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Emporiatrics 2

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Emporiatrics 2

  1. 1. LECTURE ONEMPORIATRICS BYDR MAQSOOD HAYAT 1
  2. 2. OBJECTIVES1. TO EMPOWER THE STUDENTS WITH KNOWLEDGE OF THE SUBJECT OF EMPORIATRICS.2.PREPARE THEM AS POTENTIAL COMMUNITY PHYSICIANS FOR IMMEDIATE DIAGNOSIS AND TREATMENT OF TRAVEL RELATED DISEASES 2
  3. 3. EMPORIATRICS It is the science of the health of travelers. It deals with travel associated diseases .It seeks to prevent illnesses and injuries to travelers going abroad and manages problems arising in travelers coming back . It includes the specialties of:-1-Tropical medicine2-Aviation medicine3-Immunization medicine4-Accident medicine5-Behavioral medicine6-Infectious diseases 3
  4. 4. SITUATION ANALYSIS Annual international border crossings 1980……………………300millions 2000……………………673millions 2020……………………1602millions(Exp) Country vise Annual trips (1996) America……………………52.3millions C.Zech……………………48.6millions Poland……………………44.7millions U.K……………………42.6millions 4
  5. 5. RISK ASSESMENTS Key factors:-1-Destination2—Duration of visit3-Purpose of visit4-Standard of accommodation and food hygiene5-Exiisting health status6-Behavior of traveler Tools for assessments:-1-Model checklist2-Pre -departure questionnaire 5
  6. 6. High Risk group of travelers Occupational classification1-Health personal2-Research workers3-Foreign aid workers Lifestyle-based classification1-Homosexuals2-Drug addicts3-Adventurous people4-Remote area workers5-Trips to under-developed countries6-Prolonged stay in developing countries7-Unvaccinated or inadequately vaccinated8-Student groups 6
  7. 7. Advice to travelers Prophylactic Immunization Prophylactic Medication 7
  8. 8. Emergency Prophylactic Measures Accelerated Protocol for:-1-Hepatitis-B2-Japanese Encephalitis3-Rabies Human Normal Immunoglobulins Chemoprophylaxis against:-1-Malaria2-Travelers diarrhoea 8
  9. 9. Health Risks Of Travel Environmental Risk:-1-Changed altitude (Altitude illness ,Deep vein thrombosis)2-Changed temperature3-Changed humidity4-Exposure to unfamiliar animals5-Exposure to unfamiliar insects6-Exposure to ultra-violet radiation Motion sickness Infections:- Airborne,G.Intestinal,Transcutaneous,STD’s,Heamatogenous,Malari a,Traveler’s Diarrhoea Stings and bites Accidents:-Burns,Wounds,RTA’s,Drowning 9
  10. 10. Behavioral Modifications Measures against faeco-oral disease1-Use of safe potable water2-Dietary mistakes to be avoided Protection against bites and stings1-Repellants2-Pre-impregnated/Treated Mosquito nets3-Use of special footwear4-Inspection and clearance of rest areas5-Use of pyrethrum based insecticides 10
  11. 11. Special groups of travelers Female Travelers Children Elderly People Diabetics 11
  12. 12. Self Treatment Kit Should contain:- Chemoprophylactics Common medications Essential medications Articles of personal Hygiene Special items for children 12
  13. 13. Advice To Health Care Providers Selection of appropriates prophylactic measures Avoid unnecessary costs Avoid unwarranted inconvenience Avoid troublesome side-effects Emphasize specially on:-1-Dissemination of valid information about (safe water , safe food, safe trips, safe sleep, safe sex)2-Vaccination3-Chemoprophylaxis4-Carrying self treatment kit. 13
  14. 14. THANKYOU 14

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