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Derek Evans

Welcome to Evans Travel Health

Blog     posted on Wednesday 4th August 2021

       How to prepare for Travel Medicine post-Covid

"We are all aware of that the impact of Covid infections has had on travel and continues to do. With the advent of vaccination programs and sophisticated testing and recording systems in place travel is starting to increase.

However the types of travel such as short haul continues to expand according to the determination of national governments whilst long haul remains dormant. The traveller groups have changed and the emphasis on routine vaccinations being sought by first time travellers going to exotic destinations has shifted to business and essential workers.

With this in mind the marketing of any specific travel medicine services will need to understand these changes. Following lockdowns and extended restrictions many travellers are now attempting to visit families and friends (VFRs) who they have only seen through video links. These VFRs will be a key target group during the revival of travel medicine demands and services.

A key part of the practitioners will be the flexibility to react to short time departures and supply necessary vaccines and medication where required. This parallels with the quick turn around that Covid tests are required for entry into another country before departure from the UK. It seems that a mix of PCR and rapid antigen tests are required within a range of departure times from 24 to 96 hours before departure.

The underlying point here is that this increased cost needs to be allowed for during any travel consultation and also the returning costs of testing and/or isolation. It is unlikely that these costs will be removed in the short term and certainly Covid will become another disease to be routinely covered during a travel medicine risk assessment."


Rugby World Cup- Japan- conflicting reports.

Posted on September 18, 2019 at 12:40 AM

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 severe medical condition this was comment was made in support of a charity supporting awareness of the condition.

Recently a report on the ISTM page by a Japanese based travel medicine and quarantine doctor again suggested Japanese Encephalitis was indeed a risk and vaccinations should be considered.

As all travel medicine practitioners know an accurate risk assessment is the most credible method of determining the needs of the travellers. So by considering the life style of the average supporter and the disease vector it can be determined that the mosquito will be flying at night when there are no matches and many supporters will be in groups in the local bars and restaurants.

The NaTHNaC factsheet for the disease indicates that predominantly the mosquitoes are found in rural areas, close to standing water and occasionally in cities. They recommend vaccination for travelers in risk areas staying for longer than 4 weeks. This is reflected again in the Green Book. Similar advice is given by the CDC in their Yellow Book, that minimal risk is found in stays of less than a month is urban areas.

Hence confusion stands as media and conflicting medical reports are made. The key message here is that despite the opinions made, the underlying use of insect repellents and physical barriers such as long sleeved clothing and trousers and bed nets.

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