WHERE ARE YOU GOING? About 55-60 million trips outside the U.S. Borders every year. 25-30 million overseas trips are made every year by about 15-16 million Americans. 20 million go to 8 million go todeveloped areas – 3200 of these international travelers will die on foreign developing countries 4 million ill (20%) – 4 million ill (50 %) soil!!
WHERE ARE YOU GOING?• Justin and Danielle Sauder – Zambia• Ron and Anne Moreland – Kyrgyzstan (Keer-gih- STAN)• Tim Ferus – Medical Missions• David and Andrea White – Chile• Jason and Sarah Sykes – Venezuela• Rey and Nicole Martinez – South Dakota
POLIO A disease caused by a virus that affects apersons nervous system. Even though most infected people have no symptoms, signsand symptoms of severe illness may include paralysis of limbs and respiratory muscles (which can lead to DEATH).
POLIO 1988More than 125 polio- endemic countries World HealthAssembly resolution to eradicate polio
POLIO In 2012, Only 3 countries(Afghanistan, Nigeria, and Pakistan) remain polio- endemic
TRAVEL NOTICES IN EFFECT FOR ZAMBIADengue“Break Bone Fever”
Dengue fever is a virus caused disease that isspread through the bites of infected mosquitoes and cannot be spread person to person.
TRAVEL NOTICES IN EFFECT FOR ZAMBIA Measles On May 10th 2011, the Zambian Ministry of Health said it had so far recorded1076 cases with the majority of the cases from Lundazi, Chipata,and Chadiza districts of the eastern province .
Measles is a very contagious (easily spread)illness caused by a virus.
AIRLINE REGISTRATION Several airlines have registration processes that allow travelers to provide their contact information, emergency contact/next- of-kin information, and travel itinerary information in case of an emergency.
UNITED STATES DEPARTMENT OF STATEThe U.S. State Department provides a freetravel registration service to U.S. citizenswho are traveling or living in anothercountry. Registration allows a traveler torecord information about his or herupcoming trip abroad that the Departmentof State can use to assist in case of anemergency.
UNITED STATES EMBASSYAmericans residing abroad can also getroutine information from the nearest U.S.embassy or consulate. Mark Storella Appointed 2010
TRAVEL VACCINATIONS HEPATITIS A VACCINE – GENERAL RECOMMENDATIONSRecommended for all unvaccinated FOOD AND people traveling to or working in WATER PRECAUTIONS countries with an intermediate or high level of hepatitis A virus CDC infection where exposure might Recommendationsoccur through food or water. Casesof travel-related hepatitis A can also Madaris Evangelistic occur in travelers to developing Ministries countries with "standard" tourist itineraries, accommodations, and 161 Teal Drive food consumption behaviors. Ringgold, GA 30736 www.madarisministries.com
TRAVEL VACCINATIONS HEPATITIS B VACCINE – GENERAL RECOMMENDATIONS Recommended for all unvaccinated persons traveling to or working in countries with intermediate to highlevels of endemic HBV transmission, especially those who might be exposed to blood or body fluids, have sexual contact with the local population, or be exposed through medical treatment (e.g., for an accident).
TRAVEL VACCINATIONS TYPHOID VACCINE – GENERAL RECOMMENDATIONS Recommended for allunvaccinated people travelingto or working in Central Africa, especially if staying with friends or relatives or visitingsmaller cities, villages, or rural areas where exposure might occur through food or water.
TRAVEL VACCINATIONS YELLOW FEVER VACCINE – GENERAL RECOMMENDATIONS• Recommendations: Aedes aegypti Generally not recommended for travelers mosquito going to the North West and Western Provinces. Not recommended in all other areas• Requirements: Required if traveling from a country with risk of YFV transmission and ≥9 months of age. Vaccine is also required if the traveler has been in transit for >12 hours in the airport of a country with risk of YFV transmission. (Updated December 30, 2011)• Vaccination should be given 10 days before travel and at 10-year intervals if there is on- going risk.
YELLOW FEVER TRAVEL ALERT 26 August 2011 South Africans travelling to Zambia will now be required to have a Yellow Fevervaccination certificate following a global Yellow Fever risk assessment conducted by the World Health Organisation (WHO). Zambia`s status has been classified as a low risk. However, as Yellow Fever is vaccine preventable, and travellers to and from countries with a low risk oftransmission still risk contracting or importing Yellow Fever into South Africa, the Department of Health in South Africa has updated the Yellow Fever vaccination policy to include Zambia. The new policy will be effective from 1 October 2011. From this date, a valid Yellow Fever certificate will be required for travellers over 1 year old: travelling from Zambia, or having been in transit through a Yellow Fever risk country including Zambia.
TRAVEL VACCINATIONS RABIES VACCINE – GENERAL RECOMMENDATIONS Recommended for travelers spending a lot of time outdoors, especially in rural areas, involved in activities such as bicycling, camping, or hiking. Also recommended for travelers with significant occupational risks (such as veterinarians), for long-termtravelers and expatriates living in areas with a significant risk of exposure, and for travelers involved in any activities that might bringthem into direct contact with bats, carnivores, and other mammals. Children are considered at higher risk because they tend to play with animals, may receive more severe bites, or may not report bites.
MALARIA90% of all Malaria Deaths Occur in Sub-Saharan Africa1 child dies every minute in Africa from Malaria
MALARIA Malaria is the leading cause of death in Zambia. It affects more than 4million Zambians annually and kills 8000 people every year….more than 50% of these are children under 5.
Bryant Wright Fred LuterPresident - Southern Baptist Most likely next President of the Convention Southern Baptist Convention MALARIA The Southern Baptist Convention found that missionaries working in malaria endemic areas were consistently leaving the field around 10 years – They discovered that malaria meds seemed to quit working as well around that time; They implemented a “missionary move” policy to prevent this problem.
MALARIA IN ZAMBIAMALARIA PROPHYLAXIS – GENERAL RECOMMENDATIONS• Areas with malaria: All• Estimated relative risk of malaria for US travelers: Moderate• Drug resistancec: Chloroquine• Malaria species: P. falciparum >90%, P. vivax up to 5%, P. ovale up to 5%.• Recommended chemoprophylaxis: Atovaquone- proguanil, doxycycline, or mefloquine.
MALARIAMALARIA PROPHYLAXIS – GENERAL RECOMMENDATIONS A Special Note about Antimalarial Drugs• You should purchase your antimalarial drugs before travel.• Halofantrine (marketed as Halfan) is widely used overseas to treat malaria. CDC recommends that you do NOT use halofantrine.
OTHER DISEASES IN CENTRAL AFRICA Plague Shistosomiasis Marbug Hemorrhagic Fever Histoplasmosis Bird Flu (H5N1) Amebiasis Tuberculosis HIV
FINAL CONSIDERATIONS• Prevent Insect Bites• Prevent Animal Bites and Scratches• Be Careful about Food and Water• Avoid Injuries• After You Return Home
FINAL CONSIDERATIONS• Consultation Fee - $110.00• Nurses Fee - $165.00 ($20.00 1 st shot, $15.00 for each additional shot)• Vaccines - $880 • Hepatitis A (2 shots) - $50.00 • Hepatitis B (3 shots) – $95.00 • Typhoid - $85.00 • Yellow Fever - $150.00 • Rabies (3 shots) - $500.00 $1,155