of people have never had an STI test.
– Many people carrying an STI do not display symptoms.
This is why it is worth getting tested, even if you don’t feel that something is wrong. Having an STI check can sometimes make people nervous, but a sexual health appointment with a professional is quick and helps keep your health on track.
Although not everyone presents symptoms, some common complaints in men and women suffering from an STI can be:
Having these symptoms doesn’t mean you have an STI, but make sure you go to a GP to get checked out and find out the cause.
Health professionals advise to always use condoms to help reduce the chance of STI transmission from intercourse and oral sex.
At Fleet Street Clinic, we provide access to Sexual Health tests and advice from our trained medical professionals.
You can learn more about our sexual health services here.
If you would like a sexual health appointment, you can book online.
With summer just around the corner, many are busy shopping for essentials. Sun cream, swimwear and toiletries are more likely on the list rather than travel vaccines. Many forget to check if they are up-to-date on the recommended travel vaccines. To make sure you get full enjoyment out of your holidays it’s important to stay safe during and after your break.
Below we have highlighted some health concerns you need to know if you are travelling this Summer:
Throughout this year we have seen an increased rise in measles cases all over the world. The disease can be easily prevented with two doses of the safe and efficient MMR vaccine. A review of your childhood vaccine records will indicate if you have had the MMR course or if in need of a booster or the full course. Those struggling to confirm their immunity can have a simple immunity blood test which will either confirm if they are immune or not.
When visiting areas with poor sanitation, which can affect the water and food consumed, travellers, should consider the Hepatitis A vaccination. A safe and effective vaccination which prevents the viral infection and stop travellers falling ill whilst away. In addition to the vaccination, travellers also should take caution and ensure all food is cooked thoroughly and served hot, stick to bottled water which is sealed and avoid ice (usually tap water).
Hepatitis B is a viral infection spread by contaminated blood and bodily fluids. Examples in which travellers can be at risk are contaminated medical equipment which may be used in an emergency for example needles and syringes. Hepatitis B can also be prevented with a vaccine course before travelling.
Every year there are more than 200 million new cases of malaria, another preventable and treatable disease. The World Health Organizations lists 91 countries and territories at risk of malaria transmission. Preventative medication can be taken to reduce the risk of catching Malaria as there is currently no vaccination.
In about 20% of travellers with diarrhoea, more than one bug turns out to be responsible for the illness. Bugs can be caught from drinking tap water and eating uncooked food or salads washed in tap water. It can put a dampener on holiday plans and make you feel under the weather. Antibiotics can be prescribed prior to travel, in case of a severe infection. Our gastro kit is designed to help travellers who may need medication to help cases of infectious diarrhoea whilst travelling.
“There may be avoidable risks to your health depending on your overall health, destination and planned travel activities. We can assess the risks and provide you with the best travel health advice to ensure you have an enjoyable trip and return healthy.”
If you wish to discuss how to stay safe on holiday or would like more advice on what vaccinations you may need, our travel nurses can help. Book a travel consultation to discuss your needs.
Marrakesh is a former Imperial City and the heart of Morocco. Whether you plan on visiting the medinas of Marrakesh or branch out to the sands of the Sahara or the heights of the Atlas mountains, ensure you follow our top travel tips to stay healthy.
All travellers should ensure they have received vaccinations against Hepaitis A and diphtheria-tetanus and polio. Vaccinations against typhoid should be considered for those who cannot guarantee safe food and water during their trip, Hepatitis B and Rabies vaccinations can be considered for some travellers, especially those travelling to more remote locations.
Travellers should be careful when dining in Morocco. This will help to prevent food and water-borne illnesses. You should avoid drinking tap water, and stick to boiled water, or bottled sealed water. Those who are trekking may wish to take a water bottle with a filter or a supply of chlorine dioxide tablets to make water safe when in remote locations.
Stick to the mantra of cooking it, peel it, boil it, forget it. If you cannot cook, peel or boil what you plan to eat or drink, it is probably safest to avoid consuming. Food contaminated with local water, such as salads are considered high risk and best to be avoided. Ensure all food is cooked thoroughly and served straight away. Avoid buffet items which may have been sat for long periods of time and could be contaminated. You can also purchase our worldwide gastro kit.
The availability of health care and first aid supplies are limited in Morocco. Whether you are visiting the median of Marrakesh or ambling around the Atlas, taking a good first aid kit with you is essential – click here to buy online now.
Basic provisions include pain relief, plasters and medication to treat an upset stomach, such as loperamide and oral rehydration salts. If you take prescription medication to ensure you pack enough and carry the prescription with you.
The peak of Mount Toubkal exceeds 4,000m and can be summited in 5-7 hours. High altitude and fast ascent rates can put travellers at risk of altitude sickness and acute mountain sickness. The risk can be reduced by ensuring you stay hydrated, plan a slow ascent and factor in some acclimatisation days. Acetazolamide (Diamox) can be used to help aid the process, speak to a travel nurse about this at your pre-travel assessment.
It is always best to seek travel advice before any holiday. A pre-travel assessment is quick and easy, vaccinations and prescriptions can be given within a single appointment and any follow-up treatments to complete courses arranged for a convenient time straight away.
Book your travel appointment today
By Anna Chapman | Travel Nurse | April 2019
Uzbekistan is home to spellbinding architecture and ancient cities. In terms of sights alone, Uzbekistan is Central Asia’s biggest draw and most impressive showstopper. Fabulous mosques, medressas and mausoleums are just some of the pulls for tourists when visiting Uzbekistan while more eccentric views can be seen at the fast disappearing Aral Sea and Nuratau Mountains.
Travel Nurse, Anna, shares her top tips on how to stay healthy during your trip to Uzbekistan.
Ensure you are up-to-date with your travel vaccinations. The minimum advised for a trip to Uzbekistan is diphtheria tetanus and polio, and Hepatitis A. Typhoid, Hepatitis B and Rabies can be considered by some travellers. It is advisable to attend for a pre-travel assessment with a travel nurse 6-weeks before your trip as some vaccinations requires several injections to complete the course.
Precautions against the dreaded traveller’s diarrhoea should be taken to prevent an upset stomach ruining your trip. Do not drink tap water in Uzbekistan, stick to bottled water or water that has been boiled. If you are trekking or visiting remote areas it’s a good idea to take either a water bottle with a filter or some chlorine dioxide tablets to make water safe to drink, should you not be able to find a shop with bottled water.
Sour milk dishes dominate the Uzbek cuisine. Cue caution if you want to try ‘kurt’, the famous fermented cheese balls. There is a risk of a bacterial disease called brucellosis that can be spread through unpasteurised dairy products such as cheese and milk.
Uzbekistan forms one of the countries on the old silk route. If you plan on a tour of the ‘Stans’ or attempting the whole Beijing to Istanbul route, you may need to consider other travel health precautions. Depending on your route, and also the time of year you intend to travel, you may wish to consider vaccinations against Tick-Borne Encephalitis and Japanese Encephalitis.
Khazret Sultan, Uzbekistan’s highest peak stands at 4643m. Many popular walking and hiking routes such as Big Chimgan exceed over 3000m, making altitude related illnesses a hazard. Tips for reducing altitude sickness include a slow ascent route, keeping hydrated, ensuring that your sleeping altitude doesn’t exceed 500m per day. Diamox (acetazolamide) is a prescription medication that can reduce the symptoms of altitude related illness.
Book your travel appointment today
By Anna Chapman | Travel Nurse | April 2019
So you’re back to work and the tree’s on its way back to the loft. Time to come through on all the New Year’s resolution bravado. Here are a few tips about how to do just that.
Decide what it is you’re wanting to achieve and tailor your program towards it. Do you want to lose weight? Get fitter? Tone up? All three? Don’t just choose the new fitness regime trend, think what you enjoy to do and go with that! You stand much more chance of continuing if you do. Identify times of day when you can exercise and which days you will do it. It’s much harder to stick to a regime that is just squeezed in when and if you have the time (not to mention inclination!)
Make sure you are mentally and physically ready to start, and more importantly ready to stick to, a regime. Check with your GP if you have any concerns about your health before you start. A good proportion of my new patients come from people who have caused injuries in the first few weeks, or even days sometimes, of starting a new regime. If you have any niggles, get them treated, and get advice on how to prevent them from recurring.
Set goals that are achievable and realistic. To lose a stone or be able to run 10k by Easter are realistic. To decide you are going to the gym every day before breakfast probably won’t last long. Fitness needs to be built gradually with a good base. Get advice on what exercise you need to do. Just running will help cardiovascular fitness somewhat, but needs to be part of a balanced all-around program if you want to be healthier generally. To maintain it, alone, running will also soon start to cause musculoskeletal problems.
There will probably be no shortage of people thinking along the same lines as you. Teaming up hugely increases the chances of you both sticking to a program and makes it much more fun and less painful than trying alone. Even just planning together and talking about what you’re doing, (even if diaries don’t allow actually exercising together), is really encouraging.
Don’t look at this as a quick fix just to drop a few pounds. Take it easy and don’t rush. Tailor your plan around becoming more fit and healthy permanently. If you do it will help with so many other things, from energy levels to less aching joints or back, to stress relief and better sleep.
By Andrew Doody | Osteopath
Andrew is available for pre-exercise assessment, advice on exercise/regime planning, and diagnosis/treatment of outstanding or new issues, as well as advice on injury prevention. You can book an osteopathy appointment online.
Back pain can be the result of heavy lifting, repetitive movement or simply by sitting at your desk all day.
We know how hard it is to live and work in pain and back pain is no exception. By now I’m sure we all realise that sitting for long periods is bad for you. But just how bad have our habits become? And what can be done about it?
Sitting in an office chair for long periods of time can wreak havoc on your lower back. In addition to many other joints and muscles. Simply stated, our bodies weren’t made to sit for prolonged periods of time. In fact, our bodies developed a heck of a long time before chairs were around at all.
According to research, the average office worker spends an average of 5 hours and 41 minutes per day sitting at their desk. The same study also found that those who sit longer at work are more likely to sit more outside of work as well.
Overall, sedentary jobs have increased 83% since 1950. With physically active jobs now only make up about 25% of the workforce. That’s 50% less than in 1950. Additionally, the average working week is longer. We now work an average of 47 hours a week, 164 more hours a year than 20 years ago.
On top of the time spent sitting in the workplace, on average, we spend 7 hours sleeping and 4.5 hours watching tv a day.
A recent study in the European Journal of Preventive Cardiology found that standing for almost six hours a day instead of sitting not only prevents weight gain — it can help people shed pounds.
They calculated that standing burned 0.15 calories more per minute compared to sitting. If an average person stood for six hours a day instead of sitting, they would burn an extra 54 calories a day. Some studies had it even higher.
In addition, muscle activity from standing is also associated with lower risks for strokes and heart attacks. Quite a few studies have shown that a single day of breaking up sitting with standing or short walks seems to have a beneficial effect on health parameters. Which include blood sugar control, blood pressure, and feelings of pain and fatigue.
However, before we all decide to stand all day instead, let’s look at the downsides. There’s a confusing array of conclusions from recent studies involving the health implications of standing vs sitting for long amounts of time. There have been studies, for example, that have concluded that people who primarily stand for long periods of time during the day, instead of lowering their risk for heart disease, maybe up to twice as likely to develop it. Perhaps long periods of standing are not the answer either. It has also been pointed out that standing for extended periods of time isn’t safe for all people, such as those with joint or vascular issues.
However, swapping out some sitting time for standing time is not only about heart disease.
One variable that makes sitting for extended periods damaging to the spine is the sustained contracture of the abdominal and hamstring muscles. This creates an imbalance. This, in turn, creates affecting the mechanics of the lower back. It also increases the load on the lumbar discs.
Using a standing desk, even for a portion of a workday, can minimise this imbalance. This helps maintain better spinal alignment and muscle symmetry.
A recent study was performed where office workers of varying ages and body masses used a sit-stand desk where they alternated between sitting and standing throughout an 8-hour workday. The study found that the participants reported a 31.8% reduction in standing desk back pain when compared to sitting for the entire workday.
But just like sitting and leaning forward for extended periods can increase pressure on the back, the same applies to standing with poor ergonomics. Maintaining good posture and taking frequent breaks is the best way to ensure you’re standing or sitting optimally.
Try not to wear high heels (you can swap out for flats or slippers while at your desk if needed). Have the top of the computer screen at about eye level, and vary posture. When you’re in a sitting phase of your day make sure your chair and workstation have been fully ergonomically assessed. Discuss any conditions with your osteopath. They can advise how to adapt both the sitting and standing phases to suit you better. Have regular breaks from your desk altogether when you walk around the office.
And then of course if you really want to blow the budget there are treadmill desks…
If you’re experiencing back pain you can book an appointment with our Osteopath, Andrew Doody, online.
Tick-borne Encephalitis (TBE) is a viral disease that is spread by the bite of an infected Ixodes tick. It is estimated that the disease infects at least 13,000 people every year.
Symptoms can occur from 4-28 days post-bite and include fever, fatigue and muscle aches.
The virus can also go on to affect the brain and spinal cord, causing meningitis, with up to 20% of cases resulting in death. Unfortunately, there is no specific treatment for TBE.
TBE occurs in 3 main geographical locations:
European TBE – Western Europe
Siberian TBE – Urals, Siberia, Far-Eastern Russia and Finland
Far Eastern TBE – far Eastern Russia, China and Japan
Transmission of TBE occurs mainly during the summer months, mainly via wild vertebrate animals such as rodents. It can be transmitted either by ingestion of unpasteurised milk, or milk products from infected animals or by the bite of an infected tick.
If you’re travelling to affected countries during the transmission period, you are most at risk if you are doing outdoor activities such as hiking, camping and walking in forested areas where ticks are abundant.
Take the following precautions to avoid infection:
Wear long trousers and sleeves. Impregnating clothing with permethrin and using insect repellents such as DEET are also good ways of preventing tick bites.
Get vaccinated. Ticovac (and Ticovac Junior for children) is advised for travellers who may be at risk. It requires two vaccinations prior to travel, and the third dose after a year can provide up to 5 years protection.
Check your body for ticks -especially in the armpits, groin and behind the knees.
Remove ticks promptly and correctly and clean the bite site with antiseptic.
| What | Tick-Borne Encephalitis |
| Where | Eastern Europe, Scandinavia, Siberia |
| When | Summer Months |
| How | Infected bite of a tick |
| Can it be prevented? | Yes – Vaccination and tick-prevention |
If you find a tick embedded on your skin you need to remove it, asap:
To remove a tick follow these steps :
Top tip: Avoid putting pressure on the body to avoid incomplete removal which may cause infection.
There is a vaccination against tick-borne encephalitis (Ticovac and Ticovac Junior) which is highly effective against TBE. The primary schedule requires two vaccinations to be given 14 days apart, and a third dose to be given one year later. A booster vaccination is recommended after 3 years. The vaccination is suitable for adults and children over the age of one-year-old.
You can book a travel consultation appointment online to find out if you beed a tick-borne encephalitis vaccine for your next trip.
CASES OF MUMPS REPORTED AT A NUMBER OF UK UNIVERSITIES
Public Health England has confirmed they are urging students to get MMR vaccinations.
A number of cases of mumps have been reported in Nottingham and Exeter. The recent rise in teenagers and young adults who have not had two doses of the MMR vaccine are believed to have caused an increase in UK cases. Unprotected students are particularly vulnerable due to close living conditions. Students are being urged to ensure they have received the full two-dose MMR vaccine course to protect themselves against mumps.
A total of 241 suspected cases were reported, with 52 confirmed, across Nottingham Trent University and the University of Nottingham and 7 confirmed cases at Exeter University.
Mumps is a contagious viral infection which causes swelling of the parotid glands.
Mumps can result in some serious complications. It can cause temporary hearing loss in 1 in 20 people. Mumps can cause a rare but potential risk of encephalitis, which affects 1 in 1,000 sufferers and requires hospitalisation.
It is spread in the same way as colds and flu – through infected droplets of saliva that can be inhaled or picked up from surfaces and transferred into the mouth or nose.
A person is most contagious a few days before the symptoms develop and for a few days afterwards.
Some people suffer complications that can include inflammation of the pancreas, viral meningitis (inflammation of the brain), inflamed and swollen testicles in men and ovaries in women.
If you think you may be suffering from mumps, or are concerned about the risk of infection, please see your doctor straight away.
Those who have not had the MMR vaccine – or have only received one dose – regardless of age, should ensure they receive two doses of the MMR (measles, mumps and rubella) vaccine.
In order to keep virus’ such as mumps from spreading, a certain proportion of the population must be immunised, this is called the ‘herd immunity’.
Herd immunity is particularly important as not everyone can get vaccinated, but those who can are able to help people those who can’t. Some people are unable to get vaccinated because they’re too ill, too young or have an impaired immune system. When we vaccinate, we protect not only ourselves but also the most vulnerable members of our communities.
The disease can be easily prevented with two doses of the MMR vaccine, that has safely and efficiently been in use since the late 1980s’.
Make sure you are up-to-date with your measles, mumps and rubella (MMR) vaccine. Although the NHS immunisation schedule offers the vaccine to children from 12 months of age, the MMR can be given from 6 months. If you have not had measles, mumps or rubella or if you have not had two doses of MMR, you may be at risk. Measles mumps and rubella are easily passed from person to person and can be a serious illness in adults as well as children. It is never too late to have the vaccine.
You can book an MMR vaccine online.
No part of the body is more affected than your feet.
From the intense training regime to the 26.2 miles of constant pounding on hard concrete, it is crucial you look after your feet before and after the London Marathon.
There are many injuries that can be picked up whilst training such as blisters, callus build-up, cracks in the heal and ingrown toenails. Vigorous long-distance running can amplify these injuries but also cause nail damage and even loss of a toenail.
Caring for your feet post marathon is extremely important and visiting a podiatrist is advised to reduce the possibility of long-term damage which could be irreversible.
The key to post-race recovery starts with putting your feet up, relax them with some rest and then think about booking a podiatrist appointment roughly 3 days after your marathon. This will allow any soft tissue that has become inflamed to reduce.
