Travel Health Consultations & Investigation Panels

Steth And Derm

When we go on holiday, we often don’t consider whether there are any preventative measures that need to be taken and this is even more important if you have a complicated itinerary. We will take care of all of this and let you fully enjoy your time away.

Travel Health Consultation

Before your consultation you will be sent a link to a travel questionnaire: we will check your itinerary and immunisation requirements, highlighting any special risk you might face. Factors such as your age, medical history, pregnancy or planning for it, will be taken into account.

If you are concerned about becoming ill abroad, we can advise if you might benefit from taking with you emergency medications.

We have carefully selected for you a number of pre- & post-travel screening profiles to help minimise the risks of long-haul flights and diagnose a number of illnesses, parasites and other nuisances that you can bring home with you after your travel adventure.

Please use our live chat to make an enquiry and arrange your travel health consultation.

Pre-Travel Screening (DVT risk assessment)

The risk of blood clots (thrombosis) during long haul flights is well documented. That’s why we offer a pre-travel deep vein thrombosis (DVT) risk screen that takes into account factors such as your medical history, the medications that you are taking and the presence in your blood of proteins that might cause an increased tendency to form clots.

Pre-Travel Screen (leg clot/DVT)

FBC

Factor II Prothrombin Gene

Factor V Leiden

Anticardiolipin Antibodies

£300 (consultation fee not included)

Post-Travel Screening

Post-travel blood screens are designed to assist with the assessment of health following travel abroad.

Tests include the most common parasitic diseases known to affect travellers.  As some tropical diseases can occur without symptoms for a period of time, a broad range of Haematology and Biochemistry tests are included, providing information on whole body wellbeing. Our Post-Travel Screen Plus also includes tests for Hepatitis and HIV.

Geographically some diseases are confined to tropical areas, although many are not necessarily due to geographical factors like temperature, humidity and disease-carrying insects but to poverty and to low standards of public health, unhygienic food handling and lack of sanitary facilities. Contamination of food and water with human excrement causes intestinal infections such as typhoid and paratyphoid fever, cholera, amoebiasis, shigellosis, tapeworm and other parasitic infestations. Temperature and soil conditions are responsible for infestation due to hookworm and schistosomiasis. Insect borne diseases include malaria, yellow fever, sleeping sickness and leishmaniasis.

Our Tropical Travel Screen and the Enteric Organism Rapid Detection will assess and identify any of these potential post-travel risks.

Post-Travel Screening Profiles

Consultation fee not included

Profiles below for details and price

Post-Travel Screen Basic (Prior to 6 weeks)

Haematology Profile

Biochemistry Profile

Schistosome Abs

Malarial Abs

£302

Post-Travel Screen Plus (Prior to 6 weeks)

Haematology Profile

Biochemistry Profile

Schistosome Abs

Malarial Abs

Hep A IgM Abs

Hep B s Ag

Hep C Abs

Hep C Ag

HIV Duo

£580

Tropical Screen (from 6 weeks post-travel)

Amoebic Antibodies
Schistosomal Antibodies (Bilharzia)
Echinococcus Antibodies (Hydatid)
Leishmania Antibodies
Malarial Antibodies (IFA)
Toxoplasma Antibodies IgG
Toxoplasma Antibodies IgM

£260

Enteric Organism Rapid Detection

Detection of Bacterial, Viral and Parasitic Infection by Multiplex

Real-Time PCR

 

Bacteria and Bacterial Toxins

C.difficile Toxin A/B gene,
Campylobacter spp.,

Enteroaggregative E.coli (EAEC),
Enteroinvasive E.coli (EIEC)/Shigella,
Enterotoxigenic E.coli (ETEC),
Enteropathogenic E.coli (EPEC),

Plesiomonas shigelloides,

Salmonella,

Shiga-toxin producing E.coli (STEC) stx1/stx2,
Shiga-toxin producing E.coli
(STEC) O157:H7,

Vibrio cholerae,
Vibrio parahaemolyticus,
Vibrio vulnificus,

Yersinia enterocolitica 

 

Viruses

Adenovirus 40/41,

Astrovirus,

Norovirus GI,
Norovirus GII,

Rotavirus A,

Sapovirus (I, II, IV, V)

 

Parasites

Cyclospora cayetanensis,
Cryptosporidium spp.,

Entamoeba histolytica, Gardia lamblia


 *This does NOT include stool for m/c/s – this needs to be requested as a separate test. Please provide two samples if this is required.

