when to repeat PrEP for rabies?
*most frequent chemoprophylaxis of malaria in you clinic? doxycycline, atovacon-proguanil, mefloquine? ==case studies==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