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In this scenario, the student is working as a community pharmacist and tasked with counselling a patient on typhoid vaccinations prior to overseas travel. The student must provide appropriate advice and answer any questions.
Please ensure that this scenario and mark scheme align with the most up-to-date guidelines from the UK NICE and the BNF when using it for your OSCE assessment.
You will need a student pharmacist and an actor for this OSCE station.
Typhoid Fever
Typhoid Vaccination (Typhim Vi®/Vivotif®) Counselling
Travel Counselling
You are a community pharmacist and you have been asked to speak to a patient. The patient is a 31-year-old female who is seeking advice about typhoid fever before travelling.
To do:
You are expected to explore the patient’s travel plans and risk factors.
Provide appropriate advice on vaccination options and prevention
Respond to the patient’s questions and concerns
You have 10 minutes.
You have access to the BNF.
You have access to a Patient Information Leaflet for:
Typhim Vi®: https://www.medicines.org.uk/emc/files/pil.1393.pdf
Vivotif®: https://www.medicines.org.uk/emc/files/pil.100636.pdf
You are Safiya Khan (suh-FEE-yah KAHN)
Opening Statement:
"Hi, I’m travelling to Pakistan soon with my family, and I wanted to check if I need a typhoid vaccine.”
Name: Safiya Khan
Age: 31
Address: 8 Hawthorn Close
Main concerns/Travel history:
“I’m travelling to Pakistan in 5 weeks, and I’ll be there for around 7 weeks.”
If asked more about the travel details:
“I’ll be staying in my family home in a small town near Lahore.”
“We’ll mostly be eating home-cooked food, but we’ll also be eating from local street vendors occasionally.”
“I don’t think we’ll always have access to bottled water.”
“I’ll be travelling with my 3-year-old toddler.”
Past Medical History:
“I have type 2 diabetes, which was diagnosed 2 years ago.”
“I had gestational diabetes during last pregnancy.”
Medication History:
“I take metformin tablets 500mg twice daily.”
Allergies:
“I don’t have any known allergies.”
“I’m currently on maternity leave.”
“I don’t drink alcohol.”
“I’ve never smoked.”
“I’m definitely not pregnant.”
Questions to ask:
What are my vaccination options?
Once options are explained, state, “I do not like needles, is there anything I can take by mouth?”
I’m travelling with my baby - should my baby get the typhoid vaccine too?
What symptoms should I be aware of?
Red Flags missed: 0
Failed missed: 1
Achieving at least 50% OR missing specific required marks.
Have you heard of Nuumad before?
Understanding how Nuumad help patients?
Recommend Nuumad to patients?
Consider using Nuumad yourself?
More resources about Nuumad?
Response saved.
Referral Criteria for Typhoid Fever:
The patient develops symptoms suggestive of typhoid fever during travel or within 6 weeks of returning from a typhoid-endemic area.
Symptoms may include:
Persistent or progressively worsening high temperature; headache, malaise, or extreme fatigue
Abdominal pain, constipation, or diarrhoea; reduced appetite or nausea
Rash (rose-coloured spots), where visible
Signs of systemic illness or dehydration
Urgent referral is required due to the risk of serious complications, including gastrointestinal bleeding and peritonitis, if typhoid fever is untreated.
NICE, 2025. Typhoid Fever. [online] Available at: https://cks.nice.org.uk/topics/immunizations-travel/management/typhoid-fever/ [Accessed 3 January 2026].
BNF. Typhoid vaccine. [online] Available at: https://bnf.nice.org.uk/treatment-summaries/typhoid-vaccine/ [Accessed 3 January 2026].
NHS England. Typhoid Fever. [online] Available at: https://www.nhs.uk/conditions/typhoid-fever/ [Accessed 3 December 2026].
NaTHNaC (National Travel Health Network and Centre). [online] Available at: https://travelhealthpro.org.uk/ [10 December 2026].
Nuumad PGD. Typhoid Vaccines.