Travel Vaccinations
Fear of Flying
We often get asked to prescribe medication for patients who have a fear of flying to help calm them down.
Prescribing these drugs is not recommended for many reasons:
1. Although plane emergencies are rare, taking Diazepam reduces awareness and reaction times for patients so you risk not being able to react to save your life if you have to escape quickly.
2. The use of these drugs can make you sleep in an unnaturally deep sleep. This means you won’t move around as much as during natural sleep so you have a bigger risk of getting a blood clot. This risk is bigger if your flight is longer than 4 hours
3. They have short term bad effects on memory, co-ordination, concentration and reaction times, and are addictive if used for a long time, with withdrawal leading to fits, hallucinations, agitation and confusion. They have also become widely used drugs of abuse since they first came on the market. Diazepam in the UK is a controlled drug and the prescribing guidelines doctors have to follow say that the use to treat short-term ‘mild’ anxiety is inappropriate.
4. Some people get agitated and aggressive after taking diazepam and similar drugs, and behave in a way that they would not normally, which can pose a risk to everyone’s safety
5. There is evidence use of these drugs stops the normal adjustment response that would gradually lessen anxiety over time, and may increase anxiety in the long term, especially if used repeatedly.
So we will no longer be providing Diazepam or similar drugs for flight anxiety. There are flight anxiety courses available to help deal with anxiety and these ae listed below.
Fly And Be Calm™
Fly And Be Calm™ is an instant download and comes with a money back guarantee (Guarantee does not apply to app versions).6 MP3 tracks which include instructions, the fear removal tool and two hypnotic tracks. The least expensive option, takes very little time, works on the root cause of your problem. If you are not 100% happy you can get a full refund. https://flyandbecalm.co.uk/
Easy Jet
British Airways
https://www.britishairways.com/en-gb/information/travelassistance/flying-with-confidence
Virgin Atlantic
Travel Risk Assessment V2
RESOURCES FOR THE TRAVEL
This resource list was updated 08.11.21
- NaTHNaC: http://travelhealthpro.org.uk/
- Jane Chiodini’s website with useful tools and resources http://www.janechiodini.co.uk/
COVID-19 resources for travellers
- TravelHealthPro: COVID-19 General advice for travellers https://travelhealthpro.org.uk/news/499/covid-19-coronavirus-general-advice-for-travellers
- Foreign, Commonwealth and Development Office (FCDO) Travel advice abroad https://travelaware.campaign.gov.uk/
Foreign, Commonwealth and Development Office (FCDO)
- FCDO Foreign Travel Advice (Country specific information) https://www.gov.uk/foreign-travel-advice
- FCDO Sign up for emails when they update guidance on Entering England during coronavirus https://www.gov.uk/email-signup?topic=/coronavirus-taxon/entering-england
- FCDO COVID-19 Safer air travel for passengers https://www.gov.uk/guidance/coronavirus-covid-19-safer-air-travel-guidance-for-passengers
- FCDO COVID-19 Cruise Ship Travel https://www.gov.uk/guidance/cruise-ship-travel
- FCDO COVID-19 Travel to England from another country during coronavirus https://www.gov.uk/guidance/travel-to-england-from-another-country-during-coronavirus-covid-19
- FCDO COVID-19 testing before you travel to England https://www.gov.uk/guidance/coronavirus-covid-19-testing-for-people-travelling-to-england#information-that-the-test-result-must-include
