Medical care items to take on your trip

Take enough of your everyday prescription medications plus a weeks worth in case of unexpected delays or diversions. Bottles must be properly and professionally labeled with the name of pharmacy, the med, your name and your doctor’s name. Hand carry the doctor’s written prescription which can be beneficial in the case of certain medications which could be confiscated in any country without identification. Especially true with controlled substances. If you require insulin, protect the vaccine potency by properly storing it. Take enough syringes for your journey, never assume you will be able to buy sterile or even legitimate diabetic supplies overseas. If you have questions about taking injectable medications on a plane, the size containers and contents allowed, contact TSA via their web page www.tsa.gov   Don’t put all of your medication in one place. Split them up so you’ll have some in case a bag is temporarily lost. Pack an extra Epi-pen. Carry other prescription medications from your doctor such as anti-malaria tablets, travelers’ diarrhea antibiotics or altitude meds. Be extremely careful of purchasing medicine overseas. Standard prescription medication in the US may be over the counter in other countries but its difficult to know counterfeit from legitimate. Contents and strength may not be appropriate so its best to carry you own. 

Depending on your destination and planned itinerary, you may need to pack a basic medical kit in your checked baggage.  This may include a variety of bandaids, gauze rolls, tape, pair of scissors, tweezers for removing splinters, a few disposable gloves, antiseptic for wound cleaning, “ace”wraps for sprains, saline eye drops, and a thermometer (especially if you travel with children). Over the counter medicines may include those for reducing a fever, pain relief, antacids, anti-diarrheals, stool softeners, motion-sickness medicine, sleep aids, oral re-hydration packets, hand sanitizer, decongestants/antihistamines, foot powder or anti-fungal cream, topical anti-itch preparation with 1% hydrocortisone for bites and stings, swimmers” ear drops, sunburn relief lotion just to name a few. Travel health supplies can be purchases in pharmacies, on-line or customized based on your destination, length of stay, access to medical assistance and plans for adventure! Travel healthy, travel smart!

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Children and travel

Children are likely to face most of the same health issues during international travel as adults.  Caregivers should be acutely aware of signs of distress or illness of infants and children in their care. If the little travelers have chronic conditions or are immunocompromised, special consideration must be given to their needs. Children can quickly become dehydrated, fussy and febrile. A few important tips come to mind, for example, only serve pasteurized dairy products and thoroughly cooked foods. Infant formula must be mixed with bottled water. Bring: your own car seat for safe travel, quick snacks to satisfy a hunger emergency, oral rehydration solution packets(check out www.ceraproductsinc.com), childrens’ medicines appropriate to treat a fever or pain. Antimalaria medication prescribed by the child’s doctor will be based on weight and destination.  www.cdc.gov/travel has detailed information on malaria  including avoidance measures for mosquitoes and other pesky vectors. Repellants containing at least 25% DEET  is appropriate and safe for exposed skin on children over 2 months of age according to the CDC and American Academy of Pediatrics.  Sunblock with SPF >15 is a must along with appropriate clothing to prevent sunburn. Keeping little hands clean is a near insurmountable task, yet exposure to disease from sand, soil and solid surfaces is common. Teach children  to keep away from animals that can potentially carry rabies. www.arlingtonpediatrics.com has some wonderful tips for a variety of common concerns. My hands-down favorite guide for parents traveling with children is found at www.kidsTravelDoc.com

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Inter-continental migration

In a matter of a few hours, a traveller can encounter a whole new culture, climate, language and even disease exposure! Leisure travel to previously inaccessible locations is becoming the norm. (I never heard of Machu Picchu in my 5th grade geography!)  Larger ships, comfortable trains, big planes, and upscale hotels, provide us with all the comforts of home while enticing us to experience new foods, activities, behaviors, business or educational opportunities, mass gatherings and now, extreme everything!  In 2009 there were approximately 940 million tourist arrivals across the globe according to www.world-tourism.org.   

All this puts more people than ever before at risk for illness acquired during travel.  Most travellers will tell you their number one travel related health issue was diarrhea.  Known by many terms such as Montezuma’s revenge for one, it can be a real trip-wrecker for several days. It’s not just the adventurous eaters who get it, and, it can happen in those 5-star hotels as well. There are things you can do to minimize chances of travellers’ diarrhea, such as only drinking and brushing your teeth with bottled water. Only eat well cooked foods. If you don’t pick it, can’t peel it, don’t eat it. Germs are invisible!