It is important that any pain caused by nail damage be investigated by a podiatrist, this could be from a loose nail to a build-up of pressure from a blood blister under the nail. Following trauma never force the removal of a nail or attempt ‘home-surgery’ as you are likely to create a nail bed infection and increase the risk of causing more long-term damage – leave this to a podiatrist.
If the nail damage isn’t significant nor causing any pain, you can protect it to reduce any further damage and monitor it’s healing. If the area doesn’t heal or begins to become painful it is advisable to book in with a podiatrist for medical help.
These two symptoms can be a key indicator of a fracture, even in the absence of noticeable pain.
In some cases, adrenaline from running the marathon can conceal the pain caused by the fracture and the runner will push on and either ignore the warning signs or simply not register the pain. If swelling occurs for a prolonged period of time or a new bruise develops up to a couple of days post marathon, it is recommended that you seek advice from a podiatrist or visit a GP.
Post race foot care is an extremely important part of your post-race aftercare and will speed up your recovery time and in turn, will mean you can begin training for your next marathon quicker and with healthy feet.
If you would like to incorporate a podiatry appointment into your marathon training or book in for a post-marathon foot care appointment, you can book an appointment online.
We meet interesting people day in, day out, both at the clinic and when we’re doing trade shows.
Following a chance meeting at the Adventure Travel Show in January, we felt inspired to support Damian King as he embarks on an extreme adventure across India.
Damian explained his plans to walk from North India to South India – starting at Kashmir and ending in Kanyakumari. This is a total of 2,547km aiming for 30miles per day – which is no easy feat!
Not only is Damian’s mission a personal extreme adventure to tick off the bucket list but a way to raise awareness and fundraise for CALM, Campaign Against Living Miserably (CALM). If you are unfamiliar with this charity, they are leaders in the movement against male suicide. Which, unfortunately, is still the single biggest killer of men under 45 in the UK.
It is a sad fact that on average 84 men take their lives every week in the UK. As a society, we need to remove the stigma of mental health as a whole but specifically around gender expectations, gender norms and toxic masculinity which has embedded itself with our culture. As healthcare professionals, we strongly believe in promoting a healthy lifestyle, advocate for disease prevention and highlighting the importance of self-care and wellbeing. This is why we so passionately decided to support Damian. To be in some way a small (but essential) part of his adventure and assist in raising awareness for male suicide felt thrilling and essential. Part of our company ethos is to support the adventurous traveller so we said yes to becoming his medical partner, offering support for vaccinations, travel advice, medical kits, podiatry advice and also nutritional advice.
“The decision to work with the guys at Fleet Street Clinic was quite simple. I required a varied number of services which they offered. They are centrally located in between the West End and City, and more importantly, it doesn’t have the clinical feel of a doctors surgery like many do.”
– Damian King
As a specialist travel clinic, we advocate the importance of good health whilst travelling and assist travellers to view health as one of the most important aspects of their adventure holiday. We have assisted with Damian in his preparation for his adventure from top to toe. Important parts of his pre-travel preparation were travel vaccinations alongside travel advice; highlighting risks from the weather, insects, animals, food and water. Other important health checks included a visit to the podiatrist to ensure his feet remained healthy during training and whilst walking, the nutritionist to speak about the impact of his diet whilst travelling and what he should and shouldn’t be eating in preparation for such a drastic amount of exercise and an in-body scan to document his training efforts which looks at weight distribution, muscle mass and body fat percentage.
We are proud to be a part of Damian’s journey and we wish him a fantastic and safe adventure. If you would like to follow Damian King’s adventure, you can find out more on his blog or on his Instagram.
If you are thinking of embarking on your own travel adventure and need a travel consultation appointment, you can book online.
Recovering from a marathon is a critical component to a perfect training plan that runners often neglect. Post marathon massages are known to prevent injury, help repair injured muscle tissue and decrease recovery time to help you get back to your training regime quicker. Unfortunately, if you don’t properly recover from a marathon, it will be harder to break your PR and stay healthy.
It doesn’t matter if you’re a professional runner or if it’s your first marathon, the impact of running such a distance has undoubtedly put your body under enormous stress and physical duress.
The most obvious physical impacts are muscle soreness and fatigue which cause damage. It will take your muscles approximately 2 weeks post marathon to return to full strength.
It is essential for marathon runners to have considered a 2-3 week marathon recovery protocol that focuses on rest and rejuvenation and we’d recommend 2 sports massages within that time frame to assist recovery.
It is never recommended to have a massage on the day of a marathon or the day after as your body firstly needs to rest and heal the muscular damage and correct any inflammation.
We’d recommend…
Day 1 – 3 Post Marathon
A light massage or using a roller massage stick to help loosen and stretch your muscles from any delayed muscle soreness. A deep tissue massage isn’t recommended just yet.
Day 4 – 7 Post Marathon
You should consider booking in a deep tissue sports massage. Point out any areas that are really bothering you and use massage to help prevent injuries. Your osteopath can also help identify any injuries you may have and the best action to recovery.
Combining recovery massages with a good diet and plenty of water will help you recover much more quickly.
If you would like to incorporate recovery massages into your marathon training or book in for a post-marathon massage, you can book an osteopathy appointment online. Learn more about our osteopathy services here.
The best way to see the Bahamas is by boat. As an archipelago of over 700 islands and cays all strung together like pearls over a turquoise sea, the majority of visitors choose to cruise to see the many delights that this country has to offer. Whether you only visit the Bahamas or take an all-encompassing Caribbean cruise, it is important to remember those travel vaccinations and travel health advice are essential if you are to enjoy a happy healthy holiday.
Here are our top travel tips for staying healthy in the Bahamas…
All travellers should be in date with diphtheria, tetanus polio and Hepatitis A. There is no risk of the Yellow Fever virus in the Bahamas, however, if your cruise takes you to an area that does have a risk of the virus (such as South America), you will need to provide evidence of vaccination in the form of a valid Yellow Fever certificate. Cruise ships are confined spaces with a high volume of passengers which makes you more susceptible to infections. If you plan on travelling during the winter months, it is sensible to consider a flu vaccination as respiratory viruses can spread easily.
The Bahamas lie in the tropical Caribbean seas making the sun, sea and sand the major attraction. Remember to be sun safe. Wear a high factor sun cream throughout your holiday. The sun’s rays are particularly strong between 11am-3pm so it’s best to avoid direct exposure during this time. Slap on a hat, slip on a shirt and slop on some sunscreen.
The Bahamas have a risk of dengue fever, chikungunya and the Zika virus. These illness are spread via the bite of an infected Aedes mosquito. Whilst causing mild illness in many, they can cause more serious complications and are best avoided. Zika virus is associated with a serious complication during pregnancy and those who are pregnant or plan to become pregnant soon after the trip are advised against travel to the area. There are no specific vaccinations against these mosquito-borne viruses so bite prevention is the only defence. Cover up exposed skin and wear an insect repellent containing at least 50% DEET.
See our Ultimate Bug Kit.
The majority of Bahamian cuisine comes straight out of the sea. Whilst seafood and fish are delicious, ensure that any food consumed is cooked thoroughly and served fresh to you. The Bahamas has an abundance of fresh tropical fruit but it is wise to adhere to the ‘cook it, boil it, peel it or forget it’ saying to avoid the dreaded traveller’s diarrhoea. We advise travellers to take a gastro kit with them which can help prevent and treat the commonest gastrointestinal symptoms that occur when travelling.
If you do plan to see the Bahamas by boat, ensure you follow some sensible precautions to avoid getting sick from fellow passengers. Wash your hands regularly, make use of the alcohol-based sanitizers stations on board, carry a small alcohol-based hand sanitiser to keep your hands clean when off the ship. Ensure you stay hydrated, but make sure you drink water from a safe source (bottled, boiled or purified).
Book your travel appointment today
By Anna Chapman | Travel Nurse | March 2019
An Arab nation on the east bank of the Jordan River, Jordan is one of the safest countries to visit in the Middle East. Awash with biblical heritage, ancient sites and large swathes of desert; it is a natural wonder with historical sights to tempt any traveller.
The daytime temperature rarely drops below the high teens, and flight time is less than 5 hours from the UK. Whether you are ambling in Amman, wandering the Wadi’s, dipping in the Dead sea or plodding around Petra, be sure to follow our top travel tips to stay healthy.
All travellers should ensure they are up to date with their routine vaccinations. Vaccinations include diphtheria, tetanus, polio and hepatitis A. Hepatitis B and rabies can be considered for those at risk (speak to a travel nurse prior to departing).
Rabies is a fatal virus spread through the bite, scratch or lick from an infected animal, most commonly a cat, a dog or a bat. The risk is greatest when the animal pierces the skin and/ or makes contact with an open wound. There are many ‘high risk’ countries, in Jordan, dogs, cats and bats are the biggest culprits and the risk of these animals carrying the disease is high. Once the rabies virus enters the nervous system there is no treatment and it is fatal. Travellers can reduce the risk of rabies by receiving pre-travel vaccinations against the disease. This doesn’t exempt the traveller from treatment if they have been exposed, but simplifies the process and provides the best outcome. Rabies treatment is scarce and can be very difficult to source in some countries, so having pre-travel immunisations puts you in the best possible position should something happen. Those who are trekking, camping or going off the grid to places like Wadi Rum are at highest risk of the disease.
Jordanian cuisine is delicious, but ensure you avoid the dreaded traveller’s diarrhoea by following some sensible precautions. Ensure you are up-to-date with Hepatitis A vaccination as this viral illness are spread through contaminated food and water. Wash your hands regularly, especially after using the toilet and before eating. Ensure water is either boiled or bottled with a good, unbroken seal. Do not drink tap water or brushing your teeth with it and avoid ice. Ensure all food you eat is served piping hot and straight to you.
Take precautions against sand fly bites that are ubiquitous in Jordan. Aside from producing a painful bite, they can also carry a parasite responsible for Leishmaniasis. Sand flies tend to feed at night and fly close to the ground. Prevent them from feeding on you by covering up, especially between dusk and dawn. Wear long trousers and socks to prevent bites around your ankles as they are flow flyers. Wear good insect repellant with a minimum of 50% DEET. Sleep under a mosquito net, especially if you are camping or hiking in the more rural areas of Jordan.
See our Ultimate Bug Kit.
From the riches of the coral in the red sea to the abyss of the dead sea, take sensible precautions when taking the plunge. The dead sea lies 413m below sea level and is actually rather tricky to swim in. Tourist usually come to float on its surface as the high salt content makes it hard to submerge. Be careful. Cover any cuts you have with waterproof plasters to avoid a sharp sting. Do not splash when in the water, as it may cause injury or irritation to your eye if it enters. If you wear contact lenses, it’s best to swap to your glasses.
Book your travel appointment today
By Anna Chapman | Travel Nurse | March 2019
> 2 women lose their lives to the disease every day
> 9 women are diagnosed with cervical cancer every day
> 75% of cervical cancers can be prevented by a smear test
Thousands of lives can be saved every year with better awareness and understanding of the symptoms of cervical cancer. Regular smear tests and having the HPV vaccine can dramatically decrease your chances of developing cervical cancer and will also assist in early detection.
Smear tests are extremely important and a major contributing factor to lowering the number of cervical cancer cases seen each year. On average, cervical screening helps save the lives of approximately 4,500 women in England every year, however, 1 in 4 women still don’t attend their smear test.
Smear tests are a method of detecting abnormal cells on the cervix, (the entrance to the womb). The detection and removal of abnormal cells can prevent cervical cancer from developing. As with all cancers, the earlier a problem is detected, the better the patient’s outcome.
Information on Cervical Cancer
Cervical cancer is not thought to be hereditary.
Cervical screening is not a test for cancer as screening programmes help to prevent cancer by detecting early abnormalities in the cervix, so they can be treated. If these abnormalities are left untreated they can lead to cancer of the cervix (the neck of the womb).
For more information: www.jostrust.org.uk
Senegal is one of West Africa’s most visited countries; it is considered one of the most stable democracies in Africa, which is probably why it is more popular than it’s neighbouring countries. Senegal offers the hustle and bustle of Dakar, the sand dunes of the Lompul Desert, the clear waters of the Casamance and tropical backwaters of the Sine-Saloum Delta. Unfortunately, a tropical environment comes with tropical diseases, especially ones that fly!
Don’t wing it with your health, follow our top travel tips to stay healthy and have a bug-free break …
Sleeping sickness, also known as “human African trypanosomiasis”, is caused by the tsetse fly, which is native to the African continent and generally active during the day. If an infected tsetse fly, which is carrying the parasite, bites you, it can cause acute trypanosomiasis. Sleeping sickness infects the brain causing confusion, disturbed sleep (hence the name) and can be fatal if not treated.
Malaria is prevalent throughout the whole of West Africa, including Senegal. It is spread by the bite of an infected Anopheles mosquito. Generally, these mosquitos bite most often during dusk til dawn. All travellers to Senegal should take anti-malarial medication and take preventative measures against mosquitoes.
Yellow Fever is a virus spread by the Aedes mosquito, that is most active from dawn till dusk. Catching Yellow Fever can be fatal but can be prevented by vaccination. The vaccination gives a lifetime of protection, however, it is not suitable for everyone and a comprehensive risk assessment should be sought from a travel clinic. Additionally, there is a requirement to be in possession of a valid Yellow Fever certificate when entering Senegal from another infected country, especially those who plan onwards travel to Gambia or Guinea-Bissau.
Zika Virus is spread by the Aedes mosquito which commonly bites during the day in urban settings, such as Dakar and St Louis. The majority of people who are infected with Zika virus have no symptoms, but if contracted during pregnancy or close to conception it can cause Congenital Zika Syndrome. Currently, there is no vaccination nor cure for Zika virus infection and strict precautions against mosquitoes should be taken.
Book your travel appointment today
By Anna Chapman | Travel Nurse | February 2019
Holi is a famous spring Hindu festival that is celebrated in every part of India. It is known as the festival of colours and is mostly celebrated in March in Rajasthan.
The celebration signifies the beginning of spring beginning and the end of winter. It is sometimes known as the “festival of colours” or the “festival of love”. During the festival, it is encouraged to throw powdered paint (gulal) into the air. This symbolises the abundance of colours of spring and the celebration of a new season.
Here are top travel tips to stay healthy at Holi.
Travellers going to India should ensure they are up-to-date with their travel vaccinations. These include Hepatitis A, Typhoid and Diphtheria, Tetanus and Polio. Rabies, Hepatitis B and Japanese Encephalitis are sometimes suggested and are dependent on where you’re travelling to and the activities you plan to do there. A consultation with a travel nurse will provide you with all the information needed to make an informed decision either way.
You can find more about vaccinations on our travel and wellness vaccine pages.
India is food heaven but don’t let travellers diarrhoea turn it into a Holi holiday hell. Avoid tap water or ice from an unknown source. Ensure bottled water has an intact seal if buying from a vendor. Alternatively, invest in a water-to-go bottle which has a built-in filter making unsafe water safe to drink. You can pick one up during a travel appointment at the clinic whilst getting your vaccines.
Eat well-cooked food served piping hot, and avoid fruits and salad items that might have been washed in the local water. It is worth investing in a gastro medical kit which contains all the necessary medicines should you get sick at any point during your travels.
Holi festival is synonymous with the throwing of coloured powder. Contact lens wearers should stick to their glasses during the festival so to avoid getting dye in their eyes. Any dye that makes its way into your eye could cause a chemical injury and lasting damage. If any powder does get in your eye, wash it well with clean running water.
Dengue fever, chikungunya, Zika, Japanese Encephalitis and even malaria can occur in parts of India. Therefore, banish the bugs bites by covering up as much as possible, wearing a good insect repellent with at least 50% DEET. See our Ultimate Bug Kit.
If you are trying to conceive, travelling to ‘at-risk countries’ is not advised.
For more information on the Zika virus and advise, you can speak to one our travel nurses during a travel consultation.
We’d always recommend for travellers to book a 30-minute travel consultation with a travel nurse prior to travelling to ensure all necessary vaccinations are given and any risks are discussed.
Book your travel appointment today
By Anna Chapman | Travel Nurse | February 2019
The Blue Hole in Belize is famous for being a natural wonder with a unique diving experience. It’s world-class diving rates as one of the top 5 diving sites in the world. Belize is a great travel destination for the adventure traveller.
Ensure you are up-to-date with your travel vaccinations including diphtheria, tetanus and polio and Hepatitis A. Speak to a travel nurse before you travel to ensure you are protected for your trip, especially if you have multiple destinations planned.
A small first aid kit packed with travel essentials will cover you for minor injuries. Forceps or tweezers are useful for removing foreign bodies, such as sea urchin spines, and antiseptic wash or cream can be used to treat any coral cuts or abrasions. We stock a perfect essential first aid kit on our online shop.
Be conscious of how much sun exposure you get. The Caribbean sun can be strong with an increased risk of sunburn if you’re not careful. Wear sunscreen in between your dives with a protection level of at least SPF50 and spend time in the shade, especially in the midday sun between 11am and 3pm. Cover up with clothes, a hat and sunglasses to protect your skin, scalp and eyes.
Although you are surrounded by water, diving and the sun exposure can cause dehydration. Ensure you drink plenty of fluids to prevent it. It is best to avoid drinking tap water directly, unless using a water bottle with a filter or chlorine dioxide tablets, both of which will make the tap water safe to drink. Another alternative is to buy bottled water with a seal although, those trying to reduce their plastic footprint should opt for the former options.
The journey from the mainland to the blue-hole can take up to 3 hours and is often crossing bumpy seas. If you are prone to travel sickness you may want to ensure you pack some medication to prevent this so not to interrupt your experience.
Book your travel appointment today
By Anna Chapman | Travel Nurse | February 2019
Are you one of the many millions in the UK suffering from hay fever at the moment? Learn more about the condition here.
Many allergens are in the air, where they come in contact with your eyes and nose. Airborne allergens include pollen, mould, dust and pet dander.
Other causes of allergies, such as certain foods or bee stings, do not typically affect the eyes the way airborne allergens do. Adverse reactions to certain cosmetics or drugs such as antibiotic eye drops also may cause eye allergies.
