Transcript Traveling? - University of Oregon

Travel Health and Safety
University of Oregon Health
Center
University of Oregon Travel
• University of Oregon
provides a
comprehensive travel
health service.
• University of Oregon
sends around 800
students abroad to 90
International
programs in 50
countries.
Travel Documents
• Passport
• International Certificate of
Vaccination
• Copies of drivers license,
birth certificate, insurance
cards, major credit cards,
frequent flyer card and
International telephone
access phone numbers
(banks, credit cards,
phone company)
Traveler’s Checklist
• Carry a wallet or wear a
necklace or wrist band
with medical condition or
allergy to medications
• Consider
medical/evacuation
insurance for travel
abroad
• Dental and Medical
check-ups prior to
departing
• Pack enough medication
to last the entire trip keep
in your carry-on.
• Carry copies of
prescription orders and a
letter stating the need for
the medication
• Carry an extra pair of eye
glasses or contact lenses
• Carry a first aid kit with a
thermometer.
Packing 101
• Go Safe, Go light, Go Easy
• Contact airline regarding carry-on and
luggage restrictions
Immunizations and Travel
Prescriptions
• Come to the University of Oregon Health Center
or go to your University Health Center and
schedule a travel appointment.
• Find out what immunizations are recommended
and if diarrhea treatment or malaria prophylaxis
is indicated.
• Come in at least at least 6-8 weeks before you
travel.
• Travel Health On-line http://www.tripprep.com/
• CDC http://www.cdc.gov/travel/
Immunizations
• One of the greatest
misconceptions people
have is that immunization
entry requirements are
designed to protect
visitors. They are not.
• Governments design
these measures to
protect their own citizens
from imported diseases.
Routine immunizations
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Recommended immunizations will help
protect your health:
Hepatitis A
Hepatitis B
Meningitis
Tetanus/Diphtheria/
Pertussis
TB Skin Test (ppd)
Air Travel Health Risks
• Economy Class
Syndrome (DVT-deep
vein thrombosis/ blood
clots)
– Risk factors
• Sitting motionless for long
periods
• Adults – especially older
age
• Injuries for blood vessels
– Leg trauma, surgery,
radiation therapy
• Oral contraceptives/ HRT
• Pregnancy
• Obesity
Prevention of Economy class
syndrome
• Frequent flexing – 10-15
minute intervals
• Avoid sitting with legs
crossed
• Avoid anything that
impedes circulation
(braces, tight clothes)
• Don’t sleep for prolonged
periods (longer than 30
minutes)
• Stay well-hydrated
• Consult clinician if have
risk factors
Motor Vehicle Safety
• More travelers die in
motor vehicle
accidents than of
foreign diseases
• Seat Belts? Use them!
• Motorcycles/Scooters
are NOT a good idea
• Use the bus wisely
Pre-Travel Advice -SEX
• Is sex with new partner
common in travelers?
YES!!!!!!
– Range is 5-50% for
short term
– Higher rate for long term
travelers
• One study of travelers
found that:
– Travelers tend to have
more sexual partners
and more contact with
high HIV risk groups
than non-travelers
Alcohol and Drugs
• Be aware of local
laws and customs
– Some countries have
very harsh drug laws
• Both contribute to
increase risk of
accidents
– Drowning
– Motor Vehicle
Accident
– Falls
Let’s Talk Disease
• Food and Water Born Diseases:
– Typhoid
– Travelers Diarrhea
– Hepatitis A
• “Creature” transmitted:
– Malaria
– Rabies
– Yellow Fever
– Dengue Fever
Traveler’s Diarrhea
• Effects up to 60% of travelers
• Usually caused by bacteria,
treatable with antibiotics
• Travel Prescriptions available
from the UO Travel Clinic
• Highest incidence in Africa,
Asia, Latin America, and the
Middle East
• Pre travel immunization can
provide only varying degrees
of protection against typhoid
and hepatitis A.
Food and Water Precautions
• Assume bottled
beverages are the only
SAFE drinks
• Avoid ice cubes
• Avoid leafy and uncooked
fruits and vegetables
• Avoid raw seafood and
unpasteurized dairy
products
• Water treatment – filters,
chemical, boil,….
Good Choices
• Choose fruit you peel
yourself
• Only drink boiled, treated
or professionally bottled
beverages
• Choose well cooked
“piping hot” food
• Use purified water for
brushing teeth, rinsing
mouth appliances and
contact lenses
Malaria
• Malaria is the most
important parasitic
disease in the world
• Spectacular growth in
tourism
– Increased travel to high
transmission areas
– As many as 30,000
travelers from industrialized
countries contact malaria
each year
– Increasing drug resistance
Malaria Prevention
• Awareness of risk
• Know how to prevent it:
 ChemoprophylaxisMefloquine, Chloroquine,
Malarone, Doxycycline
 Personal protective
measures: bed net,
covering up, insect
repellent w/ DEET or
Picaridin
 Seek medical attention
urgently if you develop a
fever during or after travel
Insect Protection
• Apply repellants that contain insecticide:
DEET (30-35%) OR Picaridin (20%)
• Apply sunscreen first, then repellant
• Choose light weight clothing that covers
most of the body
• Pre-treat clothing with permethrin
containing repellents• Treated insect netting
Culture
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Plan ahead!
Do your homework
Be quiet
Be patient
Be respectful
A little language goes
a long way…
• Smile
Enjoy Your Trip
And when you get home:
Get TB screening (PPD) 2-3 months after returning.
Be vigilant for symptoms that might indicate a tropical
or imported illness: skin lesions, fevers, diarhhea and
see a provider telling them you have had recent travel..