Travel Health in the Developing World. Christopher Sanford, MD, MPH, DTM&H Clinical Asst. Professor, Dept. of Family Med. Co-Director, Travel Clinic, Hall Care Center University of Washington Seattle, Washington, USA September, 2009. Amazon River, Peru. Overview of pre-travel encounter:.
Christopher Sanford, MD, MPH, DTM&H
Clinical Asst. Professor, Dept. of Family Med.
Co-Director, Travel Clinic, Hall Care Center
University of Washington Seattle, Washington, USA
Past medical history incl. immunizations.
[None in Asia]
Rabies avoidance: never hold hands with a gorilla.
Dose: 100 mg once/day.
Start one day prior to entry to malaria area, take once/day while, continue for 28 days after leaving malaria area.
Cheap. Approx. 16 cents/pill.
photosensitivity. Less than one percent.
esophageal erosion. Don’t swallow tablet “dry”
My vote: no.
You can’t diagnosis malaria clinically. Diagnosis is only possible via laboratory exam (thick and thin smears of blood).
Card diagnostic test is not yet ready for prime time.
May be an option in the future.
Sign with unknown prophylaxis?
Steffen R, Tornieporth N, Costa Clemens SA, et al. Epidemiology of travelers' diarrhoea: details of a global survey. J Travel Med 2004;11(4):231-238.
and of themselves
four times/day, for the whole trip.
See a doc!
-Only needed at extremes of age.
-No need to “rest”
the gut during
Mexico City even if you’re told the view is wonderful.
Total suspended particulates
(in mcg/cubic meter)
Guiyang, China even if you’re told the view is wonderful.
Sulfur dioxide is formed by the burning of fossil fuels, such as oil and gas.
(in mcg/cubic meter)
No glove, no love
A full one-third of the 2,500 US citizens who are arrested abroad each year are arrested on drug charges. A number of countries, including the Bahamas, the Dominican Republic, Jamaica, Mexico, and the Philippines, have enacted more stringent drug laws which impose mandatory jail sentences for those convicted of possessing even small amounts of marijuana or cocaine for personal use.
to E. histolytica)