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Introduction & Overview

IF YOU HAVE MADE AN APPOINTMENT, please read this below as it will make your visit easier to understand and more pleasant when discussing travel vaccinations. 

  • We stock all vaccines, including the yellow fever vaccine (costs $110)
  • If you are unsure of what vaccines you may have had in the past or lost your vaccine records or plunket book, we can request a blood test to test for immunity.
  • Our travel doctor will advise you on the vaccines necessary depending on you, your health, your trip and your activities.
  • We only give you what you really need; we minimise your pain and expense by tailoring your immunisations for you, your health and your trip.
  • We will offer you combination vaccines if possible (i.e.one injection with several vaccines)
  • You decide what vaccines you wish to have depending on your budget and the degree of protection you want (NOT FEAR FACTOR)
  • Please don't commit to a course of vaccinations if you cannot complete e.g. hepatitis
  • It is important to be up-to-date with your usual routine vaccinations e.g. tetanus, pertussis (whooping cough-  'the 100 day cough'), hepatitis B  (~ 110 000 New Zealanders have chronic hepatitis B and the virus can be on unclean eating utensils), measles, chicken pox, shingles and pneumonia.
  • Recommended vaccines vary for different countries, and you will be advised by the travel doctor
  • Hepatitis A is the most commonly recommended vaccine, followed by typhoid, rabies, oral E.Coli vaccine (for travellers diarrhoea).
  • Hepatitis A $105, Hepatitis B $40, Hepatitis a+B (Twinrix) combination $105, Typhoid $65
  • Vaccine costs vary in price from $35 to as high as ~$235 for specialised vaccines like Japanese Encephalitis
  • Some vaccines appear expensive, however provide you with long term to lifelong immunity eg rabies and hepatitis A+B (protection for this trip and future travel for the rest of your life)
  • Our advice may differ from your GP, your friends, other members of your tour party. This is not unusual and will be explained during your appointment

Yellow Book

We supply you with the official International Health Regulations Certificate of Vaccination or Prophylaxis (NZ Ministry of Health approved).

The 'yellow book' has been in circulation since the 1960's and should be kept with your passport, as it is a 'medical passport of sorts'. You may be required to show it before you are permitted to enter certain countries.

The yellow book is included in the initial appointment costs if vaccines are administered; we hand it over to you at your last appointment before your trip. It documents : the immunisations you have had, how long they last and immunity from blood testing eg measles, chicken pox, hepatitis A& B, rabies

NB: Leave copies of passport and yellow book at home; put copies of same in luggage apart from the originals; scan same 2 documents and email them to yourself so they are always out there on your email server

For your regular chronic medication, a small 'yellow medication card' will be attached with details of medical conditions, medication, allergies (signed off by us for customs)

 


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Lost Records

Always keep a photocopy or scan of your original 'yellow book'

New clients: if you lose your previous vaccine records we can request specific antibody marker blood tests at your intitial appointment for some of the common travel vaccines. The blood results i.e. antibody levels need to be interpreted in the context of what you may or may not have had (vaccines or disease) in the past. The blood tests are chargeable by the lab eg. hep B is $20 (+ blood collection fee of $12). Lab results take about 24-48 hours (except rabies).

Existing clients: please email your request direct to This email address is being protected from spambots. You need JavaScript enabled to view it. and we will send you your electronic copy within 48 hours. No vaccine records will be released over the telephone. Our doctor authorises the release of all vaccine records. Retrieval of archived records i.e. > 10 years prior will incur a fee of $25.

If you need us to reissue a yellow fever certification or replace the official 'yellow book', the fee is $55 (pre-payment is required prior to us preparing & collection)

Reminders & Recalls

  • Booster shots are important to follow through for long lasting immunity
  • Hepatitis and rabies vaccines are a lifetime investment in future travel
  • Please don't commence a series of vaccinations if you cannot complete timeously
  • If you fail to complete a series you may need to restart the series if you wish to travel at a later stage
  • We will inform you when boosters are due (automated email reminder generated)
  • It is 'never too late' to complete some vaccines eg. hepatitis and rabies (we will advise if otherwise)
  • There is a follow up and administration fee of $25 per traveller + the cost of the booster dose (eg hep B $40, rabies $75, hep A $105, hep A/B $105)
  • Please bring in your International Certificate of Vaccination when you come in

 

Vaccination Schedule

Routine                                         Length of Protection        # Doses per Course   

Chicken Pox/ Shingles Life  2/1
Measles, Mumps, Rubella Life 2
Hepatitis B
Life, with + hep B Ab 3 +1*
Polio
Life 1
Tetanus, Diphtheria, Pertussis (3:1)  10 years  1

Tetanus, Diphtheria, Pertussis + Polio (4:1)

Polio : life

1
BCG Life 1

 

 

 

 

 

 

 

 

 

Recommended

Hepatitis A

Possibly life 2

  *** with Hepatitis B

Life, with proven hep B antibody + 3 + 1*
  *** with Typhoid  Hep A booster in 1 year 1
Typhoid     2-3 years  1 inj or 3 caps 
Rabies Long term   3 +1
Meningitis ACWY Long term  1 
Japanese Encephalitis >3 years  2
E.Coli & Cholera 6 months   2 
Influenza 4 strain  1 year   1 
Pneumonia PCV13 >PPV 23 ? Long term 2
Tick Bite Encephalitis  out of stock 2
 
Required 
 
Yellow Fever ? Lifetime (11 July 2016) 1

 ***    refers to combination vaccines

#        doses depends on your previous vaccine history and immunity

   *      dosing schedules vary ie.standard (0,1, 6 months) or accelerated (0, 7, 21 days)