Some people actually are allergic to the preservatives in eye drops such as those used to lubricate dry eyes. There are now a wide range of preservative-free brands in unit (single) dose, novel multi-dose bottles and even sprays.
Take this quiz to see if you might have eye allergies. Always consult your optometrist / general practitioner if you suspect you have an eye condition needing care.
If you answered “yes” to most of these questions, then you may have eye allergies.
See here for more information.
For the best course of action or if you have any concerns about the health of your eyes, you can make an appointment online here.
For more information about Mouth Cancer, you can read the Q&A’s below.
Mouth cancer relates to cancer found in the lips, tongue, cheek and throat.
There are, on average, almost 7,800 new cases of mouth cancer diagnosed in the UK each year. The number of new cases of mouth cancer is on the increase, and in the UK has increased by over half in the last decade alone.
Mouth cancer is twice as common in men than in women, though an increasing number of women are being diagnosed with the disease. Age is a factor, with people over the age of 40 more likely to be diagnosed, though more young people are now being affected than previously.
People with mouth cancer are more likely to die than those having cervical cancer or melanoma skin cancer. Prognosis is good if the disease is caught early.
Although mouth cancer can affect anybody, around 91% of all diagnoses are linked to lifestyle. This means that by amending our lifestyle choices, we can help cut the chances of developing mouth cancer.
There are many known contributors to mouth cancer:
Many cases of mouth cancer are linked to tobacco and alcohol.
If tobacco and alcohol are consumed together the risk is even greater.
There’s growing evidence that an increasing proportion of cancer is caused by HPV infection in the mouth. Around 1 in 4 mouth cancers and 1 in 3 throat cancers are HPV-related, but in younger patients, most throat cancers are now HPV-related.
HPV doesn’t directly give you cancer, but it causes changes in the cells it’s infected (for example, in the throat or cervix) and these cells can then become cancerous.
The HPV vaccine, Gardasil 9 is available at Fleet Street Clinic for both girls and boys. The vaccine was developed to fight cervical cancer, but it is likely that it’ll also help to reduce the rates of mouth cancer.
It is advisable to give the HPV vaccine before sexual activity starts to get the best protection. The underlying principle being there has been no exposure to any HPV strains yet. You can, however, receive the vaccination later on in life, this is down to personal choice. We’d recommend a GP consultation to discuss the HPV vaccine prior to booking.
More information on Gardasil 9.
Mouth cancer can appear in different forms and can affect all parts of the mouth, tongue and lips. Symptoms of mouth cancer include:
Mouth cancer can often be spotted in its early stages by your dentist during a thorough mouth examination. If mouth cancer is recognised early, then the chances of a cure are good.
It is also advised to self-check regularly for any noticeable changes in your mouth, the inside of your cheeks, the front and sides of your neck, colour and texture changes of your tongue, changes to your lips and finally, lumps and swellings on your head and neck.
If you have any concerns about mouth cancer, you can book a GP appointment or a dental appointment with Temple Dental.
With thanks to mouthcancerawareness.org
Statistics via Mouth Cancer Foundation Org
The Hepatitis B virus is one of the most prevalent blood-borne viruses worldwide and is a major cause of chronic liver disease and liver cancer. In the majority of cases, Hepatitis B is asymptomatic – without symptoms. It is easily preventable through vaccination, and we strongly believe this vaccine should be offered more widely – all young, sexually active adults ought to be protected.
Although the overall risk for travellers is low, Hepatitis B immunisation is recommended for travellers travelling to East Asia and Sub Saharan Africa where between 5 – 10 % of the adult population is estimated to have persistent Hepatitis B infection. High rates of infection are also found in the Amazon, southern parts of eastern and central Europe, the Middle East and Indian subcontinents. The risk understandable increases for long-stay travellers in high-risk areas.
Certain behaviours and activities put individuals at higher risk, such as unprotected sex, adventure sports, body piercing, tattoos and injected drug usage.
Receiving medical or dental care in high-risk countries will also increase your risk and it is advised to avoid unless absolutely necessary. Travellers who have pre-existing conditions which may make it more likely for them to need medical attention should definitely consider the Hepatitis vaccination prior to travelling.
A number of cases of measles have been reported in Liverpool and Leeds. Recent outbreaks in Europe, where countries such as Romania and Italy have been affected, are believed to have caused the increase in UK cases. To date, 17 cases in Leeds and 8 cases in Liverpool have been reported.
Measles is a highly infectious virus which can be transmitted to anyone who is not vaccinated, most commonly to young children. To prevent outbreaks, it is recommended that 95% of the population is vaccinated.
Initial symptoms can be similar to a cold and include:
A rash appears after 2-4 days which can present as blotchy spots, often starting at the head and progressing down. MEDICAL ADVICE FOR MEASLES
If you think you may be suffering from measles, or are concerned about the risk of infection, please see your doctor straight away.
Make sure you are up-to-date with your vaccinations including the measles, mumps and rubella (MMR) vaccine. Although the NHS immunisation schedule offers the vaccine to children from 12 months of age, the MMR can be given from 6 months. If you have not had measles or if you have not had two doses of MMR, you may be at risk. Measles is easily passed from person to person and can be a serious illness in adults as well as children. In 2012 there were 122,000 deaths worldwide caused by measles. It is never too late to have the vaccine.
You can book an MMR vaccination online.
We’re celebrating International Nurses’ Day with stories from our wonderful nurses about why they became a nurse.
Each one of them has a special story to share as to why they chose to become a nurse. We are so fortunate to have them working here at the Fleet Street Clinic. We’re celebrating who they are and all the incredible work they do for their patients on a daily basis.
I trained as a nurse in 2013 at City University based at Bart’s Hospital, London. After working for two years in sexual health, I undertook a Diploma in Tropical Nursing at the University of Liverpool. I have always had an interest in infectious and tropical diseases, and a huge passion for travel. After volunteering in Ecuador and Kenya, I completed a masters in Nursing with my research based in Bolivia. Working overseas exposed me to the burden of tropical diseases in other areas of the world, and travel medicine seemed to be a good fit for me.
I am able to educate patients about healthy travel and how to prevent tropical diseases. I also love to travel. It is really rewarding to be able to give someone good advice about a destination when you have visited. No consultation is the same, and I love the variety of people I see. In one day I have helped people prepare for deployment in a humanitarian crisis, a couple backpacking around the world, a family moving abroad, and television crew working in remote settings.
I have gained a formal qualification in travel medicine, and have also diversified my practice to incorporate Occupational Health as part of my remit. My role is rather a niche and unique in the nursing field but I wouldn’t have it any other way.
I began my nursing career after returning from a life-changing gap year in Australia. After working as a health care assistant at a brain injury hospital, where the majority of my family have worked in at one point in time, I decided to pursue a career in nursing. I enjoy building relationships with the patients and meeting new people. After qualifying in 2013, I moved to Bristol where I worked in the cardiology ward and admissions department. I was also a bank nurse, which involved me working different shifts on various departments around the hospital. I gained a breadth of experience in all fields.
One of the most memorable moments as a nurse was on an incredibly stressful night shift. I was a Junior Nurse. A patient left me a plate of strawberries and a note which said ‘You’re doing amazingly. Well done- you are a great nurse’. I will never forget those kind words and the confidence boost it gave me to get through the night.
I joined Fleet Street Clinic in January 2018 and haven’t looked back since. My passion for travel and nursing work brilliantly in my role as a travel nurse. I have also had the opportunity to further my skills by completing a qualification in Travel Health.
I love working at Fleet Street Clinic, it really is the perfect job.
I grew up in Brighton and had a passion for science and communicating with different people, so nursing seemed the best fit for me. I moved to London to train and qualify as a registered nurse at St Mary’s Hospital in Paddington. I was appointed Staff Nurse at St Mary’s where I gained a wealth of knowledge and experience working in the ‘Casualty’ department which is now known as A+E. I later moved on to St Thomas’s Hospital where I was appointed Senior Staff Nurse and later Senior Sister on a medical ward.
I took a break from my nursing career to have my two children. Soon after I was back working in GP practices as a ‘Treatment Room’ Nurse, which is now known as a Practice Nurse. I gained many skills and loved working with the patients and forming lasting relationships and friendships.
After 42 years working for the NHS, I decided to retire and hang up my nurse’s hat. However, when I saw the job at The Fleet Street Clinic I decided that I had areas of expertise I did not want to let go. I joined in April 2018 and have been working here for just over a year. I love the buzz of working at Fleet Street. I love the team and I love meeting new patients every day.
Visit our nurses at Fleet Street Clinic. Contact us today.
Panama sits on both the Pacific and Atlantic coasts. With its cloud forests, coffee farms, magical islands, world-class diving and a canal that connects two oceans, many people choose to make Panama their holiday destination.
If you plan to go, follow our travel tips to have a safe and healthy holiday.
It is advised that all travellers be up-to-date with Diphtheria, Hepatitis A, Tetanus and Polio. Higher risk travellers may want to consider vaccinations against Typhoid, Rabies and Hepatitis B. It is best to speak with a travel expert to see what they advise for you.
You can find more information on our wellness and travel vaccinations.
It is no longer necessary to take anti-malarial medication if visiting Panama. However, precautions against mosquito bites should be taken as viruses such as dengue fever, Zika virus and chikungunya can be transmitted in the region. Pack some insect repellent with at least 50% DEET, and take a mosquito net if you plan to stay in traditional accommodation that may not provide one. You can help protect yourself from mosquitos with our Ultimate Bug Kit.
Yellow Fever exists east of the Panama canal. If you plan to visit this area the vaccination is recommended. Also, those who plan to enter Panama from a country that has a risk of Yellow Fever (such as Colombia) will need to be in possession of a valid Yellow Fever Vaccination certificate.
A first aid kit with necessary medication and first aid items is a good idea. Accessing medical care and medical supplies in parts of the region can be difficult, especially for those who plan to visit the San Blas Islands, cloud forests or coffee farms. Those who plan on diving in the Bocas del Toro may wish to take out items such as ear drops for an infection, and antiseptic cream for any coral cuts.
A huge attraction in Panama is the coastline and archipelago, including the San Blas and the Pearl Islands. Accessing parts of Panama often involves long bumpy journeys by road and boat trips to the islands can often be choppy. If you suffer from travel sickness, ensure you pack medication to prevent this, and take it before you set out on the journey to prevent feeling queasy.
Book your travel appointment today
By Anna Chapman | Travel Nurse | January 2019
Sri Lanka was recently voted as the number one country to visit in 2019 by Lonely Planet. Our travel nurse Lucy spent two weeks exploring this award-winning country and here, she shares her top tips for a healthy trip.
January is an ideal time to visit Sri Lanka thanks to warm temperatures and clear skies. From tea tasting to surfing, hiking to whale watching, this ancient spice island has something for everyone.
If you are a wildlife lover, taking a guided jeep tour into one of Sri Lanka’s National parks is a must! Amongst the most popular are Yala and Udawalawe, where you are guaranteed to spot elephants by the dozen and if you’re fortunate a leopard. Prepare to wake up early and pack your mosquito repellent – most jeeps leave at dawn for the best chance of sightings, but mosquitos are also the most active during this time.
Although Sri Lanka is currently a Zika free zone, making it a popular choice for honeymooners, it is important to remember that mosquitos transmit other diseases such as Dengue and Chikungunya. Good bite protection is therefore essential and should include a mosquito repellent containing 50% Deet, as well as wearing long and loose clothing – also good for keeping the sun off your skin! Protect yourself from mosquitos with our Ultimate Bug Kit.
With new and improved services throughout the country, train travel is a highlight of any Sri Lankan trip and widely considered as some of the most scenic in the world. The most famous stretch is between Ella and Kandy; a journey that will last around 7 hours and takes you through lush jungle, tea plantations and waterfalls. Remember your antibacterial hand sanitiser though, because, as convenient as the onboard toilet is on a long journey, hand washing facilities aren’t always of a good standard. Perhaps pack some tissue as well!
Sri Lankan food is delicious and an essential part of the culture. As with all travel to tropical destinations, however, caution should be taken when trying out the local delicacies because contaminated food can cause travellers’ diarrhoea. So, before you sample the famous string hoppers and sambal, here are some simple food and water precautions to avoid an upset stomach:
It is worth investing in a gastro medical kit which contains all the necessary medicines should you get sick at any point during your travels.
Travellers’ diarrhoea is a common complaint in the returning traveller here at Fleet Street Clinic. If you are still experiencing stomach troubles on your return, our GP’s can run same day PCR testing to find the cause and most appropriate treatment.
If you would like aa travel appointment, you can book online.
By Lucy Mildren | Travel Nurse | January 2019
January is a great time to take control of your eating and help yourself to be a healthy you with the food you eat. Eating a more plant-based diet is undoubtedly recommended by many of the health professionals, however, it is essential that a healthy approach and balance is taken. Switching to a vegan diet can be unhealthy as well as healthy. In a vegan diet, it is essential to take note of particular nutrients that can get missed out which can lead to serious health consequences.
It is easy to not eat enough protein in a plant-based diet. Your body needs essential amino acids to build proteins and be healthy, so you should ensure you have a wide variety of proteins in your diet, such as:
Calcium is an essential mineral for bone health. Insufficient calcium can lead to weak bones and bone fractures. Try and include as many calcium-containing foods each day. When choosing plant dairy alternatives try and choose those which are fortified with calcium. For milk look for at least 127mg calcium per 100g plant milk.
Foods that contain calcium include:
Iron is another essential mineral required for good health. Iron is a component of red blood cells. If we don’t eat enough iron then we can develop anaemia. This can cause severe tiredness, lethargy and generally feeling unwell.
Plant-based sources of iron include:
When eating these food, have with a food or drink high in vitamin C such as kiwi fruits or strawberries as these will enhance the absorption of iron. Avoid tea and coffee as this limits absorption of iron.
If you think you don’t get enough iron a simple blood test can confirm this, do check with your GP.
Vitamin B12 is the only vitamin present in animal food products.
There are some vegan products fortified with B12 such as;
If you have been vegan for some time, it may be worth considering a blood test to check your B12 levels. Discuss this with your GP.
Iodine can be low on a vegan diet and can affect thyroid function. Sources of plant iodine include:
Omega-3 containing foods, especially those high in alpha-linolenic acid (ALA) are involved with helping the body produce longer-chain omega-3s such as eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA).
Foods high in ALA include:
However, there is controversy as to whether this conversion is good enough to meet everyday needs. Some suggest a daily intake of 200–300 mg of EPA and DHA from an algae oil supplement may be a better way to prevent low levels, however, always check with your GP before starting any supplements.
Zinc is required for overall good health but in particular for healthy hair and nails. Plant sources of zinc include:
By Ruth Kander BSc(Hons)RD | Dietitian
If you wish to discuss ways to maintain a healthy vegan diet or are thinking of becoming a vegan, Ruth holds a virtual clinic every Friday from 9am-2pm. Please call our reception team on 020 7353 5678 if you would like to request a face-to-face appointment
With your January healthy challenges over, you may be feeling healthier and refreshed knowing you have managed to stay vegan and/ or teetotal for 1 month. For some of you these new eating and drinking habits are here to stay but for many of you, it is now time to reintroduce meat and alcohol back into your diet safely.
A key theme to remember is everything in moderation!
What you eat and drink forms the backbone of maintaining a healthy lifestyle, which should always be the goal of any dietary alterations. Everyone’s dietary needs are different depending on their age, size and activity so there are no concrete rules to follow.
Read my top tips on how to reintroduce food and drink safely back into your diet.
Plant proteins are low in fat and high in fibre which is great for your gut health and cholesterol so following Veganuary these should continue to play a key part in your diet.
It is important to reintroduce food gradually and to start light. For the first few weeks stick with a predominantly plant protein diet and begin by introducing eggs and dairy initially. Move on to poultry and fish as these are easier for the body to digest than red meat but are high in healthy proteins. You will get the benefit of high-quality proteins and you won’t be missing out on iron.
Red meat is not bad for your body in moderation but it is calorie dense and the body digests it slower than any other food group. Your body won’t be used to the high protein content of red meats at the moment so introduce them in small quantities at first, building up so not to aggravate your digestive system.
With regards to alcohol, it’s always nice to have a glass of wine with a meal or to relax at the weekend. But moderation is key. Try to keep within the limits of 14 units a week for both males and females and have frequent alcohol-free days throughout the week. It is important to remember not to have 6 alcohol-free days and save all 14 units to be consumed in 1 day, spread the 14 unit out evenly across the week.
An example of responsibly consuming alcohol could look like:
Weekly Alcohol Plan |
|
| Monday | Alcohol-free |
| Tuesday | 1 medium glass wine or equivalent |
| Wednesday | 1 medium glass wine or equivalent |
| Thursday | Alcohol-free |
| Friday | 3 medium glass wine or equivalent |
| Saturday | 2 medium glass wine or equivalent |
| Sunday | Alcohol-free |
*175ml (Medium Glass) = 2 Units / 250ml (Large Glass) = 3 Units
Drinking alcohol on an empty stomach will make you hungrier and increases the likelihood of snacking and unhealthy eating. It is much more preferable to drink alcohol with a meal as eating will distract you and make you fuller meaning you’ll consume less alcohol.
By Ruth Kander BSc(Hons)RD | Dietitian
If you wish to discuss ways to maintain a healthy vegan diet or would like more advice on how to reintroduce food back into your diet, Ruth can help. You can book a dietetics appointment online.
Even if it is snowing, don’t assume that the sun’s rays are safe. The sun’s rays reflect off the snow and intensify them. Ensure you wear a high factor SPF, and use lip balm to prevent cracking. Polarised sunglasses that wrap around will prevent the UV rays causing damage to your eyes.
Winter temperatures on the slopes often fall below zero, putting travellers at risk of cold-related injuries such as hypothermia and frostbite. When travelling in cold climates, ensure you wear warm clothing in layers. Heat is rapidly lost through hands and feet, so wearing a hat and gloves will help minimise heat loss.
Some of Europes best slopes are found at altitudes higher than 2500m putting skiers at risk of altitude sickness. If you plan on skiing from the summits, make sure you prepare. Know the altitude you are going to, and recognise the symptoms of altitude sickness. Skiers could consider the use of altitude sickness medication acetazolamide (more commonly knows as Diamox) to prevent developing altitude related illness.
