travel doctor limerick

Dooradoyle Medical Centre

Dooradoyle medical centre, rosedale centre,<br>dooradoyle road, limerick, travel vaccination.

All Travel Vaccination Services provided Very competitively priced.

Travel Vaccinations appointments available 9-5 and after 5 by appointment.

We are members of Irish Society Travel medicine.

All travel Vaccinations provided Malaria Prophylaxis prescribed We are an approved Yellow Fever Vaccination Centre Influenza Vaccinations

• What vaccines do I need ? Do I need malaria prevention? Please click here Or contact us at 061- 306922 or email [email protected] for a travel vaccination appointment
• How much will my vaccines cost? Consultation cost of €100 plus cost of vaccine

Please see below for the prices of our most commonly administered vaccines.

Rabies, Hep B Course : price available on request Japanese B Encephalitis, Tick Borne Encephalitis : price available on request

The consultation cost is €100 per person. Consultation cost includes Malaria prescription as needed.

Nontravel vaccinations

*collect prescription beforehand

Contact Details Tel: 061 306922 or email [email protected]

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Find a Clinic

There are several places you can get vaccines and medicine before you travel.

Call your doctor or local health department to see if they can provide pre-travel advice, vaccines, and medicines.

List of health departments

If you want to see a travel medicine specialist, the International Society of Travel Medicine (ISTM) can help you find a clinic.

Directory of travel clinics

If you need yellow fever vaccine you must get vaccinated at an authorized yellow fever vaccine clinic. Many of these clinics also give other shots and medicines.

Yellow fever vaccine clinic search

Find where you can get a COVID-19 vaccine in your area.

Need to get tested? Find a COVID-19 testing clinic .

• Find out what vaccines you need for your destination
• Frequently Asked Questions
• Traveler Advice
• Clinician Tools and Resources

CDC provides these links as a convenience to international travelers. CDC does not endorse, recommend, or favor any clinics on these lists, nor does the appearance of a clinic on these lists imply a guarantee of service quality.

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STI Screening

Sti clinic limerick.

At Roxboro Medical Center we offer a full STI (sexually transmitted infection) screening service at our STI Clinic Limerick. We realise that sexually transmitted infections is a sensitive subject and some people might find it difficult to talk about.  At Roxboro Medical Centre you can be assured of the utmost privacy and confidentiality in all aspects of healthcare.  It is worth noting that most people find the setting of a GP’s surgery to be a more comfortable experience to discuss this aspect of their sexual health than a publicly funded clinic.

As some STI’s, Sexually Transmitted Infections can have no symptoms or might not develop for a long time it would be important to have a screen if you are sexually active . We would recommend regular STI screening especially if you are having unprotected sexual contact with new partners.

Table of Contents

What is an STI (Sexually transmitted infection)?

An STI (sexually transmitted Infection) is a disease that is passed on through sexual contact with a person who is infected.  Most Sexually transmitted infections come from unprotected intercourse from Vaginal, Anal and Oral Sex.  Some STI’s can be passed by skin-to-skin contact.

What is an STI screen?

A Sexually Transmitted Infection (STI) screen at Roxboro Medical Centre involves a consultation on your sexual health with our doctors in Limerick who will take a sexual history, which will include any symptoms/concerns you might have. A full sexual history would include previous STI’s, the type of sex you are having, e.g. vaginal, anal or oral and the number of partners including gender.

After a history, an examination can be performed, to look for any abnormal skin lesions/rashes or abnormal discharge.  Please note a male or female doctor can be specified.

Depending on the initial history and assessment the doctor will order tests.  These tests can include urine, swabs or blood tests.  A follow up review either by phone or appointment will be made to discuss your results and treatment will be offered depending on what STI (sexually transmitted Infection) is found.  Tests to ensure cure following treatment may be necessary and can be discussed at the time.

Overview of STI’s (sexually transmitted Infection’s)

Chlamydia is a common STI.  It is a bacterium that can affect both men and women.  If left untreated it can cause infertility in Women.  It can be spread through vaginal, anal and oral sex.  It can be spread by the use of unwashed sex toys and can also be passed from mother to infant during vaginal delivery.

Chlamydia can affect the Cervix (entrance to the womb), Urethra (tube you pass urine through), Rectum (back passage), Pharynx  (back of the throat) and eyes.

Chlamydia can cause no symptoms in over half of males and 7 out of 10 females, which make it important to screen for .

Males can complain of urethral discharge, pain or discomfort on urinating, testicular swelling and pain.  Bowel symptoms can include loose stool, mucus discharge or bleeding per rectum.  Females can complain of vaginal discharge, pain on urinating, bleeding after intercourse and bleeding between periods.  The infection can spread to the upper genital tract resulting in a pelvic inflammatory infection, infertility and abdominal pain.  Chlamydia can cause a condition called reactive arthritis, which is a triad of urethral discharge, conjunctivitis (inflammation/discharge of the eyes) and arthritis (inflammation of joints).  The arthritis associated with chlamydial infection is more common in men.

Testing for chlamydia can be a urine sample in men and swabs in women.  Occasionally swabs of the back passage and throat are needed.

Chlamydia can be treated with antibiotics and your doctor will go through this with you if and when needed.

Gonorrhoea is a STI caused by a bacterium.  It is known colloquially as “the clap”.  It is increasing in numbers among young people in Ireland.  Like Chlamydia it can affect the urethra, cervix, rectum, pharynx and occasionally the eyes.  It too can lead to infertility in women.

You can contract Gonorrhoea through unprotected vaginal, anal and oral sex.  It can be acquired through the use of unwashed sex toys and from mother to infant during vaginal delivery.  Symptoms occur in 9 out of 10 men and 3 out of 10 women.

Males can complain of a discharge from the tip of the penis, swelling and or pain in the testes, pain or discomfort on urinating.  Bowel symptoms can include loose stool and mucus discharge or bleeding from the back passage.  Women can have a vaginal discharge, pain with urinating, pain with intercourse, heavy periods or bleeding between periods and abdominal pain.

