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SARS in 2003==incubation periods of imported IDs==*<7 days**dengue**rickettsiosis**influenza**dysentery*7-21 days**malaria**typhoid**leptrospirosis**VHF*>21 days**malaria**hep A
HPV==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
rabies vac in Japancase 2*
when to repeat PrEP for rabies?case 3
→incubation periods of imported IDs
25 y/o British male*case 1母子手帳= mother child health handbook 22 y/o Japanese male*budget 50,000JPY*give information possible diseases during the travelMMRx1 6, such as zika000*tetanusx1 3, rabies000*poliox1 5, yellow fever000*HepAx2 10, measles, exacerbation of his chronic illness exp. diabetes and coronary disease000**confirm his immunization status as much as possible and propose to do serological tests for measles and rubellaHepBx2 10,000**give information about possible travel restriction regarding YF vaccine and discuss whether or not to get shotJEx1 5,000**recommend vaccines of measles, rubella, PPSV23, tetanus toxoid malaria chemp. according to his immunization statusadvice to avoid forested area ===posttravel===21 y/o Angolan female**discuss with him whether to do rabies PrEP 68 y/o Japanese male**prescribe acetazolamide for 3-4 daysrhabdomyolysis by ''P. knowlesi'', 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 appetitevery rare 19 y/o Chinese male**advise when to use insulin and to keep diabetes emergency card with himVZV transmissibility decreases in more tropic areas**advise to keep repellent during travel except for high altitude areaVZV immunity is gotten later than temperate areas like in adolescent or later adult age
