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478 バイト追加 、 2021年5月14日 (金) 14:56
SARS in 2003==incubation periods of imported IDs==*<7 days**dengue**rickettsiosis**influenza**dysenteryHPV*7-21 days**malariarabies vac in Japan**typhoid**leptrospirosiswhen to repeat PrEP for rabies?**VHF*>21 daysmost frequent chemoprophylaxis of **malaria in you clinic? doxycycline, atovacon-proguanil, mefloquine? **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
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
*
===posttravel===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

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