Bosnia is where East meets West.
It is a country on the Balkan Peninsula in southeastern Europe and has become somewhat a destination for adventurous travellers.
Beautiful Ottoman architecture, rugged mountains, captivating castles, raft-able rivers, and humble hiking trails are all reasons why travellers are choosing Bosnia as their next travel destination. The unveiling of the Via Dinarica mega hiking trail means the number of tourists to the Balkan country of Bosnia Hercegovina is expected to rise steeply. The 1930km trail provides a corridor linking traditional cultures between the former Yugoslavian nations. So whether you plan to mill about the city of Mostar, stroll the streets of Sarajevo, or take a hike in the hillside, ensure you follow our top travel tips to stay healthy.
All travellers are advised to be in date with their routine immunisations, including diphtheria, tetanus and polio (DTP) and measles, mumps and rubella (MMR). Europe has seen huge outbreaks of measles this year alone, so all travellers should make sure they have received at least two doses of the measles-containing vaccination. A simple blood test can be done for all those who are unsure about their immunity. Some travellers may wish to consider vaccinations for Hepatitis A and Hepatitis B, rabies and tick-borne encephalitis. The activities you plan to do whilst travelling will determine which vaccines would be required. If you have any doubts or concerns, we also suggest booking a pre-travel consultation with a specialist travel nurse to discuss your options.
Trekking and Ticks
Bosnia offers a wealth of outdoor activities. Those who plan to take advantage of the great outdoors should strongly consider vaccination against tick-borne encephalitis (TBE). TBE is a bacterial infection. Usually, it is spread through an infected tick bite. However, during Spring to Autumn, the consumption of unpasteurised dairy produce also carries a risk. Contracting the illness causes a fever with neurological complications. It is vaccine-preventable. Protection requires 2 doses of the vaccination, given at least 2-weeks apart. A third dose is given 5-12 months later to give longterm protection. You should also avoid ticks by wearing long trousers and socks. Using DEET insect repellant should also repel them.
If you spot a tick on you, it needs to be removed promptly. Use some flat tweezers or a tick remover and clean the bite with alcohol to reduce the risk of infection.
See our Ultimate Bug Kit.
Rabies is a fatal virus that can be found in the saliva of an infected mammal. Most commonly a wild dog. Exposure can happen through a bite, scratch or a lick to an open area of the skin. You cannot catch rabies from another person and it cannot spread through unbroken skin. You should, where possible avoid contact with animals when travelling, especially wild or stay animals.
Rabies is almost always fatal once symptoms appear, but treatment before this is very effective. Pre-travel rabies vaccination offers great protection. And means that in the unlikely event you come into contact with the rabies virus, fast and effective treatment can be given easily and in the country of the incident.
Pre-travel rabies protection requires a series of 3 vaccinations given as injections into your upper arm. Your vaccines will be given over a 3-week period, or over 1 week if an accelerated course is needed, prior to travel. Travellers at greater risk are those who plan to do outdoor activities such as hiking, trekking, cycling or caving. You should consider a rabies vaccine if you plan to do any of these activities whilst visiting Bosnia.
First Aid Kit
For those trekking in the hills, packing good basic first aid kit is essential. When travelling in rural areas, access to healthcare can be limited. Travelling with a medical kit will give you access to basic provisions needed to treat minor injuries and pains.
Basic provisions include pain relief, plasters and medication to treat an upset stomach, such as loperamide and oral rehydration salts. If access to safe water may be limited, consider packing chlorine dioxide tablets. Cuts, scapes blisters and even a twisted ankle can occur, so take blister pads, some waterproof dressings and a bandage to deal with any minor injuries whilst you are there. If you take regular prescription medication, ensure you pack enough for the duration of your trip and carry the prescription with you.
By Anna Chapman | Travel Nurse | August 2019
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.