Your travel health professional at HealthSmartVaccines in Chantilly, VA. 703-961-0733 ,will be able to discuss with you, the risks you’ll face along your chosen journey and how you can return healthy! Other risks include vaccine preventable diseases which can have much more serious consequences than a case of diarrhea. Travel fun, travel healthy and travel smart!

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Vaccines REQUIRED or RECOMMENDED?

Disease patterns around the globe determine the recommendation of vaccination prior to international travel. For more than 60 years the World Health Organization has made its health information available to all countries with the goal of identifying, preventing and/or containing vaccine preventable diseases. Many diseases that have been eliminated in the United States and Canada are still prevalent in many countries putting travellers  at risk of acquiring one of these diseases again and infecting those around them upon their return! Public health emergencies of international concern(PHEIC) like Polio in the 1950′s and more recent, the 2009 pandemic H1N1, prompted immediate global response. It was recommended that all U.S. citizens receive the H1N1 vaccine. Travellers are especially at high risk for the seasonal flu and many other preventable diseases. Our CDC makes the recommendations of travel vaccines and health information based on WHO surveillance and reporting of disease as well as risk to our citizens.

Travel to parts of South America or Africa, and you will encounter a requirement of Yellow Fever vaccine prior to entering certain countries. All countries have a responsibility to protect their citizens against a disease like Yellow Fever which could endanger entire populations at any time. The traveller must present an International Certificate of Immunization (ICVP) or face possible quarantine in some countries.  You may be at low risk based on your itinerary, accommodations, or season of travel BUT low risk is not NO risk!  A CDC authorized Yellow Fever center such as HealthSmartVaccines, can provide more in-depth travel health information, recommended or required vaccines and certificate of proof for all vaccines. Call 703-961-0733 for more information.

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Travel Tips

TIPS FOR HEALTHY TRAVEL

  • Get vaccinated at least ONE month prior to travel.  Depending on the vaccine, it may take your immune system 2 or 3 weeks to achieve maximum immunity.
  • Carry first aid supplies and all medications in your carry on luggage, not your checked baggage.
  • Contact your health insurance plan and determine health coverage outside the United States.  Most policies do not cover international travel.
  • Purchase travel and evacuation insurance.  Medical evacuation may cost in excess of $5,000 and difficult to arrange.  Evacuation insurers have the resourses to manage the process for you.
  • Be prepared to self manage travelers diarrhea by packing the medications to relieve this distressing event.  Consult with your travel health professional or family physician for a recommended list of medications.
  • If traveling to a malaria zone, carry insect repellent, protective clothing and sleep under mosquitoe netting.  Consultant with your travel health professional or physician about use of an antimalarial.  At this time malaria is NOT a vaccine preventable infection.
  • Avoid contact with animals, especially in rural areas.
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Vaccines for International Travel

Welcome to the HealthSmartVaccines  blog where health information meets travel at the crossroads of fun and risk!  Our immunization clinic in Chantilly is convenient to most Northern Virginians who travel.  Technology and mobility allow us to experience foreign cultures within hours of having seen it on TV.  Global health issues are the last thing on our minds as we book that “trip of a lifetime.” But at some point, someone may ask you if you need “shots” for your destination. That gets your attention; now what?  Where do you start looking for answers?  Did you know that our own CDC (www.cdc.gov/travel) provides guidelines on the very subject of health and travel?  Every country on the planet has its own health concerns. Malaria, for example, is responsible for about a million deaths worldwide each year.  A global public health emergency can occur in a matter of hours.  Fresh in our minds is the 2009 H1N1crisis. We don’t know year to year what flu-season will bring. HealthSmartVaccines also provides corporate on-site flu and travel health clinics in addition to the pre-travel vaccinations.

HealthSmartVaccines is committed to helping a traveler sort out the details of pre-travel health information and clear up any misconceptions regarding required vaccines and recommended vaccines. Discussion about destination, length of stay, vaccine preventable diseases, activity, eating habits, chronic medical conditions, health insurance and other topics will assist us in providing you with advice for destination specific  health challenges and immunization.  Our goal is to keep you well during and after travel. Call us at least 4-6 weeks prior to schedule a travel consultation.  703-961-0733.

Future weekly blogs will address travel health issues and benefits of pre-travel health.  You may now cruise along!

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