5:30 – 6:30 Plenary 6:30 – 7:30 Regional Break-out sessions 7:30 – 8:00 Refreshments (Leacock Building main floor a

1. Welcome to Pre-Departure Orientation March 29th, 2012 5:30 p.m. 5:30 – 6:30 Plenary 6:30 – 7:30 Regional Break-out sessions 7:30 – 8:00 Refreshments (Leacock Building main floor and 2nd floor) 8:00 – 9:30 Medicine Breakout sessions continue IMPORTANT! In your regional break-out session, you will be asked to complete the PINK SHEET found in your information package. IF you will be traveling to the U.S., please complete it and leave it with a staff member on your way out after this presentation.

2. Speakers • André Costopoulos Associate Dean Student Affairs Faculty of ArtsMcGill University • Sylvie Fafard • Deputy Director • Outreach and Partnership Programs Foreign Affairs and International Trade Canada (DFAIT) • Dr. Kirsten Johnson, MD, MPH • Director, • Humanitarian Studies Initiative • Prof., Dept. of Family Medicine McGill University Carla Jensen International Education Admin. Office of International Education McGill University

3. Canadian Consular Services Sylvie Fafard Deputy Director, Outreach and Partnership Programs Consular, Security and Emergency Management Branch Foreign Affairs and International Trade Canada (DFAIT)

4. Canadian Consular Services Your best source of safe-travel advice and information

5. In this presentation… Overview of the Canadian Consular Services- role- services - tools Smart-travel tips Questions?

6. What is the role of Canadian Consular Services? • Prevention • - To help Canadians prepare for foreign travel • Assistance • - To provide services and help to all Canadians • abroad • - To coordinate the Government of Canada’s • response to international emergencies affecting • Canadians abroad

7. Who we are… • More than 260 Canadian embassies, high commissions and consulates in over 150 countries worldwide • Q: Whatis the differencebetween an embassy, • a high commission and a consulate?

8. Embassy: in the capital city of another country • (Washington D.C., Paris, Brasilia) • High commission: in the capital city of a • Commonwealth country • (London, Canberra, New Delhi) • Consulate: in a major but not capital city • (Los Angeles, Nice, Rio de Janeiro)

9. Who we are… • Emergency Watch and Response Centre in Ottawa • Assistance 24 hours a day, 7 days a week • Call collect to 613 996-8885 or e-mail sos@international.gc.ca

10. Consular officials in Canadian offices abroad and in Ottawa are there to… • Assist in medical emergencies by providing • a list of local doctors and hospitals • Transfer funds if urgent financial assistance is required ($) • Contact next of kin, with your authorization, in case of emergency • Provide assistance in cases of missing persons

11. Consular officials in Canadian offices abroad and in Ottawa are there to… • Assist victims of robbery or other violence • Seek to ensure that Canadians are treated fairly under the country’s laws if arrested or detained • Replace lost or stolen passports ($) • Notarize certain Canadian documents ($)

12. Consular officials do not provide the following services: • Perform marriage ceremonies • Store personal effects • Accept mail on your behalf • Assist with job or apartment hunting • Get you out of prison

13. A bit more on the prison issue… • 1,800 Canadians currently imprisoned abroad • Most of them for drug-related offences • And most of them are in… • the United States • The rest are in prisons in almost 100 other countries

14. Your basic tool kit • For travelling and studying abroad

15. travel.gc.ca

18. Risk levels and Travel Warnings

19. Registration of Canadians Abroad Who should register? All Canadians travelling or living abroad Why? So that we can contact and assist you in an emergency abroad, or to inform you of a family emergency at home

20. Smart-travel publications

21. Before you go… Learn about your destination • What documents do you need? • Valid passport • Student visa • Work permit • Proof of AIDS testing • Certificate of vaccination • International driver’s licence

22. Travel YOUR way, the SMART way! • Travel health insurance: don’t leave without it! • Protect your passport. Make photocopies of all your travel documents • Prescription medication and syringes: yes, but… • Dual citizenship: is it an issue? • Illegal drugs: Zero Tolerance • Local culture and laws: learn ahead of time

23. Contact us • General information • 1-800-267-6788 (Canada and U.S.) or 613-944-6788 • travel@international.gc.ca • Emergencies • 613-996-8885 (call collect from abroad) sos@international.gc.ca • travel.gc.ca

24. Questions?... Thank you, merciBon voyage!

25. Kirsten Johnson, MD, MPH Director, McGill Humanitarian Studies Initiative Asst. Professor, Family Medicine McGill University Personal Health Abroad

26. Know before you go Kirsten Johnson, MD, MPH Director, Humanitarian Studies Initative Assistant Professor, Department of Family Medicine

27. Things I’m Going to Talk About • Medical check up • Immunizations • Supplies • Packing • Insurance • Getting sick abroad • Travel tips

28. But first… a test! What is the most common cause of death for missionaries and peace corps volunteers?

29. Go see your doctor… • May be required • Cost for international students • May include laboratory tests • Associated costs: forms, labs, imaging • Student Health • Book early

30. Immunizations • Country or region specific • Make appointment 3 months prior to departure • Where: • McGill sudent health • Centre for Tropical Diseases MGH • Clinique Sante-Voyage, 1001 Saint-Denis • Medisys Travel Health Clinic, 500 Sherbrooke W • Cost SSMU plan covers $300.00/year • Attach your immunization book to your passport

