Travel health
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incubation periods of imported IDs
- <7 days
- dengue
- rickettsiosis
- influenza
- dysentery
- 7-21 days
- malaria
- typhoid
- leptrospirosis
- VHF
- >21 days
- malaria
- hep A
case studies
pretravel
case 1
- give information possible diseases during the travel, such as zika, rabies, yellow fever, measles, exacerbation of his chronic illness exp. diabetes and coronary disease
- confirm his immunization status as much as possible and propose to do serological tests for measles and rubella
- give information about possible travel restriction regarding YF vaccine when to enter to Bolivia and discuss whether or not to get shot
- recommend vaccines of measles, rubella, PPSV23, tetanus toxoid and typhoid (because of antacid) according to his immunization status
- discuss with him whether to do rabies PrEP
- prescribe acetazolamide for 3-4 days, give direction to start 24hrs before ascending and keep for 2 days on high altitude, as well as to secure emergency descending when he gets AMS symptoms like headache, difficulty to sleep, malaise, loss of appetite
- advise when to use insulin and to keep diabetes emergency card with him
- advise to keep repellent during travel except for high altitude area
case 2
case 3
25 y/o British male
- 母子手帳= mother child health handbook
22 y/o Japanese male
- budget 50,000JPY
- MMRx1 6,000
- tetanusx1 3,000
- poliox1 5,000
- HepAx2 10,000
- HepBx2 10,000
- JEx1 5,000
- malaria chemp. according to advice to avoid forested area
posttravel
21 y/o Angolan female
68 y/o Japanese male
- rhabdomyolysis by P. knowlesi, very rare
19 y/o Chinese male
- VZV transmissibility decreases in more tropic areas
- VZV immunity is gotten later than temperate areas like in adolescent or later adult age