Travel medicine kit for ethiopia highlands


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Travel medicine kit for ethiopia highlands

  1. 1. TRAVEL MEDICINE KIT FOR ETHIOPIA HIGHLANDS Dr. Dino Sgarabotto Malattie Infettive e Tropicali Azienda Ospedaliera di Padova
  2. 2. Vaccinations• Against Hepatitis A (Havrix): 1° shot covers you for the travel while 2° shot (after 1-2 months) covers you for life• Against Typhoid fever (lasts only 3 years). Two choices available: – Oral vaccine (Vivotif): 1 tab on alternative days for 3 days, fasting (far from food; antibiotics and antimalarial forbibben for 1 week) and can be given in children older than 3 months – Im. vaccine (Typhym Vi): 1 shot only but can be given in children older than 5 years• Against Meningoccus: sub-type A is the most common in the meningitis belt and so Mencevax ACWY should be used: 1 im. shot lasts 3 years• Against Yellow fever: Stamaril 1 im shot only lasts 10 years• Check you coverage against Tetanus and Hepatitis B
  3. 3. The meningitis beltThe meningitis belt of sub-Saharan Africa, stretching from Senegal in the west to Ethiopia in the east, has the highest rates of the disease.
  4. 4. Areas at Risk of Yellow Fever Transmission
  5. 5. Yellow fever is a compulsoryvaccination to and fro these countries• Angola, Benin, Burkina Faso, Burundi, Camerun, Congo, Ivory Coast, Gabon, Ghana, Guinea Bissau, Liberia, Mali, Niger, Central African Republic, Democratic Republic of Congo, Ruanda, Sao Tomè e Principe, Sierra Leone, Togo
  6. 6. Malaria prophylaxis• Malaria is endemic below 2000 m above sea• Addis Ababa is 2400 m above sea• After the rainy season malaria can be found along rivers and lakes up to 2100 m above sea• Lariam 250 mg 1 tab a week (continue 1 month after coming back) or Malarone 250/100 mg 1 tab a day (continue 1 week after coming back)
  7. 7. Malaria: high risk map
  8. 8. Drugs for a group of 4-5 people• Doxycycline 100 mg 20 tabs• Azithromycin 500 mg 6 tabs• Ciprofloxacin 500 mg 24 tabs• Paracetamol 500 mg 32 tabs• Ibuprofen 400 mg 24 tabs• Loperamide 2 mg 24 tabs (if you are using the rapidly dissolving tablets, dry your hands before opening the blister pack to carefully remove a tablet. Place the tablet on the tongue, allow it to dissolve completely, then swallow it with saliva)• Domperidone 10 mg 30 tabs (as above)
  9. 9. Other drugs for a group of 4-5 people• Tetracycline skin ointment 3 tubes• Hydrocortisone 1% skin ointment 2 tubes• Tetracycline eye ointment 3 tubes• Chlorhexidine 1% solution as skin disinfectant 1 small bottle• Band-Aid type adhesive bandages 2 boxes• Sterile gauzes for dressing 2 boxes• Elastic bandages for dressing 2 boxes• Alcohol based hand sanitazers for each person
  10. 10. Useful resourses• Potatoes: to be grated for preparing a cream to apply on red eyes• Coke: drink in small amounts (table spoon) every 5 min when oral rehydratation solution not available
  11. 11. Different minor settings• Tonsillitis, otitis and upper respiratory tract infection: azitromycin OD or doxycycline BD for 6 days• Cystitis or traveller’s diarrhoea: ciprofloxacin BD for 3-5 days• traveller’s diarrhoea: add 4-5 tabs of loperamide a day (1 tab every 4-6 hours)• repeated vomiting: use domperidone 1 tab every 8 hours for 1 day
  12. 12. THANK YOU!free download from