- FCDO booking and staying in a quarantine hotel if you have been to a red list country https://www.gov.uk/guidance/booking-and-staying-in-a-quarantine-hotel-when-you-arrive-in-england
- FCDO Managed quarantine: what to expect https://www.gov.uk/government/publications/managed-quarantine-what-to-expect
- CORPORATE TRAVEL MANAGEMENT (Portal for booking Managed Quarantine in a hotel or a COVID-19 testing package for your return to the UK) https://quarantinehotelbookings.ctmportal.co.uk/
- FCDO Find a COVID-19 travel test provider if you’re arriving in England https://www.gov.uk/find-travel-test-provider
- FCDO COVID-19 Test to Release for International travel https://www.gov.uk/guidance/coronavirus-covid-19-test-to-release-for-international-travel
- FCDO COVID-19 How to quarantine at home if you’re not fully vaccinated https://www.gov.uk/guidance/how-to-quarantine-when-you-arrive-in-england
- FCDO passenger COVID-19 charter https://www.gov.uk/government/publications/passenger-covid-19-charter
How to get the NHS Covid Pass
- NHS Covid Pass https://www.gov.uk/guidance/nhs-covid-pass
- NHS app https://www.nhs.uk/nhs-services/online-services/nhs-app/
- NHS Covid Pass letter https://www.nhs.uk/conditions/coronavirus-covid-19/covid-pass/get-your-covid-pass-letter/
TravelHealthPro
- TravelHealthPro: COVID-19 General advice for travellers https://travelhealthpro.org.uk/news/499/covid-19-coronavirus-general-advice-for-travellers
- Travel Health Pro: Covid-19 Testing for International Travel Purposes
https://travelhealthpro.org.uk/factsheet/97/covid-19-testing-for-international-travel-purposes
- TravelHealthPro: COVID-19 Resources https://travelhealthpro.org.uk/factsheet/92/covid-19-resources
- TravelHealthPro: COVID-19 Travel risk assessment factsheet https://travelhealthpro.org.uk/factsheet/93/covid-19-travel-risk-assessment
- TravelHealthPro: COVID-19 Cruise Ship Travel https://travelhealthpro.org.uk/news/536/coronavirus-covid-19-cruise-ship-travel
- Temporary NaTHNaC email enquiry service for Travellers https://nathnacenquiries.formic.com/WebForm.aspx?ID=2A3057817861454DA049F97951C781B9
EUROPEAN TRAVEL AFTER 1ST JANUARY 2021
- FCDO Visit Europe from 1st January 2021 https://www.gov.uk/visit-europe-1-january-2021
- Apply for a free UK Global Health Insurance Card (GHIC) https://www.gov.uk/global-health-insurance-card
LESBIAN GAY BISEXUAL & TRANSGENDER TRAVELLERS
- HPS Fit for Travel Leaflet: Lesbian Gay Bisexual & Transgender travellers https://www.fitfortravel.nhs.uk/advice/general-travel-health-advice/lesbian-gay-bisexual-and-transgender-lgbt-travellers
- ILGA 2019 Sexual orientation laws in the world https://ilga.org/maps-sexual-orientation-laws?fbclid=IwAR3tgYod4cFVZjyRS79V-s5AB56HRA7xxgVirbVophpsfCGeasRoUp3p-IA
- LGBTQ Travellers – changes to vaccine certificates https://travelhealthpro.org.uk/factsheet/81/lgbt-travellers-changes-to-vaccine-certificates
MALARIA
- PHE 2021 Guidelines for malaria prevention in Travellers from the UK https://www.gov.uk/government/publications/malaria-prevention-guidelines-for-travellers-from-the-uk
- Malaria Reference Laboratory 2018: Risk assessment form - Download it and email to: malproph@nhs.net https://www.gov.uk/government/publications/malaria-risk-assessment-form
- RCOG 2014 Malaria & pregnancy information for you https://www.rcog.org.uk/globalassets/documents/patients/patient-information-leaflets/pregnancy/pi-malaria-and-pregnancy.pdf
MEASLES
- EU/EEA number of measles cases https://www.ecdc.europa.eu/en/rubella/surveillance-and-disease-data/monthly-measles-rubella-monitoring-reports