If you would like more travel advice we’d recommend an appointment with one of our travel nurses.
Book your travel appointment today
By Anna Chapman | Travel Nurse | November 2018
Christmas is coming and who doesn’t enjoy a Christmas market (or two!) A popular Christmas city break destination is Germany and visiting the fantastic Christmas markets is top of most travellers to-do list.
Read our advice on how to stay healthy during a winter city break in Germany:
Christmas markets can be crowded places. A combination of cold damp weather and crowded areas means that it is easy to pick up a viral infection. Preventing the common cold can be helped by observing good hand hygiene to avoid that transfer on infection. If you do start with the sniffles, ensure you use a tissue to ‘catch it, kill it, bin it’ to stop the spread to others.
Don’t let the flu spoil your festive fun. In the Northern Hemisphere, seasonal influenza occurs during the winter months, with peak season around Christmas. Flu is spread from one person to another via coughing and sneezing and it very contagious in populated areas. It can, however, be easily prevented with a single flu vaccine, which ideally should be given several weeks before the ‘flu season’ begins to provide optimal protection.
In recent years, many countries in Europe have seen dramatic surges in the cases of measles. Measles is an acute viral infection that has the potential for severe complications. Merry market goers should ensure that they have received 2 doses of the measles-containing vaccination, commonly known as the MMR, to ensure they have adequate protection against the disease.
If you would like more travel advice we’d recommend an appointment with one of our travel nurses.
Book your travel appointment today
By Anna Chapman | Travel Nurse | November 2018
Apart from causing an itch and inflammation, mosquitoes can leave more than just an irritation.
In the Caribbean, they have the ability to transmit diseases such as Dengue Fever, Zika Virus and Chikungunya.
Mosquito bite avoidance is recommended, here are our recommendations on how:
There is currently no vaccine available to prevent either dengue nor chikungunya in travellers. However, without mosquitoes, individual sufferers are not directly contagious.
The risk for both diseases is thought to be higher during periods of intense mosquito feeding activity (two to three hours after dawn and during the early evening).
There is currently no vaccine available to prevent the ZIKV infection in travellers. Those infected with the infection normally have no symptoms. When symptoms do occur they are usually mild and short-lived. Serious complications and deaths are not common.
The concerns with the Zika virus and primarily to do with birth defects and as a result pregnant women should postpone non-essential travel until after pregnancy. More information on Zika Virus and pregnancy concerns from Public Health England.
If you would like more travel advice we’d recommend an appointment with one of our travel nurses. You can book your travel appointment online.
By Anna Chapman | Travel Nurse | November 2018
Screening for sexually transmitted infections (STIs) is an important part of maintaining your sexual well-being. Maintaining good sexual health is important to prevent avoidable illness. STIs could lead to distressing and painful symptoms, not just for the sufferer but also for their partner.
A sexually transmitted disease (STD) or sexually transmitted illness (STI) is interchangeable. The name is given to infections which are solely, or usually, transmitted by sexual contact.
The most important point to realise is that sexually transmitted infections may be asymptomatic, (meaning there are no symptoms,). The sufferer could be unaware he or she is spreading disease by sexual contact. Symptoms, when they occur, are many and varied.
There may be a pain on passing urine, discharge from the vagina or penis, lower abdominal pain, bleeding between periods or after sexual intercourse, ulcers, itching, rashes, lumps and bumps. Not to mention symptoms affecting areas other than the genitals.
Any of the listed symptoms should prompt a visit to a sexual health clinic for testing, which is easy and usually painless, involving the production of a urine sample, the taking of a swab or a blood test.
Failure to treat sexually transmitted infections can lead to infertility and long-term ill-health including dementia.
If you have more than one partner or have not been using a condom every time you have sex it is advisable to have a sexual health check on a regular basis. Even if you have no symptoms.
How regularly depends on numerous factors such as the number of partners, partner’s sexual habits, use of (or failure to use) condoms. Those intravenous drug use and sexual encounters abroad.
Chlamydia and Gonorrhoea are the most common sexually transmitted diseases; they may present with no symptoms, with pain passing urine or with a yellow discharge. They are diagnosed on a urine sample or swab and are easily treated.
Herpes affecting the mouth (otherwise known as a “cold sore”) is a highly contagious infection and ANY contact with the “cold sore”, be it oral or genital, will transmit this painful and distressing disease.
There is no absolute cure for this disease, although antivirals will help reduce the duration of an outbreak.
NEVER, ever, kiss or have sexual contact with anyone who has a cold sore. Bear in mind that the Herpes virus can be shed even when the sufferer has no symptoms. You can catch the virus despite no known contact with a cold sore.
Syphilis is a sexually transmitted disease which is on the increase; (148% increase between 2008 and 2017).
This has serious health consequences, as if undiagnosed, it can cause long-term neurological and cardiovascular changes which cannot be reversed, even heart failure and dementia. These severe long-term results of untreated syphilis were common years ago, before the discovery of Penicillin. The concern is that they will reappear due to the failure of diagnosis of the disease in its early stages.
Presenting symptoms are an ulcer or ulcers on the genitals at the point of contact with the disease, initially, which may or may not be noticed. This is known as a “chancre” and will arise 9-90 days after sexual contact with an infected partner.
If untreated, the disease progresses to what is known as secondary syphilis, which may present with a skin rash, possibly affecting the palms of the hands and soles of the feet.
Other signs are mouth ulcers, hair loss, bone pain, swollen lymph glands, hoarseness, kidney disease, deafness, meningitis, eye disease and fever.
Syphilis is easily diagnosed and treated after a simple blood test, but it may take 3 months for the test to be positive after initial contact with an infected partner. If in doubt, have the test.
Genital warts are unsightly swellings which arise in the genital area after contact with an infected partner.
Treatment is painful, with either creams or cryotherapy (freezing therapy.)
The good news is that the incidence of genital warts is reducing due to vaccination of teenage girls with Gardasil to protect against the Human Papilloma Virus, soon to be extended to boys.
HIV is the virus that leads to AIDS. Aids is a list of conditions (including infections and cancers) which occur as a result of damage to the immune system in the body.
Some people are more likely to contract HIV, they are:
Men who have sex with men, anyone who has sex abroad or sex with someone from an area where HIV is common, anyone having a transfusion of blood abroad, sex workers and intravenous drug users.
The earlier HIV is detected and treated, the better the prognosis
If in doubt, have the test.
Symptoms occur 2-4 weeks after contact with an infected person in 40-90% of cases.
Symptoms are non-specific and maybe a rash or glandular fever type illness with enlarged glands and fever.
A blood test may not be positive for 8 weeks after initial contact, but most are positive after 4 weeks.
HIV is now a treatable medical condition and the majority of those living with the virus remain fit and well on treatment.
Despite this, a significant number of people in the United Kingdom are unaware of their HIV infection and remain at risk to their own health and of passing the virus to others.
At Fleet Street Clinic, we offer a reliable, full sexual health screening service which includes testing, advice and treatment. Many of our screenings can be done on a walk-in basis. All those concerned can be seen and tested immediately for peace of mind.
Utilising our on-site facilities we are able to provide a fast turnaround for STD & STI results. Our same day services provide on-the-spot results within 20mins. The majority of our blood results in 12 to 24 hours. All other comprehensive testing results in 2 to 4 days.
Public Health England has issued a health warning aimed at travellers highlighting the risk of rabies.
Following the recent news whereby a UK resident sadly died after becoming infected with rabies following a cat bite during a visit to Morocco, there is need to remind travellers of the dangers of viral infections when outside of the UK.
Rabies is a virus infection of the brain which is usually transmitted from contact with an infected animal, through injuries such as bites and scratches.
Dogs are the main source of infection in most parts of the world, although almost any mammal can become infected.
Although not a concern in the UK, PHE highlights the dangers of animals whilst travelling:
‘Rabies is common in other parts of the world, especially in Asia and Africa. All travellers to rabies-affected countries should avoid contact with dogs, cats and other animals wherever possible, and seek advice about the need for rabies vaccine prior to travel.’
When visiting countries with rabies endemic it is best to avoid contact with animals especially stray or wild animals.
People are usually infected following a deep bite or scratch from an animal with rabies, and transmission to humans by rabid dogs accounts for 99% of cases.
The virus cannot infiltrate intact skin.
Initial symptoms of rabies include a fever with pain and unusual or unexplained tingling, pricking, or burning sensation (paraesthesia) at the wound site. As the virus spreads to the central nervous system, progressive and fatal inflammation of the brain and spinal cord develops.
What to do if bitten?
If a traveller has been bitten or licked, they should immediately wash the wound with soap and water as soon as they can. That will inactivate and wash out a lot of the virus (if there is virus present), and urgently seek medical care.
Once symptoms have developed, left untreated rabies is almost always fatal. Rabies is a 100% vaccine-preventable disease.
You should consider getting vaccinated against rabies if you are travelling to a country which is considered high-risk especially if you’re planning on travelling to more remote locations.
Rabies vaccination requires a course of 3 vaccinations for complete protection. Depending on how much time you have prior to travelling would determine which course of treatment is suitable for you.
Alternatively, those with time constraints can opt for the accelerated rabies vaccination course.
The accelerated option can be provided over 7 days; giving full protection within a week.
This option is suitable for spontaneous travellers and last-minute business trips to countries affected by rabies.
All travellers who think they have been exposed to the rabies virus should urgently seek medical care and post-exposure vaccinations.
Overall travellers should take precautions when travelling to countries where rabies is present.
Book Your Rabies Vaccine Online
Rabies: The Facts by The World Health Organisation
For more information on the risk of rabies in different countries, see the country information pages on the National Travel Health Network and Centre’s (NaTHNaC’s) website, TravelHealthPro.
It’s the 30th anniversary of the MMR vaccine! To commemorate this scientific breakthrough, we wanted to share some information about the MMR vaccine and why it remains as important as ever for people, especially children, to be vaccinated.
The MMR vaccine is a combined vaccination that protects against three highly infectious diseases: measles, mumps and rubella (german measles). All three of which can be very serious and have the potential to cause long-lasting and severe health complications such as significant hearing loss, lung infection (pneumonia), brain infection (encephalitis), viral meningitis and even death.
Thankfully, the MMR vaccine is a highly safe and effective way of providing protection against measles, mumps and rubella. After 2 doses of the MMR vaccine, it is around 99% effective at protecting against measles and rubella and 97% effective at protecting against mumps.
Some people may not remember but before the MMR vaccine rollout in 1988, measles, mumps and rubella were all relatively common illnesses in the UK, especially among children. It is only thanks to a successful NHS vaccination programme with support by the private healthcare sector that cases dropped drastically after this time. And while this is great, the target of 95% of babies being vaccinated is still not being met and there continues to be outbreaks among unvaccinated children and adults. As a result, there is a push from the medical community for even more adults, as well as children to be vaccinated in order to prevent such outbreaks.
Didn’t have the vaccine as a child? That’s okay, there’s still time! It is really important to remember that it is never too late to catch up on childhood vaccinations. There is no upper age limit for receiving the MMR vaccine and so if you missed out on being immunised, it is strongly recommended that you have a “catch up” vaccine. This is especially important for anyone starting college or university, travelling abroad, planning a pregnancy or if you are a frontline health or care worker as your risk of exposure or serious health complications is increased.
As the 30th anniversary of the MMR vaccine is honoured, England’s top doctor and Chief Medical Officer (CMO), Prof Dame Sally Davies, has expressed her concerns that the uptake of the vaccine is “not good enough” and explains the dangers of children not receiving the vaccine.
She suggests that the reason some people are not having their children vaccinated is the result of people listening to anti-vaccine propaganda “myths” and “social media fake news”. She stresses the importance of listening to the science that provides clear evidence that the MMR vaccine is both safe and effective, and has helped “save millions of lives”.
Many of the false concerns over the MMR vaccine originated from a now-discredited study by former doctor, Andrew Wakefield, who incorrectly linked the MMR vaccine to autism back in 1998. This research has since been completely discredited and as a result, Andrew Wakefield was struck off the medical register for professional misconduct. Ever since, the medical community has worked hard to alleviate any lingering concerns over the safety of the MMR vaccine.
Our wonderful nurses at Fleet Street Clinic have been administering the MMR vaccine to our patients for over 25 years and we strongly believe in protecting all our patients with safe and effective vaccinations.
To read the full article, please click the link.
Diwali, the Festival of Lights, will be celebrated all over the world on October 19.
Will you be travelling abroad to join the festivities? Make sure you prepare for a safe and healthy trip.
Last minute advice is invaluable – be sure to see your healthcare provider to discuss your trip. Vaccines and malaria tablets, if required, can be given just before travel. If you have any medical conditions, discuss your travel plans with your doctor or hospital specialist, even if vaccines or malaria tablets are not needed.
Reduce your risk of illnesses such as travellers’ diarrhoea by avoiding high-risk food and water and wash hands thoroughly.
Take care to avoid insect bites. If you are taking malaria tablets, remember to complete the course of tablets as recommended.
Watch for symptoms such as fever or flu-like illness which require urgent medical attention. Travellers with fever, bloody diarrhoea, abdominal pain, confusion, jaundice or a rash need to seek immediate emergency advice from a doctor or clinic.
Take care with your safety, especially in busy areas, around water and while in cars or public transport.
For more detailed advice about your travel destination, book a travel consultation appointment.
We’re happy to announce another of our travel nurses, Lucy, has obtained the International Society of Travel Medicine (ISTM) Certificate of Knowledge.
The ISTM Certificate of Knowledge is an examination that proves an individual has demonstrated the expertise in the travel profession and a solid knowledge of travel medicine care and consultation. The exam is held in a different location annually, Lucy attended the Atlanta examination earlier this year.
The field of travel medicine has grown dramatically over the years, as greater numbers of people travel to remote and exotic destinations. Almost a billion travellers cross international borders annually for both work and leisure. However, research worryingly suggests that very few seek pre-travel health advice.
Fleet Street Clinic is one of the UK’s leading providers in travel medicine, vaccinations and travel advice. Knowing another member’s of the team has obtained this certification in travel health provides greater confidence to the public and patients we treat that our experience and knowledge is all-around exceptional.
Travel medicine has become increasingly complex due to a number of reasons, such as increased drug resistance, global migration patterns and the rise in travellers with chronic health conditions.
Congratulations Lucy, from us all at Fleet Street Clinic.
Book your Travel Vaccines Today
For more information about the Certificate of Knowledge from ISTM website
Travel Vaccines are a key component of pre-travel preparation.
If you would like to speak to Lucy or another of our travel nurses prior to travelling, you can book an appointment online.
Breast Cancer Now’s ‘Wear it Pink’ day is one of the biggest fundraising events in the UK.
Thousands of amazing people will ‘Wear It Pink’ in their communities, schools or workplaces for the UK’s largest breast cancer charity, Breast Cancer Now. This Friday 19th October the staff of Fleet Street will show off their best pink garments to raise awareness and show solidarity for such a great charity.
‘’This year, 55,000 women will hear the words “it’s breast cancer”
Breast Cancer Now supports nearly 450 of the world’s best researchers across the UK and Ireland. Working together to help prevent breast cancer, help improve the lives of those dealing with it now and most importantly stop people from dying from the disease. Research holds the key to a future where all that changes. Ensuring women get to enjoy their best life whether that be watching their children grow up or travelling the globe. It’s about making sure women are always able to create a lifetime of memories with the people they love.
The Fleet Street Clinic is championing Breast Cancer Now’s goal, that by 2050, everyone who develops breast cancer will live – and live well. By our staff wearing pink, raising awareness and donating we can help get there and make life-saving research happen.
We have four female GPs specialising in women’s health. Women’s health is a focus for us, and one of our highest priorities.
Our Well Woman health checks are focused on protecting your well-being and meeting your exact needs. Each comprehensive medical is tailored to your circumstances and designed to screen for health problems at the earliest possible stage.
November is an optimum time of year to travel to Mexico. Uncrowded beaches with cheaper hotels and air travel are all perks for those who want an affordable and relaxing trip.
Summer in Mexico can be too hot for some, with highs of 32 degrees. Whereas, Winter temperatures are much more comfortable, with highs of 24 degrees instead. Hurricane season has also finished, the rain has let up and the crowds that appear later in December are yet to arrive.
Many prefer a winter visit.
Dia de Los Muertos is Mexico’s most colourful and festive holiday; celebrated from October 31 to November 2. ‘Day of the Dead’ is an incredible expression of Mexico’s religious syncretism and a tradition that dates back centuries. It celebrates and honours friends and relatives who have died. Festivities take place in Central and Southern Mexico with elaborately decorated home altars, parades, parties and nighttime visits to the gravestones of loved ones. Expect many candles, flamboyantly decorated skull-shaped masks and music.
Mexico has a high risk of rabies which is a fatal disease if left untreated. The rabies infection is spread through a bite, scratch or lick of an infected animal. You should avoid contact with feral animals or wildlife at all costs. Try to anticipate an animal’s actions and always be careful not to make sudden movements or surprise them.
Travellers can minimise the risk by receiving a rabies vaccination prior to travel. As rabies is a fairly common traveller’s risk, we try to make this particular vaccine affordable for all travellers. You can proactively minimise your risk of contracting rabies, putting your mind a ease for your holiday.
If you suspect you’ve been bitten by an animal with rabies, even after having the rabies vaccine, you should seek medical care immediately.
Apart from causing an itchy and painful bite, Mexican mosquitoes can spread viruses such as dengue fever, chikungunya and Zika virus. It is advised to use an insect repellent containing 50% DEET, wear long loose clothing, and take a plug-in vaporiser. We have an Ultimate Bug Kit available to order online. All of these will ensure your room stays mosquito free and you, bite free!
The Zika virus is of particular concern to those who are pregnant or planning to become pregnant. Specialist advice should be sought before travel. Our Central London clinic offers Zika Virus testing. Our expert team will give you clear, practical advice on the right test for your individual circumstance. Following the test, we can help you interpret the results and assist in planning your next step towards starting a family.