 

Rabies - the facts you need to know

  • Any mammal can get rabies (wild + domestic) and infect humans; the animal may appear well even with the virus in saliva
  • Consider for all travellers for peace of mind (especially children) even if the duration is short to rabies endemic countries and higher risk activities eg cycling, trekking, local homestays, runners, caving and 'off the beaten' travel.
  • Rabies is almost always fatal if untreated and ~10% of strays in Thailand are rabid
  • Two travellers per annum die of rabies & Bali has a bite rate of as high as 5%
  • Our clinic advises and manages approximately 2+ travellers per month with accidental animal bites; rabies is a risk wherever dogs are allowed to roam free
  • New Zealand does not have any rabies, however Australia has rabies
  • Immunisation route may be ID - intradermal or IM - intramuscular
  • Dosing schedules and route of administration vary (ID vs IM : pros and cons).
  • ID is the most popular route: is a series of 3 separate doses over a few weeks (see picture below for clinical response); at a reduced cost of $75 per dose, followed by a blood test if clinically necessary to check for rabies virus neutralising antibodies (and a booster in a year for long term immunity).
  • ID rabies is offered daily at dedicated travel clinics and you do not need to 'gather' other travelling companions (as it's not cost effective or feasible at non travel clinics)
  • ID rabies is safe, low cost and effective (only if done with the correct expertise)
  • There are other schedule options 'off label' or accelerated schedules for travellers who cannot do the 3 dose series (over approximately 0,7, 21 -28 days)
  • Preferably make your own antibodies by immunisation in New Zealand, so if ever you are bitten, scratched or licked by a dog, monkey, cat, bat, you will need only two rabies vaccinations (which is easily obtainable) on days 0 & 3 after the animal bite, but you will never need any human rabies immunoglobulin ie. a blood product injected into the bite wound.
  • If you are scratched, bitten or licked and unimmunised ie. no antibodies, this is almost certainly a trip ruining experience as the treatment is a lot more dramatic! You have to stop what you are doing and travel to a centre where the appropriate post-exposure therapy is available; and request human rabies immune globulin HRIG which needs to be injected into the bite wound to prevent early entry of the rabies virus into nerve endings, then try to time 5 x rabies vaccinations required on days 0, 3, 7, 14, and 28 around your remaining travels.
  • All bites, scratches and licks should be immediately flushed out, washed and then disinfected. Doing so can enable efficient elimination of the rabies virus at the infection site.

 

In summarythe advantages of getting your own rabies antibodies before travel is to reduce the urgency, trip disruption and complexity of treatment
  • to prevent uncertainty and 'ruining' this trip and future holidays !
  • totally eliminating the need for blood products ie. human rabies immune globulin which is difficult if not impossible to obtain in many developing countries 
  • reducing the need for post bite vaccines from 5 to 2 shots
  • reducing the post bite treatment period from 28 days to 3 days
  • and allows for a delay in treatment 

rabies ID x 3 1

 

Yellow Fever

Yellow fever is a serious mosquito borne viral infection and occurs in Africa and South America.

You may need the yellow fever vaccine ($110) for your protection if visiting ‘at risk’ countries.

You definitely need it for your protection if you are visiting Iguazu Falls (Argentina) and some cities eg Sao Paulo.

Proof of yellow fever vaccination may also be required to enter certain countries e.g. Australia to prevent the introduction and spread of contagious diseases.

Best to get the yellow fever vaccine done first and well before travel.

It is a very effective (>95%) and safe vaccine.

It is not available from any doctor except approved Yellow Fever Vaccination Centres and accredited travel medicine practitioners.

You need to have an appointment with the travel doctor as this vaccine is not without risks.

Please bring in your passport (or a copy) and your 'yellow vaccination book' to your appointment.

The yellow fever vaccination takes place subsequent to a formal medical consultation as per the New Zealand Ministry of Health Policy for the Approval of Vaccinators.

The vaccination can only be documented in the International Health Regulations Certificate of Vaccination or Prophylaxis issued by the Ministry of Health (ie. the yellow book)

The vaccine certificate is legally valid 10 days after the injection.

A single yellow fever vaccine is considered to confer lifetime immunity and countries cannot require revaccination at entry. However revaccination may be indicated in specific cases eg travel to an area with ongoing outbreaks or travel for a prolonged period in an endemic area.

The International Health Regulations concerning yellow fever are unequivocal, and unvaccinated travellers may face denial of entry, vaccination at port of entry or even quarantine in certain circumstances.

This strict control is maintained to ensure that both the individual traveller and the broader communities are protected against outbreaks of this disease.

  • If the vaccine is medically contraindicated, the fee for preparing a yellow fever vaccine waiver is $50. 
  • Waivers can only be issued by yellow fever vaccinators with medically supported documents; advancing age is not a reason for a waiver.

International Health Regulation Certificate : "Yellow Book"

We supply you with the official International Health Regulations Certificate of Vaccination or Prophylaxis (NZ Ministry of Health approved). This is included in the initial appointment costs if vaccines are administered. You may be required to show it before you are permitted to enter certain countries. It has space for other pertinent medical details e.g. medical conditions, medication, allergies.

It documents : all immunisations you have had , how long they last and immunity from blood testing eg measles, chicken pox, hepatitis A & B, rabies. 

Yellow Fever Vaccine

The Yellow Fever Vaccine has been in use since the 1930’s and over 400 million vaccines have been given since then.

The current vaccine is called Stamaril. It is an attenuated (disabled) , live-virus preparation of the 17D strain of yellow fever virus grown in chick embryos and is very effective in preventing the disease. A single dose correctly given confers immunity in basically 95+% of recipients. 