- WHO Measles surveillance https://apps.who.int/immunization_monitoring/globalsummary/
MENTAL HEALTH & TRAVEL
- FCO 2015 Mind how you go poster https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/466425/Mental_Health_Checklist_-_Final.pdf
- FCO 2015 Mental health: Travelling abroad https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/466424/FCO_MentalHealth_DL_071015web.pdf
- FCO Travel & mental health https://www.gov.uk/guidance/foreign-travel-advice-for-people-with-mental-health-issues
- IAMAAT e-Library (leaflets for patients – mental health) https://www.iamat.org/elibrary
- International Narcotics Control Board http://www.incb.org/incb/en/publications/Guidelines.html
RABIES
- PHE Aug 2020 Guidelines on Rabies post-exposure treatment https://www.gov.uk/government/publications/rabies-post-exposure-prophylaxis-management-guidelines
- PHE July 2019 Rabies risk for travellers information leaflet https://www.gov.uk/government/publications/rabies-risks-for-travellers?utm_source=bd76e475-d7f0-40d0-af35-f6a6eeb9864f&utm_medium=email&utm_campaign=govuk-notifications&utm_content=immediate
- PHE Oct 2018 Bat contact and rabies risk (leaflet)
https://publichealthengland-immunisati.app.box.com/s/l20owjmkk7w2luxk40ys3yfcggk2b788
TETANUS
- PHE July 2019 Tetanus Guidance for Health Professionals https://www.gov.uk/government/publications/tetanus-advice-for-health-professionals?utm_source=45f3df17-ed19-4c32-8233-f2b8843e6b3c&utm_medium=email&utm_campaign=govuk-notifications&utm_content=immediate
UNDERLYING MEDICAL CONDITIONS
- IATA JUNE 2018 Medical Manual (Assessing fitness to fly pages 52 – 61) http://www.iata.org/publications/Documents/medical-manual.pdf
- Civil Aviation Authority 2017 Am I fit to fly? Information for passengers and healthcare professionals http://www.caa.co.uk/Passengers/Before-you-fly/Am-I-fit-to-fly-/
- Flying with medical conditions https://patient.info/doctor/flying-with-medical-conditions
- British HIV Association guidelines on the use of vaccines in HIV positive adults 2015: https://www.bhiva.org/vaccination-guidelines
- HIV drug interactions: http://www.hiv-druginteractions.org/
- Diabetes UK – Travelling with diabetes https://www.diabetes.org.uk/Guide-to-diabetes/Life-with-diabetes/Travel/
- Travel advice for inflammatory bowel disease http://www.ibdpassport.com/
- Travelling with your CPAP Device you tube video https://www.youtube.com/watch?v=UM4T5cD3C_I
- Travelling with allergies https://www.anaphylaxis.org.uk/living-with-anaphylaxis/travelling/
- Allergy UK Travelling with allergy https://www.allergyuk.org/information-and-advice/conditions-and-symptoms/615-travelling-with-allergy?fbclid=IwAR2mxLzOxIeXq0AHkisFgpNWr9m3dzVdgYywUA6u29mj8v3j1EiAZGBjUdI
- Asthma UK Travelling with Asthma https://www.asthma.org.uk/advice/living-with-asthma/travel/
- Epilepsy Action Travel advice for people with epilepsy https://www.epilepsy.org.uk/info/daily-life/travelling-abroad
- McMillan Cancer Support & RCPSG 2020 Travel with Cancer http://be.macmillan.org.uk/downloads/bemacmillan%20pdfs/MAC11667_E07_Travel_lowrespdf_20200207_MB.pdf
- WHICH 2017 Medical conditions Travel insurance reviews http://www.which.co.uk/money/insurance/travel-insurance/guides/medical-conditions-travel-insurance-reviews
- Hidden disabilities – Sunflower Lanyard scheme https://hiddendisabilitiesstore.com/
- Travelling with Myasthenia Gravis https://www.myastheniagravis.org/life-with-mg/when-you-leave-home/
- MULTIPLE SCLEROSIS SOCIETY travel abroad https://www.mssociety.org.uk/care-and-support/everyday-living/breaks-and-holidays/going-abroad