Don’t get the day of the dead diarrhoea
While Mexican food is delicious, travellers should apply some necessary precautions to prevent picking up stomach bugs which could ruin your holidays. We recommend that travellers avoid tap water and ice in their drinks. It’s advisable to stick to bottled water only as this reduces your risk. Also, do ensure your food is cooked through and served hot. To help get prepared, we recommend purchasing one of our Worldwide Gastro Kits.
Hepatitis A is a viral infection which is spread via contaminated food and water. Washing your hands regularly, especially after using the toilet can stop the spread of Hepatitis A. A sensible tip would be to take some alcohol hand gel with you to clean your hands before eating. Make sure you have received a vaccination against Hepatitis A before departure.
FLU
There are many celebrations throughout the year in Mexico, such as ‘Revolution Day’ on November 20th. Large crowds will gather to celebrate the 1910 revolution anniversary. This is a unique celebration for a tourist to experience but unfortunately, large crowds increase your risk of catching and spreading germs.
Factors that can increase the risk of getting sick at a mass gathering include the number of people in attendance, the type of venue, the type of infections people carry into it and also how people interact with each other.
The Flu can spread rapidly as the bacteria and viruses can easily be passed from one person to the other by a simple cough or sneeze. The best way to prevent flu is to get your flu jab before departure.
Book your travel appointment today
By Anna Chapman | Travel Nurse | October 2018
Japan’s Autumn runs from September – November and attracts many visitors each year to view the beautiful changing of the Autumn foliage, known as koyo.
Taking outings to appreciate the beauty of autumn has been a custom in Japan for centuries. For many years now, this has become a popular activity for tourists too. Visitors explore the whole country to find the best ‘Autumn’ spots to view the natural beauty of landscapes bursting with yellow, orange and red leaves.
This activity tends to divert travellers away from the urban cities and into rural environments. Unfortunately, this increases exposure to some harmful diseases.
If you’re planning a trip to Japan this autumn….check out our travel vaccination advice.
Whether you are visiting the ultra-modern counterpart of Tokyo or taking a trip to Japan’s must-see landmark of Mount Fiji, traveller’s should ensure they are up-to-date with their tetanus vaccine. The vaccination is a combination vaccine with diphtheria and polio (DTP), which is routinely given to all children in the UK. However, you should ensure you and your children are up-to-date with your routine vaccinations before travelling. The vaccine can be given once every 10 years to those at risk.
You can catch a number of diseases from mosquito and tick bites. You can minimise your risk by wearing long loose clothing and wearing plenty of insect repellant with a minimum of 50% DEET. Our Ultimate Bug Kit is available to purchase online.
Japanese Encephalitis (JE) is transferred by mosquito bites. There is an increased risk for those travelling in rural areas with rice fields, marshlands, or pig farming areas. It is advised to avoid these areas, particularly during mosquito feeding times, dawn and dusk.
Those travelling to the Ryukyu Islands (Okinawa) should consider the Japanese Encephalitis vaccination as the highest risk season is typically April to December. Travellers with long-stays planned in rural area’s should also strongly consider the Japanese Encephalitis vaccine.
Tick-Borne Encephalitis (TBE) is transmitted by ticks and rarely by unpasteurised milk and dairy products. Travellers are at increased risk of exposure during outdoor activities in areas of vegetation (gardens, parks, meadows, forest fringes and glades). Ticks are usually most active between early spring and late autumn. We’d advise those travelling during that time to consider the TBE vaccination.
The main affected area is Hokkaido although there is a possible risk in Shimane Prefecture, Honshu.
Those travellers who aren’t planning on getting vaccinated should avoid eating and drinking unpasteurised milk products. We’d advise all adventurous eaters to consider the TBE vaccination prior to travelling.
Earlier this year we saw outbreaks of measles across the globe, including a large outbreak in Okinawa in Japan. Most countries routinely immunise children against measles, in combination with mumps and rubella (the MMR). However, if for some reason you or your child have missed this then receiving two doses of the MMR vaccination before travelling will give effective protection. A simple blood test can determine immunity. Those found non-immune should book in for the vaccinations prior to travel.
Seasonally Japan suffers from regular outbreaks of flu. Tokyo and other major metropolitan centres in Japan are very dense, which increases the spread of the flu. The flu vaccination available in the UK will dramatically reduce the chance of travellers catching the flu while abroad.
A flight from the UK to Japan are over 11 hours direct. Prolonged periods of immobility on long-haul flights pose a risk of developing a blood clot or, deep vein thrombosis (DVT). Travellers can minimise the risk of this by ensuring they keep mobile and hydrated on the flight, avoid wearing restrictive clothing, and wearing flight stockings to aid circulation.
Rapid exposure to low amounts of oxygen at high elevation can cause altitude sickness. There are a number of places in Japan which are higher than 2,500 metres, such as Mt Fuji, 3,776m.
Travellers should avoid travelling from altitudes less than 1,200m to altitudes greater than 3,500m in a single day. An ascent above 3,000m should be gradual. Travellers should avoid increasing sleeping elevation by more than 500m per day. Also, ensure a rest day (at the same altitude) every three or four days.
Book your travel appointment today
By Anna Chapman | Travel Nurse | October 2018
Here are the TOP TIPS from our consultant osteopath, Andrew Doody, on how best to prepare and get the most out of your holiday, injury free!
If you would like advice on the best exercises you can do to prepare for your ski trip, of have returned from holiday with an injury, you should book an osteopath appointment.
If you’re planning on avoiding the flu this year, going on holiday, starting University, having a child or just living a healthy lifestyle in general, then there are a number of extremely important vaccines you should know about.
Now is the perfect time to have your flu jab, to ensure protection for the entire winter. Our adult flu vaccines are already in stock including Quadrivalent, FluAd and egg-free. Due to distribution delays, needle-free Quadrivalent vaccines for kids will be arriving soon.
– Find out more about the Flu Vaccine
Many people who are now adults have never been vaccinated against measles, mumps or rubella, either from concerns over misinformation during the 1990s or because they simply missed out on getting protected. As a result, there has been an alarming rise in cases and outbreaks, with several deaths. Unfortunately, this year the UK also lost its ‘Measles Free’ status. Two doses are needed for protection, and it is never too late to be vaccinated!
– Find out more about the MMR Vaccine
There’s no need for any child to go through the misery of the chickenpox. It is entirely preventable with a vaccine that is still not yet available on the NHS, Varicella. This vaccine can be given to children over the age of one year. 2 doses are recommended for full protection.
– Find out more about the Chickenpox Vaccine
Shingles is a horrible reactivation of the chickenpox virus in adults who have had chickenpox during childhood. It consists of a painful, blistering rash. The pain can linger for months or years but it is also preventable. Shingrix is a relatively new vaccine which provides the best protection against Shingles. It offers up to 90% immunity. Supplies worldwide are limited but The Fleet Street Clinic is one of the first medical practices in the UK to make it consistently available.
– Find out more about the Shingles Vaccine, Shingrix
HPV is the leading cause of cervical cancer but also causes other genital, head & neck cancers. The national programme offers all 12- and 13-year-olds in school the Gardasil HPV vaccine. HPV-4 protects against 4 types of HPV. There is no “catch-up” programme for older children and adolescents.
At Fleet Street Clinic, we offer Gardasil 9. It offers greater protection against 5 additional types of HPV. In our opinion, if you have not received the HPV vaccine yet, you are better to get the HPV- Gardasil 9 vaccine to benefit from the extra protection it offers.
– Find out more about the HPV Vaccine, Gardasil 9
Childhood vaccination does not give lifelong protection, and newborns are especially vulnerable. Vaccination is recommended during pregnancy, and may also be advisable if you have a close family member who is pregnant, or if you’re likely to be in close contact with their newborn baby.
– Find out more about Whooping Cough
We offer Meningitis ACWY and Meningitis B vaccines. This vaccine is recommended to all those who fall outside the age groups currently targeted by the NHS or have an important deadline for protection.
– Find out more about Meningitis ACWY and Meningitis B vaccines
Hepatitis B is spread by blood and body fluids. In most other developed countries, it has been a standard part of the childhood vaccination schedule for many years, but in the UK it has only just been added to the schedule at birth and infancy. There is no “catch-up” programme for older children and adolescents. We strongly believe this vaccine should be offered more widely – all young, sexually active adults ought to be protected.
– Find out more about Hepatitis B
We strongly recommend the Prevenar pneumonia vaccine for those aged 65 and over. Pneumonia can affect people of any age, but it’s more common and can be more serious, in certain groups of people, such as the very young or the elderly. Anyone with a past history of pneumonia, asthma or lung disease should also consider this vaccine. Anyone can get a pneumococcal infection, but not everyone is offered the pneumococcal vaccine on the NHS. Prevenar pneumonia vaccine protects against 13 of the most common strains of Streptococcus pneumoniae bacteria.
– Find out more about the Pneumonia Vaccine
At the Fleet Street Clinic, we are well known for offering the full range of travel vaccines, always in stock. But if I had to pick just one vaccine I would never want to be without, it would be rabies. Protection is cheap, easy, safe and long-lasting – but expensive and hard to find if you are ever unlucky enough to be bitten abroad. I was once attacked by a dog in a remote part of Peru, and have had to look after dozens of travellers who have been in similar situations.
– Find out more about the Rabies Vaccine
If you would like more information or require any of these vaccinations, please give us a call to arrange an appointment or book your appointment online today
During the 2014 outbreak, I was stationed in an Ebola treatment centre in Sierra Leone. The UK government responded to the Ebola outbreak by sending out British medical professionals to help support the Ebola response unit. It was a time in my life when I didn’t have responsibilities that tied me to a fixed geographic location, alongside having the necessary skills that could make a difference, so there really didn’t seem a reason not to go to help out.
The General-Director of the World Health Organisation recently visited Ebola-affected areas in the DRC and reported:
‘Since the outbreak began in August 2018, there have been 608 cases and 368 deaths in North Kivu and Ituri provinces. To date, more than 54,000 high-risk contacts and frontline responders have been vaccinated, and almost every new patient receives one of four investigational treatments, something which was never previously possible during an Ebola outbreak.
The main challenges are the security environment, pockets of mistrust among affected populations, and poor infection prevention and control in many public and private health facilities. Under the government’s leadership and working collaboratively with UN and NGO partners, WHO is committed to addressing these challenges and ending the outbreak.
The political situation in the DRC is unstable which has led to less infrastructure to support relief efforts and virus control activities. Healthcare providers may be at risk of violence which makes a difficult job even harder. Civil unrest has lead to more than 1 million people being forced to leave their homes to escape potential violence, this mass movement of people means the spread of the virus is harder to control. This creates a very different context to the one we were facing in Sierra Leone.
Source: The New England Journal of Medicine: New tools in the Ebola arsenal, United Nations High Commissioner for Refugees: Spiralling violence puts millions at risk in Ebola-hit eastern DRC. August 24, 2018
At the beginning of the 2015 outbreak, there was very limited public awareness of the Ebola virus and how it is spread. The understanding of Ebola transmission was minimal and communities were unaware that some traditional practices could be increasing the risk of infection. The outbreak in 2015 involved a very steep learning curve for all involved. The many lessons learnt then will mean that there is more knowledge, resources and information to fight the virus this time around.
According to The Lancet:
In 2016, Guinea, Liberia, and Sierra Leone succeeded in interrupting the longest epidemic of Ebola virus disease in global history…Control of the epidemic was primarily achieved by implementation of effective and coordinated public health measures that involved rapid identification, isolation of cases, contact tracing, and isolation of contacts.
Source: The Lancet: Prevention of Ebola virus disease through vaccination: where we are in 2018
One of the major developments in the armoury of tools to fight Ebola is the development of an Ebola vaccine. This was only a dream in the 2015 outbreak but it is a reality for the healthcare professionals currently working in the DRC. Although still in its early stages, the Ebola vaccine in use in the DRC is showing very promising results. In May and June of 2018 more than 3,000 people were vaccinated as part of the WHO response to the Ebola virus.
Source: The Lancet: Prevention of Ebola virus disease through vaccination: where we are in 2018
Treating patients in the 2015 outbreak was very difficult for many reasons. One of the hardest things was finding a balance between safety from infection and being able to provide effective and compassionate care. Working in the hazmat suits kept us safe from transmission of the disease, but working in 40-degree heat wrapped up in layers of plastic was very inconvenient for many reasons. Being so hot meant that we could not spend as much time with our patients as we would have liked because there were limits to how much time we could spend in the Red Zone for our own safety. Being so covered up also made it harder to form human relationships with our patients (which is the cornerstone of nursing practice) because it was difficult for our patients to distinguish between us and any chance of communication through facial expressions was impossible.
The current outbreak has seen the introduction of air-conditioned Ebola treatment cubicles which eliminates the need for such restrictive time constraints whilst also offering a healthier environment for medical professionals.
According to the New England Journal of Medicine:
With such cubicles, health care workers can provide intravenous fluids and therapeutics through specialized ports and are thus freed from the burdensome personal protective equipment used during the 2014 West African outbreak to spend more time with their patients. Medcins sans Frontieres (MSF, or Doctors without Borders) continues to be a leader in developing safe care for patients with EVD provided in structures that can be rapidly erected using local resources.
Sources: The New England Journal of Medicine: New tools in the Ebola arsenal
This outbreak is considered a contained case with little spread outside of the outbreak origin. The 2015 outbreak quickly moved across international borders and therefore was a cause of much concern for the international community. People are obviously anxious about the spread of Ebola, however, at this stage, the risk is minimal within Europe. There are many precautions taken by all those returning to the UK from affected areas.
When returning from Sierre Leone, I was subject to 3-week quarantine monitored by Public Health England during which I had to report my temperature to them twice a day and there were numerous restrictions on what I could and couldn’t do such as, I couldn’t work in hospitals, I could get my hair cut but not shaved, I couldn’t get a pedicure nor go to places with large amounts of people including football matches and music concerts. Everything was extremely well monitored and the public was kept incredibly safe from infection. These practices are no-doubt to be in place for this current outbreak as well.
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If you have any concerns about travelling to parts of Africa, you can book a travel consultation for the latest travel health advice for your destination.
By Johanna Bosowski | Travel Nurse | February 2019
Our travel clinic nurse, Anna Chapman, has just returned from an amazing two weeks travelling around South Africa.
Many items were ticked off her bucket list including a stay in Cape Town, a visit to the Winelands of Franschhoek and Stellenbosch and a stopover in Hermanus and Touwsrivier in the Western Cape. It was a busy trip!
Anna shares her top travel health tips for staying healthy on the road.
Make sure you get your travel vaccinations in plenty of time prior to travelling. Book a travel consultation appointment 4-6 weeks before your flight to discuss health safety and vaccination recommendations. Travellers with a pre-existing health problem should book an appointment with a GP even earlier. Often vaccines are left to the last minute and not prioritised but it is important to protect yourself against life-threatening diseases.
South Africa is a huge country and the vaccinations you need will depend on exactly where you plan to stay, visit and what you plan to do. Depending on where you enter the country, high-risk areas may require you to provide proof of yellow fever vaccination on entering.
The far eastern provinces and game parks of South Africa pose a risk of malaria. If you are planning a safari, find out which reserve you will be visiting to determine if you will require anti-malarial medication. There are numerous game parks in the east and centre of the country which are malaria free. We also recommend our Ultimate Bug Kit to help protect you from mosquitos.
Other vaccinations to consider; hepatitis A, polio and typhoid.
There has been a severe drought in South Africa, particularly in the Western Cape. At present, there are active water restrictions in place throughout. You should be mindful of water consumption and comply with local restrictions.
As a result, many toilets no longer have running water to wash your hands with and instead offer hand sanitiser. Make sure you take your own hand sanitiser with you just in case the public facilities run out. Good hand hygiene is key to preventing upset stomachs otherwise known as travellers’ diarrhoea. Travellers should consider booking the drinkable vaccination, Dukoral, which protects against cholera and travellers’ diarrhoea. It would probably be worthwhile in taking a diarrhoea treatment pack with you on your travel as well.
The Western Cape and the Cape of Good Hope is known for stormy seas. If you are prone to travel sickness and plan on taking any boat trips, make sure you pack seasickness medication. Whale watching is a popular tourist activity, and even the short boat ride from Cape Town to Robben Island can be rough enough to make those susceptible to seasickness feel queasy.
Most travellers enter South Africa in a direct overnight flight from the UK. With only an hour time difference from the UK, people use this flight to catch up on sleep before they land. Sitting immobile for prolonged periods can put you at risk of a deep vein thrombosis. Minimise the risk by staying hydrated, keeping mobile and wearing compression stockings throughout the flight
Travellers returning with diarrhoea should seek medical care if symptoms do not improve within three days. At Fleet Street Clinic, we have an on-site PCR machine which is able to identify the cause of travellers’ diarrhoea to produce a rapid report. Our GP’s can identify the exact cause, provide an accurate diagnosis and prescribe the correct treatment.
Medical advice should be sought earlier for those who are elderly, children and other vulnerable travellers if they are showing signs of dehydration.
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Our experience team of travel nurses can help advise with any queries or more information on South Africa.
Book your travel appointment today
By Anna Chapman | Travel Nurse | September 2018
The unique mixture of hedonism and heritage makes Dublin the perfect city break.
Be ready to eat and drink your way around the city, indulge and celebrate, both these things are encouraged wherever you go. The Irish definitely know how to live life to the full.
Dublin requires a certain amount of pre-planning especially if you’re wanting a budget city break. Prices tend to steadily increase the closer you book to the date of travel. So, expect to pay more if you’re more of the spontaneous adventurer.
Depending on if you’re taking the whole family or travelling alone, we’d always book flights in advance. Especially expect to pay more on St Patrick’s weekend!
Book your accommodation early! There is a big rental shortage in Dublin and popular times throughout the year can result in overpriced accommodation at hostels, hotels and even Airbnb’s.
The Irish weather has a reputation for having four seasons in one day and for that reason pack clothes for all types of weathers. Layering is key, that way you can add and remove layers depending on the weather. An absolute essential is a lightweight raincoat for those unexpected downpours.
If you are an adventurous traveller, you will find your normal running trainers might not be enough for the unexpected weather and puddles! We’d recommend investing in some hiking boots, these will come in handy for those out of city days and will make sure your feet stay nice and dry.
