Prescriptions

The FO-backed Travel Health Pro site has completed new review and warned of new high levels of Brits returning with disease

Officials have issued a new list of countries people need to be wary of after ‘UK deaths’ caused by a disease. The Travel Health Pro site, which is backed by the UK’s Foreign Office said people need to take precautions at these 13 locations.

The United Kingdom Health Security Agency (UKHSA) issued new guidance this summer on how to avoid getting malaria. Travel Health Pro added: “Each year several UK travellers die from malaria after visiting malaria risk countries, with most travellers who catch malaria reporting travel to Africa.” To read the guidance click here.

2,004 imported malaria cases were reported in the UK in 2023 (returning to pre-pandemic levels), up from 1,369 in 2022

Most affected individuals had traveled to Africa, particularly11 visiting friends and relatives.

Travel Health Pro said this week it has completed a review and has now published new risk maps for the key countries:

• Belize
• Botswana
• Dominican Republic
• Eswatini
• French Guiana
• India
• Myanmar
• Namibia
• Papua New Guinea
• Saudi Arabia
• South Africa
• South Korea
• Sudan

Malaria is a serious febrile illness due to infection of red blood cells with a parasite called Plasmodium and is transmitted by mosquitoes.

Clinical symptoms and signs of malaria

(These symptoms and signs are taken from the UKMEAG malaria treatment guidelines.)

Non-specific symptoms of malaria:

• fever, sweats or chills
• malaise (vague discomfort)
• myalgia (muscle pain, tenderness)
• diarrhoea
• cough

Major features of severe or complicated falciparum malaria in adults:

• impaired consciousness or seizures
• renal impairment (oliguria less than 0.4 millilitre per kilogram (ml/kg) bodyweight per hour or creatinine more than 265 micromoles per litre (μmol/l))
• acidosis (pH less than 7.3)
• hypoglycaemia (less than 2.2 mmol/l)
• pulmonary oedema or acute respiratory distress syndrome (ARDS)
• spontaneous bleeding or disseminated intravascular coagulation
• shock (algid malaria)
• haemoglobinuria (without G6PD deficiency)

Travel Health Pro added: “All travellers visiting areas where malaria occurs are at risk of acquiring the disease, particularly migrants to the UK who were born in malaria risk areas and return to visit friends and relatives in their country of birth. Any immunity travellers may have acquired in their country of origin wanes rapidly on migration to a country with no risk of malaria; their UK-born children will have no protection from the disease. Certain travellers are at increased risk of severe disease such as: pregnant women, those with an absent or poorly functioning spleen, children and older travellers.”

In terms of prevention it added: “Travellers should follow insect bite avoidance advice, including covering up with loosely fitting clothes, ideally long sleeves, long trousers and socks if out of doors. This helps to reduce biting mosquitoes’ access to skin.

“All travellers should be aware of the signs and symptoms of malaria and should be advised to seek immediate medical attention if these occur either whilst abroad or up to a year after their return. They should also let the health professional know they have visited a malaria risk area.

“No regimen is 100% effective, but a combination of preventive measures will give significant protection against the potentially severe consequences of malaria.

“Choice of malaria prevention tablets depends on the malaria species common in the area to be visited and whether there is resistance to any of the available drugs. Certain drugs may not be suitable for certain individuals due to existing medical problems or interactions with their regular medication.”

For more information click here.

Jet2 has issued an important travel insurance alert for passengers that affects anyone with these common health conditions

Jet2 has issued a travel alert to passengers about an important declaration they must make, or they could face ‘rejection’. It comes as millions of flight seats are set to depart from UK airports during the six-week summer break as Brits make the most of the school holidays.

As exciting as it can be to go on holiday, plans could easily be ruined if certain documents aren’t filled out correctly – including travel insurance. Sorting travel insurance as soon as you book a holiday is crucial, as it is not just for medical emergencies abroad, but for protecting your upfront investment from day one.

It’s important to declare all health conditions when you’re buying travel insurance. This is because standard policies usually don’t cover pre-existing medical conditions, and if you don’t mention them, you could lose your coverage entirely.

Jet2 reiterated this point in a social media alert posted on X this week. The popular UK airline told passengers: “Going away this summer? Declare your medical conditions when you buy travel insurance – it could save you thousands. If your details aren’t up to date, your claim could be rejected.”

Medical conditions can include, but are not limited to:

• Heart conditions/stroke
• Diabetes
• High blood pressure
• Respiratory conditions (such as asthma)
• Mental health conditions
• Any form of cancer

For passengers with common health conditions, such as diabetes and high blood pressure, declaring them is vital as these conditions are major risk factors for heart and metabolic issues. Insurers typically see them as directly related to serious and expensive medical emergencies.

