Evans Travel Health

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Lest we forget...

Posted on 10 June, 2020 at 10:50 Comments comments (1)


Whilst the world is focussed on the covid 19 virus and the impact on society; little has been discussed regarding other virus infections which we already know more about. Last year we were all aware of the issue of dengue infection, the poor performance of the Denvaxia vaccine and the increasing number of areas reporting raised levels of infection despite increasing public health responses.

 

Coming forward 12 months from the traditional rainy season in SE Asia we...

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Common mosquito borne viruses- should they all be considered in pregnancy?

Posted on 5 March, 2020 at 0:40 Comments comments (0)


 

In 2015-2016 the world was awakened to the affects of the Zika virus in pregnant women and the devastating risk of microcephaly. Since that time the world has evolved into discussing the risks associated with mosquito transmitted Zika virus with pregnant travellers visiting high risk countries. The levels of risk in some countries has fallen as the attention to bite avoidance and counter-measures has increased. Now in 2020 the attention is currently on coronavirus and...

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WHO- Neglected Tropical Diseases

Posted on 4 February, 2020 at 8:10 Comments comments (0)


In the current climate a lot of attention is focussing on the recent coronavirus outbreak form Wuhan, China. Whereas the global community is focussing on the rapid change necessary to control the spread of this infection, there is a need to retain the wider view of Neglected Tropical Diseases (NTD).

 

In January the WHO day for NTD went un-noticed by a lot of the media; however the 20 plus listed diseases/conditions remain a greater threat to the global community ...

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Updates to European insect vectors and disease risks.

Posted on 4 December, 2019 at 14:20 Comments comments (0)


 

Recently announcements from Public Health England have highlighted the emergence of tick borne encephalitis cases in the UK and ECDC have raised the awareness of Zika virus in Europe.

 

The impact of global warming has been widely linked with increased temperatures and northern movement of insect vectors as these latitudes increasingly become warmer. The ECDC vector distribution analysis indicates that the mosquito species Aedes albopictus appears to ...

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Should Dengue vaccine be licensed for travellers from the UK?

Posted on 11 October, 2019 at 0:55 Comments comments (0)



The spread of the dengue virus is highly reported as rapidly increasing in many Asian countries in particular. Last week Bangladesh and Pakistan reported high levels of outbreaks exceeding the number of beds and medical facilities available to treat these patients. These countries are in addition to those reporting earlier in the year such as Philippines, Indonesia, Taiwan and India.


In  an article published last week there are references from Fr...

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Rugby World Cup- Japan- conflicting reports.

Posted on 18 September, 2019 at 0:40 Comments comments (0)

With the imminent start of the RWC and the masses of supporters attending Japan I have followed the reports of safe travel measures over the last few weeks.


Whereas we understand the risks from highly contagious diseases such as measles there have been several conflicting reports made contrary to the UK guidance. A former international player was indicating in Wales that Japanese Encephalitis was a disease of risk and vaccinations were available. Whilst encephalitis is a sev...

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Rugby World Cup- Japan- conflicting reports.

Posted on 18 September, 2019 at 0:35 Comments comments (0)


 

With the imminent start of the RWC and the masses of supporters attending Japan I have followed the reports of safe travel measures over the last few weeks.

 

Whereas we understand the risks from highly contagious diseases such as measles there have been several conflicting reports made contrary to the UK guidance. A former international player was indicating in Wales that Japanese Encephalitis was a disease of risk and vaccinations were a...

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Evaluation of remerging infectious diseases- Measles

Posted on 13 April, 2019 at 0:55 Comments comments (0)

The WHO manages and monitors the universal health coverage and over the past year raised concerns with the increasing numbers of outbreaks of diseases once thought to be eradicated in high income countries, re-appearing.


One of the most frequently seen are the reappearance of measles. In the US there have been 387 cases of measles reported up to the end of March and 140 in the UK. The difference to the number of cases and the rapid spread comes from a complex set of issues, ...

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Rabies- non-medically trained advice on the Internet

Posted on 1 February, 2019 at 10:20 Comments comments (1)


With the current shortage of supply of rabies vaccine and the recent death in the UK brings around the annual question why do so few travellers consider this as a risk when travelling outside of Europe.


A quick review of online advice provides a wide range of opinions. The true clinicians warn of the dangers and the national guidelines suggest a course of pre-travel exposure vaccinations.


Looking deeper at the sites that many of the younger trav...

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WHAT IS THE DIFFERENCE BETWEEN PRE AND PROBIOTICS USE IN REDUCTION OF THE INCIDENCE OF TRAVELLERS DIARRHOEA (TD).

Posted on 13 November, 2018 at 9:15 Comments comments (0)

Yet another study crossed my desk the other week discussing the values and virtues of the use of pre and probiotics in the reduction of travellers diarrhoea. As expected there is no further trial or study information available since the last report that changes the view point of the leaders in travel medicine. There remains insufficient study evidence to recommend if this group of products can be effective in the reduction of travellers diarrhoea.


Upon reading these studies ...

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