No trip to Dublin is complete without a trip to the Guinness Brewery. This is a must do!
Believe it when people say the Guinness tastes different in Ireland, it definitely does. Just a tip – Save yourself from the huge queues and book your ticket online. Be ready to drink – your tour comes with a free taster at the end!
The city can be all-encompassing but make time to visit the landscapes and explore the natural beauty of the beautiful Irish cliffs. One of the natural wonders to visit would be the Giant’s Causeway. Breathtaking scenery!
You might find it easier to do this by renting a car, remember to bring a credit card and your passport. It can be very cheap, and lets you see all the best stops in your own time.
It is always handy if you know a local, they have all the insider knowledge and are able to steer you away from all the overpriced tourist traps and find something truly authentic. If like me, you don’t know a local, my advice is to ask around, you’re sure to find a friendly local who’ll share the history of Ireland with you in exchange for a pint of Guinness (or two!)
There are no shortages of bars and pubs in Dublin. A couple to definitely make sure you visit would be The Brazen Head and The Temple Bar.
The Brazen Head is Ireland’s oldest pub, the present building was built in 1754 as a coaching inn. However, it appears in documents as far back as 1653.
The temple bar is very loud and very busy, so not to everyone’s liking but if that is your scene then you won’t be disappointed. Many famous Irish legends have taken to their stage and entertain large crowds with their iconic songs and ballads throughout the years. Definitely sink an Irish whisky here!
Book your travel appointment today
By Laura Berry | Flu Project Coordinator | September 2018
All travellers should ensure they are in date with Diphtheria, Tetanus, Polio, Hepatitis A and Typhoid. Vaccinations against Rabies, Hepatitis B and Japanese Encephalitis may be recommended for some travellers, depending on the itinerary and of activities and places to visit.
Although malaria is very low risk in Sri Lanka, viruses such as dengue fever and chikungunya fever are present. Prevention for these comes from minimising mosquito bites, so take some insect repellant with 50% DEET, wear long loose clothing, and take a plug in vaporiser to use in your room to ensure your room stays mosquito free.
Prevent traveller diarrhoea by ensuring the food and water you consume is safe. It is always a sensible idea to take some alcohol-based hand gel with you to clean your hands before eating. Enjoy the sun sensibly by using a high factor sun screen, and avoiding direct sunlight between 11am and 3pm when the suns rays are strongest.
Medications and first aid supplies are harder to source in Sri Lanka. It is always a good idea to take your own supply of basic medications and first aid supplies with you in order to treat minor ailments and injuries.
Book your travel appointment today
By Anna Chapman | Travel Nurse | August 2018
Madagascar is a large country off the south east coast of Africa. It is well known for its rainforests, hiking and diving, beaches and reefs.
Make sure you are aware of what you need, such as visas, vaccines and other medical requirements.
You may need a Yellow Fever certificate. Whilst most flights involve a change of plane in Paris, some flights route via Nairobi, Kenya. If you have a long lay over in Nairobi you will be required to provide on entry to Madagasgar, a valid Yellow Fever certificate.
Rabies is a virus found in mammals and is fatal if not treated promptly. Treating rabies can be difficult in Madagascar, but is made much simpler for those who receive rabies vaccinations prior to travel. If the focus of your trip is the mammals of Madagascar, rabies vaccinations pre-trip is strongly recommended.
Make sure you wear plenty of insect repellent whilst away as Madagascar has several diseases that can be spread via the bite of a mosquito or fly. Insect repellent should contain at least 50% DEET. Anti-malarial medication is always advised for Madagascar. Protect yourself from mosquitos with our Ultimate Bug Kits.
Ensure you take out comprehensive travel insurance before you go to Madagascar, and ensure that it covers you any activities you may have planned (such as scuba diving).
Book your travel appointment today
By Anna Chapman | Travel Nurse | August 2018
Flujabs.org is the flu vaccination service of Fleet Street Clinic, providing vaccinations to the UK and worldwide for over 20 years.
Make sure to protect your workforce this winter by offering flu vaccines to your employees.
If you have any queries, please get in touch with our Flu Jabs team at Fleet Street Clinic, who will be happy to answer any questions. Or you can visit our Flu Jabs page for more information.
Public Health England has implemented emergency measures to ensure the Hepatitis B vaccine is protected for those who need it most, due to severe shortages in the supply of the vaccine.
The UK is a low-risk country for Hepatitis B those most at risk are babies. The Hepatitis B vaccination has recently been added to the standard NHS immunisation schedule, which is not affected by the current shortage.
Individuals can reduce their risk of contracting hepatitis B through avoiding unprotected sex and injecting drugs, avoiding getting tattoos, piercings or acupuncture when overseas, and avoiding medical or dental care in high risk countries unless absolutely necessary.
A spokesperson for Public Health England said “We think there will be shortages until early 2018 so we are urging people to make sure they are taking the right precautions while the shortage is ongoing.”
For all those needing vaccination and immunisation support, Fleet Street Clinic offers expert travel advice, occupational health assessments and a dedicated vaccination clinic with expert medics for all those needing vaccination and immunisation support.
Our Travel Clinic can provide you with all the vaccines you need.
All of our travel and wellness vaccination appointments are available to book online.
Fleet Street Clinic’s monthly Saturday Clinic will be held on Saturday, August 12th, 9am -1pm. Patients have access to all nurse services – including travel jabs and childhood immunisations.
We have good stocks of vaccines which are in short supply at the moment, such as Hepatitis A and Hepatitis B.
If you’d like to bring your children for their immunisations or if you’re travelling over the holidays and need some last-minute vaccines, we can help.
You can book an appointment online.
Hepatitis is a series of viral infections that all cause an inflammation of the liver if not treated, and is responsible for two out of every three liver cancer deaths. The theme of World Hepatitis Day 2018 was ‘Find the Missing Millions’, since 300 million people globally are living with viral hepatitis and are completely unaware of it.
Consequently, the Fleet Street Travel Clinic recommend that you ‘GET ADVICE. GET TESTED. GET VACCINATED’. This is especially the case if you are travelling to high risk areas, namely the Indian subcontinent, Africa, Central and South America, the Far East and Eastern Europe.
Hepatitis A is spread through food and water contaminated with the virus. Travellers should exercise caution by:
Hepatitis B and C are contracted through contact with infected blood and bodily fluids. This can include:
9 out of 10 people living with viral hepatitis are unaware they have it. Significantly, Hepatitis C is the most common type in the UK and often causes no noticeable symptoms. Fleet Street Clinic offers a range of blood tests and health screenings, and testing is quick, easy, and painless.
Hepatitis A and B are easily preventable through vaccination, and we recommend the vaccine especially for the following people:
Although there is no vaccine for Hepatitis C, it can be treated with effective antiviral medications.
Peru is a fabulous destination for trekking. Whether it be hitting the 2400m mark of the Inca Trail to Machu Pichu or the dizzying heights of Ausangate at 6000m above sea level, preparation for travelling at altitude is key.
At heights of 2500m and above, air pressure is only half of what it is at sea-level, leading to a reduction in the amount of oxygen available. This ascent to high altitude is what causes altitude sickness, or acute mountain sickness. Subsequently, if one rapidly ascends to high altitude, and the body has not had sufficient time to acclimatise, altitude sickness can occur.
However, altitude sickness can quickly evolve into more serious forms that affect either the lungs or the brain. Specifically, pulmonary or cerebral odema (a build-up of fluid in the lungs or brain) can develop, which can be fatal.
Many people who are travelling to altitude use DIAMOX (Acetazolomide). These are tablets that can help speed the body’s acclimatisation, and they are available at Fleet Street Clinic. Acetazolomide can be used as both a preventative medicine and as a treatment.
It is recommended that all travellers are up to date with their routine immunisations when travelling to Peru. All travellers should ensure that they have received a vaccination against diphtheria, tetanus, and polio in the last ten years. All travellers are advised to ensure they have been vaccinated against Hepatitis A and Typhoid.
There may be a need for additional immunisations. Depending on the nature of the trip, destinations visited, and the duration of both travel and activities, other vaccinations could be considered. These include:
There is a risk of malaria in areas of Peru and antimalarial medication may be advised. Furthermore, prevention against insect bites in Peru is essential.
Book your travel appointment today
By Anna Chapman | Travel Nurse | July 2018
Bali ranks as one of the most popular destinations to visit in Asia. It is crowned as the jewel of the Pacific ocean, with its white powder beaches, tropical waters and lush green rain forests. However, those who seek out this tropical paradise will need to spend an average of 18 hours travel time to reach the island, and will need to take more than one flight.
Be aware, long haul flying can increase the risk of a Deep Vein Thrombosis (DVT). A DVT can form in the legs when a person is immobile – usually in a confined space for a long period of time. The longer the period of immobility, the greater the risk of developing a DVT. It is also worth noting that a DVT can break off and travel through the veins to other parts of the body such as the lungs where it can be life threatening, while certain medications and medical conditions can increase an individuals chance of developing a DVT.
The Fleet Street Clinic stock compression stockings, travel vaccines and medical travel kits. Our experience team of travel nurses can help advise with any queries or more information on Bali.
Travellers should also be up to date with vaccinations against Diphtheria, Tetanus and Polio, Hepatitis A and Typhoid. Vaccinations against Japanese Encephalitis, Rabies and Hepatitis B should also be considered.
FLEET STREET TRAVEL CLINIC
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By Anna Chapman | Travel Nurse | July 2018
Despite the cosmopolitan cities on Canada’s coasts, the real allure of this country is the vast wilderness and countryside that lies between. Whether it be by hiking, camping, canoeing, or cycling, adventure travel in this country is on the up. When travelling to well-developed countries where healthcare standards are the same as our own, many travellers don’t consider travel health, nor taking first aid supplies or medications with them. However rich the country, travellers facing remote destination should always be prepared with some basic medications and supplies on hand to treat the most minor of injuries. First aid supplies can vary from a couple of plasters to comprehensive medical and trauma kit, and the kit you decide to take will depend upon what you intend to do whilst away.
The Fleet Street Clinic stocks travel sickness medication, travel vaccines and medical travel kits. Our experienced travel clinic nurses can help advise with any queries or more information on Canada.
Book a travel consultation appointment online.
By Anna Chapman | Travel Nurse | July 2018
Do you enjoy the great outdoors and active holidays? If so, you may be contemplating a trekking adventure. Top summer trekking destinations include Cotopaxi, Ecuador, the Atlas Mountain Range in Morocco, The Ladakh Ranges in India and Mont Blanc in the French Alps.
Fleet Street Clinic offers travel tips for trekkers from Anna Chapman, one of our specialist travel nurses, to help prepare for your holiday and make the most of your adventure.
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By Anna Chapman | Travel Nurse | July 2018
I’ve just returned from Montenegro, which is a beautiful country and still relatively undiscovered in terms of European tourist destinations. The beautiful beaches, Venetian towns and stunning scenery make a trip really worthwhile.
One of the great pleasures of travelling is to be able to enjoy local cuisine and gastronomic specialities of the region. It can help you discover the culture of a place and connect with local people in an authentic way.
However, the last thing you want is for travellers diarrhoea to ruin a trip. The majority of tummy trouble abroad happens in the first week of travel and is caused by bacterial infections (such as salmonella) which can’t be prevented by vaccination. They are found in unclean water and ill-prepared food, and the only defence against them is to be careful with food and water whilst away.
How to help avoid dodgy tummies while away:
You can buy a Worldwide Gastro Kit online to
Other items for considering when in Montenegro:
The Fleet Street Clinic stocks medication for travellers diarrhoea, medical travel kits and our experienced travel clinic nurses can help advise. If you’ve been on holiday and suffering from a lingering tummy bug, you can get a same-day diagnosis and medication using our PCR machine, you can email or call us to find out more.
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By Anna Chapman | Travel Nurse | June 2018
The answer is, yes.
Croatia sits on the Dalmatian coast of Europe and is only a short flight from the UK. With abundant sunshine, long coastlines and fascinating history and architecture, Croatia is an enchanting country with so much to discover beyond Dubrovnik.
There is a common misconception that only far flung exotic destinations require travel vaccinations. This simply isn’t true. Whilst certain diseases such as malaria are found within the tropics, travellers to Europe should still seek out pre-travel advice to ensure that they are protected for their trip.
Depending on the activities you have planned for Croatia, you can consider additional vaccinations.
The Fleet Street Clinic stocks travel sickness medication, travel vaccines and medical travel kits. Our experienced travel clinic nurses can help advise with any queries or more information on Croatia.
Fleet Street Travel Clinic
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By Anna Chapman | Travel Nurse | June 2018
The World Cup is about to kick off. If you’re planning to visit Russia and watch some games in person, here’s some travel advice from one of our expert travel nurses at Fleet Street Clinic, Anna Chapman.
Travellers to Russia should be up to date with measles, mumps and rubella (usually given in childhood), Hepatitis A and Diphtheria, Tetanus and Polio.
Russia also has a risk of:-
As always, make sure you take precautions with food and water and pack basic medications and first aid supplies. We have several medical kits available to purchase online.
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By Anna Chapman | Travel Nurse | June 2018
Island hopping in Greece is an enchanting way to explore the country’s vast collection of 6,000 islands. With whitewashed houses, tavernas and beautiful beaches at every stop, it’s a trip everyone should take once in their life.
There are many ferry routes between the mainland and islands. Some people can manage travelling by boat, whereas others may suffer from sea sickness. Days or weeks on a boat can be miserable for those who are prone to sea sickness, yet there are effective treatments and tips for those who are vulnerable to reduce the risk.
What is Sea Sickness?
Sea sickness is similar to motion sickness, caused by repetitive movements when travelling, like floating up and down on a current. The inner ear sends signals to your brain as well as signals from your vision, with the two signals contradicting each other it confuses the brain. These confusing messages cause you to feel unwell and can cause dizziness, vomiting and nausea.
Despite being common, those prone to travel sickness may wish to take sea-sickness medication with them if they intend to do any island hopping. There are some tips that you can take on board and put your body and mind at ease:
Prevention
The Fleet Street Clinic stocks travel sickness medication, medical travel kits and our experienced travel clinic nurses can help advise.
Book your travel appointment today
By Anna Chapman | Travel Nurse | June 2018
How many times have you come down with an illness after taking a flight? Are you concerned about germs when flying? If so, you may (or may not!) want to read the findings of a study showing how infections spread on planes.
The Telegraph reported the study with advice from Fleet Street Clinic’s medical director, Dr Richard Dawood.
Essentially, where you sit in relation to sick passengers and cabin crew will determine your chances of catching an infection.
It’s not all bad for passengers though, as cabin crew were reported more likely to infect one another than passengers. To avoid catching anything, make sure you wash their hands and avoid touching your face throughout the flight. If you feel ill yourself, make sure you keep your hands clean, avert your face when you cough and turn on the air to reduce the spread of bugs.
Dr Richard Dawood said airlines should not allow anyone to travel who was obviously ill.
“It’s a contravention of airline regulations for someone who’s showing overt signs of infection to be allowed to travel in the first place,”
– he said.He said the best way travellers could protect themselves was by asking someone to wear a face mask.
“The ideal thing to do would be to get the person who’s ill to wear a face mask. You could escalate it to captain level and say, here’s a person who’s a danger to other passengers and they should wear a face mask. However, you could end up with a pretty nasty incident if someone digs in their heels,”
– he said.
You can read the full article here.
For travel advice, you can book a travel consultation appointment here. Or you can learn more about our travel clinic.
It’s officially the start of summer! Good news for feet – it’s time to swap shoes for lighter footwear and sandals. But before you reveal your toes, give your feet some attention so look and feel their best.
Healthy skin should be smooth and supple. Rough, thickened or callous skin, often occurs on areas of the feet which have to work particularly hard and this can be unsightly and uncomfortable. Additionally, your skin can become very dry which causes it to harden and crack, especially around the heels. In the summer, when open shoes or sandals are worn, dryness can become even worse.
Painful callouses can be pared away by a podiatrist who can advise you on how best to care for your skin. There are excellent creams and lotions available to improve your skin’s texture and comfort which, when used regularly, can make a lasting difference.
Some people suffer from skin that sweats excessively, a problem that tends to be made worse in warm weather or after activity and sports. This makes your skin more prone to chafing, blisters and fungal infections (athlete’s foot) and verrucas (plantar warts). Using a good antiperspirant can help with this (eg Dri-clor), as can dusting powders and a better choice of sports socks.
Having lots of small, itchy blisters on your skin, splits between your toes or flaky patches usually means a fungal infection, while verrucas are caused by a viral infection and both need specialist products to treat them. Podiatrists are experts in advising on and treating skin infections.
You can help protect yourself against infections by wearing flip-flops when walking in areas used by many people, by drying your feet thoroughly and by airing sports footwear well after use (fungi love soggy trainers!)
Finally, don’t forget your feet can get sunburned. If you are walking in sandals on a sunny day, remember to apply suncream regularly to the top of your feet.
As with all types of footwear, summer shoes and sandals need to be well-fitting and appropriate for the activities you are doing. Feet get bigger throughout the day, especially in hot weather, so sandals need to be adjustable to allow for this.
Flip-flops are beach shoes and are not suitable for day-long wearing on pavements. Your muscles have to work hard to keep these on your feet, so they will be tired and sore by the end of the day. Instead, choose sandals with a thicker, shaped sole, sometimes known as Fit-flops, which are held in place by a strap and give much greater support and cushioning to your foot. This is especially important if you are planning a day’s walking and sight-seeing.
Serious trekking requires a well-designed walking shoe – don’t skimp on cheap shoes or socks! You can find these in specialist retailers for outdoor activities.
Walking is an excellent activity to improve your fitness. It gives benefits to all your bodily systems, strengthens muscles and bones, improves mood and concentration and can help you to lose weight too. Aim to walk at least thirty minutes a day and keep up a brisk pace. If you are visiting the coast, walking barefoot on a sandy beach gives your foot muscles a good workout and helps to keep your feet strong and supple.
For further advice and information on treatment and how to look after your feet, see our podiatry page. Or you can book an appointment online.
Dr Richard Dawood, Medical Director of Fleet Street Clinic, was featured in an article published in The Telegraph: ‘Is there a doctor on board? What really happens during a medical emergency at 35,000 feet’.