If left untreated in females it can cause pelvic inflammatory disease, which can lead to infertility and a higher risk of ectopic pregnancy (implantation of embryo in the tubes as opposed to the womb).   In males it can lead to infections of the testes and prostate gland, which can lead to severe pain and infertility.  In rare cases it can cause arthritis, endocarditis (infection in the heart), skin rashes and meningitis (infection of the spinal cord).

Testing for Gonorrhoea includes urine tests and swabs depending on symptoms.  In males it usually involves a urine test and occasionally a swab from the penis.  In females it involves a vaginal swab.  Sometimes swabs are taken from the rectum and throat.

Gonorrhoea can be treated with antibiotics; this may need to be given by injection into the buttocks.

Genital Herpes

Genital Herpes is caused by a virus called herpes simplex virus (HSV).  There are 2 types of  HSV. Type 1 and Type 2.

Type 1 has been found to cause genital herpes but is more associated with oral herpes or cold sores.  Type 2 is commonly associated with genital herpes.  HSV causes blisters or ulcers.  When they occur on the face they are called cold sores but when they occur on the genitals they are called genital or ano-genital herpes.

Many people with the herpes virus do not exhibit any symptoms when they first get it and so do not know they have it.  If you do get symptoms your first outbreak will usually be the most severe.

Herpes Simplex Virus presents with small blisters around the genital area, which burst and leave red sores or ulcers.  These will crust over and heal over time.  These lesions can be painful, and you can have swollen glands, pain on urinating and flu like symptoms.

HSV is transmitted through skin-to-skin contact, kissing, vaginal, anal and oral sex.  It can be transmitted through the use of unwashed sex toys and from mother to infant during vaginal delivery.

You can reduce your chances of getting genital herpes by using a condom while having vaginal, anal or oral sex.  Avoiding sexual contact during times that your partner has blisters or sores or has tingling or itch suggesting the start of an outbreak.  You cannot get HSV from towels, toilet seats, swimming pools, cutlery or cups.  The virus dies quickly off skin.

Following the initial outbreak, the virus lies dormant in nerve cells, which can reactivate and cause a recurrence.  This is more likely to occur in patients that have type 2 HSV.

Testing for HSV involves swabbing a sore or ulcer during an outbreak.  Blood tests for HSV are not routinely done.

There is no cure for HSV but antiviral medication can be used to treat outbreaks and can be used to prevent recurrences in some instances.

Genital Warts

Genital warts are “warts” in and around the genitals.  A virus called the Human papilloma virus causes them.  There are many forms of HPV but the most common type that cause genital warts are HPV 6 and 11.  HPV has been associated with different forms of cancer notably cervical in women and anal, throat and penile in men, but the type that cause genital warts do not lead to cancer.

Genital warts are generally pink and project out from the skin.  Most are painless without any symptoms.  They are a STI transmitted by skin-to-skin contact.  This is usually skin to genital skin and doesn’t need to involve penetration.  It is common for sexually active people to come into contact with HPV but most will not develop genital warts.

Genital warts may go away by themselves but can also be treated by creams and freezing called cryotherapy.   There is now a vaccine that can protect against the main forms of HPV that cause genital warts and the main ones that cause HPV related cancers.

HIV (human immunodeficiency virus)

HIV is a virus that damages your immune system and weakens your ability to fight infections.  If left untreated HIV can lead to a severely weakened immune system, which is called AIDS (acquired immune deficiency syndrome).  While HIV can be transmitted from 1 person to another AIDS cannot be.

HIV is found in bodily fluids of an infected person such as semen, blood, vaginal and anal fluids. It can also be present in breast milk.  It is not in saliva, urine or sweat.  The most common way of contracting the virus as a STI is through unprotected vaginal or anal sex.  Many people that contract HIV never know they have it for years but eventually they become more prone to infections and illnesses.  Others can get a flu-like illness on contracting the virus.

HIV testing can be done with a simple blood test.. It is important to note that it may take 3-6 months following exposure before a test may come back positive, therefore a follow up blood test may be needed.

HIV cannot be cured but can be managed with Antiviral drugs.  The treatment stops HIV reproducing in the body and when taken properly can allow most people to live a long and healthy life.

Hepatitis is inflammation of the liver.  There are different causes of hepatitis including “viruses”, drugs and autoimmune conditions. The main viruses involved in hepatitis are hepatitis, A, B, C.

These can be checked for with a Blood test.

Hepatitis A

Hepatitis A is passed through faecal (poo) oral route.  That is ingestion of something that has been contaminated by faeces from an infected person.  It can be passed through ingesting food or water that has been contaminated by an infected person.  This can happen if you travel to an area with an outbreak or a country with poor sanitary conditions.  It would be a common travel medicine vaccine.

It is rarely thought of as a STI but in recent times it has been increasing in the MSM (men who have sex with men) population. It can be picked up through sexual contact involving mouth to anus, or through swallowing something that has been infected by faeces.

Initially hepatitis A can be mistaken for flu-like symptoms and in children they might have no symptoms at all.  The time taken from infection to development of symptoms in those that develop them is usually 2-6 weeks.  They include Fevers, Fatigue, Muscle aches, loss of appetite, sick feeling in the stomach, jaundice (yellow skin and eyes), diarrhoea and abdominal discomfort.  The illness usually lasts up to 2 months but some may last 6 months.  Longstanding liver damage is rare.  Good hygiene, in particular hand washing, is the cornerstone of prevention.  Using barriers for example, condoms if engaging in anal play.

Hepatitis A is preventable by vaccination.

Hepatitis B

Hepatitis B is a virus that is very infectious and is considered 100 times more infectious than HIV.  It is a major cause of long standing liver disease such as cirrhosis and cancer of the liver.

Hepatitis B is spread through unprotected sexual contact, vaginal, oral and anal.  You can pick it up by sharing needles and anything with contaminated blood.  It can be passed from mother to infant during pregnancy and delivery.

Most people with hepatitis B don’t get symptoms; so getting tested can be the only way to know if you have it.  Some people get flu-like symptoms including fatigue, fevers, headaches, loss of appetite, nausea and vomiting, diarrhoea, muscle pains and jaundice.  Some people will naturally clear the virus themselves, but for many the infection will remain and without treatment the virus can lead to long-term damage to their liver.  If you are diagnosed with hepatitis B you will need to see a specialist who may prescribe treatment.