This vaccine is given as a single injection given subcutaneously. If a country requires the vaccine for entry, travellers must allow at least 10 days before entering the country for vaccination.

If other live virus vaccines are necessary for travel, they should be completed on the same day as the yellow fever vaccination (we will advise accordingly). Otherwise, travellers may have to wait for one month before other live virus vaccines can be administered. The live-virus vaccines suppresses the immune system, and will reduce the effectiveness of the Yellow Fever vaccine.

This vaccine is a safe and highly effective vaccine against this deadly disease.

200,000 cases of Yellow Fever are estimated to occur yearly on this planet.

  • There is no known treatment to cure the disease.
  • The fatality rate of the disease is reported as 10-50%.
  • Deaths from Yellow Fever disease have occurred in unvaccinated tourists.

Side Effects of the Yellow Fever Vaccine

Reports of serious side effects are extremely rare and generally include fever, headache, and muscle ache. The risks of vaccination are not  zero and the current best estimates of the risk from yellow fever vaccination are: 

Mild Side Effects

  • Most people will get a slight sore arm
  • 3-10% may feel tired, headache, muscle aches, fever for 24 hours starting 3-7 days after the vaccine
  • 1% need to curtail regular activities

More Serious Side Effects

  • 1 in 130,000 will get immediate hypersensitivity – rash, itching, faint or asthma – this is why you need to wait  20 minutes in the clinic
  • 0.09-2.5 per million will get inflammation of multiple organs e.g. lungs, kidney, liver, spleen, skin, blood stream
  • 1 in 8 million will get encephalitis (inflammation of the brain)
  • There have been a few deaths reported from the more serious side effects of the vaccine, but this seems to occur in those over 70 years age with certain risk factors

After vaccination, you need to remain at the clinic for 20 minutes in case you have a serious allergic reaction (anaphylaxis). This reaction is rare (about one in a million), but may be very serious. It can be easily treated at the clinic, but is not so easy to treat if it happens while you are driving home.

Symptoms of anaphylaxis include:

  • feeling warm
  • feeling itchy (or developing a rash) away from the injection site
  • feeling faint (especially on standing up) or dizzy
  • a shortness of breath, or a wheeze or cough developing
  • swelling in the throat, face, hands or limbs
  • sudden tiredness

Symptoms usually develop within 20 minutes of vaccination, hence the need to wait in the clinic after receiving the Yellow Fever vaccine.

Occasionally allergic symptoms may occur up to 10 days later. If you develop one or more of the above symptoms within 10 days, immediately call your doctor or go to the nearest casualty department or well equipped medical centre.

Who Should Not Use The Yellow Fever Vaccine

Children younger than 6 months of age, people who have had a previous severe reaction to the vaccine and those who are extremely allergic to eggs should not receive this vaccine. Persons who have a moderate illness (with or without a fever) should postpone receiving this vaccine until they are well.

The following circumstances may increase your risk of reacting badly to the Yellow Fever Vaccine. It is extremely important you notify us if any of the following apply to you:

  • You have a true egg allergy
  • You have had an adverse reaction to Yellow Fever Vaccine before
  • You are, or could be, HIV positive or have AIDS
  • You suffer from a serious weakness of the immune system
  • You have cancer, are taking drugs to control cancer, or are undergoing chemotherapy
  • You have any major liver or kidney disease
  • You are currently taking steroid drugs or cortisone. Recent injections into a joint and steroid asthma puffers are NOT a problem.
  • You are pregnant, or could be pregnant now or in the next three weeks

Yellow Fever Risk Countries

map2-4-2010  map2-3-2010

 

 

 


What is the appointment fee?

  • All fees are per traveller and include GST of 15% (as of 1 May 2018)
  • Existing clients: 'New Trip' $75 (20 min)  *had a previous standard appointment*
  • Adult: $105 1st visit (30 min with the doctor incl. time to receive vaccinations).
  • If you need more time, request an 'extended' appointment (charges apply)
  • Adults x 2: $95 each 1st visit (bring in your travelling companion: 60 minutes)
  • Child junior rates for age <14 yr ($75 to $80); one parent/guardian during appointment
  • Saturday surcharge for new clients first visit only: $25 
  • First time group & prime time bookings require a $50 deposit at time of booking
  • 2nd visit (subsequent appointment & administration) fee is $25; you can discuss queries you may have from the initial appointment (max 10 minutes)
  • ‘Malaria only’ : $45; 'Medical kit only' : $35
  • One vaccine/injection only appointment $65 (subject to conditions as per yellow fever appointment below and no yellow vaccination passport provided)
  • 'Yellow fever only': $70 i.e. you have no other travel health concerns eg other vaccines, rabies, malaria prevention or treatment options, altitude guides & gastro flow guides, travel medical kits. No personalised 'checklist' is provided and your other medical or chronic medical concerns unrelated to the yellow fever vaccine will not be discussed. 
  • Family special: 2 adults + 2 child 90 min $295; 2 adults + 3 child <14yr 2 hour $325
  • Group appointments are at one sitting, but individualised to each traveller
  • Extended appointment fees apply for all appointments that exceed standard time
  • If our staff do assist you with a 'double booking', you may need to be patient and wait  
  • There is no fee for requesting our doctor’s advice + assistance while travelling
  • Post travel i.e. after travel illness: $120 (30 minutes) 
  • We receive no funding from the government (MOH) for attending to you
  • All appointment fees are chargeable even if you choose not to have any vaccines
  • If you do not accept the above costs, please do not book an appointment

 

What will the vaccines cost?