The article discusses the issue of a medical emergency in the air, and Dr Dawood recounts some of his experiences where his medical expertise has been required during a flight.
Dr Dawood shares how he is happy to volunteer if a doctor is required, and details his experience of caring for a cabin crew member after she was taken ill during an 11 hour flight to Toyko. As an eminent Travel Medicine specialist, Dr Dawood is accustomed to helping with all kinds of travel-related health issues both pre and post travel, and as the article demonstrates, sometimes during travel as well!
As founder of Fleet Street Clinic, Dr Dawood has developed a multidisciplinary medical practice with a strong focus on Travel Medicine. If you require a travel appointment, you can book online.
Anna Chapman, one of our experienced Travel Nurses, gives her top 5 reasons why having a travel consultation is so important … food for thought if you’re planning a trip abroad.
Clinics that specialise in travel have practitioners who have completed extra qualifications in travel medicine, such as a Diploma in Travel Medicine, Diploma in Tropical Medicine and Certificate of Travel Health. These qualifications ensure the practitioner gets specialist knowledge that is kept up-to-date by attending conferences and participating in research in the field. Many practitioners who work in travel medicine have experienced health care abroad, through extensive personal travel or through working or volunteering. This means the travel advice that a patient receives is always current and accurate.
Our travel nurses at the Fleet Street Clinic have a Diploma in Tropical Nursing and a Certificate in Travel Health and both GPs have a Diploma in Travel Medicine and a Certificate in Travel Health. All the practitioners in our Travel Clinic have travelled extensively and practiced their profession in developing countries. This means they are more aware of the risks that travellers face and have a greater understanding of how to deal with health issues on the road.
No two people are the same and no two travel itineraries are the same. Travel consultations take this into account and give detailed and bespoke travel advice, not only for the itinerary but also for the individual. Seeing a practitioner face-to-face means that personal risks can be evaluated to ensure all travel health needs are met, rather taking a “one size fits all” approach.
Whilst vaccinations are important, there are many aspects to staying healthy while abroad. In addition to vaccinations, there are considerations such as avoiding insect bites, use of medical kits, coping with jet lag, use of stand-by medications and coping with altitude sickness – all things that can be discussed when you have a travel consultation
Just because you have had your vaccinations before your trip, it doesn’t mean that your care ends when you leave the clinic. Specialist clinics can provide on-going care for subsequent trips and/or post-travel health concerns
When a clinic has a specialist travel service, ample time is allocated to each appointment. Having a team of dedicated staff committed to travel medicine means that appointments can be completely flexible and can accommodate individuals, groups or families, both at the clinic or off-site, as well as offering appointments for last minute travellers.
You can book a travel health consultation online. Or see here, or more information about our travel health services.
Exposure to high temperatures increases sweating and results in loss of fluid and electrolytes causing rapid dehydration. This can result in heat exhaustion or heatstroke which can be life threatening if not dealt with promptly.
Any traveller can be at risk of sun and heat related injuries but the highest risk is in the elderly, babies, children and those with pre-existing medical conditions.
Travellers who perform strenuous physical activity will increase the risk of illness related to the heat.
It can take the body up to 10 days to acclimatize to the heat, so it is important that travellers are prepared to prevent heat related illness.
What can travellers do?
*Seek shelter and shade during the middle of the day (11am -3pm) when temperatures are at their hottest
*If you are outside, ensure you protect your skin against the sun with a high factor sun cream
*Wear lose fitting light weight and light colour clothing
*Keep hydrated by drinking plenty of fluids and eating food with a high water content (such as fruit)
*Ensure you are taking in sufficient salt in your diet (sweating leads to electrolyte and salt depletion).
*Avoid caffeine and alcohol, which can worsen heat related illness
Heat stroke can be a life-threatening emergency and medical help should be sought.
For more travel health advice, you can book a travel consultation appointment with one of our nurses.
Cases of measles have risen rapidly in recent months in Europe, United Kingdom but most recently, Brazil. Measles is a highly contagious virus with potential for serious complications. It is a serious viral infection, spread by airborne droplets and is highly infectious. It is recommended that two doses of the measles vaccination should be given to individuals to prevent infection. Although many countries include the vaccination as part of the routine childhood immunisation schedule, international travellers should check that they are immune before departure.
Natural immunity can be assumed for those born before 1970, where individuals would have been exposed to the infection naturally.
Having received two doses of vaccination against measles. The vaccination was introduced in 1970 and is usually given in combination with rubella and mumps as the MMR vaccine.
Initial symptoms can include:
A rash appears after 2-4 days which can present as blotchy spots, often starting at the head and progressing down.
If you are in doubt about whether you have immunity to measles, a simple blood test can be taken to determine your immunity status. If you have no immunity to measles, you can be offered the MMR vaccination.
Infants normally receive the MMR vaccination at 13 months old, as part of the national schedule. However, if you are travelling to a country where there is a significant risk of infection, the vaccination can be given to infants from 6 months.
If you think you may be suffering from measles, or are concerned about the risk of infection when travelling, please see your doctor straight away.
The Fleet Street Clinic stocks travel sickness medication, travel vaccines and medical travel kits. Our experienced travel clinic nurses can help advise with any queries or more information on Measles.
We have 2 options available, the Copper IUD and the Mirena IUS. Both options are fitted into the womb and are 99% effective against unwanted pregnancies, working straight away.
The main difference between the IUD and the IUS is what it releases into the womb. The IUD releases copper and the IUS releases the hormone progestogen. In most cases, the choice is down to personal preference but you can speak with our nurse/ GP in your appointment if you’re undecided which option you’d prefer.
The coil is a popular choice as it works straight away after insertion, it doesn’t interrupt sex and doesn’t interrupt other medications. In addition, for those who’re planning a family, once removed, it is possible to get pregnant straight away. It is also safe to use if planning on breastfeeding.
The coil requires a removal and replacement after a set time period and is dependant on the type of coil fitted.
Your coil can be removed at any time by a trained doctor or nurse. Find out more about the contraceptive coil.
Copper IUD Coil Fitting is £375*
Duration: 45 minutes
Mirena IUD Coil Fitting is £375*
Duration: 45 minutes
Coil Removal is £175*
Duration: 30 minutes
All examinations are carried out by a female doctor in a comfortable and private setting.
Book your Coil Appointment Online
*Pricing is subject to change, this is based on 2021 clinic pricing and includes appointment fee.
Globally, this vaccine is in extremely short supply and full supply is unlikely to be able to meet the demand for a number of years. This is even the case in the USA, where the vaccine was first launched since the vaccine has been recommended for routine use in over 50’s. There is unlikely to be an NHS program for the foreseeable future.
‘We believe we are the first medical practice in the UK to be able to offer our patients the new Shingrix vaccine, which provides powerful protection against a deeply unpleasant disease. As a full service medical practice with a longstanding commitment to cutting edge care, this follows an established tradition of UK vaccine “firsts” – including HPV for both sexes, Meningitis B, Zostavax, and Quadrivalent Flu.’
– Richard Dawood, Medical Director
What is Shingles?
Shingles, also called herpes zoster, is a painful skin rash caused by the chickenpox virus (varicella-zoster virus).
After you’ve recovered from chickenpox, the varicella-zoster virus lies dormant in your nerve cells and can reactivate at a later stage when your immune system is weakened. Anyone who has had chickenpox can get shingles.
Who can get Shingles?
While you can get shingles at any age, the odds start climbing at 50, then more sharply with each decade. As your immune system weakens with age, that puts you at an increased risk for shingles.
Your risk for shingles increases as you age. Previously we had recommended the Zostavax vaccination for shingles; which is still available. The difference in vaccinations being, Zostavax is only around 50% effective in preventing shingles, but Shingrix efficacy is up to 90% in preventing shingles and it’s complications.
Shingrix Vaccination Schedule…
The primary vaccination schedule consists of two doses of 0.5 ml each: an initial dose followed by a second dose 2 months later. If flexibility in the vaccination schedule is necessary, the second dose can be administered between 2 and 6 months after the first dose.
> Due to the scarcity of the vaccine, we recommend all those having the Shringrix vaccination to prepay for the second dose in advance.
At Fleet Street Clinic, we specialise in providing vaccinations and occupational health, often working with medical staff to make sure they have all vaccines, tests and ‘fitness for work’ checks needed to work for agencies supplying the NHS.
We offer services to Medical, Dental and Ophthalmic performers requiring occupational health clearance to join the National Performers List.
There are three lists of National Performers, which are maintained for dentists, GPs and opticians. Managed by NHS England, these National Performers Lists “provide an extra layer of reassurance for the public that GPs, Dentists and Opticians practicing in the NHS are suitably qualified, have up to date training, have appropriate English language skills and have passed other relevant checks such as with the Disclosure and Barring Service and the NHS Litigation Authority.”
These checks include occupational health screening to check the practitioner is fit to work and has had the necessary tests and immunisations required for their role.
Dentists, GPs and opticians applying to join the National Performers List must obtain their Occupational Health Clearance from a SEQOHS-accredited occupational health provider, which Fleet Street Clinic has. We have vast experience in providing occupational health clearance in accordance with Department of Health guidance. Immunisation requirements can sometimes be complex and Fleet Street Clinic provides a personal service with clear, informed and helpful advice.
If you need health clearance to join the National Performers List, contact the clinic or occupational health team prior to making an appointment.
Fill out the form below and we will send you the forms and information needed to submit your application.
Many people in the UK view tuberculosis as a Victorian disease, but in fact even today, 5000 people a year are affected by TB.
World TB day gives the opportunity to raise awareness of tuberculosis and lead to fewer cases. An easy way to help stop the spread TB is by having a BCG vaccine, which can be given to newborn babies soon after birth.
In some parts of London, the BCG is not readily available on the NHS, in which case you might consider getting the BCG vaccine privately.
BCG Vaccine for Children
At the Fleet Street Clinic in Central London, we have been providing specialist vaccination services for over 20 years.
We run a BCG clinic once a week for babies and children under the age of 6. Our baby/child BCG clinic runs on Wednesday’s.
Why have the BCG Vaccine?
The BCG vaccine protects against tuberculosis. TB is a bacterial infection that affects the lungs in most cases but can affect other parts of the body such as the bones and kidneys. Typical of many bacterial infections, tuberculosis can be spread through long-lasting exposure to an infected person via sneezing or coughing. The BCG vaccine is a proven way to ensure protection against the tuberculosis bacteria.
Do you want to take steps to manage your weight? Are you looking to lose weight or gain muscle? If so, the first step to changing your body is to get accurate measurements of your current stats.
Here at the Fleet Street Clinic, our Inbody scanner provides you with a detailed analysis of your body’s composition. This gives you an accurate way to measure your weight g oals.
You can use the InBody scanner by booking an appointment. Our nurse will measure your height, document your age and the scanner does the rest! Accurately measuring your weight, body fat, muscle mass, BMI and basal metabolic rate, the InBody scanner tells you if you are above, below or in the normal range for your age and height. You’ll receive your results as a one-page analysis, which we will talk through with you. From this, you can set your achievable long-term health goals.
If you’re looking to get some more direction on how to achieve your health goals, our dietitian provides weight management advice to improve your health to optimal levels.
The NHS and the Department of Work and Pensions now list fibromyalgia as ‘real’, which is a step in the right direction.
The exact cause of fibromyalgia is unknown, but it is thought to be related to abnormal levels of certain chemicals in the brain and changes in the way the central nervous system (brain, spinal cord and nerves) processes pain messages carried around the body.
It may connected to other conditions, including various arthritis’s and may be genetic but even this is unsure. We do know it can be triggered after a traumatic or stressful event; anything from a virus to a divorce. Anyone can develop fibromyalgia at any age, but it predominantly affects women between the ages of 30 and 50. Some studies believe up to 1 in 20 people may be affected.
Unfortunately there is no specific test for fibromyalgia, so diagnosis is made purely on presentation and history. This makes life difficult as the symptoms of fibromyalgia vary according to the person, both in specifics and intensity. Symptoms may be aggravated by many things, from stress to the weather.
If you have fibromyalgia, one of the main symptoms is likely to be widespread pain. This may be felt throughout your body, but could be worse in particular areas, such as your back or neck. The pain is likely to be continuous, although it may be better or more severe at different times.
The pain could feel like:
Fibromyalgia can make you extremely sensitive to pain all over your body, and you may find that even the slightest touch is painful.
If you hurt yourself – such as stubbing your toe – the pain may continue for much longer than it normally would.
You may hear the condition described in the following medical terms:
You may be sensitive to things such as smoke, certain foods and bright lights. Being exposed can cause your other fibromyalgia symptoms to flare up.
Cognitive problems are issues related to mental processes, such as thinking and learning. If you have fibromyalgia, you may have:
Other symptoms that people with fibromyalgia sometimes experience include:
If you think you may be depressed, it’s important to get help from your GP or your fibromyalgia healthcare professional, if you’ve been seeing one.
First and foremost you need a good diagnosis from your heathcare practitioner to make sure they think you have fibromyalgia and not other conditions that may need treating differently, or more importantly investigating differently to be safe.
Once this is done and other conditions have been ruled out, and fibromyalgia has been diagnosed, you may need to try a variety of treatments to find a combination that suits you.
Fibromyalgia has numerous symptoms, meaning that no single treatment will work for all of them. Treatments that work for some people won’t necessarily work for others.
These treatments include medication, lifestyle changes (from diet to identifying and avoiding trigger factors), exercises, physical treatment, relaxation techniques, counselling and CBT.
Article by Andrew Doody – Osteopath for Fleet Street Clinic
There are many helpful bodies out there who can help and support if you are concerned you may suffer from fibromyalgia including UK Fibromyalgia, Fibromyalgia Action UK and the Fibromyalgia Association.
You can find more information about out osteopathy services here. Or book an appointment with out osteopath, Andrew Doody.
The HPV vaccine is now offered to girls aged 12-18 years in the UK for free by the NHS.
Since its introduction in 2008, it has already shown to be very effective in reducing the cases of cervical cancer in females*. But the HPV virus doesn’t only cause cervical cancer, it can lead to other cancers such as anal, head, neck and throat cancers. Men are as much at risk of these cancers as women, so why are boys ineligible to receive the HPV vaccine as part of the NHS vaccination schedule?
The BBC has reported the case of Jamie Rae today, to highlight the issue. Mr Rae is campaigning for the HPV vaccine to be introduced, after undergoing radiotherapy for his throat cancer which he believes could have been prevented if an HPV vaccine had been available.
The article also reports that Professor Francis Vaz, a head and neck surgeon at University College London Hospital, paid privately to vaccinate his three sons, to protect them from certain cancers like anus, penis, mouth and throat. He said he saw on a daily basis that cancers driven by the HPV virus had been increasing in the past decade.
“I regularly see the bad end of that spectrum, so I thought the vaccination would be suitable for my sons,”
– he said.
“It’s just unfortunate it wasn’t available for them on the NHS. I was happy to pay for it because I think it’s a good vaccine.”
Source: HPV Action
Our HPV vaccine page explains how get an HPV vaccine at Fleet Street Clinic.
Fleet Street Clinic is a specialist vaccination clinic offering all vaccinations from travel jabs, to childhood immunisations to flu vaccinations programmes.
You can book an appointment online.
Our travel clinic nurse Anna has been travelling in East Timor, the South East Asian nation inhabiting half of the island of Timor, which became independent from Indonesia in 2002. Here, Anna shares with us her top travel health tips from the area.
East Timor is ringed with rugged beaches and pristine coral reefs. It is one of the most exciting places to dive in the world.
In terms of insect borne diseases, Timor Leste has them all. It has a high risk of dengue fever, Japanese encephalitis and malaria.
Whilst vaccination against Japanese Encephalitis can be sought prior to travel, and malaria prophylaxis can be used, it is still essential to avoid getting bitten in the first place.
To help keep mosquitos at bay, you can purchase our Ultimate Bug Kit online.
Book a travel consultation today.
By Anna Chapman | Travel Nurse | May 2018
The summer months are great for exploring Scandinavia. What many people don’t realise is that vaccinations against Tick-borne encephalitis should be considered if your travel plans take you out into the countryside. If you plan on spending time in forested areas, particularly around Gothenburg, Upland, Sodermanland and the Islands around Stockholm, you could be at risk of the disease.
What is Tick-borne Encephalitis (TBE) ?
TBE is a viral infection that affects the central nervous system. It is spread via the bite of a tick, or by ingesting unpasteurised milk and dairy precasts from animals that carry the diseases. Transmission season is usually in the summer months between April and October. There is an effective vaccination available against tick borne encephalitis to prevent the disease. It requires 2 vaccinations 14 days apart with a booster dose given 1 year later.
Other countries that have a risk of the disease include Eastern and Western Europe, Russia, Finland, China and Japan.
In addition to the vaccination, preventing tick bites is really important, especially if you plan to do outdoor activities such as camping, hiking in rural areas during transmission seasons.
Prevention
You can prevent ticks by:
All travellers going to Sweden should ensure that they are in date with their routine immunisations including diphtheria, tetanus and polio (DTP) and measles, mumps and rubella (MMR).
Some travellers may be recommended to be vaccinated against Hepatitis A and B.
Although rabies is not present in terrestrial animals in Sweden, bats can still carry the virus. Those travellers who plan on exploring caves, such as in Abisko in Lapland may wish to consider being immunised against rabies prior to travel.
Wandering with wildebeests this summer?
The spectacular wildebeest migration sees over 2 million animals traverse the plains of the Serengeti National Park in Tanzania into the Masai Mara Reserve in Kenya. The best time to witness this breathtaking event this year is in June.
If you’re planning to travel to East Africa this summer, here are our top tips for staying healthy:
By Anna Chapman | Travel Nurse | May 2018
We are pleased to tell you that the Shingles Vaccine (Zostavax) is now in stock at Fleet Street Clinic.
This vaccine is given as a single dose and costs £170 plus a £20 appointment fee.
For further details and appointments call us today on 0207 353 5678, email us at info@fleetstreetclinic.com or book an appointment online here.
