Immunisation Update

Several changes in vaccine protocol will soon be taking effect.

MMR

While we have recently been in short supply of the MMR vaccine due to recent media coverage, we are now able to offer the immunisation to those who have missed out.  For those unsure as to whether adequate immunisation has been given, we can also do a simple blood test to check antibody levels.  These services are available to both existing and new patients, and should only require a short consultation.

Rota Virus

Rotarix oral vaccine is to be introduced in July to the National Immunisation Schedule.  This vaccine will now be given by mouth to babies at two and three months of age if required.

Hepatitis B

The Heptatitis B immunisation is required for those stuyding in the United States, Canada, and many European countries.  A new vaccine combining Hepatitis A and Hepatitis B can be given to children under the age of 16.  Only two doses are required as opposed to the previous recommendation of three doses with the old vaccine.  This will be available shortly.

For a full list of changes to the immunisation programme for the upcoming year, click here.

To book a consultation for immunisations, please call on 0207 349 1499

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Revised fees from April 2017

Please note that several of Dr Kapff’s fees have been revised.  These apply to consultations, medicals, and visits, and also affect some blood tests and immunisations.

Click here for an overview of fees

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Flu viruses can be spread before symptoms show – get vaccinated now!

According to research done at Imperial College London, the flu virus can be passed on before you even start having symptoms making it increasingly important for people to get vaccinated.  It is especially important for elderly patients and those suffering from some chronic/long term illnesses such as asthma to be vaccinated in the Autumn.

In addition, Lancashire Care NHS Foundation Trust is raising awareness of what people can do to prevent spreading the virus and symptoms to look out for.

Hazel Richards, director of nursing at Lancashire Care NHS Foundation Trust, said: “Seasonal flu is a highly infectious virus and can easily be passed on by coming into contact with a carrier.

“Some people are more vulnerable to the effects of seasonal flu but it is important for everyone to get vaccinated to prevent the virus from spreading.”

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Flu Season 2017-2018

We expect delivery of our flu vaccines in September so please telephone and book your appointment.

Many patients visit the surgery with year-round cold and flu symptoms; the bug can strike just as easily in warm weather as in the dead of winter, so it’s best to get covered before the cold snap hits.

Flu vaccinations are strongly recommended for the elderly, their carers, and anyone who may have a lowered immune system due to long-term illnesses or conditions (including diabetes and asthma).

Dr Kapff administers all vaccinations himself, charging a package price of £40 (comprising of a mini-appointment and purchase of the vaccination at £25).

Appointments can be made by calling the surgery on 0207 349 1499. New patients are welcome; just let our secretary know that you have not been seen before when booking and you will be asked to fill in a short form on arrival.

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Record numbers living in the UK with HIV

A study from 2010 showed that over a quarter of those infected with HIV were unaware that they had it.  The findings concluded that a wider availability of testing was required to reduce both heterosexual and gay transmissions.

In fact, the heterosexual figure almost doubled between 2003-2007, with the overall number doubling in the past ten years.  At the end of 2010, there were an estimated 91,500 people with HIV in the UK, up from 86,500 the previous year.  The current estimation is around 100,000.

Kensington and Chelsea was the fourth highest primary care trust in England where the prevalence of diagnosed HIV infection exceeded two adults per 1,000 population, with Hammersmith and Fulham coming sixth.

Dr Valerie Delpech, Head of HIV surveillance at the Health Protection Agency’s Centre for Infections, said, “It is very worrying that so many people remain unaware of their HIV status. Wider HIV testing in high prevalence areas of the UK is urgently needed to reduce the number of undiagnosed infections.”

For a quick and discreet HIV test, please ring Kapff Medical on 0207 349 1499

Table 1. Primary care trusts in England where the prevalence of diagnosed HIV infection exceeded two adults per 1,000 population (aged 15-59 years) in 2007.
Primary Care Trust
Residents accessing HIV-related care (15-59)
Resident population*
(1000s) (15-59)
Diagnosed HIV
prevalence per 1,000
Rate
Rank
London
Barking and Dagenham
427
101.7
4.20
19
Barnet
507
205.5
2.47
31
Brent Teaching
676
179.8
3.76
21
Camden
1,181
169.0
6.99
9
City and Hackney Teaching †
1,132
147.1
7.70
5
Croydon
824
214.4
3.84
20
Ealing
549
204.5
2.68
28
Enfield
587
178.0
3.30
23
Greenwich Teaching
711
144.2
4.93
14
Hammersmith and Fulham
906
122.6
7.39
6
Haringey Teaching
1,024
155.0
6.61
11
Hillingdon
336
157.6
2.13
32
Hounslow
516
147.2
3.51
22
Islington
1,110
136.1
8.16
3
Kensington and Chelsea
943
121.4
7.77
4
Lambeth
2,339
196.2
11.92
1
Lewisham
1,098
176.5
6.22
12
Newham
1,175
166.6
7.05
8
Redbridge
404
159.4
2.53
29
Southwark
1,830
194.5
9.41
2
Sutton and Merton ‡
619
249.9
2.48
30
Tower Hamlets
836
152
5.50
13
Waltham Forest
654
145.1
4.51
16
Wandsworth
880
204.4
4.31
18
Westminster
1,155
170.0
6.79
10
Out of London
Blackpool
272
82.4
3.30
24
Bournemouth and Poole §
354
176.3
2.01
34
Brighton and Hove City
1,236
167.5
7.38
7
Heart Of Birmingham ¶
493
171.2
2.88
26
Leicester City
535
189.0
2.83
27
Luton
513
118.2
4.34
17
Manchester
1,459
312.8
4.66
15
Nottingham City
412
197.1
2.09
33
Salford
427
137.0
3.12
25
* Office for National Statistics population estimates for local/unitary authorities aggregated where appropriate to match primary care trust boundaries.
† Numbers accessing care, population estimates and diagnosed HIV prevalence in the City of London UA were 45, 5,700 and 7.89 per 1,000, and in Hackney UA were 1,087, 141,400 and 7.69 per 1,000.
‡ Numbers accessing care, population estimates and diagnosed HIV prevalence in the Sutton UA were 208, 116,000 and 1.79 per 1,000, and in Merton UA were 411, 133,700 and 3.07 per 1,000.
§ Numbers accessing care, population estimates and diagnosed HIV prevalence in the Bournemouth LA were 257, 98,500 and 2.61 per 1,000, and in Poole LA were 97, 77,800 and 1.25 per 1,000.
¶ Office for National Statistics 2006 population estimate for Heart of Birmingham Teaching PCT.
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Kapff Medical is on Facebook & Foursquare