Even if your health is stable and controlled with medication, these conditions are still seen as serious warning signs for possible health problems. If you don’t disclose them, your emergency medical coverage could be completely void, and you would be responsible for hospital costs that could easily amount to tens of thousands of pounds.

A statement on the Gov.uk Travel Aware page explains: “You must declare all pre-existing medical conditions when buying travel insurance. If you already have cover, you should check that your list of medical conditions is updated before each trip abroad.

“Failure to do this could mean your claim is rejected if you have a medical emergency while travelling. You must be honest about any medical conditions you have, to avoid risking a big bill. Check your policy to see what you need to declare.”

It added: “A British national was hospitalised and admitted to intensive care following a stroke while abroad. The insurance provider refused to cover the medical costs after it emerged the individual had not declared a previous stroke. As a result, the family was left to meet significant medical expenses.”

What is a pre-existing medical condition?

According to Jet2, any of the following medical conditions from which you have suffered or received medical advice, treatment (including surgery, tests, investigations by your doctor/consultant /specialist) or prescribed drugs or medication in the last five years include:

1. Any cancer condition (including leukaemia, non-Hodgkin’s lymphoma and any type of skin cancer)
2. Any heart-related or blood circulatory condition (including high blood pressure and high cholesterol)
3. Any diabetic condition
4. Any neurological condition (including stroke, brain haemorrhage, multiple sclerosis, epilepsy, and dementia)
5. Any breathing condition (including asthma, bronchitis and chronic obstructive pulmonary disease)
6. Any renal, kidney or liver condition
7. Any psychiatric or psychological condition (including anxiety, stress and depression)
8. Any chronic condition that can be controlled but not cured (including back pain, Crohn’s, diverticular and coeliac disease and ulcerative colitis)

And/or any other medical condition for which you have been prescribed medication or which you have received or are waiting to receive treatment (including surgery, tests, or investigations) within the last 12 months.

There are some items that are best kept in your hand luggage for safe keeping, so make sure these items don’t end up in your big suitcase when you go away for your summer holidays this year

No matter how many times you go on holiday, packing is always an awkward task, as you need to balance the lack of space with the essentials.

And if you have checked luggage in addition to a cabin bag, you may be tempted to throw most of the things you own into your hold baggage. This means you have less stuff to carry around the airport and onto the plane with you.

But there are some things you should never put in checked luggage, and it’s not just the obvious stuff like weapons and flammable items. Here are five items to never send to the hold.

1. Prescription medication

Overall, less than 1% of hold luggage goes missing, and usually it’s simply misdirected, so it will eventually make its way to you. But while you try to retrieve your bag, it’s a good idea to have supplies of essential items.

Prescription medication is better taken as hand luggage, as it’s much less likely to go missing. If there’s a delay with your hold bag getting back to you, you won’t need to worry about missing vital doses of your meds.

If you do lose your medication when travelling, visit a local pharmacy for advice, as they may be able to arrange an emergency supply.

2. Batteries and electronics

Because of the risk of items such as power banks catching fire, items with lithium batteries, such as power banks and vapes, can’t be placed in hold luggage and must be taken onboard with you.

Some airlines have limits on how many Personal Electronic Devices (PEDs) can be taken onboard, with Jet2 and Ryanair restricting the number to 15 per passenger. Ryanair also has a limit of 20 lithium batteries or power banks, each up to 100Wh, in hand baggage.

3. Valuable items

If you have jewellery, cash or other expensive items, you may be nervous about carrying them around in your backpack at the airport. However, it’s not a good idea to leave valuables in your checked-in bags.

There’s a risk of damage to items in transit, and while it’s rare, theft from bags does happen by airport staff. While travel insurance does cover lost baggage, it usually has a limit and policies have an excess to pay, meaning you may not be able to claim enough to cover valuable items.

4. Swimwear

When you’re on the way to a sunny beach holiday, you may want to pack swimwear in your hand luggage rather than your big suitcase. This means that if there is a delay in getting your bag to you, you can at least spend some time on the beach or by the pool while you wait for your bag to arrive.

It also means that if you can’t check into your room straight away when you arrive, you can just change into your swimwear and enjoy some sunshine while you wait for your room to be ready.

5. Phone charger and adapter

Once you arrive at your destination, your phone battery is going to be as low as your energy levels, and you won’t want to be scrambling through your suitcase to find your charger.

Ensure you’ve got your phone charger and adapter for the country you’re visiting in your hand luggage so you can get plugged in as soon as you arrive.

