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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."


Updated Travel Health Insurance advice

Posted on December 2, 2015 at 12:10 AM

Following the recent disruptions to travel across the world ,there is a requirement for all travel health practitioners to be reinforcing the message to travellers to have adequate levels of travel health insurance.

I continue to see and advise travellers of recommended vaccinations ,for them to decline and make a decision based without understanding all of the risks. One of the most under discussed risks is that of the post exposure treatment and the traveller's expectation of who will ultimately pay.

Outside of the EU, where there is no reciprocal agreement with the U.K., this causes a greater problem as some insurance companies are no longer willing to reimburse costs for treatment where preventative treatment has been advised but declined. Take into consideration my own research paper that costs a post exposure course of rabies vaccinations at £600 which was similar to the CDC figure of $1000.

Yet travellers still remain convinced that insurance companies will pay for this cost.

The recent NaTHNaC publication of Travel Health Insurance, published in conjunction with the Association of British Insurers highlights

"Travel insurance requires individuals to take reasonable precautions, as recommended by the Foreign and Commonwealth Office, for their destination. This may include any recommended vaccinations and medications (such as antimalarial tablets) as advised by their doctor, nurse or other health professional, in line with national recommendations (such as those provided by NaTHNaC and Public Health England)."

A quick search of the internet today, has already highlighted companies offering travel health insurance with type of exclusion clause. This is  not a case of the buyer beware, but of the traveller accepting the value of the advice given by travel health professionals.


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