London Travel Clinic

Typhoid & Hepatitis A

What is it?

Typhoid and hepatitis A are present worldwide. The highest risk areas can be found in the Indian subcontinent, Asia, Africa and Latin America. Both Typhoid and Hepatitis A are spread through contaminated food and water. Typhoid causes septicaemia and hepatitis A causes liver inflammation and jaundice.
Typhoid symptoms include: fever, headache, constipation and sometimes diarrhoea. 10–15% of cases will develop severe disease that can cause septicaemia and meningitis. Untreated typhoid carries a 20% fatality risk. Vaccination is recommended for travellers where food and water may be contaminated or good food and water precautions are not possible.

Vaccine Schedule

16 years - adult
One Dose - ideally 10 days before travel
Hep A - 6 months - provides cover for 20-30 years 
Typhoid - every 3 years

If you are travelling to an area of risk you should also consider purchasing water purification products – available our shop in clinic.
For further disease and country recommendations information visit:



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