Travel health

SARS in 2003

HPV

rabies vac in Japan

when to repeat PrEP for rabies?

• 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 and discuss whether or not to get shot
  • recommend vaccines of measles, rubella, PPSV23, tetanus toxoid 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