Travel health

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2021年5月14日 (金) 14:56時点におけるVaccipedia.admin (トーク | 投稿記録)による版
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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