Haiti Relief Workers Travel
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Haiti Relief Workers Travel

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    Haiti Relief Workers Travel Haiti Relief Workers Travel Presentation Transcript

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