Hepatitis B is preventable by vaccination and by practicing safe sex, never sharing needles and avoiding contact with blood containing items.

Hepatitis C

Hepatitis C is a virus that is spread mainly by blood-to-blood transmission, associated with intravenous drug use, poorly sterilized medical equipment, needle-stick injuries and transfusions.  It is much harder to contract through sex than Hepatitis A or B, but is becoming more common among MSM.

About 1 in 4 people will clear the infection themselves without any treatment. Most people don’t get any symptoms when they first get the disease.  Those who do may feel, feverish, tired, have a reduced appetite or feel nauseated, get abdominal pains and can develop jaundice.  Most people will however carry the virus for years or even for the rest of their lives.  Without treatment it can lead to severe liver problems likes cirrhosis or liver cancer.

Like Hepatitis A and B it can be tested for by a blood test.

There is no vaccine for hepatitis C so prevention includes practicing safe sex and not sharing needles.  It can be treated with anti-viral mediations under the care of a specialist doctor.

Syphilis is a STI caused by a bacterium, which is not very common in Ireland, but the numbers are growing especially among MSM.

It enters the body by close skin-skin contact with an infected sore.  It can be contracted through unprotected, oral, vaginal and anal sex.  Symptoms typically include small painless sores or ulcers (called a chancre) that typically appear on the penis, vagina, around the anus and sometimes in the mouth or lips.  The sore will appear on the part of the body where the infection was transmitted.  The sore will disappear within 2 to 6 weeks and if the condition is not treated, syphilis can move into different phases of the illness that can spread to parts of the body such as the brain, heart, eyes or nerves.  This can cause serious and potentially life threatening problems.

Syphilis is usually diagnosed through a blood test.  Getting tested is the only reliable way of knowing if you have syphilis or not.

It is treated and cured with antibiotics, usually injections.

Trichomonas Vaginalis (TV)

TV is a STI caused by a small parasite that can infect the vagina and cervix in women and the urethra and foreskin in men.  It is spread by having unprotected sex or through the use of unwashed sex toys.  It is not thought to be passed on through anal or oral sex.

TV in women can cause abnormal vaginal discharge, which can be unpleasant and odorous.  It can cause soreness, swelling and itch around the vagina and pain or discomfort on passing in urine.  In men TV can cause pain with urinating or during ejaculation.  It can cause discharge from the penis and more a frequent need to pass urine.  It can cause soreness, swelling and redness around the head of the penis / foreskin.

Swabs and urine samples can detect TV and can be treated by a course of antibiotics.

https://www.sexualwellbeing.ie/sexual-health/sexually-transmitted-infections/types-of-stis/

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Privacy Overview

ShannonDoc Service Update

ShannonDoc is currently experiencing unprecedented high call volumes. Expect longer than usual wait times to speak with a member of staff.

Our busiest times are: Midweek from 6pm to 8pm Weekends & public holidays from 8am to 4pm

Please remember patients who require emergency medical attention should attend their nearest Emergency Department (ED) or phone 999 or 112.

• ShannonDoc is an Urgent Out of Hours GP service for patients who cannot safely wait to see their own GP

For non-urgent routine matters, please visit your own GP during normal operating times

No patients should present at a ShannonDoc centre without an appointment. ShannonDoc is not a Walk-in service.

We thank the public for your patience during this extremely busy time.

Out-Of-Hours Medical Care

Providing Out-Of-Hours medical care to patients throughout Mid-West region.

Nurse Advice  

Our dedicated team of Triage Nurses can offer medical advice over the telephone.

Appointments  

Treatment Centres strategically located throughout the Mid-West region.

Home Visits  

A fleet of fully equipped Mobile units responding to urgent house calls.

If you have a medical issue that requires urgent medical attention, call Shannondoc on Lo-call 0818 123500 or on 061 459500

ShannonDoc Christmas Arrangements 2022

• ShannonDoc is not an Emergency Service. Patients who require emergency medical attention should attend their nearest Emergency Department (ED) or phone 999 or 112
• ShannonDoc operates strictly by appointment only and is not a walk-in service. Phone us on LoCall number 0818 123 500 for medical assistance
• To bring your Medical/GP Card with you if you have one and photo ID
• The service is available to ShannonDoc member GP patients and temporary visitors to the region

Our Simple Process

When should i use this service.

• Shannondoc provides urgent out-of-hours medical services when your GP surgery is closed.
• Shannondoc is a service provided to patients whose family doctor is part of the Shannondoc Co-op.
• Shannondoc is NOT for routine (Non-urgent) medical problems as: repeat prescriptions, test results, medical certificates or employment medicals
• Shannondoc is NOT a walk-in service. You must have an appointment.

Non-urgent medical problems

Please phone your GP practice when it is next open.

Emergencies

If you feel your medical problem is life-threatening call 999 and ask for an ambulance.

Operating hours

Monday - Friday 6:00 pm - 8:00 am Weekends and Public holidays Open 24 hours

Abusive Behaviour

All patients who avail of Shannondoc services are expected to be polite and courteous to all our members of staff. Abusive language and behaviour is not acceptable and will not be tolerated. Patients who are abusive or threatening to members of staff, be it on the phones or in the Treatment Centres, may be prevented from using the service in the future

Before you contact Shannondoc, please have the following at had: Patient's name if known to you Contact telephone number Home address and current location Patient's date of birth Patient's GP name Medical/GP/NHS/E111(If you don't present your card you may be charged for your visit). Call Shannondoc 0818 123 500

Your call will be answered by a patient care administrator who will ask you details of the patient and a contact number. Following a brief description of your presenting symptoms, the PCA will prioritise your call. YOUR CALL IS PRIORITISED AS: Routine - Urgent - Emergency

Your call will be responded to according to call priority and call back times can vary based on workload and/or time of day. Typically the following times are periods of higher workload: Monday - Friday: 18:00 - 19:00 Saturday - Sunday: 10:00 - 13:00

A highly trained Triage Nurse will call you back, they will gather relevant medical information relating to your presenting symptoms. Following the initial assessment by one of our nurses, your call may result in one of the following: Nurse advice - Treating yourself at home and or referring you to another service. Doctors advice - Treating yourself at home and/or referral to another service. Treatment centre - An appointment offered to you based on the urgency of your symptoms. Home visit - In exceptional circumstances, the GP may visit you at home. Please have your medical card, a list of medication and any relevant information for your condition ready for the doctor. Information Details of your contact with Shannondoc will be sent to your GP by the next working day.

