Vaccinations, disease and malaria advice for your chosen destination:

Gambia (Africa)

Immunisations Malaria Malaria Map News

Advice for All Destinations

The risks to health whilst travelling will vary between individuals and many issues need to be taken into account, e.g. activities abroad, length of stay and general health of the traveller. It is recommended that you consult with your General Practitioner or Practice Nurse who will assess your particular health risks before recommending vaccines and /or antimalarial tablets. This is also a good opportunity to discuss important travel health issues including safe food and water, accidents, sun exposure and insect bites. Many of the problems experienced by travellers cannot be prevented by vaccinations and other preventive measures need to be taken.

Ensure you are fully insured for medical emergencies including repatriation. The 'T7' leaflet (from Post Offices) gives details of health care agreements between countries and is accompanied by an application form for the European Health Insurance Card (EHIC). The completed form must submitted about 6 weeks before you plan to leave to allow the card to reach you on time. The EHIC entitles travellers to reduced-cost, sometimes free, medical treatment in most European countries.

For Travel Safety Advice you should visit the UK Foreign and Commonwealth Office website.

A worldwide list of clinics, run by members of the International Society of Travel Medicine is availble on the ISTM website.

Immunisations

  • Confirm primary courses and boosters are up to date as recommended for life in Britain - including vaccines given to special groups because of risk exposure or complications (e.g. hepatitis B for health care workers, influenza and pneumococcal vaccines for the elderly).
  • Courses or boosters usually advised: diphtheria; tetanus; hepatitis A; typhoid; yellow fever.
  • Vaccines sometimes advised: hepatitis B; rabies; tuberculosis; meningococcal meningitis; cholera.
  • Yellow fever certificate required if over 1 year old and entering from an endemic or area with risk of yellow fever transmission.

Notes on the diseases mentioned above

  • Tetanus is contracted through dirty cuts and scratches. This is a serious infection of the nervous system.
  • Typhoid and hepatitis A are spread through contaminated food and water. Typhoid causes septicaemia and hepatitis A causes liver inflammation and jaundice. In risk areas you should be immunised if good hygiene is impossible.
  • Cholera is spread through contaminated water and food. More common during floods and rainy seasons. Those unable to take effective precautions, for example, during wars and when working in refugee camps or slums may consider vaccination.
  • Tuberculosis is most commonly transmitted via droplet infection. BCG vaccination is recommended for travellers under 16 years of age who will be living or working with local people for a prolonged period of time (three months or more). Following individual risk assessment, vaccination may also be considered for travellers under the age of 35 years who may be at high risk through their occupation abroad eg healthcare workers.
  • Meningococcal meningitis and diphtheria are also spread by droplet infection through close personal contact. Vaccination is advised if close contact with locals in risk areas is likely.
  • Yellow fever is spread by mosquito bites. It is a serious often fatal illness. Vaccination is recommended for those who travel into risk areas. View yellow fever risk areas.
  • Hepatitis B is spread through infected blood, contaminated needles and sexual intercourse, It affects the liver, causes jaundice and occasionally liver failure. Vaccination is recommended for those at occupational risk (e.g. health care workers), for long stays or frequent travel to medium and high risk areas, for those more likely to be exposed such as children (from cuts and scratches) and those who may need surgical procedures.
  • Rabies is spread through bites or licks on broken skin from an infected animal. It is always fatal. Vaccination is advised for those going to risk areas that will be remote from a reliable source of vaccine. Even when pre-exposure vaccines have been received urgent medical advice should be sought after any animal bite.

Malaria

Malaria is a serous and sometimes fatal disease transmitted by mosquitoes. You cannot be vaccinated against malaria.

Malaria precautions

  • Malaria Map
  • Malaria risk is present in all areas throughout the year with a peak in cases between July and September.
  • Malaria precautions are essential Avoid mosquito bites by covering up with clothing such as long sleeves and long trousers especially after sunset, using insect repellents on exposed skin and, when necessary, sleeping under a mosquito net.
  • Check with your doctor or nurse about suitable antimalarial tablets.
  • Atovaquone/proguanil OR doxycycline OR mefloquine is usually recommended.
  • If you have been travelling in a malarious area and develop a fever seek medical attention promptly. Remember malaria can develop even up to one year after exposure.
  • If travelling to high risk malarious areas, remote from medical facilities, carrying emergency malaria standby treatment may be considered.

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