Travel Health with Special Guest: Dr. Mark Walberg | Pro Pharma скачать в хорошем качестве

Travel Health with Special Guest: Dr. Mark Walberg | Pro Pharma

Professor Speaks: Episode 89 - Travel Health Travel Health: 1. What are the most common health issues travelers may encounter? a. Travelers diarrhea i. Vaccinations for only HepA, typhoid and cholera… lots of other things out there! ii. Typical adage is “cook it, peel it, boil it or forget it” iii. Have a plan for drinking water… not a fan of bottled water… filters, UV pens, iodine or hypochlorite… small scale, large scale iv. Medication to treat symptoms. Antibiotics should not be used for prophylaxis and should only be used as therapy in severe cases b. In terms of “things that will kill you”, most travelers die from pre-existing medical conditions (MI) or accidents (specifically MVA) i. Make sure you are healthy enough to travel and bring all your medications ii. Wear a seat belt iii. If it is something adventurous you would feel safe doing at home, don’t do it while on vacation either! 2. Mentioned vaccines, are there other vaccines people will need to consider besides those for GI bugs? a. Yellow fever… basically a mosquito-borne disease that destroys your liver and has a very high fatality rate. Found in South America (Amazon) and Sub-Saharan Africa. Mosquitoes bite during the day and can also carry dengue, chikungunya and zika… so still have to prevent mosquito bites. i. Currently out of stock so have to find a site that has Stamaril. ii. Very regulated vaccine as it can cause YF in patients with immunocompromise or thymus disorders. Also higher risk in elderly. b. Japanese encephalitis… similar to West Nile, it causes neurological symptoms. Found in Southeast Asia, mostly in rural parts. Need to have a travel health advisor assess whether or not you should get it. c. Rabies… fairly expensive, but lifesaving if bit by a rabid animal. i. Only safe on Antarctica and Hawaiian islands ii. Vaccine is used for prevention and treatment iii. Most expensive series so many skip it… if bit it may mean you need to immediately return to the US for vaccine and immunoglobulin if no prior vaccination. d. All the routine vaccines you thought you didn’t need… Tdap, meningitis, polio, MMRV and FLU! (because it looks like malaria and you will be treated as such in tropical countries) 3. What about malaria? a. Parasitic disease that lays dormant for weeks to months and can result in death in 24-48 hours without treatment b. Mosquitos bite at night so need modern housing or a bed net c. Medication are typically taken before travel, while traveling and up to one month after i. Only prevents clinical disease, if you get bit you may be infected ii. Not 100%, especially if non-compliant iii. Some areas have resistance, so consulting with an expert is important 4. Anything else? a. Lots of other things to consider… altitude sickness, other parasites (even those you can get from bathing in contaminated water like lakes and rivers), jet lag, etc. b. Best to consult someone certified in travel health or tropical medicine… so they will have passed a competency exam i. CTH (Certificate of Knowledge in Travel Health) from International Society of Travel Medicine ii. CTropMed (Certificate of Knowledge in Clinical Tropical Medicine and Travelers' Health) from the American Society of Tropical Medicine and Hygeine _______ Make sure to click that subscribe button and click the bell icon to receive notifications when we post new videos. Contact Us: Email: [email protected] Website: http://www.propharmaconsultants.com/ Facebook:   / propharmainc   Twitter:   / propharma   Instagram:   / propharmainc   LinkedIn:   / pro-pharma-pharmaceutical-consultants-inc