Shannondoc is an after-hours GP service, providing medical assistance when your local GP service has closed

Treatment Centres

Limerick city, newcastlewest.

Strictly by appointment only. Please call 0818 123500

Milltown Malbay

Shannondoc patient survey.

Your opinion matters! Please Click here and take a few moments to fill out our Shannondoc survey. Your feedback will aid us in continuing to improve our service.

Urgent Medical Problem?

If you have an urgent medical problem outside of surgery hours, please phone the local number... 0818 123 500 or 00353 61 459 500

Headquarters

Shannondoc. Central Call Centre. St. Camillus Hospital. Shelbourne Road. Limerick. County Limerick.

Office Hours

Monday - Friday. 9:00am - 17:30pm

Office Telephone

061 459527 *For business enquiries 061 459555 (FAX)

Office Email

[email protected]

[email protected]

Shannondoc services are offered in Limerick - North Tipperary - Clare.

Shannondoc was created in 2002 to provide an improved medical service to patients within the Mid-West region. Operating mainly "out-of-hours", ensures that Shannondoc patients have continuous round-the-clock medical support outside of normal surgery hours.

Our dedicated medical team consists of 120 Doctors, 30 Nurses and 50 support staff enroled in various administrative, technical and support functions. Operating from the Central Call Centre in Limerick and from 12 Treatment Centres located throughout the Mid-West region of Ireland, all staff have an essential role in maintaining the operations of the service. While many staff are highly trained in a wide variety of specialised medical fields and technical roles, all staff are dedicated to providing a modern world-class medical service for the 21st century.

Central Call Centre

The Central Call Centre is located at St. Camillus' Hospital in Limerick City and handles over 110,000 medical cases each year. All medical cases are processed through the Call Centre. Participating family GP's recieve full reports on their patients if their medical needs were tended to during the out-of-hours service to assist in follow-on care.

Governance Code

We comply with the Governance Code for community, voluntary and charitable organisations in Ireland. We reviewed our organisation’s compliance with the principles in the Code on 31st May 2017. We based this review on an assessment of our organisational practice against the recommended actions for each principle. Our review sets out actions and completion dates for any issues that the assessment identifies need to be addressed.

Governance program

Nomination and corporate governance committee, clinical audit and risk management committee, finance audit & renumeration, shannondoc commitment to governance.

Exciting Opportunities

Founded in 2002; ShannonDoc continues to deliver a high standard of Urgent Out of Hours Family Doctor service to patients in the Midwest over the last 21 years. Due to the continued development of the organisation and to ensure a sustainable service is available to our patients, member GPs and the HSE

Please send your application to.

Telephone Triage Nurse

We are currently taking applications for Triage Nurse positions. Click Here for more details

General Practitioners

We are currently taking applications for General Practitioners. Click Here for more details

Locum Doctor Application

Please contact the office directly during office hours.

ShannonDoc is not a free service, however the cost of your consultation will be covered if you have a valid GMS card.

Click HERE to view the list of fees.

ShannonDoc Policies

ShannonDoc is committed to protecting the rights and Personal Data of Individuals and Service Users and to enable them to exercise their rights in accordance with the General Data Protection Regulations 2018 GDPR .

Peter Clarke . [email protected] . Data Protection Officer.

Click HERE to view and download our policy documents.

Data Protection Policy

Privacy statement, data breach policy, data access request form a (medical card holder patient), data access request form b (private patient), data access request form c (shannondoc employee), cctv policy, child protection.

If you have any concerns regarding child safety in the Treatment Centre, please immediately bring your concerns to the Doctor or Nurse on duty in the treatment centre.

Alternatively contact the triage nurse on 0818 123500.

Shannonodoc Child safeguarding statement is available by clicking HERE or on request.

Child Safeguarding Statement

Coronavirus covid-19.

Coronavirus control measures

If you have recently travelled to an affected area or been in contact with a confirmed case of Coronavirus or want information in relation to Coronavirus go to:

https://www2.hse.ie/conditions/coronavirus/coronavirus.html

Contact your GP by phone only should you require medical attention Monday to Friday 9am-6pm.

Close contact and casual contact

If you receive a non detected result...

Workplace health and well being

Health care worker Close contact information

Information leaflet for visiting nursing homes and residential facilities

Coronavirus Covid 19

Annual Report & Financial Statements

2019 2020 2021 2022

Vhi 360 Health Centre

Putting the heart into healthcare

Urgent Care

Measles  and other Viral Symptoms ( Mumps  /  Chickenpox  /  Flu )

If you think that you or your child has measles, please tell us at the Reception Desk immediately upon arrival.  

Please wear a mask (available at Reception Desk), practice safe cough etiquette & wash your hands.

If you have any other viral symptoms (including sore throat, runny nose, headache or fever) or unexplained new rash associated with swollen glands or a temperature, please do not walk in to a clinic - call us to make an appointment.

Our aim is to treat you at your earliest convenience and in the right environment. Our urgent care clinic for minor illnesses and injuries operates on a walk-in-basis.

If you have an illness or any viral symptoms please call us first as a telephone consultation with one of our urgent care doctors or nurses may be more appropriate.

Opening times

Clinic hours

What we treat

• Suspected fractures and dislocations.
• Sprains and other soft tissue injuries.
• Lacerations that need stitches or dressing.
• Removal of objects from skin and ears.
• Joint, muscle or back pain.
• Wound care.
• Minor burns.

Illness and infection

• Eye and ear conditions.
• Minor infections i.e. UTIs, sinus and more. 
• Minor gynaecological issues.