For many of our patients, it is far easier to receive updates about Kapff Medical through websites such as Facebook, which are visited more regularly than our site.  Therefore, we have added ourselves as a Facebook Page, which will include basic information about the practice as well as a feed of our news page.  Please feel free to “like” us, either on Facebook or with the button to the left of this post, if you wish to be kept up to date.

Additionally, we can be found on the location-based network Foursquare, which allows people to find services (from pharmacies to restaurants) in their area.

If there are any further websites where our presence would be of use to you, please let us know in the comments section below.

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Pre-school and childhood immunisations

We have recently had several requests for immunisation updates for children.  These usually come at the behest of parents when a new addition to the family arrives, the family is due to travel or youngsters are about to start a new school.

The Department of Health website publishes an excellent leaflet that outlines the ages at which each immunisation needs to take place.

If you need a reminder of which immunisations you have taken, or need to register a newborn baby, we will be able to help you – get in touch on 0207 349 1499

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The Eight Most Common Travel Related Illnesses

TRAVELLERS’ DIARRHOEA

  • Travellers’ diarrhoea is the most common illness affecting travellers
  • It occurs in up to 60% of travellers

HEPATITIS A

  • Hepatitis A is one of the most common travel-related vaccine preventable diseases and is endemic in many developing countries
  • There are around 1.5 million cases of hepatitis A globally each year

HEPATITIS B

  • One third of the global population – two billion people – have been infected with Hepatitis B5 It is one of the world’s most prevalent diseases
  • An estimated 600,000 people die every year from the consequences of the disease
  • It is 50-100 times more infectious than HIV

MALARIA

  • Malaria kills an estimated one million people globally each year
  • The UK is one of the biggest importers of malaria in Europe
  • Between 1999-2008 on average 1,800 people every year returned to the UK with malaria
  • Malaria is preventable, but can be fatal if left untreated

DENGUE FEVER

  • There has been a dramatic increase in the incidence of the disease in the last 10 years with an estimated 50 million cases worldwide every year

RABIES

  • More than 3 billion people are at risk of contracting rabies in at least 85 countries worldwide
  • More than 55,000 people die of rabies each year, with around 95% of deaths occurring in Asia and Africa
  • Once the signs and symptoms of rabies start to appear, there is no treatment and the disease is almost always fatal.

TYPHOID

  • There are more than 21 million cases of typhoid globally each year, a high proportion of which occur in Asia, Africa and South America
  • Each year an estimated 200,000 deaths occur globally from the disease

TUBERCULOSIS

  • Every second someone somewhere in the world is infected with TB
  • One third of the world’s population is infected with the disease
  • About 1.6 million deaths occurred in 2005

Find out more about travel health at www.8weekstogo.co.uk

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There is no such thing as risk-free travel

8 weeks to go – a project by NHS Fit For Travel and the Royal College of Nursing, aims to prepare Brits for the potential health dangers of travelling abroad.  It states,

You can reduce your risk of infectious diseases by seeking personal, up to date, expert advice from your GP surgery or travel health clinic 6-8 weeks before every overseas trip.

We have heard recently that even short trips within Europe can carry health risks, so you can never be too safe.

Factors to consider include:

  • Distance to destination – even those travelling within Europe can be at risk of Typhoid, Hepatitis A, or Diptheria
  • Duration of stay – whether it is a few months or a few days, the risk of infection is just as great
  • Accomodation – infection diseases can be easily caught from sipping a cocktail in a bar or slipping at the side of a pool in a luxury hotel.
  • Visiting family and friends – this can often provide a false sense of security, but remember that just because you used to live in the country that you are visiting, it does not mean that you are immune to all diseases there.
  • Seeking medical advice while abroad – the medical system works differently in every country, so it is worth obtaining travel insurance before you leave.
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Don’t forget your vaccinations!

As holiday season approaches, Kapff Medical would like to remind you that we offer travel vaccinations for all the family, whether you are going on safari in Africa or trekking in the Andes.

Last year Britons went on over 60 million trips abroad, with longer holidays to far-flung destinations and rural areas becoming increasingly popular.  It is now more important than ever to ensure that your immunisations are up to date (and consequently, that your holiday remains stress-free!).

We are happy to accept new patients for immunisations – the injections only require a short appointment.   If you are unsure about whether you need vaccinations for your trip, please call the surgery on 0207 349 1499 for more information.

For more information about staying healthy abroad, visit the NHS Fit For Travel website.

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