31. Supplies: Medicines • Traveler's diarrhea: • Vaccine • Pepto-bismol (if not allergic to aspirin) • Immodium • Ciprofloxacin and/or flagyl • Laxative • Anti-emetic (Gravol) • Antihistamine (Benadryl) • 1% Hydrocortisone Cream • Tylenol, Motrin/Ibuprofen • Polysporin • Canesten/Anti-fungals • Malaria pills • Altitude sickness medication (Diamox) • Ventolin • Iodine tablets • Other prescriptions unique to you

32. Supplies: Medicines If you take medication: • Make sure you have enough • Carry all medication in original bottles with original label from pharmacy • Enough syringes for entire trip and med certificate • Some OTC meds legal in Canada may not be in other countries • Contact embassy of country where you are travelling to make sure meds you are carrying are legal where you are going

33. Supplies: Health • Sterile dressing, bandaids, blister aids • Insect repellant – DEET > 30% • Water resistant sunscreen > Spf 30 • Thermometer • Disposable gloves • Syringes and needles • Permethrin infused mosquito net • Water purification • Feminine hygiene products

34. Packing • Passport (plus copy) • Airline Ticket (plus copy) • Visa (plus copy) • SOS/insurance card (plus copy) • Medical License (plus copy) • Immunization record (plus copy) • Passport/visa photos • Money belt • Money/Cash • Lonely Planet/Travel book • Language book • Computer/Palm/IPhone (with back up) • Jump Drive • Blank CD-ROMs • Letter from accepting organization or institution • Initial contacts upon arrival • Cell phone (unlocked) • Purel/antibacterial liquid • Headlamp/Flashlight • Water bottle (+/-) • Mosquito net-treated • Permethrin • Mosquito Repellant • Sun screen • Sleeping sac • Duct Tape, string

35. Insurance Note: Students travelling to very remote or potentially dangerous areas may want to consider supplementary insurance coverage. International SOS is one example of this type of insurance provider. International SOS Benefits Medical Assistance Services • 24-hour access to physicians for medical advice and emergency assistance • Medical and dental referrals • Emergency medical evacuation • Medically-supervised repatriation • Medical expense guarantee and payment • Ground transportation and accommodation for family members • Assistance with documentation for insurance claims • Dispatch of prescription medication and medical equipment

36. Insurance Security Assistance Services • Security evacuation assistance • Access to security crisis center Travel Assistance Services • Legal referrals • Emergency message transmission • Lost document advice and assistance • Advance of emergency personal cash • Emergency translation services

37. “F” Diagram Fluids Fingers Food Feces New Host Flies Fields

38. Getting sick abroad: Diarrhea • Prophylaxis: Peptobismol • 3 loose stools = travelers diarrhea = antibiotics +/- immodium • Stay hydrated! • If: It lasts more than a week, there is blood, you have a fever = seek medical attention

39. Getting sick abroad: Heat stroke • Wear loose fitting clothing, light color • Avoid prolonged exposure to direct sun light • Certain medications/alcohol are dehydrating • Drink fluids regularly (not including beer) • Heat stroke symptoms: • feeling faint, nausea, vomiting, increased temp, headache, goosebumps, chills, muscle cramps, unsteady gait

40. Getting sick abroad: Altitude sickness • Altitude is the great equalizer • Risk above 8,000 feet or 2,500m (Peru, Nepal, Tibet) • Time to acclimatize • Consider taking diamox • No alcohol • Symptoms: • headache, fatigue, nausea, shortness of breath, confusion

41. Getting sick abroad: Malaria, Dengue • Prevention is key! • Mosquito repellent and nets • Stay in at dawn and dusk • Take your anti-malarials: • lariam, malarone, doxycycline • Symptoms: • Headache, fever, nausea, delirium, myalgias

42. Tips

43. Tips: Personal safety • Risk assessment: outline risks or dangers pertaining to health, personal safety and a plan for emergency evacuation • Don’t look like a tourist = target • Precautions getting into taxis • Women should not be alone/do not walk home alone after dark

44. Tips: Drugs • A no-no unless you want a jail cell to be your residence abroad • Be careful of your luggage • Pack your own • Don’t bring anything for anyone else

45. Tips: Communications • Unlocked cell phone for use with local SIM card • Necessary contacts before you leave • Remove unlawful material from your computer

46. Tips: Eating • Boil it, cook it, peel it or forget it! • Best rules • Avoid salads or raw vegetables • Drink bottle water, filtered water, or treated water • Avoid drinks with ice cubes • Hot recently cooked food • Wash hands before eating

47. Tips: Long Distance Travel DVT • Not common in young people but can happen • Drink plenty of fluid • Don’t sit for long periods • Walk around • Avoid alcohol, caffeine • May manifest up to 2 weeks after a flight • Seek medical advice if: • Pain and swelling of legs • Sudden chest pain • Sudden shortness of breath

48. Tips: Sexual Orientation and Sex • Probably not a good idea – use a condom • Check the local regulations on GLBT • Is it legal where you are going? • Being militant at home may be a good thing but not in another country • Amnesty International web site good source of information

49. Upon your return See a doctor if: • Ongoing diarrhea, stomach cramps • STI check – if had sex • Fever • Unusual rashes • Any thing else that is weird and that you are worried about

50. Resources • http://www.voyage.gc.ca • http://www.cdc.gov/travel/ • http://www.amnesty.org • info@santevoyage.com • www.internationalsos.com/en/