We don't treat

Please be advised to call 999 or 112 for:

• Cardiac or chest pain.
• Loss of consciousness.
• Breathing difficulties.
• Head or neck injuries. 
• Anaphylaxis.
• Severe burns.
• Hip, pelvic or thigh bone fractures.

Maternity and infants:

• Maternity and infants under 12 months of age.

Member Information

Vhi 360 provides personalised healthcare to each member.

Benefits and Costs

Most of our plans offer full cover for urgent care visits subject to an excess of €50 or €75.  Members should check their  Table of Benefits to find out more. Urgent care can include diagnostics such as X-ray if clinically indicated and supports needed to assist with your recovery e.g. crutches, medical boot, bandages, stiches or cast. 

Return visits: Please note that return visits to Urgent Care outside of 72 hours from the original visit will be subject to an excess of €50 or €75. 

Consultations

Walk-in service.

If you have any viral symptoms please call us first. 

WHAT TO BRING

You will need your policy number. 

Please note, we only accept contactless payment at this time.

We may ask some screening questions to identify if isolation is required, due to viral symptoms.

A face mask will be provided, if required.

Clinical Call Centre

Because your health means everything.

Getting there

City Gate House

Raheen Business Park

Because your health means everything

You can find a selection of plans that are right for you.

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Privacy Overview

Major fertility clinic refuses to warn families after sperm donor tracks down a mum and her IVF-conceived son

Maria thought she was doing the right thing by connecting with the sperm donor she used to conceive her baby through fertility giant Monash IVF.

"I had joined some forums when my son was born, there was a particular group who advocated for children knowing the donor as soon as possible," Maria said.

"That's why I decided to make contact."

To begin with, the donor's emails to Maria (not her real name) were friendly and harmless. But things took a sinister turn in January this year.

"The donor travelled to my town in rural Victoria from Perth unannounced and contacted me to ask if he could stay with us," she said.

The man claimed he was being "stalked" and "harassed" by gangs and said they were "threatening" to sexually abuse Maria's five-year-old son.

His "erratic behaviour" prompted her to call the police who took out a family violence intervention order against the man.

Maria asked Monash IVF to inform other families who have used the same donor of the potential safety risks.

"We could have been in danger if we had met up with him," Maria said.

"It is a worry to me that other families will get in the same or worse situations."

But the fertility giant has refused to warn its own patients, deciding the information provided by Maria and Victoria Police "did not meet the standards for imminent or severe threats to life".

Maria has shared her story as part of a Four Corners investigation into the lack of accountability and transparency in Australia's multi-million-dollar IVF industry.

'This was a red flag'

Maria is a special needs teacher living in a small town in rural Victoria.

The solo mum had IVF in 2017 after selecting a donor code from Monash IVF's list of clinic-recruited sperm donors.

"I chose Monash IVF due to my trust in the brand. I felt like I would be in safe hands," Maria said.

Under Victoria's laws at the time, Maria was required to undergo a police and child protection order check before starting her fertility treatment. The sperm donor was not.

No Australian state mandates criminal background checks for sperm donors.

The profile of Maria's donor said he was an actor and model in his 30s who wished to help others and "carry on a genetic gift of longevity".

He described his health as "excellent" and had ticked "no" to all health conditions for his entire family including any mental health history of schizophrenia and bipolar disorder.

"Looking back, I now realise this was a red flag. It was too good to be true, as virtually every family has some history of health conditions, even if minor," she said.

After Maria's baby was born, she applied to connect with the man through Victoria's donor conception Central Register, a matching service for donors, parents and their children.

It started off well; they exchanged emails, and he sent her photos of himself and his family.

"But then he sent several unsettling emails where he described being stalked, surveilled, hacked and harassed," Maria said.

"I thought that perhaps he was having a mental health episode. I kept my replies short and supportive."

Then, last year the donor started hounding Maria for money.

One morning alone he sent six emails in less than an hour.

"I'm so ashamed to grovel and beg … I have no money what so ever. "This is so humiliating to ask my biological sons mother for financial assistance but it's urgent. "PLEASE HELP."

Maria said she relented and transferred the donor a few hundred dollars.

"Maybe I was a bit naive but I wanted to preserve some relationship with the donor for my son.

"He was saying he was homeless and had nowhere to sleep … everywhere he stayed he thought he was being stalked."

As the months went on, the behaviour continued to escalate.

'I never in a million years thought he'd travel here'

In January, Maria was away on holiday with her son when she received another troubling email.

"Im at Perth airport and I need your help … Can I please stay with you until I find a job and my own accommodation? … SOS."

Maria's friends urged her not to reply.

Two days later, she received another email saying he'd arrived in her town.

"I felt totally in shock … I never in a million years thought he'd travel here.

"He said in his emails that he wanted to meet 'our' son and be there for his first day of school and upcoming birthday."

When Maria called the local police to ask for advice, she said officers told her the man was currently at the police station claiming he was being stalked and harassed through his bluetooth speakers.

Police took out a family violence intervention order on her behalf.

The order states police "have concerns for [Maria] and her son's safety due to the erratic nature" of the man and "concerns he will turn up to [Maria's] house with his unpredictable nature and put [Maria] and her son at risk".

Monash IVF is mentioned in the police report and an officer spoke to the clinic about the incident.

Maria also reported her experience to the fertility giant. She told Monash IVF she was worried that the donor seemed to be having delusions, including about her son's safety.

She asked the clinic to inform other families who'd used the donor about his mental health issues, the health implications for his biological children and the safety risk he posed to them.

Monash IVF offered her some "supportive counselling sessions".

But Maria said in her final counselling session, she was told Monash IVF had decided not to contact other families because there was "no proof" of the donor's mental health issues and that his communications with the clinic didn't raise any red flags.

'Unheard and unsupported'

Astounded by Monash IVF's response and fearful for the safety of other families, Maria made a formal complaint to the company about how it handled the incident.

"This lack of acknowledgement of the distressing events I encountered has left me feeling unheard and unsupported," she wrote in the complaint.

"I have experienced trouble sleeping and have had to take extra security measures at home."

Maria told Monash IVF that she'd discovered the donor had court appearances dating back to July 2018, including charges related to family violence, assault of a public officer, common assault and possession of drug paraphernalia.