Have a story you want to share? Email us at webtravel@reachplc.com

Research shows language barriers on holiday are among the biggest obstacles when falling ill abroad — but a new service aims to help Brits in need.

Just one in three holidaymakers feel confident they could adequately describe a medical problem to a doctor while overseas. A survey of 2,000 adults revealed that language remains one of the most significant obstacles when falling ill on holiday.

A mere 28% are confident they could comprehend medical advice given to them, and 13% have delayed seeking help for a medical issue while abroad because of issues with the language, or a lack of knowledge on how to get help in a different country.

Two thirds of travellers couldn’t request a new prescription if they urgently needed one, and wouldn’t know how to communicate that they were suffering an allergic reaction or had been bitten or stung.

Despite most holidaymakers being perfectly capable of ordering a drink or locating the nearest loo, a mere 5% bother to learn essential medical phrases before jetting off.

The research was commissioned by the Staysure, to launch its free 24/7 Travel Doctor service.

The service will enable travellers to speak to an English-speaking doctor or dentist in many worldwide locations via video call, arrange prescriptions, or make an in-person appointment at a clinic or at their hotel when they need medical assistance abroad.

Spokesperson Simon McCulloch said: “I’m not surprised to see, in true British style, most of us would be able to order a beer in another language when we’re on holiday.

“But while we hope we never need to deal with a health issue while we’re away, the research shows a third of people have had to seek medical advice and come up against language barriers.

“While it’s good to be able to order a drink or ask for the bill in other languages, it’s arguably more important that travellers feel confident they can get the right medical assistance quickly if they’re ill or injured.

“We can’t be prepared for every single eventuality but knowing a few key phrases can help especially if you require fast care, have a medical condition or take medication.

“But the thought of speaking with a pharmacist or doctor abroad can be a worrying and daunting experience especially with language barriers.

“In fact, we’ve already seen 50% of those who use the service opt for a video consultation with an English-speaking doctor taking that stress away.”

Can you tell the difference between ordering a coffee and a cry for medical help? Take the quiz now to find out.

The study found when it comes to communicating abroad, 59% assume they’ll be able to get by in English when travelling to a non-English speaking country. While 37% simply rely on translation tools, and 12% would ask AI to understand.

Others admit they would turn to alternative ways to communicate, including using hand signals or gestures (70%), speaking English slowly (10%) or asking someone else to translate (nine%). With 39% even admitting to putting on a foreign accent to try and communicate better.

But these tactics don’t always pay off, with 39% ending up in an embarrassing or difficult situation due to language mix-ups.

Simon McCulloch, from Staysure, added: “When we travel, we don’t ever imagine we are going to end up needing medical help, but there are many occasions where we do.

“That’s why we launched the free 24/7 service, providing travellers with that extra layer of confidence. Our research also found that 79% of respondents said they would be inclined to use the service”.

Latest travel advice for updated information about travelling with medication

The Foreign, Commonwealth and Development Office (FCDO) has issued an alert today (July 17), updating its travel advice for British tourists travelling to the European hotspot with medication. With the peak travel season almost here, families up and down the country are set to go away on holiday as schools close, with Portugal a top pick for many.

Plenty of people will pack various medications with them when going on holiday, and for anyone going to Portugal, the FCDO has shared the latest information to keep in mind. It says: “The legal status and regulation of some medicines prescribed or bought in the UK can be different in other countries.”

The FCDO says there are strict rules around dispensing certain medicines in Portugal, including antibiotics. It explains: “UK prescriptions are not recognised so bring in Portugal.

“Carry enough medication for your visit. Keep the medication in the original container with the prescription label. UK prescriptions are not recognised in Portugal. Carry enough medication for your visit.”

It continues: “If you need a repeat prescription, go to the nearest health centre or hospital A&E. You may have to pay for your medication. You will need to go to a pharmacy to get most medicines, though some non-prescription medication is sold at health stores in supermarkets and shopping centres. Find a pharmacy on the Pharmacy Association website.”

Holiday-goers can read best practices when travelling with medicines on TravelHealthPro. Changes to your routine when travelling, such as later nights, coping with heat and changes to your diet, can have an impact on your medication. See the Summer Proof Your Health campaign for more information.

Key advice when travelling with medication from FCDO

Check your destination before bringing medication with you. The FCDO advises reviewing the specific country page for the place you are visiting (and transiting). Many include a ‘Health’ section with medication notes. Some countries have strict rules on certain medicines (including over-the-counter ones). Generally, it is best to:

• Carry medication in its original pharmacy packaging, with a copy of your prescription and a letter from your prescriber/doctor.
• Keep it primarily in hand luggage (with some extra in hold luggage as backup).
• Take enough for your entire trip plus extra for delays.
• The legal status of your medication (including some OTC items) can differ abroad — some countries ban or restrict substances legal in the UK.

