In this post, we’ll provide an all-encompassing rundown of Travel Health, including an explanation of why Travel Healthis important, how to enjoy a healthy safe travel and our suggestions to a safe and healthy travel if you’re new to Travel Health Medicine.
Why Does Travel Health Medicine Matter?
We all have seen the last 2 years, how Covid-19 rapidly spread all over the world and how bad was the impact of Covid-19 infection on all our health, life, business and economy
U.S. Public Health Service Recommendations Review of Routine Immunization
Individuals should review of their immunization records with their physicians or medical providers as the first agenda item in travel preparation. Routine immunization should be evaluated, including Tetanus, Diphtheria, pertussis/Tetanus and Diphtheria (Tdap, Td), Measles, Mumps, and Rubella (MMR); Polio; Varicella; Haemophilus Influenza Type B (HIB); Hepatitis A and Hepatitis B. For more info, Click here.
Moving to far places needs many preparations to help you adapting with the new atmosphere, climate, altitude, people and environment. Today we will discuss how to do that to enjoy a safe travel journey.
1- Motion Sickness
Have you ever experienced one of the motion sickness symptoms while traveling abroad a cruise ship, boat, airplane or even a car?
How to manage motion sickness, if you are a person at risk?
Most individuals who face such problems while traveling may have encountered them before and know in advance what works for them under most circumstances.
Scopolamine Transdermal Patch can be applied only once every 72 hours and still maintain effective delivery of medication and specially useful if long periods of motion-induced nausea, such as might occur abroad ship, will be encountered.
Even if traveling in spring or summer, individuals should consider getting influenza vaccine, if they did not receive it during the prior winter.
This is important because influenza outbreaks have occurred during the off season on ships that bring together persons from around the world, including southern hemisphere, where the flu season occurs during the months considered summer in the northern hemisphere.
persons who usually live at lower altitudes may encounter serious problems when venturing to mountains areas or other higher elevations, especially if periods of long walking or other exertion may be required.
Such problems range from a mild or moderate headache, and difficulty sleeping to acute pulmonary or even cerebral edema.
How to enjoy your high altitude trip if you are a person of high risk altitude sickness?
Whenever possible, try to acclimate to the higher altitude slowly over a period of several days through gradual ascent. When this is not possible, use of prophylactic agents such as Acetazolamide may be considered. These medications maybe started 1 to 2 days before the ascent, and are usually maintained for 24 to 48 hours after arrival at the final altitude.
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Known as Montezuma’s Revenge in some regions. It can be serious, but no need to prophylactic treatment with antibiotics because it is likely to develop organisms resistance. Moreover, the immediate use of medications such as Ciprofloxacin usually dramatically limits the duration of the illness. In some cases and areas, there are Ciprofloxacin-resistant bacteria, and Azithromycin may be provided. Loperamide may also be added for more acute or distressing symptoms.
“Don’t drink the water is an often-heard warning for persons traveling to developing countries. Although it is a good start for protection, the warning needs to be extended for the maximum. Here are some small tips to do that:
The safest food which is thoroughly cooked and hot served.
The safest fruit is what can be peeled.
The safest food should be canned and water should be bottled.
Check the seals of purchased water and don’t drink any water from a bottle that appears to have been tempered with.
Don’t use the running water for teeth brush. Instead, leave a bottle of water in the bathroom.
Whenever bottled water is not available, you can disinfect water by heat. check other methods like filtration, chlorine, iodine and ultraviolet light in the CDC Yellow Book.
Appropriate use of insect repellents and barriers such as window screens, and mosquito nets are appropriate preventive measures, as well as treatment includes the use of medication in the form of chloroquine, mefloquine, atovaquone/proguanil, and doxycycline that suppress the red blood cell stage of the disease but can not completely eradicate all types of malaria. Check malaria medical treatment.
For that reason, people returning from the tropics who develop any symptoms such as fever, chills, or sweats after completing prophylaxis should be evaluated for malaria.
Feeding or petting dogs or cats not known to be immunized against rabies is not advised when traveling in countries where rabies is present. Any animal bite from a mammal should be evaluated by a medical practitioner, including consideration of the need for rabies treatment. Snake bites should be evaluated by a medical practitioner to determine the need for antivenom.
Travelers should avoid swimming in unchlorinated water except giving fresh water or saltwater area to avoid skin, eye, ear and systemic infections ranging from Schistosomiasis to leptospirosis.
Individuals should review of their immunization records with their physicians or medical providers as the first agenda item in travel preparation. Routine immunization should be evaluated, including Tetanus, Diphtheria, pertussis/Tetanus and Diphtheria (Tdap, Td), Measles, Mumps, and Rubella (MMR); Polio; Varicella; Haemophilus Influenza Type B (HIB); Hepatitis A and Hepatitis B.
Due to wild-type polio virus since 1991, there have been no cases of polio in the western hemisphere. However a recent outbreak of poliomyelitis was noted in May 2013 in Somalia.
All persons traveling to countries where polio has not been eradicated should receive a primary series (at least 3 doses) of either IPV ( inactivated polio vaccine ) or oral polio vaccine.
Polio vaccination and Pregnancy
In general, it’s advisable to avoid polio vaccination in pregnant women unless immediate protection is required.
Polio Vaccination and Breast feeding
Breast feeding is not a contraindication in either mother or baby.
Because Varicella-zoster virus circulates worldwide and routine use of Varicella Vaccine is low outside the United States, the risk of travelers may be significant. In tropical regions, chicken-pox occurs later in childhood or in adolescence, but also adults at risk should be immunized regardless the travel plan.
All persons traveling abroad should have evidence that they are immune to varicella, given one of the following:
A personal history of varicella or shingles, based upon a healthcare provider’s diagnosis.
Laboratory evidence of immunity: serologic testing before vaccination may be cost effective.
Proof of receiving 1 dose ( if less than school age ) or 2 doses ( if school aged or older ) of varicella vaccine, each given no earlier than 12 months of age and no sooner than 28 days apart.