  • All prices include GST of 15% and are the same for non-NZ residents
  • The costs are per dose as per the 'Vaccination Schedule' on our left main menu and will be clearly explained to you at your appointment
  • Some vaccines may require more than one dose to be effective
  • Costs vary in price from $35 to ~$250 for specialised vax eg Japanese Encephalitis.
  • Tetanus/Diptheria: avoid this 2 in 1 combination vaccine as no pertussis protection. Tetanus/Diphtheria/Pertussis $55, Tetanus/Diphtheria/Pertussis/Polio $100 (4 in1)
  • Typhoid $65, Hepatitis B $40, Hepatitis A $105, Hepatitis a+B $105, Yellow Fever $110
  • Some vaccines appear expensive but give you lifelong immunity and are 'an investment for future travel health
  • General Costs:
  • Total approx costs for a first time traveller: appointment + vaccines for a standard trip e.g. 14 days to Asia (tetanus, diphtheria, pertussis, polio, hepatitis, typhoid) is $300 + 
  • 'Off the beaten' track travel may involve more specialised vaccines e.g. rabies $75 and will increase the total cost of consult + vaccines to ~ $500 ++
  • If you are still unsure about costs or need to budget, rather have the appointment only; then plan the vaccines for a later date
  • We keep our prices as reasonable as possible, yet deliver a high quality travel medicine service to our travellers
  • We purchase our travel vaccines in bulk and pass the discounts onto you
  • Your medical insurance company will usually cover the costs of the appointment, however the vaccine costs are not usually covered as they are considered to be preventative! They usually reimburse you for 'after travel' illnesses 
  • We receive no funding from the government for your vaccinations
  • If you request prescriptions for medication we do not stock, script fee is $25(per A5)
  • We can only assist with prescriptions for previously prescribed medication eg OC's
  • We accept Eftpos, Visa, Mastercard, Amex (No Cheques) - all invoices to be paid on the day (i.e. no accounts or discounts, manual credit card transactions 5% bank fee)
  • For medico-legal reasons, you cannot return any vaccines or medication once it's been dispensed (taken home)
  • All prices quoted are subject to change

Can you quote and advise the travel vaccinations I need on the telephone or email?

Our reception staff are not qualified to offer medical advice. They can advise on how it works when you come in and they can book you in for an appointment.

The vaccinations you need depends on a number of factors: on you, your age, your health status, your previous immunity, your trip (duration, country, season, accommodation and activities). 

However, we do have a 'Country Report'  on the main menu of our website where you can select the country you are travelling to from the CDC website. This will give you a general idea of what you need to consider for your trip.  

We receive no government funding and our medical staff do not provide a telephone consultation service as they are busy attending to travellers that are in our clinic.

We can offer email advice to clients that have previously entered into a 'medical relationship' with us ie. consulted our doctor previously. However if it's been more than 2 years we suggest you book a 'new trip' appointment.

 

Why do I need to pay a consultation fee as I know what I need?

All vaccinations and medications are prescription items and this means medico-legally that you need to have a consultation to get them. Consultation time can between 15-60 minutes and is a service we provide.

What to bring to your appointment

  • Past vaccination records (authenticated ie batch numbers, site, signature
  • Baby book or plunket and 'yellow book' or vaccination 'passport'
  • Any relevant blood test results if available.
  • Details of your trip itinerary, so we are can advise you for specific areas of risk
  • List of all medical conditions and medications
  • Your passport (or a copy) if you are having the yellow fever vaccine
  • If there are any inconsistencies with your prior vaccine records we will point it out to you and may recommend & request blood tests at your initial appointment. Blood tests results take ~24-48 hours.This will save time, money and needles. Labtests collection center is a short walk from our clinic.
  • We cannot sign off or document any past vaccines without proof (so please don't insist that your mum says it has all been completed).
  • If you are unsure of previous disease or immunisations, we can request blood tests for immunity at your initial appointment: measles, chicken pox and hepatitis (NB: antibody blood results need to be interpreted in the context of what you may have had or not had in the past). Some blood tests are chargeable by the laboratory e.g. hepatitis B ( $20 + blood collection fee of $10)

How long before my trip should I book and how do I book?

  • You can telephone or request a appointment online
  • We will require a email address to confirm all appointment bookings
  • We will send you a 'confirmatory' email within 24 hours to confirm the type of appointment, date, time & relevant website information to read
  • If you do not receive the 'confirmatory' email, please check your 'junk folder' first then email This email address is being protected from spambots. You need JavaScript enabled to view it. to check on the status of your booking
  • Plan as early as possible, 6-8 weeks before departure 
  • However, if you are leaving at short notice, remember  'it's never too late to vaccinate' e.g. hepatitis A  can be administered on your way to the airport and it will be effective!
  • Late is better than never i.e. some protection is better than none
  • Some vaccine schedules can be 'accelerated' eg rabies, hepatitis B, japanese encephalitis if you have time contraints before the trip
  • Feel free to come in anytime, browse, talk to our travel assistants who will show your around our clinic, so you know what to expect before you book an appointment with our travel doctor
  • If you make an appointment and do not 'show up', we can rebook you (with pre-payment)

The earlier the better for good reasons :

  • You can better plan what is best for you
  • Some vaccination require several doses e.g. rabies (3 doses)
  • Some immunisations take time to give you protection
  • Some malaria tablets need to be tested well before your travel
  • Minimise any possible side effects while away 

How long will I have to be at the clinic ?

  • The first appointment is 30 minutes with the travel doctor including the time to receive vaccinations.
  • Allow for a further 15 minutes for our staff to assist you with the 'checklist' our travel doctor prepares for you.
  • You can bring a friend along to wait in reception and your friend can be called in (when you are receiving the vaccines).

What will happen during my first visit ?