She shared copies of the donor's emails as well as videos and audio he sent her in which he talks about having things "inserted" into him against his will and gremlins who control his computer.

A clinical psychologist providing independent advice to Maria on her complaint assessed the material and said the donor was "experiencing psychosis, which is a feature of schizophrenia, where someone has difficulty distinguishing between reality and hallucinations or delusions".

But Monash IVF still refused to act.

It told Maria that while it "appreciates the information you've shared and recognise the emotional impact the interactions with your donor have had on you, we are unable to confirm the presence of genetic or hereditary conditions that could pose risks to other recipients or their children at this time".

The clinic said it had sought legal advice regarding "potential actions to prevent harm or preserve lives" but it said, "the resulting analysis determined that the information provided did not meet the standards for imminent or severe threats to life".

Instead, Monash IVF recommended that Maria record her concerns with Victoria's Voluntary Register.

Maria says this means other recipient families would need to contact her directly for information about her experience and the donor's mental health.

"Altogether there are 10 children from this donor and 8 families.

"I feel that it is unfair that I have to potentially retell this troubling incident numerous times, when it has already caused me a considerable amount of distress."

Monash IVF told Four Corners it cannot comment on specific cases.

It said it treats any concerns raised by donors or recipients "seriously and sensitively".

"We balance the rights of all participants in the donor program, including donors, recipients, their partners and any children born," it said in a statement.

"We also advise our recipient families to carefully consider the circumstances and consequences of meeting their donors."

Earlier this month, Maria made a complaint about the clinic's conduct to the industry-funded national regulator the Reproductive Technology Accreditation Committee (RTAC), which is responsible for auditing clinics against a Code of Practice and granting licenses.

She says RTAC is yet to respond or acknowledge her complaint.

Watch Four Corners' full investigation When IVF Goes Wrong now on ABC iview .

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NEWS... BUT NOT AS YOU KNOW IT

London Euston descends into chaos as trains grind to halt on hottest day of year

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Train passengers have been warned off severe disruption affecting London Euston station during peak rush hour.

Travel to and from London Euston train station has been hit by delays and cancellations on one of the hottest days of the year.

A points failure at Watford Junction has blocked the line used by trains between the Midlands and Manchester .

Trains through Euston may be cancelled, delayed by up to two hours or revised, National Rail warned.

Trains between London Euston and Wolverhampton, Crewe, Manchester Piccadilly and Edinburgh are affected, along with trains to between Birmingham New Street and Crewe.

Service between East Croydon and Watford Junction has also been hit.

Disruption is expected until the end of the day.

Frustrated passengers took to X (formerly Twitter) after their trains were affected.

Some passengers claimed their Avanti West Coast train has been ‘stranded’ at Coventry station for more than an hour, with one saying it is ‘very hot conditions on board.’

The passenger asked Avanti: ‘Could you not at least pass water to everyone on board the train.’

Avanti’s customer service responded on X, saying teams ‘are working very hard to get this issue resolved as quickly as possible.’

Latest London news

• Two women dragged along by Tube trains after coats got stuck in doors
• How long is the heatwave going to last? The end is in sight already
• I tried the ‘best pizza in the world’ and no, it wasn’t in Italy

To get the latest news from the capital visit Metro.co.uk's London news hub .

⚠️ Trains to/from Euston are disrupted this evening due to a fault with our signalling system in Watford 🦺 Our engineers are on site & working to fix the issue 📲 Please check https://t.co/m0S5uRmTGP for the latest journey info 🙏 We’re really sorry to passengers affected — London Euston (@NetworkRailEUS) June 26, 2024

Footage from Euston shows the station packed full of commuters on a day the temperatures in London are set to hit 30C again after the record on Tuesday .

It comes as Tube travel has also been affected across London today.

You could be entitled to delay repay, so it is worth keeping hold of your ticket and making a note of the times to make a claim with the train provider.

Affected Euston trains

These lines have been affected, with disruption expected into the evening.

Avanti West Coast

Avanti West Coast between London Euston and Wolverhampton / Crewe / Manchester Piccadilly / Edinburgh is affected.

Passengers can use tickets on the following services: Chiltern Railways between Birmingham Moor Street and London Marylebone, CrossCountry via any reasonable route, East Midlands Railway between London St Pancras International and Sheffield, Northern via any reasonable route, TransPennine Express via any reasonable route, West Midlands Railway via any reasonable route.

London Northwestern Railway

London Northwestern Railway between London Euston and Tring / Milton Keynes Central / Birmingham New Street / Crewe if affected.

You can use your ticket on the following trains:

• Birmingham Moor Street – Leamington Spa – Banbury – Bicester – Aylesbury – London Marylebone.
• Birmingham New Street – Leamington Spa – Banbury – Oxford – Reading (to connect with Great Western Railway services to London Paddington).
• Birmingham – Nuneaton – Leicester (to connect with East Midlands Railway services to London St Pancras International).
• Tamworth – Derby (to connect with East Midlands Railway services to London St Pancras International
• Birmingham – Wolverhampton – Stafford – Stoke-on-Trent.
• Crewe – Stoke on Trent – Derby.
• Derby – Leicester – Kettering – Wellingborough – Bedford – Luton – London St Pancras International.
• Bedford – Bletchley, to connect with services to London St Pancras International.
• St Albans Abbey – Watford Junction, to connect with services to London St Pancras International.
• Worcester and Birmingham New Street
• Nuneaton – Coventry – Leamington Spa.
• Bedford – Luton – Luton Airport Parkway – St Albans – London St Pancras International.
• Watford Junction – London (Kensington Olympia) (if they are not affected by this disruption)
• London Euston and Watford Junction (if they are not affected by this disruption).

Have you been affected by the disruption? Please email [email protected].

This is a developing news story, more to follow soon… Check back shortly for further updates.

Got a story? Get in touch with our news team by emailing us at [email protected] . Or you can submit your videos and pictures here .

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Dr. T.P Casey and Dr. M. McNally

Dr. T.P.Casey, Dr. Mary McNally, Family Practice - General Medical Services.