USEFUL WEBSITES
- ISTM Global Travel Clinic directory The International Society of Travel Medicine
- Electronic Medicines Compendium: https://www.medicines.org.uk/emc/
- Foreign Commonwealth & Development Office Travel advice abroad https://travelaware.campaign.gov.uk/
- Travel at high altitude booklet to download– Medex https://www.medex.org.uk/
- GSK healthcare professionals: Meningitis ACWY certificates & Travel Well leaflets & other resources – click on therapy areas/vaccines/patient resources https://gskpro.com/en-gb/
- HPS AUG 2018 Travel Health Guidance for schools https://www.fitfortravel.nhs.uk/media/670039/travel-health-guidance-for-schools-aug-2018.pdf
- The Blood Care Foundation http://www.bloodcare.org.uk/about-us.html
- UK Diving Medical Committee (Scuba diving) http://www.ukdmc.org/
- British National Formulary https://www.bnf.org/
- BNF Interactions tool https://bnf.nice.org.uk/interaction/
- NHS England 2018 Interpretation & translation services in primary care https://www.england.nhs.uk/wp-content/uploads/2018/09/guidance-for-commissioners-interpreting-and-translation-services-in-primary-care.pdf
YELLOW FEVER
- NaTHNaC Yellow Fever Zone https://nathnacyfzone.org.uk/
- Letter from PHE/NaTHNaC/MHRA/HPS 21.11.19 regarding YF Vaccines: stronger precautions in people with weakened immunity and those aged 60 years and older https://travelhealthpro.org.uk/media_lib/mlib-uploads/full/2019-11-21-yellow-fever-vaccine-precautions-letter.pdf
- NaTHNaC June 2017 Yellow Fever – Information leaflet for patients https://nathnacyfzone.org.uk/media_lib/mlib-uploads/full/nathnac-yellow-fever-information-for-travellers.pdf
- NaTHNaC Jan 2020 Yellow Fever Vaccine: Cautions & Precautions reminder https://nathnacyfzone.org.uk/factsheet/70/yellow-fever-vaccine-contraindications-and-precautions-reminder
- HPS/NaTHNaC Yellow Fever pre-vaccination checklist https://nathnacyfzone.org.uk/factsheet/69/yellow-fever-vaccine-screening-checklist
- PHE Jan 2020 Guidance in the event of yellow fever vaccination in travellers with a contraindication or report of a yellow fever vaccine associated serious adverse event https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/860666/yellow_fever_inadvertent_vaccination_guidance.pdf
- HPS Free online YF training: use for knowledge only if working in England as it does not fulfil NaTHNaC’s requirements https://www.hps.scot.nhs.uk/web-resources-container/yellow-fever-training-programme/
ZIKA VIRUS
- NaTHNaC 27 Feb 2019 Latest news on Zika & sexual transmission, including advice for pregnant women travelling to Zika risk areas https://travelhealthpro.org.uk/news/394/zika-virus-zikv-update-to-guidance
- PHE 27 Feb 2019 Zika Virus – Sexual transmission advice algorithm https://www.gov.uk/government/publications/zika-virus-sexual-transmission-advice-algorithm
- PHE AUG 2017 Mosquito bite avoidance for travellers https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/636707/20170808_Mosquito_advice_sheet_V3.pdf
- PHE 27 FEB 2019 Revised algorithm for assessing pregnant women with a history of travel during their pregnancy to areas with active ZIKA virus transmission https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/780782/Zika_testing_algorithm_for_assessing_pregnant_women.pdf
- PHE 27 FEB 2019 Advice for women returning from areas with Zika virus transmission
- https://www.gov.uk/government/publications/zika-virus-advice-for-women-returning-from-areas-with-active-zika-virus-transmission
- PHE 27 FEB 2019 Zika Virus: Country specific risk
- https://www.gov.uk/guidance/zika-virus-country-specific-risk