Zostavax will eventually be superseded by a newer and more effective vaccine (Shingrix), but unfortunately, this is not likely to become available in the UK in the near future. Zostavax is therefore recommended for anyone needing protection in the interim until the new vaccine becomes available.
Around 8 in 10 people don’t know what encephalitis is and so World Encephalitis Day aims to raise awareness of this illness, which causes brain inflammation and affects 6,000 people a year in the UK and has a high mortality rate.
Infectious encephalitis usually begins with a ‘flu-like illness’ or a headache. Typically more serious symptoms follow hours to days, or sometimes weeks later. The most serious finding is an alteration in the level of consciousness. This can range from mild confusion or drowsiness to loss of consciousness and coma. Other symptoms include a high temperature, seizures (fits), aversion to bright lights, inability to speak or control movement, sensory changes, neck stiffness or uncharacteristic behaviour.
Autoimmune encephalitis often has a longer onset. Symptoms will vary depending on the type of encephalitis related antibody but may include: confusion, altered personality or behaviour, psychosis, movement disorders, seizures, hallucinations, memory loss, or sleep disturbances.
Encephalitis is an inflammation of the brain. It is caused either by an infection invading the brain (infectious encephalitis) or through the immune system attacking the brain in error (post-infectious or autoimmune encephalitis).
Anyone at any age can get encephalitis. There are up to 6,000 cases in the UK each year and potentially hundreds of thousands worldwide. In the USA there were approximately 250,000 patients admitted to hospital with a diagnosis of encephalitis in the last decade.
The inflammation is caused either by an infection invading the brain (infectious encephalitis) or through the immune system attacking the brain in error (post-infectious or autoimmune encephalitis). Viruses are the most frequently identified cause of infectious encephalitis (e.g. herpes viruses, enteroviruses, West Nile, Japanese encephalitis, La Crosse, St. Louis, Western equine, Eastern equine viruses and tick-borne viruses). Any virus has the potential to produce encephalitis, but not everybody who is infected with these viruses will develop encephalitis. Very rarely, bacteria, fungus or parasites can also cause encephalitis.
Infectious encephalitis usually begins with a ‘flu-like illness’ or a headache. Typically more serious symptoms follow hours to days, or sometimes weeks later. The most serious finding is an alteration in the level of consciousness. This can range from mild confusion or drowsiness to loss of consciousness and coma. Other symptoms include a high temperature, seizures (fits), aversion to bright lights, inability to speak or control movement, sensory changes, neck stiffness or uncharacteristic behaviour.
Autoimmune encephalitis often has a longer onset. Symptoms will vary depending on the type of encephalitis related antibody but may include: confusion, altered personality or behaviour, psychosis, movement disorders, seizures, hallucinations, memory loss, or sleep disturbances.
Symptoms alone often do not allow sufficient ability to distinguish between the many diseases that can mimic encephalitis. Therefore, doctors perform a variety of hospital tests – it is important that investigations are carried out as soon as possible as prompt diagnosis reduces mortality and improves the outcomes.
With increasing numbers of people travelling worldwide, it is important to highlight the risk of infectious encephalitis which can be spread by mosquitoes (Japanese encephalitis ), ticks (Tick-borne encephalitis,) or other animals (Rabies).
If you are concerned about travelling to an area with the possibility of encephalitis infection, please visit our country vaccination guide for specific advice on your destination.
Information from The Encephalitis Society
You can protect yourself from Japanese Encephalitis and Tick-borne Encephalitis with vaccinations. Book your travel vaccination appointment today.
Are you living with arthritis or know someone who is? Many people have experience of arthritis – there are currently 10 million people in the UK affected. Sufferers can often resign themselves to living with the pain, without realising there are a number of ways to manage it. For World Arthritis Week, we take a look at arthritis and the benefits of using osteopathy to help treat the condition.
Arthritis is a common condition which causes pain, swelling and inflammation in the joints of the body.
The most common types are osteoarthritis and rheumatoid arthritis. Osteoarthritis is a result of wear and tear of the joints in the body. It is common in people over 50 and can affect the knees, hips, neck and back, feet and hands.
Arthritis may be hereditary but can often be caused by poor posture, heavy manual work and previous injury, symptoms include:
The Institute of Osteopathy purports osteopathy as a way to manage arthritis and the associated symptoms. Mobilising arthritic joints and treating surrounding muscles can help reduce pain. Osteopaths work on the general mobility of the other joints and muscles in the body to improve overall function. Osteopaths may advise on posture, diet, exercise and health improvements.
Top Osteopath, Andrew Doody works at Fleet Street Clinic in London and is able to treat arthritic conditions and help to alleviate pain. Osteopathic treatment can be used in conjunction with help from a dietitian, use of acupuncture and support from your GP to ensure a holistic treatment of the condition.
Are you looking for a flu vaccine in London?
Fleet Street Clinic’s flu vaccination clinic in central London is open until March 2021. We have highly-qualified staff on hand, experienced at vaccinating all ages, including young children and babies.
Due to the Covid-19 pandemic, we are inviting all patients to book in their chosen appointment. This was we can manage the number of people waiting at any given time.
Please arrive at your appointed time and you will be seen by our welcoming team. Help us keep you safe by booking in your appointment and turning up to it alone, wearing a face covering.
Here are a few useful things to know before you come:
We are based in central London at Fleet Street Clinic, 29 Fleet Street, London, EC4Y 1AA. Our flu vaccine service runs by appointment-only most weekdays, Monday – Friday 9am – 5pm.
Find all available dates and times here.
You can be vaccinated against flu at Fleet Street Clinic most weekdays between 9am – 5pm (please note these opening times are different to those of Fleet Street Clinic). Check availability and book an appointment prior to turning up.
The flu clinic is open until March 2021.
View a full list of costs here.
As a specialist centre, we offer a wide choice of flu vaccine types and technologies available. Find out more…
The Fleet Street Clinic is the only UK medical practice to offer point-of care flu diagnosis using molecular technology. We can provide a laboratory-confirmed diagnosis of flu and other upper respiratory viruses including Covid-19 – in just over an hour. We don’t just vaccinate against flu, we can diagnose and treat in a single visit.
If you have any further questions about the flu jab or other travel vaccinations, our experienced team of nurses can help.
How many of us know that European travel can pose a threat to our health? Health risks aren’t normally associated with European travel – we think of quick flights and familiar cultures so assume we’ll be relatively safe on short-haul holidays. However, there are actually several diseases to watch out for, especially if you are not vaccinated.
Stay aware of these key diseases so that you can prepare properly to have a safe and happy holiday.
The good news is that all these diseases are vaccine preventable and can be avoided by organising vaccines before you travel.
Measles – All travellers should ensure that they have had at least 2 doses of vaccinations against measles. This is usually given as a routine vaccination in childhood (MMR vaccine) at 1 year of age, and then again as a pre-school booster
Tick-Borne Encephalitis – vaccination against the disease is available for individuals aged 1 year and above. It requires 2 vaccination 2 weeks apart.
Hepatitis A – A highly effective vaccination is available against Hepatitis A and can be given to children from 1 year of age. Once the schedule of 2 Hepatitis A vaccinations has been given, immunity lasts for 25 years.
Rabies – a vaccine-preventable disease which requires three doses of vaccination to be given prior to departure. Those who have not received the vaccination with potential exposure to rabies require more extensive treatment which is not always accessible.
Fleet Street Clinic is a leading vaccination centre and offers all travel vaccinations at our clinic in the heart of London.
Book your appointment online today.
By Anna Chapman, Travel Nurse at Fleet Street Clinic
Although Hepatitis A and Hepatitis B vaccinations are currently in short supply in the UK and globally, Fleet Street Clinic is committed to maintaining the stock of all vaccines and currently has a good supply of both.
Hepatitis A is a viral infection that is spread through food and water contaminated with the virus. It occurs world wide including Central and South America, Africa, Eastern Europe, Middle-East, Asia, and the Indian Subcontinent.
Hepatitis A affects the liver causing jaundice, and whilst most people make a full recovery, it can result in chronic liver disease and be fatal.
Hepatitis A is easily preventable through vaccination, and there are several types of vaccination available in the UK that offer protection. The vaccination is available to adults and children over the age of 1 year. It can be given alone (Avaxim, Vaqta) or in combination with typhoid (Viatim), whereby a single injection provides protection for 12 months. A second injection given 6 months later will provide 25 years of protection against Hepatitis A.
The vaccination is available to adults and children over the age of 1 year. It can be given alone (Avaxim, Vaqta) or in combination with typhoid (Viatim), whereby a single injection provides protection for 12 months. A second injection given 6 months later will afford 25 years of protection against Hepatitis A.
It is also possible to receive Hepatitis A in combination with Hepatitis B (TwinRix or Ambirix) whereby 2 or 3 doses of the vaccination can be given between 3 weeks or 6 months.
In addition to the vaccination, travellers should exercise caution with food and water by:-
Hepatitis B is contracted through contact with infected blood or bodily fluids. These can include:
A Hepatitis B vaccine is available and can be given from birth. It requires a primary course of 3 vaccinations to be given over a 6 month period (0, 1 months, 6 months) with a booster dose given 5 years later. Those who require the vaccinations to be given more quickly, such as last-minute travellers, can receive the primary course over a shortened 3 week period. Hepatitis B can also be given in combination with Hepatitis A when protection against both diseases is required. TwinRix is available for both adults and children and adheres to the vaccination schedule outlined above. Ambirix is licenced for children under the age of 15 years and requires 2 doses 6 months apart.
The beginning of April marked the start of Bowel Cancer Awareness month. Bowel cancer is very treatable and one of the most common cancers in the UK.
40,000 cases are diagnosed every year. 1 in every 20 people will develop bowel cancer in their life time.
Symptoms of bowel cancer are often ones that you may find difficult to talk about or explain to your doctor. Nobody enjoys an uncomfortable conversation, especially when it comes to being candidly honest about something so private but the earlier it’s diagnosed, the greater the chance of survival is. It’s difficult, but let’s talk about it.
Currently we do not know what causes this cancer. We have been able to identify some factors that can increase your risk of getting the disease:
There is no way to 100% prevent bowel cancer unfortunately. Things like family history, you cannot change.
However, there are some ways you can help yourself as recommended by the NHS.
You can read all about these tips here on the NHS website.
If you are concerned about possible symptoms and are not eligible for NHS screening (aged between 60 – 74 and registered with a GP), you can make an appointment to speak with one of our experienced GPs (male or female GP’s).
If you need advice, get in touch with our expert GP’s and dietician at Fleet Street Clinic.
To book an appointment, head to our online booking system here. Alternatively, call us on 020 7353 5678 or email us at info@fleestreetclinic.com.
As the media has reported, the UK is in short supply of the BCG vaccine, impacted by global shortages.
The BCG vaccination gives worthwhile protection against tuberculosis, a serious infection spread by coughs and sneezes. In 2014, more than 6,500 TB cases were reported in the UK. Babies most at risk of contracting TB are those living in London and the Midlands, so if you live in these areas it is strongly recommended to have your baby inoculated.
At the Fleet Street Clinic, we have over 20 years experience as a specialist vaccination centre. We have a good supply of the BCG vaccine and run a designated BCG clinic for babies and children on Wednesday’s each week. All our vaccines are administered by highly qualified nurses or doctors, who will be happy to answer any queries or concerns.
TB is a bacterial infection spread through coughs and sneezes and affects the lungs, lymph glands, bones, and nervous system.
The Fleet Street Clinic is located in Central London. Our address is 29 Fleet Street, London EC4Y 1AA.
With the new football season in full swing, it’s apt time to address one of the most common football injuries; hamstring pulls.
This injury occurs when there’s a tear or strain to the muscles at the back of the thigh. By definition, hamstrings are a set of three muscles at the back of the thigh that all cross both the knee and hip joint, with only half of one (the biceps femoris) originating from the thighbone. Rapid acceleration movement is the main course of hamstrings getting injured. With football being a sport that relies heavily on quick movement in this area of the body, it is an injury your favourite footballer is highly likely to suffer from this season. There are three levels of severity to hamstring injuries. These are:
This depends on what grade of the injury the player has.
There are initial steps that can be taken to treat hamstring injuries including compression, applying ice, elevation and good rest. Taking painkillers such as paracetamol can help reduce pain. Full recovery time will depend on the grade of injury. Professional footballers have access to equipment and health professionals that can help speed up recovery. Although self-treatment is an option for the everyday person, seeing a healthcare professional is advised if you’re concerned the injury is severe, the symptoms worsen or healing is very slow.
Osteopathy is a medical specialty focused on musculo-skeletal problems. An osteopath deals with diagnosing, management and treatment of these types of injuries. If you’re concerned that you might be suffering from a hamstring injury or your self-treatment is not working out, book an appointment online and we can book you a session with Andrew Doody, our osteopath.
There’s no surefire way of preventing an hamstring injury but there are steps that can be taken to reduce the likelihood. These include;
At the Fleet Street Clinic in Central London, we have been providing specialist vaccination services for over 20 years. Our excellent relationship with a range of suppliers enables us to maintain good stock levels of vaccines, even where there may be supply shortages elsewhere.
We run a BCG clinic once a week for babies and children under the age of 6. Our baby/child BCG clinic runs on Wednesday’s.
The BCG vaccine protects against tuberculosis. TB is a bacterial infection that affects the lungs in most cases but can affect other parts of the body such as the bones and kidneys. Typical of many bacterial infections, tuberculosis can be spread through long-lasting exposure to an infected person via sneezing or coughing. The BCG vaccine is a proven way to ensure protection against the tuberculosis bacteria.
The BCG vaccination is not offered to all children by the National Health Service. Some NHS boroughs do offer it as routine but are unable to supply at present due to the national shortage. The TB vaccination has to be sourced privately instead. With two decades of experience providing vaccination services, the Fleet Street Clinic provides a safe, child-friendly environment and the guarantee of an expert medical support service.
To protect your baby with the BCG Vaccine, you can book an appointment online.
A Public Health England Health Protection Report highlights 204 confirmed cases since June 1st, 2016.
The cases are mainly associated with travel to Mexico, specifically the Riviera Maya Coast. The average incubation period is a week and infection is characterised by watery diarrhoea, fatigue, muscle pain, weight loss, nausea and low-grade fever. The foods previously involved in cyclospora outbreaks include soft fruits, such as raspberries, and salad products such as coriander, basil and lettuce. If untreated the illness can last for several weeks.
The Fleet Street Clinic can run a stool sample test that can diagnose Cyclosporiasis among many other causes of diarrhoea in returning travellers, and you will get your reults back in an hour of the test being done. If you are worried about any symptoms you have post travel to Mexico or any other country then call our reception team on 02073535678.
Or you can book an appointment online.
Do you often find yourself trawling through Instagram just before going to bed? Waking up and checking your emails before you even have a shower or a coffee? Former Facebook chief marketing officer Randi Zuckerberg hit the nail on the head when she said that people need to understand that while “the phone is an amazing tool, we own our devices, they don’t own us.” It’s time for your digital detox.
The average smartphone user checks their phone 221 times a day. The Oxford English Dictionary defines a digital detox as “a period of time during which a person refrains from using electronic devices such as smartphones or computers, regarded as an opportunity to reduce stress or focus on social interaction in the physical world.”
By periodically unplugging, you can start reclaiming real life experiences rather than living in a virtual world. So how can we get this started?
Appreciate the silence – We have become so accustomed to filling every spare moment with digital noise. Try hitting reset on your brain from time to time and take a few moments to just let your mind wander. Be comfortable with silence, slow down and be present in the moment without the glow of a screen.
Kick technology out of the bedroom – Give yourself a technology curfew and when you say “lights out” actually mean it. Harvard researchers have found that technological devices such as phones, tablets and laptops can disrupt melatonin production, sleep quality and mood. To avoid temptation, banish your devices from the bedroom and try using an old fashioned alarm clock!
Socialise in the real world – Let’s face it, how many of the people you follow on your social media are actually your close friends? At 1am when you are struggling to sleep, do you really need to look at pictures of what they ate for lunch? Whilst social media can have its uses and be a positive influence, it can have a negative effect on our wellbeing as a result of comparing our lives to those carefully edited for show.
Hit the pause button – Be conscious of how often you check your phone – next time you go to reach for technology, hit the metaphorical pause button. Take a breath and think about what you are going to get out of it. Is there a more meaningful and productive way to spend your time, such as going for a walk and getting some fresh air and movement instead?
We get 525,600 precious minutes a year, how you choose to spend them is up to you.
“If it doesn’t add to your life it doesn’t belong in your life”
Speak to our occupational health experts for advice on how to take a digital detox today on 020 7353 5678.
The Zika Virus has been making headlines recently for it’s frightening links to rare birth defects. Brazil has even gone as far as to warn women to avoid falling pregnant whilst an epidemic is rife. The link between 400 cases of new-borns with microcephaly in the north-east of Brazil is being investigate by health authorities.
The increase in microcephaly, a neurological disorder that stunts the growth of the baby’s cranium, limiting it to a circumference of less than 33cm, has increased in Brazil from 59 cases in 2014, rising to 1,248 cases throughout 2015. Typically, life expectancy for babies born with the condition is reduced. In 90% of cases, brain function is also reduced. There are currently no travel restrictions in affected areas.
The Zika virus is spread to people through the bite of an infected mosquito. Outbreaks have been seen across Africa, Asia, Central and South America.
The common symptoms, usually mild and often lasting from a few days to one week, can be a rash, fever, joint pain, and conjunctivitis. There is currently no vaccine to prevent or medicine to treat the virus. Pain killers can be used to alleviate these symptoms which often go mistaken as a fever, and can easily be missed, especially in the early stages of pregnancy.
Insect bite precautions is paramount, especially for pregnant women in the affected areas. The NHS travel website, Fit For Travel, recommends:
If you are travelling to Brazil or any of the infected areas, book an appointment with one of our dedicated Travel Clinic nurses for information on vaccines and travel wellbeing now on 020 7353 5678.
Zika Virus – Additional Resources
Zika virus: medical advice for travellers – The Telegraph – Richard Dawood
Zika Virus – Video
Watch Fleet Street Clinic’s Dr Richard Dawood discuss Zika Virus on Victoria Derbyshire.
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