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You Become Captain

You Become Captain. EMBARK ON A JOURNEY OF A LIFETIME. New travelers Experienced travelers Best defense is offense Think about risks Prevent as possible Deal as problem arises. Knowledge key to successful travel

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You Become Captain

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  1. You Become Captain EMBARK ON A JOURNEY OF A LIFETIME

  2. New travelers • Experienced travelers • Best defense is offense • Think about risks • Prevent as possible • Deal as problem arises

  3. Knowledge key to successful travel • Excellent web sites to get the latest updates on health information for countries: • cdc.gov/travel/index.html • tripprep.com • www.travel.state.gov

  4. Risks • 60-70% some type illness • Minimal to severe • Specific risks dependent on 3 important questions: • Where are you going? Order of travel? • How long will you be there? • What will you be doing there? • Tourist vs working with population • Use of prophylactic (anti-malarial) Various kinds, check country

  5. Specific personal risks • Protection against insects • Vaccinations • Risk-taking behavior • Health status

  6. How Disease spreads • Contact • Air, blood and other fluids • Hygiene • Prevention • Hand washing • Caution with sexual relationships • Contaminated food and water • Insects • Contaminated soil

  7. Travel Health Considerations • Pre-existing conditions • Immunizations • Travel-related illnesses

  8. Pre-existing conditions (physical and mental) • Asthma, heart disease, immune compromising, blood diseases, diabetes, anxiety/depression (one of highest #’s of health problems), etc. • Check Health Care provider • Copy medical history • Prescriptions plus full supply meds • Extra glasses and/or contacts plus script • Small First Aid kit – Travel Health Guide has contents

  9. Choose Your Doctors wisely

  10. Know exercise limits • Have a strategy of care, if needed • List of medications • Prescription in place separate from med • Keep meds in original containers • Birth Control Pill for duration plus prescription in case lost or stolen

  11. Know insurance coverage • Be aware of care facilities • Have list of facilities • Know who to contact if need doctor • American and Canadian Embassies • IAMAT(International Assoc for Med Assist Travelers) 417 Center St., Lewiston, NY, 14092 • Credit card companies –AE gold card

  12. Immunizations • Update basic • Hep A definite, consider Hep B, Meningitis • Specific for Country • See Immun Clinic GCHD-893-0131 • Travel Clinic – GCHD- 903-893-0131 Ext 245 appt • Travel plans • Area • Accommodations • Planned activities • Anti-malarial drugs if necessary

  13. Travel related • Traveler’s Diarrhea most common • Affects up to 50% • Begins abruptly, lasts 3-4 days • Oral re-hydration solutions • Anti-microbial – if fever, n/v,cramping • Anti-motility – symptom relief • Pepto Bismol – 2 tabs 4x day not more than 1-2 weeks for prevention • Can reduce by 60 % but has high Aspirin content • Also can cause black tongue when taken long term

  14. Prevention • Careful of water and water products • Rural – boil • Canned or bottled – avoid uncapped • Ice may be contaminated • Avoid street vendors • Care in choice of restaurants • All raw foods subject to contamination • Avoid raw meat, fish, shellfish • Avoid cooked food which has been standing

  15. SARS – Severe Acute Respiratory Syndrome • Virus – fever, headache, body aches, mild respiratory symptoms initially • Spread through droplet transmission (coughs or sneezes droplets - someone breathes • After 2-7 days, dry cough, difficulty breathing • Treated with antibiotics, antivirals, hospitalization for breathingassistance

  16. Current recommendations • No current recommendations per warnings against non essential travel. • CDC has issued travel information related to potential for another outbreak.

  17. SARS risk • Close contact with infected person (household or health care worker) • Immune compromised, chronic illness, elderly

  18. Hepatitis A • Food borne, liver disease • Spread fecal/oral contamination • Prevention with immunization • Hep A – 1 and 1 6 mos - $40 each • Hep B – 1, 1 mo, 6 mos - $40 each

  19. Wear Seat Belts

  20. Concentrate on Where You’re Going

  21. Accident related trauma • Number one reason for hospitalization during travel • Know rules of the road • Avoid taking chances • Know that care in another country not as easy to obtain • Again, prevention is best policy

  22. Protect Yourself from the Mid-day Sun

  23. Others • Jet lag • Best prevention still water 16oz,1 liter,increase for several days after • Avoid increased alcohol – increases lag • Avoid coffee/tea – increases insomnia • Use Dramamine – drowsy side effect • Heat related illnesses • Altitude sickness • Gradual acclimatization, inc carbs, inc fluid,dec activity • Motion sickness • Antihistamine-type meds, drowsiness

  24. Insect-Borne Disease • Anti-malarial prophylaxis • Deet 30-35% spray, cream, towelettes • Net for bed, protective clothing- spray • Dusk to dawn • Develops within 8 days of exposure • Flu-like symptoms, fever, headache, chills, fever, aches and pains, malaise – treated with same med prevented with • Parasites • Wear shoes, care in where swim

  25. Rabies • Bats, monkeys, dogs – not rabies shots • DON’T PET THE ANIMALS • If bitten or scratched, copious soap and water • Contact health care worker in area immediately

  26. Tuberculosis • Underdeveloped countries-increased rates • Rural areas • Close living quarters 6 mo or longer • Re check TB test 3 mos. after return or if any symptoms • Risk information on cdc web site given earlier

  27. Make Healthy Choices about Sexuality

  28. Sexually Transmitted Diseases • Epidemic levels in certain areas of the world • Not just HIV • 46% women who develop HPV do so first sexual encounter • Caution can’t be stressed enough • Condoms qualities not same as US • Abstinence only 100% • Many spread with contact, not always visible • Herpes, HPV-Genital warts – Viral • Chlamydia, gonorrhea, syphylis - Bacterial

  29. Hepatitis B – preventable with vaccine • HIV/AIDS • No cure, kills • Globally distributed, risk behavior • Contaminated needles – drugs, tattoo, acupuncture, medical/dental procedure, blood transfusions-some still not checking blood for HIV, Hep B and C • Sexual intercourse, vaginal, anal, oral/genital • Bacterial • Chlamydia • Silent epidemic – 75% women, no symptoms • Syphilis

  30. Again, Prevention is best policy • Be on the offense – be on the lookout for unusual occurrences or people acting in strange ways. • Practice safe habits in travel • Travel with others • Blend in with locals, dress, actions, etc • Be observant, clues from locals and experienced travelers Risk increases with travel

  31. ATTENTION TO THESE DETAILS SHOULD ALLOW YOU TO REVIEW YOUR TRIP WITH JOYFUL MEMORIES

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