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In order for an allegation of negligence to be proven, four principle facts must be individually established.

In the first instance, the travel health professional must have a duty of care to the patient.

Previous vaccination history must be established in order to ensure unnecessary vaccinations are not administered.

It may, in some cases, be necessary to defer vaccination to a subsequent consultation to allow the patient sufficient time to consider the options available.

While the use of consent forms is recommended, a signed consent form does not automatically imply that informed consent was obtained.

Strict hygiene standards are essential to help avoid injection site infection.

The travel health professional must have up-to-date training in the management of anaphylaxis and ready access to necessary resuscitation equipment and medication although it would also be inappropriate to withhold recommended travel vaccines in a controlled clinical setting because of an undue fear of hypersensitivity reactions.

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