Inservice for Haiti Relief Workers Beth Pirkle, RN, CTH January 2010
Covered Topics <ul><li>Should You Go ? </li></ul><ul><li>Web Resources </li></ul><ul><li>Student Health and UCSF Traveler’...
Should You Go? <ul><li>Organized, Self-Sustaining, and Trained Personnel Only </li></ul><ul><li>In  good health </li></ul>...
Web Resources <ul><li>InterAction: Alliance of US NGOs </li></ul><ul><ul><li>List of Member NGOs Involved in Haiti Respons...
Traveler’s Insurance <ul><li>SOS International coverage </li></ul><ul><ul><li>www.sosinternational.com </li></ul></ul><ul>...
Traveler’s Insurance Con’t. <ul><li>University of California coverage </li></ul><ul><ul><li>www.uctrips-insurance.org </li...
Immunizations <ul><li>Routine immunizations  should be up to date:  MMR, Varicella, Polio, Tdap </li></ul><ul><li>Hepatiti...
Medications <ul><li>Anti-Malarial </li></ul><ul><ul><li>Chloroquine: 500mg q week </li></ul></ul><ul><ul><li>Start one wee...
TB Screening <ul><li>TB is  endemic  and  highly prevalent  in Haiti </li></ul><ul><li>Pre-departure PPD  if due or recent...
Mental Health <ul><li>http://mentalhealth.samhsa.gov/publications/allpubs/KEN-01-0098/ </li></ul><ul><li>Overall, mental h...
What To Bring <ul><li>CDC  packing list </li></ul><ul><li>Limited space  (usually one small duffel) </li></ul><ul><li>Noth...
Travel Appointments <ul><li>Purpose : To obtain vaccinations, rxs, TB screening, and additional advice. </li></ul><ul><li>...
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Haiti Relief Workers Travel

