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I AM GOING TO NICARAGUA!

Luckey Dunn, MD. I AM GOING TO NICARAGUA!. NOTHING. DISCLOSURE. Be able to organize an OV for pre-travel evaluation of a patient Understand the importance of pre-travel evaluation of a patient Be able to access up to date information on pre-travel advice for patients

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I AM GOING TO NICARAGUA!

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  1. Luckey Dunn, MD I AM GOING TO NICARAGUA!

  2. NOTHING DISCLOSURE

  3. Be able to organize an OV for pre-travel evaluation of a patient • Understand the importance of pre-travel evaluation of a patient • Be able to access up to date information on pre-travel advice for patients • Be aware of resources available for patients traveling outside of the US Travel medicine

  4. Mr. Greg Jones is a 63 year old retired fire fighter with known HTN, HLP, and Obesity. He presents to the clinic today for routine follow up. As he begins his visit, he says that he is going on a mission trip with his church to Bolivia. He wants to know if there is anything he needs to do from a medical standpoint. He has his US Passport and has been “in training” for the trip. • He is otherwise doing well. Routine clinic visit

  5. HTN for four years-controlled meds/diet/exercise • HLP for three years-controlled meds/diet/exercise • Medications • Enalapril 20 mg daily • Atorvastatin 10 mg daily • NKDA Routine clinic visit (Cont)

  6. Hospitalizations/PSH: N/C • Cigarettes: 1 PPD x 10 yrsDCed 5+yrs • Etoh: Denies • Wife works with school • Two grown daughters • Immunizations: Unknown Routine clinic visit (Cont)

  7. PHYSICAL • VS-Normal BP-130/80 • Lungs: CTA • CV: NSR without Murmur • ABD: Benign without bruits • Ext: WNL Routine clinic visit (Cont)

  8. NOW WHAT? Routine clinic visit (Cont)

  9. Routine Health Update/Immunization • Routine Travel Advice • Routine Travel Immunization Update • Area Specific Medical Advice • Area Specific Immunization PRETRAVEL CLINICAL VISIT

  10. Recent labs • Screening Colonoscopy • PSA (?) • Immunizations Routine Health Update

  11. Medical Insurance-Medical Evacuation • Medications • Location/Itinerary/Stop-overs • Travelers Diarrhea • Jet Lag • Special Needs Routine travel advice

  12. Td Booster if not within past 5 years • Hepatitis B series • Hepatitis A series • Polio Vaccination? • Influenza vaccination? Routine travel immunization

  13. Malaria Risk/Resistance • Other Insect-borne Disease • High Altitude Risk • Political Hazards Area specific advice

  14. Meningococcal • Typhoid • Rabies • Japanese Encephalitis • Yellow Fever Area specific immunizations

  15. US CDC Home Travel Info- www.cdc.gov/travel • WHO Green Book- www.who.int/ith/ • Health Canada –Travel Health-www.phac-aspc.gc.ca/tmp-pmv/index.html • UK National Travel Health Network and Centre- www.nathnac.org/ Travel information

  16. US State Department www.travel.state.gov/Smart Traveler Enrollment Program (STEP) Travel information

  17. US CDC Home Travel Info- www.cdc.gov/travel Travel information

  18. TRAVELERS’ HEALTH TOPICS-DESTINATIONS

  19. TRAVELERS’ HEALTH TOPICS-VACCINATIONS

  20. Destinations-Map/Alpha

  21. Nicaragua-Map

  22. NICARAGUA-information

  23. NICARAGUA-Malaria

  24. NICARAGUA-Malaria map

  25. BOLIVIA

  26. BOLIVIA-Malaria Map

  27. US CDC Home Travel Info- www.cdc.gov/travel CONCLUSION

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