GLOBAL HEALTH PREPARATION. JOSEPH J SCHWERHA MD MPH PROFESSOR OF OCCUPATIONAL AND ENVIRONMENTAL...
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Transcript of GLOBAL HEALTH PREPARATION. JOSEPH J SCHWERHA MD MPH PROFESSOR OF OCCUPATIONAL AND ENVIRONMENTAL...
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GLOBAL HEALTHPREPARATION
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JOSEPH J SCHWERHA MD MPH
PROFESSOR OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
DIRECTOR OF THE OCCUPATIONAL AND
ENVIRONMENTAL MEDICINE RESIDENCY PROGRAM
GRADUATE SCHOOL OF PUBLIC HEALTH
UNIVERSITY OF PITTSBURGH
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HOW LONG IS THE ASSIGNMENT
• FEW DAYS OR WEEKS
• FEW MONTHS
• ONE OR MORE YEARS
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EMPLOYEE OR CONTRACTOR
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AREA OF THE WORLD
• LANGUAGE• GOVERNMENT
EMBASSY• SAFETY
– STABLE GOVERNMENT
– INTERNAL THREATS
– EXTERNAL THREATS
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GLOBALIZATION
• ECONOMIC• ETHNIC• POLITICAL• FINANCIAL
TRANSACTIONS
• ATTITUDES• RELOCATION• RELATIONSHIPS
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OVERSEAS EXPERIENCE
• SAFE
• EFFICIENT
• EFFECTIVE PREPARATION
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CULTURE SHOCK
• PERSONAL AND ENVIRONMENTAL DISRUPTION CAN BE SEVERE
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SOME ISSUES TO CONSIDER
• CAREER REQUIREMENTS• SUITABILITY FOR ASSIGNMENT• PSYCHOLOGICAL AND FAMILY• IMMUNIZATIONS AND MEDICAL KITS• PROPHYLAXIS FOR DISEASES• MEDICAL INSURANCE• MEDICAL SUPPORT• EDUCATION OPPORTUNITIES• LIVING CONDITIONS
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FAMILY CONSIDERATIONS
• MEDICAL
• EDUCATION
• RECREATION
• ORIENTATION
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MEDICAL NEEDS
• MEDICATIONS• COMPLETE MEDICAL
HISTORY• CONSULTATION• EMERGENCY SERVICES• EVACUATION• TRAVEL MEDICAL KIT
– SHORT TERM– LONGER TERM
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AVAILABILITY OF MEDICAL CARE AND EQUIPMENT
• GENERAL
• SPECIALTY
• HOSPITALS
• TRANSPORTATION
• GLASSES AND CONTACT LENS
• DENTURES
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EDUCATIONAL NEEDS
• PRESCHOOL
• GRADE SCHOOL
• HIGH SCHOOL
• PRIVATE SCHOOL
• COLLEGE
• GRADUATE SCHOOL
• PROFESSIONAL SCHOOL
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HOUSING AND NUTRITION NEEDS
• HOUSE
• APARTMENT
• FOOD AVAILABILITY
• SANITARY CONDITIONS
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TRANSPORTATION NEEDS
• PASSPORT• PERSONAL• PUBLIC
TRANSPORTATION• DRIVER• ROAD TRAVEL• AIR TRAVEL• STOPOVERS
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AIR TRAVEL
• REMEMBER IF THE ENGINE STOPS, GRAVITY CANNOT BE REASONED WITH
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RECREATIONAL NEEDS
• WHAT IS AVAILABLE
• PHYSICAL
• INTELLECTUAL
• LOCATION
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MEDICAL EMERGENCIES
• LANGUAGE
• EMERGENCY EXERCISES
• OUT OF COUNTRY EVACUATION
• BASIC LIFE SUPPORT
• MAJOR ACCIDENT PROCEDURES
• EMERGENCY EQUIPMENT
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PERSONAL SAFETY
• AVOID ADVERTISING WEALTH
• TRAVELERS CHECKS
• MONEY BELT• WOMEN
STRAPLESS PURSE
• WALLET IN FRONT POCKET
• PROTECT PERSONAL INFORMATION
• MAJOR HOTELS• FIRE SAFETY• LAWS OF
COUNTRY
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GENERAL MEDICAL ADVICE
• SUNBURN• INSECT
PROTECTION• SEXUALLY
TRANSMITTED DISEASES
• BLOODBORNE DISEASES
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HEALTH INSURANCE
• UNITED STATES• OTHER COUNTRIES• SPECIAL
INSURANCE• ARRANGEMENTS
FOR EMERGENCY MONEY
• S.O.S.
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PRETRAVEL MEDICAL SCREENING 1
• TREAT OR ASSESS BEFORE DEPARTURE– INFECTIOUS DISEASE– ANEMIA– DENTAL CONDITIONS– GASTRIC ULCERS– PREGNANCY– CHRONIC
CONDITIONS
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PRETRAVEL MEDICAL SCREENING 2
• POSSIBLY UNSUITABLE– CARDIAC DISEASE– CEREBROVASCULAR DISEASE– THROMPHLEBITIS– UNSTABLE CHRONIC CONDITIONS
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PRETRAVEL MEDICAL SCREENING 3
• DERMATOLOGICAL• ENT• ENDOCRINE• GASTRO-
INTESTINAL• HEMATOLOGICAL• MEDICATIONS
• MUSCULO-SKELETAL
• NEOPLASM• NEUROLOGICAL• PSYCHIATRIC• PULMONARY
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IMMUNIZATIONS
• DT• MMR• SMALL POX• HEPATITIS• FLU• POLIO• PNEUMONIA
• HAEMOPHILUS• MENNINGOCOCCUS• PERTUSSIS• YELLOW FEVER• ETC.
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KEEP ON HAND
• RETURN TICKET• TRAVEL
DOCUMENTS• EXTRA
MEDICATIONS• EXTRA GLASSES
OR CONTACT LENS• EXTRA DENTURES• ETC.
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WHILE AN EXPATRIATE OR REGULAR OUT OF COUNTRY
TRAVELING
• YEARLY PHYSICAL AND PSYCHIATRIC EXAMINATIONS
• CONTACT WITH CURRENT DEVELOPMENTS
• FAMILY CONTACTS
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REPATRIATION
• PSYCHOLOGICAL STRESS
• CAREER PATH• ORIENTATION• PHYSICAL AND
PSYCHIATRIC EXAMINATION
• HOUSING• EDUCATIONAL
NEEDS