1) Justin and Danielle Sauder will be traveling to Zambia, Africa where there are current travel notices for polio, dengue fever, and measles outbreaks. 2) Routine vaccinations like hepatitis A and B and typhoid are recommended for travel to most developing countries. Yellow fever vaccination is required for travel to Zambia from October 2011. 3) Malaria is a major health risk in Zambia, with over 4 million cases annually. Proper antimalarial drugs and prevention of mosquito bites are essential for travel there.

1. MADARIS EVANGELISTIC MINISTRIES
PRESENTS
PRE-TRIP HEALTH PREPARATIONS
Planning For Health

2. WELCOME TO THE MADARIS EVANGELISTIC MINISTRIES TRAVEL - HEALTH CLINIC

3. RISK
ASSESSMENT

4. RISK
COMMUNICATION

5. RISK
MANAGEMENT

6. HAITI

7. 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 to
developed areas – 3200 of these international
travelers will die on foreign developing countries
4 million ill (20%) – 4 million ill (50 %)
soil!!

8. 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

9. JUSTIN AND DANIELLE SAUDER
ZAMBIA AFRICA

10. NEXT !

11. ZAMBIA

12. TRAVEL NOTICES IN EFFECT FOR ZAMBIA
Polio
Dengue
Measles

13. TRAVEL NOTICES IN EFFECT
FOR ZAMBIA
POLIO

14. POLIO
A disease caused by a virus that affects a
person's nervous system. Even though most
infected people have no symptoms, signs
and symptoms of severe illness may include
paralysis of limbs and respiratory muscles
(which can lead to DEATH).

15. POLIO
1988
More than 125 polio-
endemic countries
World Health
Assembly resolution
to eradicate polio

16. POLIO
In 2012, Only 3 countries
(Afghanistan, Nigeria, and
Pakistan) remain polio-
endemic

17. TRAVEL NOTICES IN EFFECT
FOR ZAMBIA
Dengue
“Break Bone Fever”

18. Dengue fever is a virus
caused disease that is
spread through the bites
of infected mosquitoes
and cannot be spread
person to person.

19. EASTERN HEMISPHERE
DENGUE FEVER

20. TRAVEL NOTICES IN EFFECT
FOR ZAMBIA
Measles
On May 10th 2011, the
Zambian Ministry of Health
said it had so far recorded
1076 cases with the majority
of the cases from Lundazi,
Chipata,and Chadiza
districts of the eastern
province .

21. Measles is a
very contagious
(easily spread)
illness caused by
a virus.

22. SAFETY AND SECURITY
IN ZAMBIA

23. 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.

24. UNITED STATES DEPARTMENT OF STATE
The U.S. State Department provides a free
travel registration service to U.S. citizens
who are traveling or living in another
country. Registration allows a traveler to
record information about his or her
upcoming trip abroad that the Department
of State can use to assist in case of an
emergency.

25. UNITED STATES EMBASSY
Americans residing abroad can also get
routine information from the nearest U.S.
embassy or consulate.
Mark Storella
Appointed 2010

26. UNITED STATES EMBASSY

28. RISK
MANAGEMENT

29. VACCINATIONS

30. ROUTINE VACCINATIONS

31. ROUTINE VACCINATIONS

32. ROUTINE VACCINATIONS

33. 1, 2, 3, AWWWWWW!

34. TRAVEL
VACCINATIONS
HEPATITIS A

35. TRAVEL VACCINATIONS
HEPATITIS A VACCINE – GENERAL RECOMMENDATIONS
Recommended 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 Recommendations
occur through food or water. Cases
of 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

36. HEPATITIS A PREVALENCE

37. TRAVEL
VACCINATIONS
HEPATITIS B

38. TRAVEL VACCINATIONS
HEPATITIS B VACCINE – GENERAL RECOMMENDATIONS
Recommended for all unvaccinated
persons traveling to or working in
countries with intermediate to high
levels 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).

39. HEPATITIS B PREVALENCE

40. TRAVEL
VACCINATIONS
TYPHOID

41. TRAVEL VACCINATIONS
TYPHOID VACCINE – GENERAL RECOMMENDATIONS
Recommended for all
unvaccinated people traveling
to or working in Central Africa,
especially if staying with
friends or relatives or visiting
smaller cities, villages, or rural
areas where exposure might
occur through food or water.

42. MEXICO

43. TYPHOID PREVALENCE

44. TRAVEL
VACCINATIONS
YELLOW FEVER

45. 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.

46. YELLOW FEVER PREVALENCE

47. YELLOW FEVER VACCINATION

48. YELLOW FEVER TRAVEL ALERT
26 August 2011
South Africans travelling to Zambia will now be required to have a Yellow Fever
vaccination 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 of
transmission 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.

49. TRAVEL
VACCINATIONS
RABIES

50. 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-term
travelers and expatriates living in areas with a
significant risk of exposure, and for travelers
involved in any activities that might bring
them 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.

51. RABIES PREVALENCE

52. MALARIA
90% of all Malaria Deaths Occur
in Sub-Saharan Africa
1 child dies every minute in Africa
from Malaria

53. MALARIA
Malaria is the leading cause of death in Zambia. It affects more than 4
million Zambians annually and kills 8000 people every year….more than
50% of these are children under 5.

54. Bryant Wright Fred Luter
President - 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.

55. MALARIA IN ZAMBIA
MALARIA 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.

56. MALARIA
MALARIA 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.

57. OTHER DISEASES IN CENTRAL AFRICA
Plague
Shistosomiasis
Marbug Hemorrhagic Fever
Histoplasmosis
Bird Flu (H5N1)
Amebiasis
Tuberculosis
HIV

58. FINAL CONSIDERATIONS
• Prevent Insect Bites
• Prevent Animal Bites and Scratches
• Be Careful about Food and Water
• Avoid Injuries
• After You Return Home

59. 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

60. PAYMENT EXPECTED AT TIME OF SERVICE!

61. SERIOUSLY!!