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Factm malaria 3

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    Factm malaria 3 Factm malaria 3 Presentation Transcript

    • Malaria 3 Public Health, Travel & Expedition Medicine FACTM Pt 1 Tim Inglis Division of Microbiology & Infectious Diseases, PathWest Laboratory Medicine, WA
    • Malaria series
      • Malaria 1 Clinical Tropical Medicine
      • Malaria 2 Clinical Parasitology
      • Malaria 3 Public Health, Travel & Expedition Medicine
      • Malaria 4 Clinical Entomology
      • Study materials
      • Manual of Travel Medicine & Health .
      • 3 rd Edition, Steffen R et al . 2007. Decker.
      • Oxford Handbook of Expedition & Wilderness Medicine
      • Johnson C et al. 2008, Oxford
      • FACTM study notes
      • Specialist review articles
      • Self-assessment questions
      • Blog http://micrognome.priobe.net
      • Web www.priobe.net
      • FACTM http://lifeinthefastlane.com/exams/actm-fellowship/
    • Outline
      • Timeline
      • Epidemiology
      • Pre-travel risk assessment & planning
      • Expedition contingencies
      journey aftermath preparation
    • Risk atlas
      • Global distribution
      • Regional distribution
      • Australian receptive zone
      Source = WHO Roll Back malaria Programme; http://www.who.int/entity/health_mapping
    • Epidemiology
    • Pre-travel preparation
      • Risk assessment: location, activities, duration, complexity
      • Personal measures: clothing, repellent, bed nets, activity
      • Chemoprophylaxis:
        • options include
          • A tovaquone/proguanil; Mefloquine; Doxycycline …
        • Specific issues
          • Short notice
          • Pregnant women
          • Children
          • Long stay
    • Expedition Medicine
      • Personal measures
        • Personal protection
        • Chemoprophylaxis
      • Group measures
        • Group prophylaxis
        • Area control measures
        • Rapid tests
        • Antimalarial therapy, SBET
      • Local people
      • Medevac arrangements
    • On return
      • May present after interval, up to 1yr after end of journey
      • Exclude malaria in anyone with fever who has travelled to an endemic area
      • Detailed history of location, duration & intensity of exposure to biting insects, PPM and CPx used
        • Thai/Myanmar border area; PNG
        • O ther arthropod borne infections in DD
        • Indications of resistance
        • Compliance, esp after arrival in Aus
      journey aftermath preparation
    • Emerging Issues
      • Highland malaria
      • Unusual malaria transmission methods
      • Malaria & air travel
      • Changing resistance
      • Use for portable rapid diagnostic methods
      • SBET in pregnancy
      • CPx for long stay
      • Prep for AUSMAT members