What are the rules for controlled drugs like certain painkillers?

• For quantities of three months’ supply or more, you may need a UK export licence (apply at least 10 days in advance).
• Carry a doctor’s letter detailing your name, the medication (generic name, dose, quantity), travel dates, and reason.
• Always check rules for your destination country via its embassy/high commission in the UK.

Travellers can stay up to date with the latest travel advice on the FCDO country page. There is also the NaTHNaC Medicines factsheet. Gov.uk also offers guidance on taking medicine in or out of the UK. People can also contact the destination country’s embassy for specific import rules.

Simple mistakes could not only invalidate travel insurance but also leave the medication ineffective or even ‘unsafe’

A warning has been issued to thousands of people who will be travelling abroad on weight loss treatments this summer as mistakes could mean they are not only ineffective but could be “unsafe” to use. Millions of people currently use the jabs to help weight loss but there are strict rules around their use.

A survey by ZAVA found an estimated 337,000 people will holiday on Mounjaro or Wegovy this summer however if it is not carried and stored correctly it can be left “ineffective”. Experts at the firm have now provided three tips for travelling with Mounjaro and Wegovy, alongside the most important things to know before heading off.

You could be invalidating your travel insurance

When taking out travel insurance, you often need to declare any pre-existing conditions during an online application or by calling your insurer directly. Failing to declare the use of weight loss treatment could render your policy invalid, leaving you unable to make a claim should something go wrong, which could result in a bill worth thousands of pounds.

You should also check import restrictions to any country you are travelling to and verify if the medication can be brought into the country and how much you’re allowed to carry for personal use. Make sure to also take evidence of your prescription with you, whether it be in paper or digital form, and that your treatment is in its original packaging.

Insurers like Admiral don’t typically cover GLP-1 injections bought from an unofficial programme, if a medical professional isn’t monitoring them or hasn’t been declared. It is strongly advisable to follow up with a direct call to your insurer to confirm everything is properly documented. When in doubt, contact your insurer and your GP before travelling.

Storing jabs in hold luggage could freeze your medication

Putting injection weight loss treatments in with checked luggage can be a huge risk. The compartments where checked baggage is stored undergo huge changes in temperature and pressure that may alter the effectiveness of, or even damage, your medication. It can get very cold and may freeze and unfreeze the liquid in the pen, making the injections unsafe to take. Make sure to take a carry-on bag with you to store your medication in.

Essential liquid medicines are allowed through security, even if they are over 100ml; security often advises keeping medicines separate in your bag where possible, informing the Security Officer and bringing supporting documentation if possible. After this step, make sure that your medication stays in its original packaging. If you have any specific queries about carry-on luggage and medication, contact your airline provider.

Not having access to a fridge could damage your medication

Both Mounjaro and Wegovy must be stored by following the guidelines outlined in the patient information leaflets. The medication may be kept in a refrigerator at 2°C to 8°C or stored at room temperature, provided it does not exceed 30°C, for a maximum of 28-30 days.

Any pens exposed to temperatures above 30°C, or left unrefrigerated for more than 28 days for Wegovy and 30 days for Mounjaro, should be discarded immediately, as it could be unsafe to take. Patients travelling with weight loss injections are advised to contact their accommodation in advance to confirm refrigerator access and to verify that the appliance maintains an appropriate temperature, as this can vary between units. As the jabs are administered once weekly, most patients will use each pen within the 30-day unrefrigerated window, unless travel is extended or a dose is missed.

Kevin Turner is in intensive care and his family will need to pay the bill – and the cost of getting him home

A dad faces a £30,000 medical bill after falling ill on holiday because he didn’t declare a common ailment on his travel insurance. Kevin Turner flew to Alicante with his partner Joy Peck in May after feeling poorly the week before with a chest infection.

After taking antibiotics and steroids, the 63-year-old said he felt assured by his GP that he was ‘good to go’ and was prescribed more medication to account for being away. The retired painter and decorator felt ‘off’ when he landed but put it down to the journey. It was when his chest pains worsened the following day that Joy called an ambulance.

After being rushed to a hospital in Alicante, doctors discovered Kevin had a pierced lung and pneumonia and he was put in intensive care. Despite having holiday insurance, Kevin’s family says his medical bills aren’t covered as he didn’t declare his chest infection before travelling – meaning he faces bills of at least £30,000.

