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Travel, Blood Borne Viruses and Sexual Health (part 1 of 5)
- 1. Travel, Blood Borne Viruses and Sexual Health Susan Doran Workplace Health Improvement Advisor NHS Grampian www.healthyworkinglives.com
- 3. Travel Advice Foreign and Commonwealth Office Travel Advice, terrorism, emergencies www.fco.gov.uk/travel
- 10. Deep Vein Thrombosis (DVT) - The Facts www.healthyworkinglives.com
Editor's Notes
- There is a business and moral case for addressing sexual health in the workplace; it can impact directly on sickness absence levels and productivity. Promoting positive sexual health, reducing STI’s, unplanned pregnancies, increasing condom use and sexual health service use, challenging attitudes. References – FCO – Travax - HPS
- Although visits abroad tripled since 1981 there has been a small decrease in the last 2 years. Visits to developing countries went down less than for other parts of the world. 2008 was 59 mil and 8.9 mil 2007 was 69.4 and 9 mil So overseas trips dropped by 10 mil and business trips dropped about 1 mill
- Ask… has anyone used the web site What did they like about it. advice by country Sign up for travel alerts Staying safe and healthy What to do when things go wrong 1.95m consular enquiries last year. 5283 Brits needed consular assistance in Spain last year most assistance was needed by Britons in Thailand 471 Britons hospitalised in Greece. 563 British deaths in Germany Most incidents were preventable, the FCO is appealing to British Nationals travelling or going to live abroad to make some simple preparations before they go in order to minimise preventable problems. Source: FCO News Release, 16 July 2010. Every year thousands of British travellers seriously regret not taking these simple
- Ensure travel insurance reflects type of trip – think about things you may want to do or try – Ski helmets for adults as well as children
- www.fitfortravel.nhs.uk TRAVAX links to Health Protection Scotland site, and will locate your nearest vaccination centre – there are 34 sites in Aberdeen. Allow 6-8 weeks for your immunisation programme to be fully effective. Keep a written record carry them while travelling. No evidence means risk of no entry to country/paying for another dose/injection/risk of unsafe practice. Be informed of the country Under international health regulations some countries require proof of yellow fever vaccination as a condition of entry. Yellow fever is a single dose vaccine administered at least 10 days before travel and the certificate lasts for 10 years. Recent change The Russian Federation now requires a certificate from travellers coming from a yellow fever risk area Grampian administers the highest numbers of yellow fever vaccines in Scotland.
- Malaria still world‘s leading killer: Transmitted by infected mosquito. 250 to 300 million worldwide affected between 1 and 1.5 million every year, mostly children Travellers at higher risk of serious illness or death because they have no immunity. Locals build up some immunity if they survive beyond childhood. Sept 08 Malaria Awareness Campaign by Gapyear.com of 977 gap year travellers 33% did not take antimalarials and 41% did not sleep under a mosquito net situation aggravated by inadequate health structures and poor socio economic conditions. MASTA - Medical Advisory Service for Travellers Abroad. More travellers fell ill with malaria in Scotland last year, new figures revealed yesterday. Increase of 19% on previous year.
- Tonic water was developed as a cure for malaria… it has quinine in it so….. Drinking gin and tonics wont help!!
- Be aware of the risk in the particular country. There are areas where there is resistance to previous treatment so combinations of different drugs are now recommended. If you develop or are diagnosed with malaria whilst away and need treatment, if you have not taken anti malarials the insurance company may not meet your claim – daily mail article July 10 quoting AXA and Aviva incubation (from 8 days up to several months makes it crucial to continue with medication not only while away but also after returning for up to 4 weeks. Symptoms such as fever (most common), headaches, muscle pains, flu like illness, diarrhoea, sore throat, joint pains Avoidance - covering up, repellent, most effective insect repellent is DEET -
- Most cases have 3 of the predisposing risk factors the more you have the greater the risk and the longer the period of travel/inactivity the greater the risk. How do these risk factors impact on the likelihood of having a DVT? Already compromised vascular system It’s chemotherapy that increases the risk of a DVT Knee and hip replacements
- A DVT is a clotting of the blood in any of the deep veins - usually the calf. It will make its presence known by an intense pain in the affected calf. Medical attention needs to be sought immediately as if the clot breaks off and makes it way to the lungs, it may cause a pulmonary embolism which can be fatal.
- check in early and try to get a seat with additional leg room or book online Every hour get up and walk around – book an aisle seat On the Department of Health Website states the ‘ While there is evidence that graduated compression stockings may be useful there is no evidence that aspirin is effective in preventing travel-related DVT or PE. risks outweigh any possible benefits. Serious side effects like bruising, bleeding from the gut and allergies. Aspirin is used to reduce clots in arteries (carry blood away from heart) but it does have the same effect in veins (carry blood to the heart) – according to website patient uk