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Epidemiology and Public Health. Lecture 21: Infectious disease in developing countries and travel to endemic areas. MIC 252 By R. Fisher (2355827@uwc.ac.za). Good Morning and welcome!.
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Epidemiology and Public Health Lecture 21: Infectious disease in developing countries and travel to endemic areas. MIC 252 By R. Fisher (2355827@uwc.ac.za)
Good Morning and welcome! • Today’s lecture will be short and… well... to the point because… I’m probably going to be the only person in the class. • So… I guess I’ll just cover the learning outcomes and we can have some more jokes, funny movies and chitter chatter the next time you guys show up for the lecture and don’t leave me in this desolate waste land… like Lucky Luke in the desert.
The learning outcomes for this lecture are: • Contrast mortality due to infectious disease in developed and developing countries. • Explain what precautions travelers can take when traveling to endemic disease areas. • List some examples of immunizations required for international travel.
Interlude… • In the first part of this soliloquy, you will be presented with two hypothetical situations. Each situation will demonstrate key factors pertaining to the difference in mortality in developed and developing countries…
So… without further delay… Part 1: Holiday!
Let me introduce you to two, TOTALLY fictional character… Mr. Fischer (Please note the spelling) AND Farmer Fieldong (Totally fictional)
Mr. Fischer… being a city slicker with tones and tones of money… decides to go on holiday during his September break… in the great out door (No, not Grassy Park). • He decides to go to…
Sorry, wrong era… • Lets try again shall we…
In the mean time… • Farmer Fieldong… being a simple people… decides to sell all his live stock… and go see… THE BIG CITY…
OK…OK… OK… How about we send Farmer Fielding to a real big city… Like…
Joburg Which just so happens to have an OCEAN! It’s my story! I can do what I want to!
Mr. Fischer enjoys Central Africa so much that he decides to make it his home…
Farmer Fieldong also decides to leave his seven wives and his patch of daisies and start a new life in the city.
The problem… • When Farmer Fieldong moved to the city… he brought with him a new strain of super flu. This flu is a combination of a human flu and an animal flu. • When Mr. Fischer moved to Central Africa, he too brought with him a regular strain of human flu. However, the people in Central Africa have no immunity to this flu.
The Result… • The people which Farmer Fieldong infected eventually got sick but with the help of modern medicine’s and machinery, the doctors were able to develop anti-viral treatments for the infections… • Hence the people live on to die another day in a car accident or a plane crash
In the case of Mr. Fischer… The whole tribe of MBS students who lived in Central Africa were wiped out as they only had access to herbal and tribal medicines which only show long term effects with continuous treatment. What a great loss.
What does it all mean? • The factors that contribute to mortality in urban areas are different to the factors causing mortality in rural area. • Thus leading to the moral of the story: you are likely to die in a car accident in the city than in a remote village at the top of a mountain in Central Africa. However, you are more likely to die of Malaria in Central Africa.
Part 2 • When traveling to disease endemic area one should: • Plan ahead so that you get your vaccinations and all required booster shots • Save up as much money as you can. • Take out life insurance with Randall Fisher as your beneficiary. • Pack clean underwear.
Part 3 • List some examples of immunizations required when traveling… • I think I’ll leave this one up to you guys…
In Conclusion • See you guys on the 8th. of September. • September 2008 that is. • Have a great holiday and don’t travel anywhere until you have been vaccinated. AND • Good luck with the test!