Please get to us well before your appointment so we don't have to 'rush' you through. Plan ahead for traffic and parking. If you are late, we may have to schedule your vaccines for a later date.

  • Fill out a comprehensive questionnaire on ‘you, your health, your trip’ which takes approximately 5-10 minutes to complete
  • Only the booked travellers goes into the appointment, unless the traveller is a minor
  • You will be advised by the doctor (30 minutes including time to receive vaccinations)
  • Following this, a 'checklist ' and personalised vaccine schedule is generated for you on Inca: a specialised travel medicine programme to advise and manage your vaccinations
  • The travel doctor will provide an overview of the risks for your trip e.g. food and water, health hazards, altitude, insects and animals, malaria, dengue, deep vein thrombosis, women's issues, medical kits, travel insurance, safety and security, and environmental concerns. Our travel assistants will assist you in more detail after your appointment.
  • We will recommend the vaccines you need to protect yourself; you decide what you wish to have depending on your budget and the degree of protection you want (not 'fear' factor)
  • The vaccines will be administered on the day by our doctor or at a later date that suits you. We will advise the vaccine combinations and time frame to have the vaccines 
  • Our philosophy is not to administer vaccinations unless medically necessary 
  • If you are unable to decide on any vaccination (after your initial 30 minute appointment) and wish to do more research e.g. CDC Country/Disease Report, you will be advised to book a subsequent follow up appointment ($25)
  • Extended appointment fees will apply if you prolong the appointment beyond 30 minutes.
  • Please don't commit to a course of vaccines if you cannot complete e.g. hepatitis A/B
  • All vaccines given and blood tests results are documented on the official 'International Health Regulation Certificate of Vaccination'  - issued by the NZ Ministry of Health
  • No vaccines are administered without your signed consent and acknowledging that you have read the 'Questions & Answers' and 'Vaccinations' page of this website (NZ Medical Council)
  • The vaccines are given in your non dominant upper arm; you can choose to sit or lie down.
  • If you are anxious please request a 'relaxing' medication at the start of your appointment
  • After the vaccines are administered, we advise you wait in the clinic for at least 15 minutes
  • Please use this time to allow our staff to help you with your 'checklist' 
  • Allow 45 – 60 minutes of time for your first visit
  • Once dispensed, oral vaccines and medication cannot be returned 
  • NB: right of admission to our clinic is reserved
  • Please familiarise yourself with all our appointment and vaccine costs so there is no confusion when you come in.
  • Our advice may differ from your GP, friends and others in your tour. This is not unusual and will be explained at your appointment

Can I go to my GP or 'GP travel clinic' for travel advice & vaccines?

  • GP’s usually refer their patients to a travel clinic : Travel Medicine is what we do
  • We do not have the expertise to do what your family doctor does, neither does your GP or 'GP travel clinic' have the expertise to do what we do
  • We use IncaClinic: a specialised travel medicine software to advise and manage your vaccines
  • You save time and money by not having two travel appointments, and possibly inappropriate immunisations and vaccination dosing schedules
  • It is also not ideal for a 'well' traveller to be sitting in a doctors waiting area before travel filled with other 'sick' patients' + contagious bugs (coughs/colds/vomiting/diarrhoea)
  • Our travel vaccines are very competitively priced and better priced than most family medical centres, as we pass our bulk purchase discounts to you
  • Our doctor spends 30 minutes with you and provides you with a comprehensive, personalised, latest, up to date 'checklist' for your trip
  • Most GP practices or GP 'travel clinics' do not offer or administer specialised travel vaccines eg rabies ID or combination vaccines like the 4:1 tetanus
  • At the travel clinic you get specialist advice and guides regarding vaccines, 'real-time' malaria risk, insect avoidance measures, medical kits, altitude, water filters, compression stockings, deep vein thrombosis, travel insurance etc.
  • It is a one-stop for healthy and safe products and covers the A-Z of travel health.
  • We give you the latest, correct, up to date information (not advice that may be inconsistent especially as regards the 'real-time' risk of malaria)
  • We provide you with the official "New Zealand Ministry of Health - International Health Regulations Certificate of Vaccination or Prophylaxis" which you can use for the rest of your travelling life. This certificate is only available at travel health clinics.
  • We cannot advise you on vaccines timing and schedules if they are not administerd in our clinic.
  • We send your family doctor a copy of your visits to our travel clinic (at your request once all your vaccine series are completed)

How will I feel ?

  • The side effects of modern vaccines are minor
  • It only hurts for a second or two (if you allow us to 'warm' up the injection area)
  • Its best not to watch if you are anxious; request to lie down if you are tense
  • You do not need to go without food before you have vaccinations or blood tests
  • You can do all your usual activities after the immunisations
  • You can drive, work, gym; but best to take it easy on the day of the jabs
  • Do drink lots of water after vaccinations as side effects are minimised if you are well hydrated
  • Avoid or reduce alcohol consumption 
  • If you don’t feel well after the 'jabs', then take it easy 
  • Local reactions at the site of the injection are a positive indication that your immune system is responding to the vacccine.

What are the side effects of the jabs ?

  • There is no ‘gain without pain’, e.g. the tetanus injection may cause a lump or redness and hardness that persists for a few weeks (in younger individuals) 
  • The next day you may feel tired, sore body, slight temperature  and may develop tender enlarged glands (lymph nodes in the armpit or neck)
  • Sore throat and vomiting is highly unlikely due to the vaccines
  • There is always the possibility of a rare adverse event or vaccine failure
  • For those travellers that 'loathe' having immunisations and 'things put into my body'; however do consume wine, alcohol, smoke, preservatives; please have a read of https://www.tvnz.co.nz/one-news/new-zealand/want-to-avoid-cancer-drink-less-say-experts-6340462.html

Use an ice pack (not heat) and an arm sling if you have a red arm and take paracetamol if you have body aches and/or a fever. If you still feel unwell, please give our doctor a call and we will consult you at no charge.  


