Nursing Services

Vaccinations and Immunisations

REDIMED’s team of qualified nurses have the capability to perform a range of vaccinations and immunisations at one of our clinics in the Perth Metropolitan area or we can travel to your place of work. The current vaccinations we offer are:

Hepatitis A & B Vaccinations

REDIMED use Twinrix, a combination of Hepatitis A & B vaccine which is given in 3 separate doses followed by a booster shot. Using the rapid injection schedule, the 3 injections are given within 21 days followed by a blood sample taken after 6 weeks to check for immunity. Once an immune booster shot is given in 12 months time the majority of people will be immune for life.

Tetanus Vaccination

Adults should receive a tetanus booster every 10 years or following an injury that may put you at risk or expose to you the tetanus poison – particularly after an injury occurs causing an open wound. Immunisation should occur within 1-3 days of an injury occurring. The tetanus vaccine is 100% effective in preventing tetanus.

Influenza Vaccination (Fluvax)

The fluvax vaccination helps prevent influenza and contains fragments of 3 different types of influenza viruses. Each year, the Australian Influenza Vaccine Committee and the New Zealand Ministry of Health decide which types of the virus are most suitable. Your body takes a few weeks to fully develop protection against the influenza virus and will not give you “the flu”. Fluvax vaccine is given by injection into the upper arm required once year between March and June. Allergic reactions to the Fluvax vaccine are uncommon; however allergy to any vaccine may occur.

Measles Mumps and Rubella Vaccination (MMR)

The MMR vaccine is an immunisation vaccine against measlesmumps, and rubella (also called German measles). It is a mixture of live attenuated viruses of the three diseases, administered via injection in to the deltoid muscles. During childhood the MMR schedule is at 12 and 18 months. As an adult, if you are unsure of your childhood immunisation records, serology will be required to check immunity. If you are not immune, you will require 2 doses of the MMR vaccine a month apart with a further post serology to be taken to recheck your immunity.

Varicella Vaccination (chicken pox)

Chicken pox is a highly contagious infection caused by the Varicella Zoster Virus which is a member of the Herpes group. It is usually a mild disease that lasts a short time in healthy children. However it can be severe in adults and may cause serious and even fatal complications in people of any age. Varicella virus can reactivate many years after the initial infection and cause Shingles. During childhood the Varicella schedules is given at 18 months in combination with the MMR vaccination. As an adult if you are unsure of your childhood immunisation records, serology will be required to check immunity. If you are not immune, you will require 2 doses of the Varicella vaccine a month apart with a further post serology to be taken to recheck your immunity.

Travel Vaccinations

Our program is administered by an experienced team of Registered Nurses and lead by our Specialist Medical Team. A Travel Health Check will be conducted prior to any vaccine given and these appointments must be booked with a General Practitioner and a nurse.

The current travel vaccinations we offer at our clinics in the Perth Metropolitan area are:

Cholera

Cholera is a profuse and watery diarrhoeal illness caused by the Vibrio cholera bacterium. The infection is often mild and without symptoms, but can be life-threatening. Cholera is a public health concern in developing countries worldwide, especially in Africa, South Asia and Latin America. The sachets are 2 doses taken from 1 to 6 weeks apart which provides 60-70% protection against severe disease for 2 years.

Japanese Encephalitis

Japanese encephalitis is a mosquito-borne viral disease that occurs in rural areas of Asia and the Pacific region. Japanese encephalitis is mainly found in rural areas around rice paddies where pigs, wading birds and humans live close together, however can occur in or near many Asian cities.  

Only 1 in 250 infections of vulnerable individuals in endemic areas leads to symptoms. The disease begins as a flu-like illness with headache, fever and gastrointestinal symptoms. Confusion and disturbances in behaviour may occur at this early stage. The illness may progress to a serious infection of the brain that can prove fatal in 5-30% of cases.

There are 2 types of vaccines available, the Inactivated virus vaccine (Jespect) 2 intramuscular doses, one given on day 0, the second on day 28. The second type is an Attenuated live viral vaccine (Imojev) single dose suitable for ages 12 months and above, both of which give 94%-96% level of protection after 14 days.

Malaria

Malaria is a serious and sometimes fatal disease caused by a parasite that infects certain types of mosquitoes. This parasite can be transmitted by mosquitoes when they bite humans to feed on our blood. Malaria transmission occurs in many tropical and subtropical countries including parts of Central and South America, Africa, Asia and the Pacific.   