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Haiti Relief Workers Travel

  1. 1. Inservice for Haiti Relief Workers Beth Pirkle, RN, CTH January 2010
  2. 2. Covered Topics <ul><li>Should You Go ? </li></ul><ul><li>Web Resources </li></ul><ul><li>Student Health and UCSF Traveler’s Insurance Coverage </li></ul><ul><li>Immunizations </li></ul><ul><li>Medications </li></ul><ul><li>What Else To Bring </li></ul><ul><li>TB Screening </li></ul><ul><li>Mental Health Services </li></ul><ul><li>How to Obtain Vaccines, Prescriptions and PPDs from SHCS </li></ul>
  3. 3. Should You Go? <ul><li>Organized, Self-Sustaining, and Trained Personnel Only </li></ul><ul><li>In good health </li></ul><ul><li>Other ways to help out: </li></ul><ul><ul><li>Fundraising : Critical need right now </li></ul></ul><ul><ul><ul><li>Money needed more than supply donations </li></ul></ul></ul><ul><ul><li>Future opportunities </li></ul></ul><ul><ul><ul><li>Hurricane Katrina aftermath still being felt </li></ul></ul></ul><ul><ul><ul><li>Volunteer/train for future earthquakes at home </li></ul></ul></ul>
  4. 4. Web Resources <ul><li>InterAction: Alliance of US NGOs </li></ul><ul><ul><li>List of Member NGOs Involved in Haiti Response: </li></ul></ul><ul><ul><ul><li>http://www.interaction.org/crisis-list/earthquake-haiti </li></ul></ul></ul><ul><ul><li>List of Member NGOs Involved in General Disaster Response: </li></ul></ul><ul><ul><ul><li>http://www.interaction.org/category/program-area/disaster-response </li></ul></ul></ul><ul><li>CDC Guidelines for Haiti Relief Workers http://wwwnc.cdc.gov/travel/content/news-announcements/relief-workers-haiti.aspx </li></ul><ul><li>CDC Haiti Destination Page http://wwwnc.cdc.gov/travel/destinations/haiti.aspx </li></ul><ul><li>US Department of State Haiti Page http://www.travel.state.gov/travel/cis_pa_tw/cis/cis_1134.html </li></ul><ul><li>WHO Haiti Situation Page http://www.who.int/hac/crises/hti/en/index.html </li></ul><ul><li>Travmed.com Haiti Page http://www.travmed.com/guide/country.php?c=Haiti </li></ul>
  5. 5. Traveler’s Insurance <ul><li>SOS International coverage </li></ul><ul><ul><li>www.sosinternational.com </li></ul></ul><ul><ul><li>Member/ Login # 11bsgm000060 </li></ul></ul><ul><ul><li>Automatically enrolled if you have SHCS insurance </li></ul></ul><ul><ul><li>Not enrolled if you waived SHCS coverage , but SOS offers discount to UCSF students </li></ul></ul><ul><ul><li>Advice, care coordination, evacuation </li></ul></ul>
  6. 6. Traveler’s Insurance Con’t. <ul><li>University of California coverage </li></ul><ul><ul><li>www.uctrips-insurance.org </li></ul></ul><ul><ul><li>Must register your trip </li></ul></ul><ul><ul><li>Covered for Haiti regardless of whether you are traveling with UC-sponsored or other organization </li></ul></ul><ul><ul><li>No cost </li></ul></ul><ul><ul><li>Advice, care coordination, evacuation </li></ul></ul>
  7. 7. Immunizations <ul><li>Routine immunizations should be up to date: MMR, Varicella, Polio, Tdap </li></ul><ul><li>Hepatitis B </li></ul><ul><ul><li>3 doses </li></ul></ul><ul><ul><li>HepBSab titer to verify immunity </li></ul></ul><ul><ul><li>Booster if HepBSab titer is negative </li></ul></ul><ul><li>Hepatitis A </li></ul><ul><ul><li>2 doses </li></ul></ul><ul><ul><li>1 st dose gives immunity 2-3 years </li></ul></ul><ul><ul><li>2 nd dose 6 mos later confers lifetime immunity </li></ul></ul><ul><li>Typhoid Fever </li></ul><ul><ul><li>Injectable vaccine </li></ul></ul><ul><ul><ul><li>One dose </li></ul></ul></ul><ul><ul><ul><li>Lasts two years </li></ul></ul></ul><ul><ul><ul><li>Immunogenicity in 14 days </li></ul></ul></ul><ul><ul><li>Oral vaccine </li></ul></ul><ul><ul><ul><li>4 capsules </li></ul></ul></ul><ul><ul><ul><li>Dosing 1 capsule qod </li></ul></ul></ul><ul><ul><ul><li>Immunogenicity 7 days after last dose </li></ul></ul></ul>
  8. 8. Medications <ul><li>Anti-Malarial </li></ul><ul><ul><li>Chloroquine: 500mg q week </li></ul></ul><ul><ul><li>Start one week prior to arrival </li></ul></ul><ul><li>Antibiotic </li></ul><ul><ul><li>Cipro 500mg </li></ul></ul><ul><ul><li>1 bid x 3 days for traveler’s diarrhea </li></ul></ul><ul><ul><li>Also for UTIs, respiratory, skin infections </li></ul></ul><ul><li>Anti-Motility Agent </li></ul><ul><ul><li>Take if using abx for TD </li></ul></ul><ul><li>Analgesic </li></ul><ul><li>Plan B and Condoms </li></ul><ul><li>Routine Rxs </li></ul>
  9. 9. TB Screening <ul><li>TB is endemic and highly prevalent in Haiti </li></ul><ul><li>Pre-departure PPD if due or recent exposure risk </li></ul><ul><li>Post-travel PPD 10-12 weeks after return </li></ul><ul><li>SHCS drop-in service for all UCSF students regardless of insurance status </li></ul><ul><li>N95 masks </li></ul>
  10. 10. Mental Health <ul><li>http://mentalhealth.samhsa.gov/publications/allpubs/KEN-01-0098/ </li></ul><ul><li>Overall, mental health issues are #1 reason overseas travelers do not complete assignments. </li></ul><ul><li>Use buddy system while on assignment </li></ul><ul><li>Post-travel counseling sessions at SHCS: Call nurse advice line to set up appointment. </li></ul>
  11. 11. What To Bring <ul><li>CDC packing list </li></ul><ul><li>Limited space (usually one small duffel) </li></ul><ul><li>Nothing valuable / Consider donating your belongings at departure </li></ul><ul><li>Add’l items beyond checklist: </li></ul><ul><ul><li>DEET: Controlled/sustained release </li></ul></ul><ul><ul><li>Chewing gum </li></ul></ul><ul><ul><li>Lip balm with SPF </li></ul></ul><ul><ul><li>Thermometer </li></ul></ul>
  12. 12. Travel Appointments <ul><li>Purpose : To obtain vaccinations, rxs, TB screening, and additional advice. </li></ul><ul><li>Students : </li></ul><ul><ul><li>Call SHCS Travel Clinic, ask for Haiti appt. </li></ul></ul><ul><ul><li>(415) 476-1281 </li></ul></ul><ul><ul><li>All vaccines, rxs, and TB screening are covered under SHCS insurance plan. </li></ul></ul><ul><li>Faculty and Staff : </li></ul><ul><ul><li>Call UCSF Travel Med and Imm Clinic </li></ul></ul><ul><ul><li>(415) 353 2626 </li></ul></ul><ul><ul><li>Urgent appt: e-mail brian.schwartz@ucsf.edu </li></ul></ul>

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