Specialized Remote Medics

Specialized Remote Medics We have considerable expertise in the provision of medical support for expeditions and remote area operations. We are happy to advise clients on travel med

09/10/2017

TRAVEL VACCINATION RECOMMENDATIONS

If you are traveling to African countries including Kenya, Tanzania, Botswana, Zimbabwe, Ghana, Nigeria, Sudan and other African countries the following vaccinations are generally recommended;
It is a good idea to ensure you are up to date with all the common childhood vaccinations before visiting an African country (you may even need a booster). This includes immunizations for Tetanus and Diphtheria, Whooping cough (Pertussis), polio, measles, mumps and rubella (MMR).

Hepatitis A (also called Hep A or HAV) is typically transmitted through contaminated food or very close personal contact with an infected person. Water-borne outbreaks can happen in under-developed or developing countries. The full two-dose Hep A vaccine is strongly recommended when visiting under-developed or developing countries and other precautions for hygiene and food safety should be taken.

Some African countries won’t let you enter without the required vaccinations. The most common vaccination required on entry into African countries is Yellow Fever vaccination. We will be able to recommend when vaccinations form part of your destination country’s entry requirements.

Yellow Fever mainly spreads from the bite of infected mosquitoes. We strongly advise travelers to vaccinate against Yellow Fever. The Yellow Fever vaccination is not compatible with some vaccinations so we recommend you seek travel vaccination advise well before the departure.

Please note that the Yellow Fever Vaccination is a mandatory vaccination when traveling to some African countries.

Typhoid Fever is caused by bacteria (from the Bacteria Salmonella group) found in contaminated food and water. Food is commonly contaminated by the hands of carriers and examples of food that could be contaminated are ice, shell-fish from sewerage contaminated water, raw fruits, vegetables, milk and milk products.
Typhoid fever occurs worldwide but is more common in developing countries. We strongly recommend protecting yourself by getting the Typhoid Vaccine if you are traveling to a developing country.

Depending on the destination, purpose and length of your trip a Rabies vaccination may be recommended. Rabies is typically transmitted by a bite or scratch from an infected animal. If you are intending to work on farms or work with other animals, we strongly advise you to have the prophylactic anti-Rabies vaccination. As this vaccination involves a series of three vaccinations it is recommended you plan ahead for it.

Meningitis can be viral, fungal or bacterial in nature. Meningitis is caused when the protective membranes (meninges) covering the brain and spinal cord become swollen and inflamed. Symptoms can be similar to those of the common flu. The different types of Meningitis differ in severity and the most serious bacterial form of Meningitis is Meningococcal Meningitis. Meningococcal Meningitis can be fatal. It is transmitted from person to person by direct contact and / through coughing and sneezing.

The above vaccinations are recommendations only. Contact us to get health and vaccination recommendations based on your overall health, age and your travel itinerary.
OTHER HEALTH RISKS FOR AFRICAN COUNTRIES Other health risks when traveling in Africa may be:

Cholera is common in developing countries and is associated with poverty and poor sanitation. Cholera is a severe infectious diarrhea disease, caused by the Vibrio cholera bacteria. Untreated, Cholera can result in rapid dehydration and death. Cholera is most commonly spread through the ingestion of food and water that is contaminated by infected human f***s. The risk of getting Cholera can be significantly minimized by following proper sanitary practices and by following the rules of eating and drinking safely. Oral vaccines for Cholera are available if required.

Depending on your destination and how long you are traveling
for, Malaria medications may be recommended. Malaria prevention is based on two defenses:

o Oral prophylaxis medication
o Personal protection against mosquitoes.

It is best to consult your travel doctor for advice on the
best Malaria medication based on your trip as Malaria is widespread and some strains of Malaria are chloroquine resistant.

African Sleeping Sickness occurs in 36 sub-Saharan African countries. The disease, known technically as human African trypanosomiasis, is a parasitic disease transmitted by the tsetse fly (who has acquired its infection from humans or animals harboring human pathogenic parasites).
The disease is treatable, but prevention is your best option. Follow the tips for preventing insect bites advice to help avoid being bitten.

Bilharzia, also called ‘snail sickness or Schistosomiasis, is a parasitic disease transmitted by contact with contaminated fresh water (lakes, ponds, rivers and dams) which is inhabited by snails infected with one of five varieties of the parasite Schistosoma. You risk contracting the disease by swimming, bathing fishing and washing your clothes in contaminated water.

To avoid infection:
o Avoid swimming or bathing in fresh water. The ocean or chlorinated water should be safe. Water held in a water tank for longer than a day should be safe.
o Boil your bathing water for more than a minute and then allow to cool before bathing to avoid scalding.
o Drink safe water.

If you have had contact with contaminated water overseas see your health practitioner on your return for testing and treatment if required.