Kevin’s daughters Sam Turner, 44, and Natalie Fowell, 40, have set up a GoFundMe to help pay his medical bills and get him home to the UK. Sam, from Winsford, Cheshire, said: “It was really, really scary because obviously you’re helpless. You’re over here and you don’t know what’s going on.

“He did have an existing chest infection that he had visited the doctor for that week and had been given antibiotics and steroids. He did also say that he was due to go on holiday and there were no warnings or concerns around that [from the GP] so he thought he was good to go.

“They just gave him enough medication for the fact that he was going away and that was it. He’d arrived at midnight, had something to eat and drink and gone to bed, feeling a bit off but just put it down to travel. It got progressively worse from there.

“By the next day the pains were just so much that in hindsight he probably already had pneumonia when he got on the flight, but he wasn’t aware. Joy rang me from the hotel and said ‘I’ve had to call him an ambulance, he’s not good’ and we were like ‘right, ok get him to the hospital’, trying to get updates all the time.

“They [doctors] said he had a pierced lung and chest and stomach pain where it’s believed air and gases had built up and had to be drained.”

Wedding co-ordinator Sam flew out to be with her dad on May 30 to be by his bedside. After contacting the insurance company, Sam says she was told that Kevin’s medical bills wouldn’t be covered as he didn’t declare the ongoing chest infection on his travel insurance before flying.

The cost of his bills is estimated to be £30,000, but as Kevin is still in intensive care it may rise. You can donate to Kevin’s GoFundMe here: https://www.gofundme.com/f/support-kevs-recovery-and-journey-home

Sam said: “It very much looks like it’s a case of, the small print says if there are any significant health changes up to the date of travel then you must notify them. He’s still in intensive care and we’re trying to find out what the prognosis is.

“He hasn’t been out of bed, he hasn’t used his legs or feet and he’s just really worried because he’s lost all feeling in them. The insurance took about two weeks for them to decide that they weren’t going to pay out. It involved a lot of chasing from us.

“I would always say read the small print of the insurance document, make sure you go with a reputable company and look at their reviews.”

P&O Cruises passengers are urged to check the rules for their destination before packing certain medications

P&O Cruises passengers heading to specific destinations worldwide are being advised to pay special attention to the medications they bring. The cruise operator is a favoured option for countless Britons, carrying between 500,000 and 600,000 travellers annually.

P&O Cruises operates a fleet of seven vessels. This collection features both family-oriented choices and adult-only ships, spanning from massive floating resorts to more intimate, traditional boats. All the ships go to numerous nations, including Norway, the Caribbean, and the Canary Islands.

For those with bookings to Japan or voyages exploring the Arabian Gulf, it’s essential to verify what medications are permitted. These nations enforce stringent regulations, and particular medicines are prohibited for personal import and non-prescription use.

This includes codeine, which is frequently found in paracetamol tablets. On the P&O Cruises website, the operator outlines all the crucial information passengers require, reports the Liverpool Echo.

It states: “Please be aware that some prescriptions, over-the-counter drugs, complementary therapies and other medicines that are purchased in the UK may be illegal in the United Arab Emirates and are therefore banned in the country. Japan also has rules regarding such medication. Penalties can be severe if banned substances are found when entering these countries.”

It states: “Codeine, for example, is banned and no products containing codeine, which may include paracetamol, may be imported or sold in the United Arab Emirates. An import Certificate from the Japanese or UAE Authorities would be required in order to take such products into the countries, and this does not guarantee the products will be permitted.”

According to the NHS, codeine is a potent opioid painkiller and is often combined with paracetamol to treat moderate pain that standard paracetamol alone cannot alleviate. This combination is typically known as co-codamol.

Codeine is categorised as a narcotic. You’re prohibited from bringing it into Japan for personal use without obtaining strict prior authorisation. Codeine is also designated as a controlled substance in the UAE.

If you’re taking medication and have any uncertainty, contact the appropriate embassy before your arrival:

• United Arab Emirates London Embassy Medical Department: 020 7486 6281
• Japanese Embassy: 0207 465 6500
• You may also check for further information at www.fco.gov.uk.

P&O Cruises also advises that anyone travelling with medications and/or syringes should carry a prescription. It clarifies: “All medications should be kept in their labelled dispensing bottles or packages. If the medications are ‘controlled’ or injectable drugs, it is also advisable to carry a doctor’s letter.

“For the United Arab Emirates, it is essential to carry a prescription for any medication, as well as a medical report if you are travelling with syringes or other medical equipment. We strongly advise you to seek advice if any of the above affects you.”