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LECTURE ON LECTURE ON EMPORIATRICSEMPORIATRICS

BYBYDR MAQSOOD HAYATDR MAQSOOD HAYAT

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OBJECTIVESOBJECTIVES

1. TO EMPOWER THE STUDENTS WITH 1. TO EMPOWER THE STUDENTS WITH KNOWLEDGE OF THE SUBJECT OF KNOWLEDGE OF THE SUBJECT OF EMPORIATRICS.EMPORIATRICS.

2.PREPARE THEM AS POTENTIAL 2.PREPARE THEM AS POTENTIAL COMMUNITY PHYSICIANS FOR COMMUNITY PHYSICIANS FOR IMMEDIATE DIAGNOSIS AND IMMEDIATE DIAGNOSIS AND TREATMENT OF TRAVEL RELATED TREATMENT OF TRAVEL RELATED DISEASESDISEASES

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EMPORIATRICSEMPORIATRICS

It is the science of the health of travelers. It deals It is the science of the health of travelers. It deals

with travel associated diseases .It seeks to with travel associated diseases .It seeks to prevent illnesses and injuries to travelers going prevent illnesses and injuries to travelers going abroad and manages problems arising in travelers abroad and manages problems arising in travelers coming back .coming back .

It includes the specialties of:-It includes the specialties of:-1-Tropical medicine1-Tropical medicine2-Aviation medicine2-Aviation medicine3-Immunization medicine3-Immunization medicine4-Accident medicine4-Accident medicine5-Behavioral medicine5-Behavioral medicine6-Infectious diseases 6-Infectious diseases

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SITUATION ANALYSISSITUATION ANALYSIS

Annual international border crossingsAnnual international border crossings 1980……………………300millions1980……………………300millions 2000……………………673millions2000……………………673millions 2020……………………1602millions(Exp)2020……………………1602millions(Exp) Country vise Annual trips (1996)Country vise Annual trips (1996) America……………………52.3millionsAmerica……………………52.3millions C.Zech……………………48.6millionsC.Zech……………………48.6millions Poland……………………44.7millionsPoland……………………44.7millions U.K……………………42.6millionsU.K……………………42.6millions

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RISK ASSESMENTSRISK ASSESMENTS Key factors:-Key factors:-1-Destination1-Destination2—Duration of visit2—Duration of visit3-Purpose of visit3-Purpose of visit4-Standard of accommodation and food hygiene4-Standard of accommodation and food hygiene5-Exiisting health status 5-Exiisting health status 6-Behavior of traveler6-Behavior of traveler

Tools for assessments:-Tools for assessments:-1-Model checklist1-Model checklist2-Pre -departure questionnaire2-Pre -departure questionnaire

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High Risk group of travelers High Risk group of travelers Occupational classif icationOccupational classif ication1-Health personal1-Health personal2-Research workers2-Research workers3-Foreign aid workers3-Foreign aid workers

Lifestyle-based classif icationLifestyle-based classif ication1-Homosexuals1-Homosexuals2-Drug addicts2-Drug addicts3-Adventurous people3-Adventurous people4-Remote area workers 4-Remote area workers 5-Trips to under-developed countries5-Trips to under-developed countries6-Prolonged stay in developing countries 6-Prolonged stay in developing countries 7-Unvaccinated or inadequately vaccinated 7-Unvaccinated or inadequately vaccinated 8-Student groups8-Student groups

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Advice to travelersAdvice to travelers

Prophylactic ImmunizationProphylactic Immunization

Prophylactic MedicationProphylactic Medication

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Emergency Prophylactic Emergency Prophylactic MeasuresMeasures

Accelerated Protocol for:-Accelerated Protocol for:-1-Hepatitis-B1-Hepatitis-B2-Japanese Encephalitis2-Japanese Encephalitis3-Rabies3-Rabies Human Normal ImmunoglobulinsHuman Normal Immunoglobulins Chemoprophylaxis against:-Chemoprophylaxis against:-1-Malaria1-Malaria2-Travelers diarrhoea2-Travelers diarrhoea

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Health Risks Of TravelHealth Risks Of Travel Environmental Risk:-Environmental Risk:-1-Changed altitude (Altitude illness ,Deep vein thrombosis)1-Changed altitude (Altitude illness ,Deep vein thrombosis)2-Changed temperature2-Changed temperature3-Changed humidity3-Changed humidity4-Exposure to unfamiliar animals4-Exposure to unfamiliar animals5-Exposure to unfamiliar insects5-Exposure to unfamiliar insects6-Exposure to ultra-violet radiation6-Exposure to ultra-violet radiation Motion sicknessMotion sickness Infections:-Infections:- Airborne,G.Intestinal,Transcutaneous,STD’s,Heamatogenous,MalariAirborne,G.Intestinal,Transcutaneous,STD’s,Heamatogenous,Malari

a,Traveler’s Diarrhoeaa,Traveler’s Diarrhoea Stings and bitesStings and bites Accidents:-Accidents:-Burns,Wounds,RTA’s,DrowningBurns,Wounds,RTA’s,Drowning

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Behavioral ModificationsBehavioral Modifications

Measures against faeco-oral diseaseMeasures against faeco-oral disease1-Use of safe potable water1-Use of safe potable water2-Dietary mistakes to be avoided2-Dietary mistakes to be avoided Protection against bites and stingsProtection against bites and stings1-Repellants1-Repellants2-Pre-impregnated/Treated Mosquito nets2-Pre-impregnated/Treated Mosquito nets3-Use of special footwear3-Use of special footwear4-Inspection and clearance of rest areas4-Inspection and clearance of rest areas5-Use of pyrethrum based insecticides5-Use of pyrethrum based insecticides

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Special groups of travelersSpecial groups of travelers

Female TravelersFemale Travelers

ChildrenChildren

Elderly People Elderly People

DiabeticsDiabetics

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Self Treatment KitSelf Treatment Kit

Should contain:-Should contain:- ChemoprophylacticsChemoprophylactics Common medicationsCommon medications Essential medications Essential medications Articles of personal Hygiene Articles of personal Hygiene Special items for childrenSpecial items for children

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Advice To Health Care ProvidersAdvice To Health Care Providers Selection of appropriates prophylactic Selection of appropriates prophylactic

measuresmeasures Avoid unnecessary costsAvoid unnecessary costs Avoid unwarranted inconvenienceAvoid unwarranted inconvenience Avoid troublesome side-effectsAvoid troublesome side-effects Emphasize specially on:-Emphasize specially on:-1-Dissemination of valid information about (safe 1-Dissemination of valid information about (safe

water , safe food, safe trips, safe sleep, safe water , safe food, safe trips, safe sleep, safe sex)sex)

2-Vaccination2-Vaccination3-Chemoprophylaxis3-Chemoprophylaxis4-Carrying self treatment kit.4-Carrying self treatment kit.

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THANKYOU THANKYOU