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Increased Risk of Dengue Virus Infections in the United States

Distributed via the CDC Health Alert Network June 25, 2024, 2:30 PM ET CDCHAN-00511

Summary The Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to notify healthcare providers, public health authorities and the public of an increased risk of dengue virus (DENV) infections in the United States in 2024. Global incidence of dengue in 2024 has been the highest on record for this calendar year; many countries are reporting higher-than-usual dengue case numbers . In 2024, countries in the Americas have reported a record-breaking number of dengue cases, exceeding the highest number ever recorded in a single year. From January 1 – June 24, 2024, countries in the Americas reported more than 9.7 million dengue cases, twice as many as in all of 2023 (4.6 million cases). In the United States, Puerto Rico has declared a public health emergency (1,498 cases) and a higher-than-expected number of dengue cases have been identified among U.S. travelers (745 cases) from January 1 – June 24, 2024. In the setting of increased global and domestic incidence of dengue, healthcare providers should take steps including:

• Have increased suspicion of dengue among people with fever who have been in areas with frequent or continuous dengue transmission within 14 days before illness onset,
• Order appropriate diagnostic tests for acute DENV infection: reverse transcription polymerase chain reaction [RT-PCR] and IgM antibody tests, or non-structural protein 1 [NS1] antigen tests and IgM antibody tests,
• Ensure timely reporting of dengue cases to public health authorities, and
• Promote mosquito bite prevention measures among people living in or visiting areas with frequent or continuous dengue transmission.

Background Dengue is the most common arboviral disease globally. It is caused by four distinct but closely related dengue viruses (DENV-1, -2, -3, and -4). DENVs are transmitted through bites of infected Aedes species mosquito vectors. Infection with one DENV generally induces life-long protection against infection from that specific DENV but only protects against other DENVs for several months to years. Dengue is a nationally notifiable disease in the United States. Six U.S. territories and freely associated states are classified as areas with frequent or continuous dengue transmission : Puerto Rico, American Samoa, the U.S. Virgin Islands, the Federated States of Micronesia, the Republic of Marshall Islands, and the Republic of Palau. In the rest of the United States, local transmission of DENV has been limited, with sporadic cases or small outbreaks in Florida, Hawaii, and Texas. However, confirmed local DENV transmission has also been reported by Arizona and California over the past two years.

Approximately one in four DENV infections are symptomatic and can be mild or severe. Symptoms begin after an incubation period of 5–7 days (range 3–10 days) and present as fever accompanied by non-specific signs and symptoms such as nausea, vomiting, rash, muscle aches, joint pain, bone pain, pain behind the eyes, headache, or low white blood cell counts. Warning signs are specific clinical findings that predict progression to severe disease. Warning signs include abdominal pain or tenderness, persistent vomiting, clinical fluid accumulation (e.g., ascites, pleural effusion), mucosal bleeding, lethargy or restlessness, progressive increase of hematocrit, or liver enlargement >2cm. Severe disease, with associated severe bleeding, shock or respiratory distress caused by plasma leakage, or end-organ impairment, develops in 1 in 20 people with symptomatic dengue. Infants aged ≤1 year, pregnant people, adults aged ≥65 years, and people with certain medical conditions are at increased risk of severe dengue. Although a second DENV infection (i.e., with a different DENV from the first infection) carries a higher risk of severe disease than a first, third, or fourth infection, any infection can lead to severe disease.

Patients with symptoms compatible with dengue can be tested with both molecular and serologic diagnostic tests. All patients with suspected DENV infection should be tested with RT-PCR (i.e., a nucleic acid amplification test (NAAT)) or a NS1 antigen test, and also with IgM antibody test to confirm DENV infection. These tests can be considered regardless of the symptom onset date, although the test sensitivity of RT-PCR and NS1 antigen tests decrease after the first 7 days. IgG detection by enzyme-linked immunosorbent assay (ELISA) in a single serum sample should not be used to diagnose a patient with acute dengue because it does not distinguish between current and previous DENV infection. U.S. Food and Drug Administration (FDA)-approved testing is available at public health laboratories and some commercial laboratories. State, tribal, territorial, and local health departments, and CDC can offer additional testing guidance.

There are no antiviral medications approved to treat dengue. Treatment is supportive and requires careful volume management. Appropriate triage, management, and follow-up remain the most effective interventions to reduce dengue morbidity and mortality. Expectant management of patients at high risk for severe disease and rapid initiation of a standardized fluid replacement strategy recommended by the World Health Organization (WHO) can decrease mortality from 13% to <1%. In June 2021, the Advisory Committee of Immunization Practices recommended a dengue vaccine, Dengvaxia , for children aged 9–16 years with laboratory confirmation of previous DENV infection and living in areas with frequent or continuous dengue transmission such as Puerto Rico. While the vaccine is considered safe and effective, the manufacturer (Sanofi Pasteur, Inc., Paris France) has discontinued production citing a lack of demand. Vaccine administration will continue in Puerto Rico until available doses expire in 2026.There are no vaccines recommended for travelers, adults, or persons without a previous DENV infection.

Dengue cases resurged globally after the COVID-19 pandemic. In 2023, more than 4.6 million cases and 4000 deaths were reported in the Americas region. As of June 24, 2024, more than 9.7 million dengue cases have been reported in the Americas, twice as many as in all of 2023 (4.6 million cases). Dengue transmission peaks during the warmer and wetter months in many tropical and subtropical regions. Dengue cases are likely to increase as global temperatures increase. Higher temperatures can expand the range of the mosquitoes that spread dengue, as well as affect other factors that facilitate virus transmission like faster viral amplification in the mosquito, increased vector survival, and changes in reproduction and biting rates. U.S. summer travel often overlaps with the months of increased dengue activity in many countries. Epidemics in the Americas region increase travel-associated cases and limited local transmission in the continental United States. A higher-than-expected number of dengue cases (total of 2,241 cases, including 1,498 in Puerto Rico) were reported in the United States from January 1 – June 24, 2024. Public health authorities in Puerto Rico declared a public health emergency in March 2024 because of the high number of cases reported during the low dengue season. Healthcare providers should be prepared to recognize, diagnose, manage, and report dengue cases to public health authorities; public health partners should investigate cases and disseminate clear prevention messages to the public. The CDC is actively implementing several strategies to address the increase in cases of dengue in the United States, including:

• Launching a program-led emergency response, which was activated on April 8, 2024.
• Providing regularly scheduled monthly situational updates on dengue to partners, stakeholders, and jurisdictions.
• Expanding laboratory capacity to improve laboratory testing approaches.
• Collaborating with State, Tribal, Local, and Territorial Health Departments to strengthen dengue surveillance and recommend prevention strategies.
• Educating the public on dengue prevention.

