Malaria A disease caused by a parasite that is spread by the bite of an infected female mosquito These mosquitoes bite at night: dusk-dawn Symptoms from 6 days later to several months Symptoms include fever, chills, headache, muscle aches, fatigue, V & D, jaundice
World Health Organization Malaria: Malaria risk due exclusively to P. falciparum exists throughout the year in the whole country. No P. falciparum resistance to chloroquine reported. Recommended prevention: Mosquito bite prevention plus chloroquine prophylaxis or Mosquito bite prevention plus atovaquone– proguanil, doxycycline or mefloquine.
Malaria Prevention Travelers to malaria-endemic areas need to be: – Aware of risk of malaria and understand it is a serious potentially fatal illness – Know how to best prevent it with insect precautions and oral prophylaxis – Seek medical attention urgently should they develop a fever during or after travel
Prevent Mosquito Bites Insect Repellant with 30% DEET Reapply at least every 4-6 hours Appropriate clothing – light colors, long pants & sleeves Screens & Bed Nets Avoid Scented Products
Travel Vaccines for Haiti Hepatitis A & B Typhoid Dukoral Rabies - for prolonged visits
Hepatitis A A viral illness that infects your Liver Symptoms @ least 2 weeks later Causes fever, fatigue, weight loss, N & V, abdominal pain, jaundice Spread by fecal-oral route from direct contact or from contaminated food & water Recommended for all Travelers 1 dose of vaccine before travel
Typhoid A type of Salmonella bacteria Acquired through poor sanitation, contaminated food and water supplies, and direct contact with an infectious person Causes fever, headache, weakness, muscle & joint pain, may have a rash with pink spots Vaccine - protection develops in 2 weeks and lasts for 2-3 years
Dukoral Oral, Inactivated Travelers’ Diarrhea and Cholera Vaccine Provides protection against E. coli(ETEC) & V. cholera 2 doses of liquid vaccine - 1 week apart
Cholera in Mexico, Cuba, Dominican Republic and Haiti Updated: September 27, 2013 Travel Health Notice Since the beginning of the cholera epidemic in October 2010, the Dominican Republic and Haiti have reported thousands of cholera cases and related deaths. Cases of cholera decreased in 2013 compared to 2012, although they continue to be reported throughout both countries. There have been increases in the number of cases during seasonal heavy rainfall in the months of May to July and September to October. PHAC
Prevention of Travelers’ Diarrhea “Boil it, Cook it, Peel it, or Forget it!” Treated Water or Bottled Water Well-cooked meals, served hot Pasteurized dairy products Avoid salads and uncooked foods Avoid Street Vendors Careful Brushing Teeth
Prevention of Travelers’ Diarrhea Hand Washing - Alcohol Hand Sanitizers Managing Travelers’ Diarrhea Drink lots of fluids to stay hydrated Medications to slow diarrhea Prescription – review pharmacy information
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