ITB Asia - TraveDoc Presentation
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Transcript of ITB Asia - TraveDoc Presentation
“A Doctor in Your PocketTM”
Marcel Muenster, CEO & Founder TraveDoc Glenn Hirsch, CMO TraveDoc
TRAVELING We share the passion for
Discovering LANDSCAPES
Enjoying FOOD
Meeting PEOPLE
STARTED How everything
Traveled to HONG KONG
Ate a MOLDY PINEAPPLE
Felt SICK afterwards
ANALYSIS Market
:
Source: Han, P., Yanni, E., Jentes, E. S., Hamer, D. H., Chen, L. H., Wilson, M. E., et al. (2012). Health challenges of young travelers visiting friends and relatives compared with those traveling for other purposes. The Pediatric Infectious Disease Journal, 31(9), 915-919.
880 million travelers a year
Source: Patel, D. (2011). Occupational travel. Occupational Medicine (Oxford, England), 61(1), 6-18Rack, J., Wichmann, O., Kamara, B., Gunther, M., Cramer, J., Schonfeld, C., et al. (2005). Risk and spectrum of diseases in travelers to popular tourist destinations. Journal of Travel Medicine, 12(5), 248-253.
880 million travelers a year
563M with health impairments
Source: Lerdal A, Harding T, Kjolstad S. Illness and injury presenting to a norwegian travel insurance company’s helpline. Travel Med Infect Dis. 2007;5(3):165-170.
880M travelers a year 563M
with health impairments
88M seek medical care
Source: http://www.mint.hr/UserDocsImages/08-C-Wohlmuther.pdf
1.6bn International arrivals by 2020 563M
with health impairments
176M seek medical care
1.02bn with health impairments
563M with health impairments 1.02bn 1.6bn
travelers a year
176M seek medical care
with health impairments
source: xyz
88 seek medical care
47.5!MILLION PATIENTS
Source: Van Herck, K., Van Damme, P., Castelli, F., Zuckerman, J., Nothdurft, H., Dahlgren, A. L., et al. (2004). Knowledge, attitudes and practices in travel-related infectious diseases: The european airport survey. Journal of Travel Medicine, 11(1), 3-8.
73.3%!had sought general information about destination
52.1%!had sought travel health advice
Source: Van Herck, K., Van Damme, P., Castelli, F., Zuckerman, J., Nothdurft, H., Dahlgren, A. L., et al. (2004). Knowledge, attitudes and practices in travel-related infectious diseases: The european airport survey. Journal of Travel Medicine, 11(1), 3-8.
20.2%!were not aware
Source: Van Herck, K., Van Damme, P., Castelli, F., Zuckerman, J., Nothdurft, H., Dahlgren, A. L., et al. (2004). Knowledge, attitudes and practices in travel-related infectious diseases: The european airport survey. Journal of Travel Medicine, 11(1), 3-8.
18.7%!no risk to health
Source: Van Herck, K., Van Damme, P., Castelli, F., Zuckerman, J., Nothdurft, H., Dahlgren, A. L., et al. (2004). Knowledge, attitudes and practices in travel-related infectious diseases: The european airport survey. Journal of Travel Medicine, 11(1), 3-8.
6.3%!too busy
Source: Van Herck, K., Van Damme, P., Castelli, F., Zuckerman, J., Nothdurft, H., Dahlgren, A. L., et al. (2004). Knowledge, attitudes and practices in travel-related infectious diseases: The european airport survey. Journal of Travel Medicine, 11(1), 3-8.
THE MAJORITY
did not know what to do!
DISEASES and why travelers are more likely to get sick
Pre-Travel Travel Post-Travel
Pre-Travel Review of the itinerary
Immunizations
Past medication history
Prevention and self-treatment
Prescriptions and medical records
Source: Bomsztyk M, Arnold RW. Infections in travelers. Med Clin North Am. 2013;97(4):697-720, xi.
Allergic Rash
Blood Clot
Dengue
Diarrhea
Encephalitis
Heart attack
Hepatitis A
Hepatitis B
Hepatitis C
HIV
Leishmaniasis
Leptospirosis
Meningitis
Malaria
Pharyngitis
Pneumonia
Sexual Assault
Schistosomiasis
Sunburn
Skin Abscess
Trypanosomiasis
Tuberculosis
Typhoid fever
Yellow fever
Source: Bomsztyk M, Arnold RW. Infections in travelers. Med Clin North Am. 2013;97(4):697-720, xi.
Diseases
Enjoying FOOD
Bacteria!
Enjoying FOOD
33% !
Gastrointestinal
Source:: Field V, Gautret P, Schlagenhauf P, et al. Travel and migration associated infectious diseases morbidity in europe, 2008. BMC Infect Dis.
2010;10:330-2334-10-330.
Diarrhea
Giardiasis
Amebasis 33% !
Gastrointestinal
Source:: Field V, Gautret P, Schlagenhauf P, et al. Travel and migration associated infectious diseases morbidity in europe, 2008. BMC Infect Dis.
2010;10:330-2334-10-330.
45%!
Diarrhea
: Source: Patel, D. (2011). Occupational travel. Occupational Medicine (Oxford, England), 61(1), 6-18Rack, J., Wichmann, O., Kamara, B., Gunther, M., Cramer, J., Schonfeld, C., et al. (2005). Risk and spectrum of diseases in travelers to popular tourist destinations. Journal of Travel Medicine, 12(5), 248-253.
45%!