£252

Zika and Pregnancy

Zika is a virus that spreads to people primarily through the bite of an infected mosquito.

Around 80% of Zika infections pass unnoticed, with no clear symptoms. In the 20% of symptomatic cases, these symptoms will display as a mild illness and may include:

  • Fever
  • Headache
  • Joint pains
  • Muscle weakness
  • Rash and itching
  • Conjunctivitis (red eyes)

Symptoms persist between 2 and 7 days. In early stages, the Zika illness is indistinguishable from Dengue and Chikungunya.

Zika infection during pregnancy can cause serious birth defects

Pregnant women should not travel to areas with a Zika outbreak (as indicated by red on the Zika map). Before travel to other areas with risk of Zika (as indicated by purple on the Zika map), pregnant women and couples considering pregnancy should talk with their doctors or other healthcare providers and carefully consider risks and possible consequences of travel.

Please check the Zika map for a real-time update on areas affected by Zika.

What We Know

  • Zika virus can be passed from a pregnant woman to her fetus.
  • Infection during pregnancy can cause a birth defect called microcephaly and other severe fetal brain defects. It may also cause tneurodevelopmental abnormalities like
  • Problems with hearing and vision
  • Joints with limited range of motion
  • Seizures
  • Too much muscle tone, restricting body movement
  • Swallowing abnormalities
  • Possible developmental delay

What We Don’t Know

  • How likely it is that Zika infection will affect your pregnancy.
  • If your baby will have birth defects if you are infected while pregnant.
  • The full range of health effects that Zika during pregnancy might lead to.

Who Should Be Tested

  • If you have had no symptoms during travel to a risk area, routine testing is NOT considered necessary. However, there may be individual circumstance that make this advisable.
  • If you have had symptoms during travel to a risk area, testing may be helpful to confirm exposure.
  • Testing may be recommended for pregnant women
  • If they have been symptomatic during travel
  • If they have recently returned from risk areas
  • If they have had possible sexual exposure to a person who has travelled to a risk area.

Two kinds of tests are available:

  • Tests for traces of viral genetic material (called RT-PCR tests) – can be run on a blood test (within 7 days of the start of symptoms) or urine sample (within 14 days of the start of symptoms).
  • After this period, antibody blood tests should be used. They may turn positive as early as Day 4, and remain positive several months.
  • Dengue and Chikungunya cause similar symptoms to Zika, so tests for these may also be needed to clarify a diagnosis: PCR and antibody tests are available for Dengue; antibody tests are available for Chikungunya.

Zika, Dengue and Chikungunya Screening

Consultation fee not included

Profiles below for details and price

Zika IgM and IgG Antibody detection(from 15 days)

The Zika virus has an incubation period of 3-14 days, then it then takes 7 days for production of sufficient antibodies for detection. We recommend the test to be done at least 21 days post exposure.

£130

Zika RT PCR blood

Symptomatic patients, window of detection from 1-7 days from onset of symptoms

£280

Zika RT PCR urine

Symptomatic patients, window of detection from 1-14 days from onset of symptoms

£280

Zika RNA by PCR in Semen

  • Patients can be asymptomatic/symptomatic. Travel history is not required.
  • 2 fresh semen samples required produced within one week. Sperm quality/fertility is not being assessed so collection times do not require abstinence. There is a charge for each sample.

£350

Please book on-line or use our live chat to make an enquiry and arrange your Travel Health Consultation

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