  • All prices include GST of 15% and are the same for non-NZ residents
  • The costs are per dose as per the 'Vaccination Schedule' on our left main menu and will be clearly explained to you at your appointment
  • Some vaccines may require more than one dose to be effective
  • Costs vary in price from $35 to ~$250 for specialised vax eg Japanese Encephalitis.
  • Tetanus/Diptheria: avoid this 2 in 1 combination vaccine as no pertussis protection. Tetanus/Diphtheria/Pertussis $55, Tetanus/Diphtheria/Pertussis/Polio $100 (4 in1)
  • Typhoid $65, Hepatitis B $40, Hepatitis A $105, Hepatitis a+B $105, Yellow Fever $110
  • Some vaccines appear expensive but give you lifelong immunity and are 'an investment for future travel health
  • General Costs:
  • Total approx costs for a first time traveller: appointment + vaccines for a standard trip e.g. 14 days to Asia (tetanus, diphtheria, pertussis, polio, hepatitis, typhoid) is $300 + 
  • 'Off the beaten' track travel may involve more specialised vaccines e.g. rabies $75 and will increase the total cost of consult + vaccines to ~ $500 ++
  • If you are still unsure about costs or need to budget, rather have the appointment only; then plan the vaccines for a later date
  • We keep our prices as reasonable as possible, yet deliver a high quality travel medicine service to our travellers
  • We purchase our travel vaccines in bulk and pass the discounts onto you
  • Your medical insurance company will usually cover the costs of the appointment, however the vaccine costs are not usually covered as they are considered to be preventative! They usually reimburse you for 'after travel' illnesses 
  • We receive no funding from the government for your vaccinations
  • If you request prescriptions for medication we do not stock, script fee is $25(per A5)
  • We can only assist with prescriptions for previously prescribed medication eg OC's
  • We accept Eftpos, Visa, Mastercard, Amex (No Cheques) - all invoices to be paid on the day (i.e. no accounts or discounts, manual credit card transactions 5% bank fee)
  • For medico-legal reasons, you cannot return any vaccines or medication once it's been dispensed (taken home)
  • All prices quoted are subject to change

What is the appointment fee?

  • All fees are per traveller and include GST of 15% (as of 1 May 2018)
  • Existing clients: 'New Trip' $75 (20 min)  *had a previous standard appointment*
  • Adult: $105 1st visit (30 min with the doctor incl. time to receive vaccinations).
  • If you need more time, request an 'extended' appointment (charges apply)
  • Adults x 2: $95 each 1st visit (bring in your travelling companion: 60 minutes)
  • Child junior rates for age <14 yr ($75 to $80); one parent/guardian during appointment
  • Saturday surcharge for new clients first visit only: $25 
  • First time group & prime time bookings require a $50 deposit at time of booking
  • 2nd visit (subsequent appointment & administration) fee is $25; you can discuss queries you may have from the initial appointment (max 10 minutes)
  • ‘Malaria only’ : $45; 'Medical kit only' : $35
  • One vaccine/injection only appointment $65 (subject to conditions as per yellow fever appointment below and no yellow vaccination passport provided)
  • 'Yellow fever only': $70 i.e. you have no other travel health concerns eg other vaccines, rabies, malaria prevention or treatment options, altitude guides & gastro flow guides, travel medical kits. No personalised 'checklist' is provided and your other medical or chronic medical concerns unrelated to the yellow fever vaccine will not be discussed. 
  • Family special: 2 adults + 2 child 90 min $295; 2 adults + 3 child <14yr 2 hour $325
  • Group appointments are at one sitting, but individualised to each traveller
  • Extended appointment fees apply for all appointments that exceed standard time
  • If our staff do assist you with a 'double booking', you may need to be patient and wait  
  • There is no fee for requesting our doctor’s advice + assistance while travelling
  • Post travel i.e. after travel illness: $120 (30 minutes) 
  • We receive no funding from the government (MOH) for attending to you
  • All appointment fees are chargeable even if you choose not to have any vaccines
  • If you do not accept the above costs, please do not book an appointment

 

What will the vaccines cost?

  • All prices include GST of 15% and are the same for non-NZ residents
  • The costs are per dose as per the 'Vaccination Schedule' on our left main menu and will be clearly explained to you at your appointment
  • Some vaccines may require more than one dose to be effective
  • Costs vary in price from $35 to ~$250 for specialised vax eg Japanese Encephalitis.
  • Tetanus/Diptheria: avoid this 2 in 1 combination vaccine as no pertussis protection. Tetanus/Diphtheria/Pertussis $55, Tetanus/Diphtheria/Pertussis/Polio $100 (4 in1)
  • Typhoid $65, Hepatitis B $40, Hepatitis A $105, Hepatitis a+B $105, Yellow Fever $110
  • Some vaccines appear expensive but give you lifelong immunity and are 'an investment for future travel health
  • General Costs:
  • Total approx costs for a first time traveller: appointment + vaccines for a standard trip e.g. 14 days to Asia (tetanus, diphtheria, pertussis, polio, hepatitis, typhoid) is $300 + 
  • 'Off the beaten' track travel may involve more specialised vaccines e.g. rabies $75 and will increase the total cost of consult + vaccines to ~ $500 ++
  • If you are still unsure about costs or need to budget, rather have the appointment only; then plan the vaccines for a later date
  • We keep our prices as reasonable as possible, yet deliver a high quality travel medicine service to our travellers
  • We purchase our travel vaccines in bulk and pass the discounts onto you
  • Your medical insurance company will usually cover the costs of the appointment, however the vaccine costs are not usually covered as they are considered to be preventative! They usually reimburse you for 'after travel' illnesses 
  • We receive no funding from the government for your vaccinations
  • If you request prescriptions for medication we do not stock, script fee is $25(per A5)
  • We can only assist with prescriptions for previously prescribed medication eg OC's
  • We accept Eftpos, Visa, Mastercard, Amex (No Cheques) - all invoices to be paid on the day (i.e. no accounts or discounts, manual credit card transactions 5% bank fee)
  • For medico-legal reasons, you cannot return any vaccines or medication once it's been dispensed (taken home)
  • All prices quoted are subject to change