Recommendations for Healthcare Providers

• Maintain a high suspicion for dengue among patients with fever and recent travel (within 14 days before illness onset) to areas with frequent or continuous dengue transmission .
• Consider locally acquired dengue among patients who have signs and symptoms highly compatible with dengue (e.g., fever, thrombocytopenia, leukopenia, aches, pains, rash) in areas with competent mosquito vectors .
• Order appropriate FDA-approved dengue tests (RT-PCR and IgM antibody tests, or NS1 and IgM antibody tests), and do not delay treatment waiting for test results to confirm dengue.
• Know the warning signs for progression to severe dengue, which include abdominal pain or tenderness, persistent vomiting, clinical fluid accumulation, mucosal bleeding, lethargy or restlessness, and liver enlargement.
• For people with suspected dengue who do not have warning signs and are not part of a population at high risk for severe dengue, consider outpatient management with close follow-up.
• Teach patients about the warning signs that may appear as their fever starts to decline and instruct them to seek care urgently if they experience any warning signs.
• Recognize the critical phase of dengue. The critical phase begins when fever starts to decline and lasts for 24–48 hours. During this phase, some patients require close monitoring and may deteriorate within hours without appropriate intravenous (IV) fluid management.
• Hospitalize patients with severe dengue or any warning sign of progression to severe dengue and follow CDC/WHO protocols for IV fluid management .
• Follow local guidelines to report dengue cases to state, tribal, local, or territorial health departments.

Recommendations for State, Tribal, Local, and Territorial Health Departments

• Use FDA-approved dengue tests. Ensure access to dengue testing for all patients with suspected dengue.
• Remind clinicians of the high risk of dengue among patients with fever who have been in areas with frequent or continuous dengue transmission .
• Remind clinicians that local transmission can occur in areas with competent vectors and to test patients with compatible illnesses even without a history of having been in an area with dengue.
• Inform healthcare providers and the public when locally acquired and travel-associated dengue cases are detected in the area.
• Report dengue cases to CDC via ArboNET , the national arboviral surveillance system managed by CDC and state health departments.
• Take the lead in investigating dengue cases and outbreaks.
• Consider targeted outreach about increasing dengue risk to healthcare providers more likely to identify dengue cases (i.e., travel medicine clinics, infectious disease physicians, or healthcare systems serving highly mobile populations such as migrant and border health clinics, and clinics with frequent travelers to areas with frequent or continuous dengue transmission) and messaging to populations at higher risk for dengue.

Recommendations for the Public

• Use Environmental Protection Agency-approved repellents during travel to and after returning from areas with frequent or continuous dengue transmission.
• Wear loose-fitting, long-sleeved pants and shirts.
• Use air conditioning and window screens when possible, to lower risk for mosquito bites indoors.
• Dump and drain containers that hold water to reduce mosquito egg-laying sites in your home and neighborhood.
• Seek medical care if you have a fever or have dengue symptoms and live in or traveled to an area with dengue outbreaks .
• If you plan international travel to a an area with frequent or continuous dengue transmission , protect yourself from mosquito bites during and after your trip.

For More Information

Healthcare Providers

• Clinical Testing Guidance for Dengue | Dengue | CDC
• Guidelines for Classifying Dengue | Dengue | CDC
• Clinical Features of Dengue | Dengue | CDC
• Dengue Case Management Pocket Guide | CDC
• Dengue During Pregnancy | Dengue | CDC
• Dengue Vaccine | Dengue | CDC
• Dengvaxia: What Healthcare Professionals Need to Know | Dengue | CDC
• Dengue | CDC Yellow Book 2024
• Dengue Clinical Management Course | Dengue | CDC
• Webinar: What Clinicians Need to Know about Dengue in the United States | CDC

Health Departments and Public Health Professionals

• Data and Statistics on Dengue in the United States | Dengue | CDC
• What You Can Do to Control Mosquitoes During an Outbreak | Mosquitoes | CDC
• ArboNET | Mosquitoes | CDC
• Dengue case investigation report | CDC
• Dengue Print Resources | Dengue | CDC
• Communication Resources | Mosquitoes | CDC
• Submitting Specimens for Dengue Virus Tests | Vector-Borne Diseases | CDC
• Preventing Dengue | Dengue | CDC
• Caring for a Family Member with Dengue | CDC
• Mosquito Control at Home | Mosquitoes | CDC
• Get Rid of Mosquitos at Home | CDC
• Your Infant has Dengue | CDC
• Areas with Risk of Dengue | Dengue | CDC
• Travel Health Notices | Travelers’ Health | CDC
• Find a Clinic | Travelers’ Health | CDC
• Pan American Health Organization. Epidemiological Update Increase in dengue cases in the Region of the Americas. https://www.paho.org/en/documents/epidemiological-update-increase-dengue-cases-region-americas-18-june-2024
• Wong JM, Adams LE, Durbin AP, et al. Dengue: a growing problem with new interventions. Pediatrics . 2022;149(6):e2021055522. DOI: 10.1542/peds.2021-055522
• Paz-Bailey G, Adams L, Wong JM, et al. Dengue vaccine: recommendations of the Advisory Committee on Immunization Practices, United States, 2021. MMWR Recommendations and Reports . 2021;70(6):1–16. DOI: 10.15585/mmwr.rr7006a1 .
• World Health Organization. Disease Outbreak News; Dengue – Global situation. May 30, 2024.   https://www.who.int/emergencies/disease-outbreak-news/item/2024-DON518

The Centers for Disease Control and Prevention (CDC) protects people’s health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national and international organizations.

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