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Polio Certificate for Pakistan

223 Posts

Posted:  10-Jun-2014 09:22

Anyone else heard about the requirements for a certificate for those travelling to Pakistan from this summer- to prove had Polio.

Also - how often required- at present DTP every 10 (5 in a life) but does this cover the Polio - as we cannot give Polio individually?



1064 Posts

Posted:  10-Jun-2014 10:00
Check bottom of page 319.
Revaxis is the choice for adults. If it's less than 10 years since they last had a tetanus vac (  had the combined Tet/Diph but no oral polio) just give the usual advice that they may have a sore arm because of the tetanus componant. 


1024 Posts

Posted:  10-Jun-2014 22:38 Log in to like this post
Just seen a Public Health England newsleter re wild Polio virus in certain countries and that those going to those countries with wild polio virus if not had a polio vaccine within the last year to give another one and to go through all the children in our practice to ensure they are up to date with polio vaccine according to UK regime!!


223 Posts

Posted:  11-Jun-2014 08:54

Did you see anything about needing a certificate? - I am being told 2nd hand so haven't seen the original requests.


245 Posts

Posted:  11-Jun-2014 11:06

   Hi Dotty
     This is from Travax  re polio
"As of 1 March 2014, resident nationals of Pakistan are required to receive one dose of oral polio vaccine regardless of age or vaccination status, at least four weeks prior to departure to India. A certificate of vaccination is required when applying for an entry visa to India."
For the remainder of travellers just ensure they are up to date with routine  primary  vaccs. Hope thuis is helpful


245 Posts

Posted:  11-Jun-2014 11:13 Log in to like this post

  Dotty P.S  from WHO site :
States currently exporting wild poliovirus

Pakistan, Cameroon, and the Syrian Arab Republic.

  • Ensure that all residents and long-term visitors (i.e. > 4 weeks) receive a dose of OPV or inactivated poliovirus vaccine (IPV) between 4 weeks and 12 months prior to international travel.
  • Ensure that those undertaking urgent travel (i.e. within 4 weeks), who have not received a dose of OPV or IPV in the previous 4 weeks to 12 months, receive a dose of polio vaccine at least by the time of departure as this will still provide benefit, particularly for frequent travellers.
  • Ensure that travellers are provided with an International Certificate of Vaccination or Prophylaxis in the form specified in Annex 6 of the International Health Regulations (2005) to record their polio vaccination and serve as proof of vaccination.


11935 Posts

Posted:  11-Jun-2014 11:54

Above link takes you to interim advice which has been linked to Pakistan page since 24th May and states:

'On 5th May 2014, the World Health Organization (WHO) issued a statement declaring that the recent international spread of wild poliovirus is a Public Health Emergency of International Concern. In order to prevent further spread of polio, as the high risk season approaches, WHO issued Temporary Recommendations under the International Health Regulations (2005) [1, 2 ].
Routine polio vaccine uptake in the United Kingdom (UK) is high and has been sustained at this high level for many years. The last indigenous case of wild poliovirus infection was in 1984, with the last imported wild polio-virus case in 1993. Risk of importation and local transmission of wild polio-virus from visitors from infected countries remains extremely low and has probably fallen in recent years [2, 3]. The UK, along with the rest of the European region, was declared polio-free in 2003.
The WHO Temporary Recommendations focus on countries currently exporting and/or infected with wild polio virus. However there are significant numbers of travellers between affected countries and the UK each year [2]. Public Health England (PHE) and NaTHNaC are making the following recommendations for UK travellers as an interim measure.
Travellers to Afghanistan, Cameroon, Equatorial Guinea, Ethiopia, Iraq, Israel, Nigeria, Pakistan, Somalia and Syria, should be advised to have a booster dose of polio-containing vaccine if they had not received vaccination in the past 12 months and they are travelling to settings with extremely poor hygiene (e.g. refugee camps), or likely to be in close proximity with cases (e.g. healthcare workers), and/or visiting for 6 months or more.
Other shorter term travellers (4 weeks to six months) to these countries should ensure that they are up to date with polio immunisation, including a booster if none has been received for ten years.
The UK is still seeking clarification on the longer term approach that will be taken, and further information will be provided. The UK does not currently intend to implement screening for vaccination or infection at point of entry in the UK for travellers from affected countries.
Further updates will be issued as necessary with respect to this situation.'

Please be informed that the above is the opinion of the author and is in no way meant to be taken as instruction.

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458 Posts

Posted:  11-Jun-2014 14:13
I have been told (from my patients) that travellers leaving Pakistan are being given oral drops at the airports in Pakistan but no requests for certificates from travellers going in.

1299 Posts

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Posted:  11-Jun-2014 18:46
Where can we get the certificates from?


967 Posts

Posted:  12-Jun-2014 11:41
click on the link in NATHNAC to the International Health Regulations- there is a certificate you can print in Annex 6 (page 52-53)[:)]


967 Posts

Posted:  12-Jun-2014 12:29
so basically if UK nationals are visiting Pakistan and expecting to stay 4 weeks or longer, they will need a certificate showing they have had polio vaccine in order for them to leave the country again.
The Pakistan govt will issue live polio drops at the airport, but it is better for pregnant ladies and the immuno-surpressed to have inactivated polio vaccine, which we give them before their trip?????
Have I got this right folks?

Snow White

68 Posts

Posted:  12-Jun-2014 12:39

Vaccine certificates should be completed in the same format and on the same document as the International Certificate of Vaccination or Prophylaxis (ICVP) for yellow fever. The certificate booklets are available from NaTHNaC online shop or WHO. Other travellers should follow the interim guidance from NaTHNaC and Public Health England from 27 May 2014.From NATHNAC the certificate used for Yellow Fever can be used for Polio


4279 Posts

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Posted:  17-Jun-2014 21:31
Bumping this for Weezywoo

133 Posts

Posted:  18-Jun-2014 09:29
So.....can we charge for certificates? as my PN wants to, and are we using baby imms ordered from Immform for any children that require for travel purposes? Plus does this dose get ignored when it comes to routine UK schedule? I foresee some kids with very sore arms....with the tetanus component!

11935 Posts

Posted:  18-Jun-2014 10:06
Interesting question. You certainly cannot charge for the vaccine bought in or acquired centrally. (Claim back those bought in as per normal practice) expect there is an argument for charging for certificate if using the International certificate normally used for yellow fever as there is a small cost to buying in but I do not know this for sure? Perhaps you could contact nathnac as they have issued the previously temporary measure cited in previous posts on this thread. When you do get an answer can you share with the forum please.

Please be informed that the above is the opinion of the author and is in no way meant to be taken as instruction.


27 Posts

Posted:  19-Jun-2014 09:45
I have tried to find the link to print a certificate but couldnt locate it. please can you explain how to find this link


172 Posts

Posted:  19-Jun-2014 16:32
hi I could do with a link to this certificate too if possible [:D]
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