Can you quote and advise the travel vaccinations I need on the telephone or email?

Our reception staff are not qualified to offer medical advice. They can advise on how it works when you come in and they can book you in for an appointment.

The vaccinations you need depends on a number of factors: on you, your age, your health status, your previous immunity, your trip (duration, country, season, accommodation and activities). 

However, we do have a 'Country Report'  on the main menu of our website where you can select the country you are travelling to from the CDC website. This will give you a general idea of what you need to consider for your trip.  

We receive no government funding and our medical staff do not provide a telephone consultation service as they are busy attending to travellers that are in our clinic.

We can offer email advice to clients that have previously entered into a 'medical relationship' with us ie. consulted our doctor previously. However if it's been more than 2 years we suggest you book a 'new trip' appointment.

 

Why do I need to pay a consultation fee as I know what I need?

All vaccinations and medications are prescription items and this means medico-legally that you need to have a consultation to get them. Consultation time can between 15-60 minutes and is a service we provide.

What to bring to your appointment

  • Past vaccination records (authenticated ie batch numbers, site, signature
  • Baby book or plunket and 'yellow book' or vaccination 'passport'
  • Any relevant blood test results if available.
  • Details of your trip itinerary, so we are can advise you for specific areas of risk
  • List of all medical conditions and medications
  • Your passport (or a copy) if you are having the yellow fever vaccine
  • If there are any inconsistencies with your prior vaccine records we will point it out to you and may recommend & request blood tests at your initial appointment. Blood tests results take ~24-48 hours.This will save time, money and needles. Labtests collection center is a short walk from our clinic.
  • We cannot sign off or document any past vaccines without proof (so please don't insist that your mum says it has all been completed).
  • If you are unsure of previous disease or immunisations, we can request blood tests for immunity at your initial appointment: measles, chicken pox and hepatitis (NB: antibody blood results need to be interpreted in the context of what you may have had or not had in the past). Some blood tests are chargeable by the laboratory e.g. hepatitis B ( $20 + blood collection fee of $10)

How long before my trip should I book and how do I book?

  • You can telephone or request a appointment online
  • We will require a email address to confirm all appointment bookings
  • We will send you a 'confirmatory' email within 24 hours to confirm the type of appointment, date, time & relevant website information to read
  • If you do not receive the 'confirmatory' email, please check your 'junk folder' first then email This email address is being protected from spambots. You need JavaScript enabled to view it. to check on the status of your booking
  • Plan as early as possible, 6-8 weeks before departure 
  • However, if you are leaving at short notice, remember  'it's never too late to vaccinate' e.g. hepatitis A  can be administered on your way to the airport and it will be effective!
  • Late is better than never i.e. some protection is better than none
  • Some vaccine schedules can be 'accelerated' eg rabies, hepatitis B, japanese encephalitis if you have time contraints before the trip
  • Feel free to come in anytime, browse, talk to our travel assistants who will show your around our clinic, so you know what to expect before you book an appointment with our travel doctor
  • If you make an appointment and do not 'show up', we can rebook you (with pre-payment)

The earlier the better for good reasons :

  • You can better plan what is best for you
  • Some vaccination require several doses e.g. rabies (3 doses)
  • Some immunisations take time to give you protection
  • Some malaria tablets need to be tested well before your travel
  • Minimise any possible side effects while away 

How long will I have to be at the clinic ?

  • The first appointment is 30 minutes with the travel doctor including the time to receive vaccinations.
  • Allow for a further 15 minutes for our staff to assist you with the 'checklist' our travel doctor prepares for you.
  • You can bring a friend along to wait in reception and your friend can be called in (when you are receiving the vaccines).

What will happen during my first visit ?

Please get to us well before your appointment so we don't have to 'rush' you through. Plan ahead for traffic and parking. If you are late, we may have to schedule your vaccines for a later date.