Symptoms of malaria include fever and flu-like illness, including shaking chills, headache, muscle aches, and tiredness. Nausea, vomiting, and diarrhoea may also occur. Malaria is potentially life-threatening and can cause mental confusion, seizures, coma, kidney failure, and death if not treated immediately. Malaria symptoms typically occur at least 7 to 30 days after infection. Fever in the first week of travel is unlikely to be malaria, but any illness should be promptly evaluated by a medical professional.

There are several different antimalarial medications available and your doctor will be able to decide which one is most suitable for you depending on your itinerary. These need to be taken before, during and after your trip.

Meningococcal

Meningococcal meningitis is an acute disease caused by Neisseria meningitides bacteria; it is characterised by sudden onset of fever, intense headache, vomiting and neck stiffness. A skin rash appears in the later stages of the disease and signifies severe illness. Although the disease is treatable with antibiotics, sufferers may become very sick or even die within hours of onset if not diagnosed promptly and correctly.

The disease is transmitted from person-to-person by respiratory droplets i.e. coughing, sneezing and kissing. Extensive travels in crowded conditions and prolonged contact with the local population in crowded places are risk factors. Meningococcal meningitis occurs in all countries.

The current vaccinations used for Meningococcal are Moussa/Menomonee and Menactra. Menceva is a single dose that provides three years of protection. It is not recommended for children under the age of 2 years. Menactra for the ages of 2-55 years of age provides protection for 5+ years. Australian Technical Advisory Group on Immunisation (ATAGI) recommends both vaccines are suitable for ages 9 months and above.

Rabies

Rabies is a severe viral infection transmitted to humans by the saliva of infected mammals. The term 'rabies' refers to the disease caused by any known lyssavirus species following a bite, scratch or, less typically, a lick from an infected animal.  The virus then enters the body and attacks the nervous system. In developing countries, Rabies is mainly transmitted by dogs and monkeys; however it may also be passed on by bats, skunks, cats and foxes. Rabbits, squirrels, chipmunks, rats and mice are rarely infected, but any mammal with teeth theoretically can spread rabies.

Vaccination is through an inactivated viral vaccine (MIRV/Rabipur) with the standard schedule of three doses at 0, 7 and 28 days.   A paper published by WHO recently showed that the rabies cell culture derived vaccines provided long-term immunity of at least 10 years for those who completed a full course of rabies pre-exposure series. The WHO states that booster doses are not required for those travelling or living in in high risk countries that have completed the primary course.

Typhoid

Typhoid fever is an infection (enteric fever) caused by Salmonella typhi bacteria. The disease causes fever, headaches, fatigue and constipation (although diarrhoea may also occur). Symptoms may last for 3 weeks or longer. Some patients have only a mild illness; however the disease can occasionally be fatal if not treated. Others may be asymptomatic, although they may carry the Typhoid organism long-term and are capable of transmitting the infection. Some 5% of people suffering Typhoid become chronic carriers.

Typhoid is transmitted by food and water that has been contaminated with faecal material from persons who either have the disease or are carriers. Typhoid is curable and can be treated with appropriate antibiotics.

There are two types of vaccinations against Typhoid, those being an oral capsule taken (Vivotif) at 0, 3, 5 days and confers 75% protection for three years.   The second, a single dose injection confers 84% protection for three years.

Yellow Fever

Yellow fever is a viral haemorrhagic infection that is reported in tropical areas of Africa and Central/South America. Transmission occurs in jungle (sylvan) areas where mosquitoes transmit the disease from monkey hosts to other primates or humans AND in urban areas where the Aedes mosquito spreads the infection among the human population.

The incubation period of yellow fever ranges from three to six days and leads to the acute phase characterised by fever, muscle pains, headache, shivers, nausea and vomiting. Treatment is symptomatic. Most infected individuals will then improve, but around 15 per cent will experience a temporary remission (saddle-back fever) then deteriorate, passing into the toxic phase of the illness. Jaundice and bleeding complications such as vomiting blood, bleeding gums and blood-stained urine lead to shock and multiple organ failure. Death rates in this phase range from 20 to 50 per cent and mostly occur 7–10 days after onset.

Vaccination against Yellow Fever is given via a live attenuated viral vaccine (Stamaril), which is a single dose injection that provides almost 100% protection for 10 years. REDIMED are accredited with the Western Australian Department of Health to be a Yellow Fever vaccination centre number 183.