Remember, cleaning your hands often using either soap and water or water-less, alcohol-based hand rubs removes potentially infectious materials from your skin and helps prevent disease transmission.

31/08/2017

Malaria is caused by a parasite that is passed from one human to another by the bite of infected Anopheles mosquitoes. After infection, the parasites (called sporozoites) travel through the bloodstream to the liver, where they mature and release another form, the merozoites. The parasites enter the bloodstream and infect red blood cells.

The parasites multiply inside the red blood cells, which then break open within 48 to 72 hours, infecting more red blood cells. The first symptoms usually occur 10 days to 4 weeks after infection, though they can appear as early as 8 days or as long as a year after infection. The symptoms occur in cycles of 48 to 72 hours.

Most symptoms are caused by:

The release of merozoites into the bloodstream

Anemia resulting from the destruction of the red blood cells

Large amounts of free hemoglobin being released into circulation after red blood cells break open

Malaria can also be transmitted from a mother to her unborn baby (congenitally) and by blood transfusions. Malaria can be carried by mosquitoes in temperate climates, but the parasite disappears over the winter.

The disease is a major health problem in much of the tropics and subtropics. More than 1 million people die from it. It presents a major disease hazard for travelers to warm climates.

In some areas of the world, mosquitoes that carry malaria have developed resistance to insecticides. In addition, the parasites have developed resistance to some antibiotics. These conditions have led to difficulty in controlling both the rate of infection and spread of this disease.

There are four types of common malaria parasites. Recently, a fifth type, Plasmodium knowlesi , has been causing malaria in Malaysia and areas of southeast Asia. Another type, falciparum malaria, affects more red blood cells than the other types and is much more serious. It can be fatal within a few hours of the first symptoms.

Symptoms

Anemia

Bloody stools

Chills

Coma

Convulsion

Fever

Headache

Jaundice

Muscle pain

Nausea

Sweating

Vomiting

Exams and Tests

During a physical examination, the doctor may find an enlarged liver or enlarged spleen. Malaria blood smears taken at 6 to 12 hour intervals confirm the diagnosis.

A complete blood count (CBC) will identify anemia if it is present.

Treatment

Malaria, especially Falciparum malaria, is a medical emergency that requires a hospital stay. Chloroquine is often used as an anti-malarial medication. However, chloroquine-resistant infections are common in some parts of the world.

Possible treatments for chloroquine-resistant infections include:

The combination of Artemether/Lumefantrine (Coartem)

Atovaquone plus proguanil (Malarone)

Mefloquine or artesunate

The combination of pyrimethamine and sulfadoxine (Fansidar)

The choice of medication depends in part on where you were when you were infected.

Medical care, including fluids through a vein (IV) and other medications and breathing (respiratory) support may be needed.

Outlook (Prognosis)

The outcome is expected to be good in most cases of malaria with treatment, but poor in Falciparum infection with complications.

Possible Complications

Brain infection (celebrities)

Destruction of blood cells (hemolytic anemia)

Kidney failure

Liver failure

Meningitis

Respiratory failure from fluid in the lungs (pulmonary edema)

Rupture of the spleen leading to massive internal bleeding (hemorrhage)

When to Contact a Medical Professional

Call your health care provider if you develop fever and headache after visiting the tropics.

Prevention

Most people who live in areas where malaria is common have gotten some immunity to the disease. Visitors will not have immunity, and should take preventive medications.

It is important to see your health care provider well before your trip, because treatment may need to begin as long as 2 weeks before travel to the area, and continue for a month after you leave the area.

The types of anti-malarial medications prescribed will depend on the area you visit. Travelers to South America, Africa, the Indian subcontinent, Asia, and the South Pacific should take one of the following drugs: mefloquine, doxycycline, chloroquine, hydroxychloroquine, or Malarone. Even pregnant women should take preventive medications because the risk to the fetus from the medication is less than the risk of catching this infection.

People who are taking anti-malarial medications may still become infected. Avoid mosquito bites by wearing protective clothing over the arms and legs, using screens on windows, and using insect repellent.

Chloroquine has been the drug of choice for protecting against malaria. But because of resistance, it is now only suggested for use in areas where Plasmodium vivax , P. oval , and P. malariae are present. Falciparum malaria is becoming increasingly resistant to anti-malarial medications.

For travelers going to areas where Falciparum malaria is known to occur, there are several options for malaria prevention, including mefloquine, atovaquone/proguanil (Malarone), and doxycycline.🏥

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31/08/2017

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Our team had lots of fun making this video, but the subject matter is very serious. Sudden cardiac arrest is the 3rd leading cause of death in the United Sta...

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We have considerable expertise in the provision of medical support for expeditions and remote area operations. We are happy to advise clients on travel med

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