  • Fill out a comprehensive questionnaire on ‘you, your health, your trip’ which takes approximately 5-10 minutes to complete
  • Only the booked travellers goes into the appointment, unless the traveller is a minor
  • You will be advised by the doctor (30 minutes including time to receive vaccinations)
  • Following this, a 'checklist ' and personalised vaccine schedule is generated for you on Inca: a specialised travel medicine programme to advise and manage your vaccinations
  • The travel doctor will provide an overview of the risks for your trip e.g. food and water, health hazards, altitude, insects and animals, malaria, dengue, deep vein thrombosis, women's issues, medical kits, travel insurance, safety and security, and environmental concerns. Our travel assistants will assist you in more detail after your appointment.
  • We will recommend the vaccines you need to protect yourself; you decide what you wish to have depending on your budget and the degree of protection you want (not 'fear' factor)
  • The vaccines will be administered on the day by our doctor or at a later date that suits you. We will advise the vaccine combinations and time frame to have the vaccines 
  • Our philosophy is not to administer vaccinations unless medically necessary 
  • If you are unable to decide on any vaccination (after your initial 30 minute appointment) and wish to do more research e.g. CDC Country/Disease Report, you will be advised to book a subsequent follow up appointment ($25)
  • Extended appointment fees will apply if you prolong the appointment beyond 30 minutes.
  • Please don't commit to a course of vaccines if you cannot complete e.g. hepatitis A/B
  • All vaccines given and blood tests results are documented on the official 'International Health Regulation Certificate of Vaccination'  - issued by the NZ Ministry of Health
  • No vaccines are administered without your signed consent and acknowledging that you have read the 'Questions & Answers' and 'Vaccinations' page of this website (NZ Medical Council)
  • The vaccines are given in your non dominant upper arm; you can choose to sit or lie down.
  • If you are anxious please request a 'relaxing' medication at the start of your appointment
  • After the vaccines are administered, we advise you wait in the clinic for at least 15 minutes
  • Please use this time to allow our staff to help you with your 'checklist' 
  • Allow 45 – 60 minutes of time for your first visit
  • Once dispensed, oral vaccines and medication cannot be returned 
  • NB: right of admission to our clinic is reserved
  • Please familiarise yourself with all our appointment and vaccine costs so there is no confusion when you come in.
  • Our advice may differ from your GP, friends and others in your tour. This is not unusual and will be explained at your appointment

Can I go to my GP or 'GP travel clinic' for travel advice & vaccines?

  • GP’s usually refer their patients to a travel clinic : Travel Medicine is what we do
  • We do not have the expertise to do what your family doctor does, neither does your GP or 'GP travel clinic' have the expertise to do what we do
  • We use IncaClinic: a specialised travel medicine software to advise and manage your vaccines
  • You save time and money by not having two travel appointments, and possibly inappropriate immunisations and vaccination dosing schedules
  • It is also not ideal for a 'well' traveller to be sitting in a doctors waiting area before travel filled with other 'sick' patients' + contagious bugs (coughs/colds/vomiting/diarrhoea)
  • Our travel vaccines are very competitively priced and better priced than most family medical centres, as we pass our bulk purchase discounts to you
  • Our doctor spends 30 minutes with you and provides you with a comprehensive, personalised, latest, up to date 'checklist' for your trip
  • Most GP practices or GP 'travel clinics' do not offer or administer specialised travel vaccines eg rabies ID or combination vaccines like the 4:1 tetanus
  • At the travel clinic you get specialist advice and guides regarding vaccines, 'real-time' malaria risk, insect avoidance measures, medical kits, altitude, water filters, compression stockings, deep vein thrombosis, travel insurance etc.
  • It is a one-stop for healthy and safe products and covers the A-Z of travel health.
  • We give you the latest, correct, up to date information (not advice that may be inconsistent especially as regards the 'real-time' risk of malaria)
  • We provide you with the official "New Zealand Ministry of Health - International Health Regulations Certificate of Vaccination or Prophylaxis" which you can use for the rest of your travelling life. This certificate is only available at travel health clinics.
  • We cannot advise you on vaccines timing and schedules if they are not administerd in our clinic.
  • We send your family doctor a copy of your visits to our travel clinic (at your request once all your vaccine series are completed)

How will I feel ?

  • The side effects of modern vaccines are minor
  • It only hurts for a second or two (if you allow us to 'warm' up the injection area)
  • Its best not to watch if you are anxious; request to lie down if you are tense
  • You do not need to go without food before you have vaccinations or blood tests
  • You can do all your usual activities after the immunisations
  • You can drive, work, gym; but best to take it easy on the day of the jabs
  • Do drink lots of water after vaccinations as side effects are minimised if you are well hydrated
  • Avoid or reduce alcohol consumption 
  • If you don’t feel well after the 'jabs', then take it easy 
  • Local reactions at the site of the injection are a positive indication that your immune system is responding to the vacccine.

What are the side effects of the jabs ?

  • There is no ‘gain without pain’, e.g. the tetanus injection may cause a lump or redness and hardness that persists for a few weeks (in younger individuals) 
  • The next day you may feel tired, sore body, slight temperature  and may develop tender enlarged glands (lymph nodes in the armpit or neck)
  • Sore throat and vomiting is highly unlikely due to the vaccines
  • There is always the possibility of a rare adverse event or vaccine failure
  • For those travellers that 'loathe' having immunisations and 'things put into my body'; however do consume wine, alcohol, smoke, preservatives; please have a read of https://www.tvnz.co.nz/one-news/new-zealand/want-to-avoid-cancer-drink-less-say-experts-6340462.html

Use an ice pack (not heat) and an arm sling if you have a red arm and take paracetamol if you have body aches and/or a fever. If you still feel unwell, please give our doctor a call and we will consult you at no charge.  


  • There is no ‘gain without pain’, e.g. the tetanus injection may cause a lump or redness and hardness that persists for a few weeks (in younger individuals) 
  • The next day you may feel tired, sore body, slight temperature  and may develop tender enlarged glands (lymph nodes in the armpit or neck)
  • Sore throat and vomiting is highly unlikely due to the vaccines
  • There is always the possibility of a rare adverse event or vaccine failure
  • For those travellers that 'loathe' having immunisations and 'things put into my body'; however do consume wine, alcohol, smoke, preservatives; please have a read of https://www.tvnz.co.nz/one-news/new-zealand/want-to-avoid-cancer-drink-less-say-experts-6340462.html

Use an ice pack (not heat) and an arm sling if you have a red arm and take paracetamol if you have body aches and/or a fever. If you still feel unwell, please give our doctor a call and we will consult you at no charge.  

 
 

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