Dukoral is a drinkable inactivated vaccine taken as a two-dose course a week apart, finishing at least a week before travel. It protects against cholera and offers some short-term cross-protection against one common cause of travellers' diarrhoea.

The condition it treats

Cholera is a profuse watery diarrhoeal disease from contaminated water, a real risk mainly for humanitarian and healthcare workers and travellers to outbreak areas with poor sanitation, rather than ordinary tourism.

How the service runs on Scripter

Patients book online, complete the pre-consultation questionnaire, and the guided pathway walks the practitioner through the cholera protection consultation with the screening and counselling steps built in. The supply decision, the record and any GP notification are produced in the same flow, documented against the exact protocol version in force.

Training and eligibility requirements.

Who can deliver this service, and who it can be delivered to. The governing PGD document defines the definitive inclusion, exclusion and supply criteria; the Scripter consultation pathway enforces them, and every consultation is documented against the protocol version it ran under.

Practitioner training

✓Registered healthcare professional from a profession authorised to supply under PGDs (Schedule 16, Part 4 of the Human Medicines Regulations 2012), such as a pharmacist, nurse, paramedic or physiotherapist, with current registration with their professional regulator

✓Practising from premises suitable for the service, such as registered pharmacy premises or a registered clinic

✓Assessed clinical competency for this service, declared and reviewed as part of PGD authorisation

✓Sign-off against the current version of this PGD in Scripter before first supply; sign-offs expire automatically when the protocol is updated, and the platform notifies everyone affected

✓In-date basic life support and safeguarding training

✓Indemnity arrangements covering the service

✓Face-to-face injection technique training for the relevant route

✓In-date anaphylaxis recognition and management training, with adrenaline available on site

✓Vaccine storage and cold-chain procedures in place where the service supplies vaccines

Patient eligibility

✓Travellers meeting the governing PGD's risk criteria: aid and healthcare work, outbreak areas, or specific itineraries

✓Two-dose oral schedule completed on time, with the buffer-solution instructions counselled

✓Standard screening completed; the vaccine is not routinely indicated for ordinary tourism

✓Water and food precautions counselled as the primary protection

Cholera (oral) PGD questions

Should ordinary tourists have the cholera vaccine?+

Rarely; risk for conventional tourism is very low. The pathway reserves it for aid workers, healthcare staff and genuinely high-risk itineraries, matching national guidance.

How is an oral vaccine taken correctly?+

Each dose is drunk with its buffer solution on a fairly empty stomach, doses a week apart, finishing a week before departure; the counselling step makes the timing concrete.

Does it prevent travellers' diarrhoea generally?+

Only partially and briefly against one organism; food and water discipline remains the real defence, and the azithromycin pathway exists for treatment when it strikes.

More travel health PGDs.

Related protocols in the same category, all delivered through the same platform.

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