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Dengue is transmitted by mosquito bites. Dengue mosquitoes breed easily in cities. The dengue mosquito can breed in a pot plant saucer. . A city with infected persons + building sites + monsoon = great recipe for Dengue. . The global incidence of dengue has grown dramatically in recent decades – since we developed aircraft […]

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The Southern hemisphere vaccine is 2/3 same as the northern hemisphere Difference in nth and sth flu vaccines   Here is a link to the WHO influenza vaccines info for NORTHERN HEMISPHERE 23/24 https://www.who.int/publications/m/item/recommended-composition-of-influenza-virus-vaccines-for-use-in-the-2023-2024-northern-hemisphere-influenza-season Here is a link to the WHO influenza vaccines info for SOUTHERN HEMISPHERE 24 https://www.who.int/publications/m/item/recommended-composition-of-influenza-virus-vaccines-for-use-in-the-2024-southern-hemisphere-influenza-season

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16 Jan 2024 PRE exposure Rabies vaccination Australian Immunisation Handbook,  CDC ( USA Centre for Disease Control) and WHO (World Health Organisation), all recommend two pre-exposure rabies vaccinations given at least a week apart. The vaccine can be given intradermally (ID)  or intramuscularly (IM). IM is given at a slightly higher volume and deeper into […]

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Cost Rabies Vaccine

Cost Rabies Vaccine

August 1st, 2023

My reception staff often get asked How much does rabies vaccine cost? Will I need to have rabies vaccine etc. The short answer is that it is complicated and thats why you need to see the doctor to plan if you need it and how best to have it. It’s not like having a tetanus […]

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Medical kit for Yachts

August 22nd, 2022

What is needed for a marine medical kit depends on several things How far from medical care the ship will be sailing?  For example,  if you will sail 24 hours from medical care you will need more supplies than if you are always going to be within 6 hours of care. The level of medical […]

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Paxlovid and travellers

July 27th, 2022

Paxlovid®= combination of Nirmatrelvir (N) and Ritonavir (R) Paxlovid is a COVID-19 medication that is a combination of two antiviral drugs. It is used for the treatment of early COVID-19 in persons who are severely immunosuppressed. The goal is to make COVID sufferers less likely to progress to severe COVID-19 which requires hospitalisation. In a […]

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Monkeypox is a risk to only a very small cohort of travellers. Monkeypox spreads in different ways. The virus can spread from person-to-person through: direct contact with the infectious rash, scabs, or body fluids respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, such as kissing, cuddling, or sex touching items (such as […]

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YIKES As if this year hasn’t been bad enough – with global warming, pandemic, the war in Europe, and flooding across the east coast, now Japanese Encephalitis (JE) – a monstrous disease of travellers has arrived on our doorstep. There has been much in the media like this from the Guardian or this from the […]

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Which face mask is best?

January 23rd, 2022

Everyone : mould the metal strip firmly around your nose, make sure the mask covers your nose and mouth,  is pulled under your chin, the strings are holding the mask as tightly as possible to your face, and there are no obvious gaps at the side. For most persons – try to get a KN95 […]

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We have given a lot of immunisations over the years and here are my suggestions to help your child have the best experience getting their COVID vaccination.  Ideally, you want this to be a bit of a non-event. Discuss briefly in advance Have a discussion with the child a few days in advance of their […]

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