Diarrhea 40% change travel plans
:
Source: Patel, D. (2011). Occupational travel. Occupational Medicine (Oxford, England), 61(1), 6-18Rack, J., Wichmann, O., Kamara, B., Gunther, M., Cramer, J., Schonfeld, C., et al. (2005). Risk and spectrum of diseases in travelers to popular tourist destinations. Journal of Travel Medicine, 12(5), 248-253.
40% change travel plans
20% are confined to bed
45%!
Diarrhea
: Source: Patel, D. (2011). Occupational travel. Occupational Medicine (Oxford, England), 61(1), 6-18Rack, J., Wichmann, O., Kamara, B., Gunther, M., Cramer, J., Schonfeld, C., et al. (2005). Risk and spectrum of diseases in travelers to popular tourist destinations. Journal of Travel Medicine, 12(5), 248-253.
40% change travel plans
20% are confined to bed
1% require hospital admission
45%!
Diarrhea
: Source: Patel, D. (2011). Occupational travel. Occupational Medicine (Oxford, England), 61(1), 6-18Rack, J., Wichmann, O., Kamara, B., Gunther, M., Cramer, J., Schonfeld, C., et al. (2005). Risk and spectrum of diseases in travelers to popular tourist destinations. Journal of Travel Medicine, 12(5), 248-253.
Discovering LANDSCAPES
Mosquitoes!
Discovering LANDSCAPES
Malaria Dengue Viral Hepatitis
Febrile Illnesses
20% !
Source:: Field V, Gautret P, Schlagenhauf P, et al. Travel and migration associated infectious diseases morbidity in europe, 2008. BMC Infect Dis. 2010;10:330-2334-10-330.
100+ countries worldwide Affects 500M people 80-90 million travelers
Deaths per Year
Malaria
1M+!
: Source: Patel, D. (2011). Occupational travel. Occupational Medicine (Oxford, England), 61(1), 6-18Rack, J., Wichmann, O., Kamara, B., Gunther, M., Cramer, J., Schonfeld, C., et al. (2005). Risk and spectrum of diseases in travelers to popular tourist destinations. Journal of Travel Medicine, 12(5), 248-253.
Bacterial Infections Rash Sunburn
Skin Conditions
12% !
Source:: Field V, Gautret P, Schlagenhauf P, et al. Travel and migration associated infectious diseases morbidity in europe, 2008. BMC Infect Dis. 2010;10:330-2334-10-330.
Skin Conditions
40%
Source: Hochedez P, et al. Changes in the pattern of health disorders diagnosed among two cohorts of French travelers to Nepal, 17 years apart. J Travel Med. 2004;341-346.
Bacterial
25% Fungal
Tuberculosis Influenza Legionnaires disease
Respiratory Illnesses
12% !
Source:: Field V, Gautret P, Schlagenhauf P, et al. Travel and migration associated infectious diseases morbidity in europe, 2008. BMC Infect Dis. 2010;10:330-2334-10-330.
Expatriates higher risk Latent TB risk ~1 to 4 cases per 1000 person months. Health care expats 8 cases per 1000 person months
Sources: Lim P, Han P, Chen LH, et al. Expatriates ill after travel: results from the Geosentinel Surveillance Network. BMC Infect Dis. 2012;12:386. Dijkstra J, Chappuis F, Loutan L. Vaccine-preventable diseases in long-term expatriates. J Travel Med. 2005;12:S47–57. Gardner A, Cohen T, Carter EJ. Tuberculosis among participants in an academic global health medical exchange program. J Gen Intern Med. 2011;26:841–5. ���
Only 30-66%
receive appropriate screening and counseling
Tuberculosis
Meeting PEOPLE
STIs!
Meeting PEOPLE
HIV Syphillis Chlamydia
0.6% !! !
STI
Source:: Field V, Gautret P, Schlagenhauf P, et al. Travel and migration associated infectious diseases morbidity in europe, 2008. BMC Infect Dis.
2010;10:330-2334-10-330.
of travelers report sex with new partner
STI
50%!
60+% report inconsistent condom use
59% of Dutch expatriates paid for sex at least once
: Source: Patel, D. (2011). Occupational travel. Occupational Medicine (Oxford, England), 61(1), 6-18Rack, J., Wichmann, O., Kamara, B., Gunther, M., Cramer, J., Schonfeld, C., et al. (2005). Risk and spectrum of diseases in travelers to popular tourist destinations. Journal of Travel Medicine, 12(5), 248-253.
HIV Post-Exposure Prophylaxis
Reduce HIV transmission by reducing HIV in bloodstream
Sources: Otten, R. et al. (2000). Efficacy of postexposure prophylaxis after intravaginal exposure of pig-tailed macaques to a human-derived retrovirus (human immunodeficiency virus type 2). Journal of Virology, 74(20), 9771-9775. Smith, D. K., et al. (2005). Antiretroviral postexposure prophylaxis after sexual, injectiondrug use, or other nonoccupational exposure to HIV in the United States: Recommendations from the U.S. Department of Health and Human Services. Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report, Recommendations and Reports. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5402a1.htm Awareness and use of nonoccupational HIV post-exposure prophylaxis among people receiving rapid HIV testing in Spain. HIV Med. 2013 Apr;14(4);252-7.
CDC recommends post-exposure prophylaxis after high (or moderate) risk exposure.
22% at rapid HIV testing aware
Chronic Illnesses
of all travel-related death due to cardiovascular disease
70%!
Avg age of people who die during travel is 60 22.5% of international travelers are >60 Sources: Carl J. Lawson, MPH, Deaths in International Travelers Arriving in the United States, July 1, 2005 to June 30, 2008, Journal of Travel Medicine 2012;
Volume 19 (Issue 2): 96–103
“It is essential that travelers are aware of mortality risk associated with their underlying diseases and that they are properly prepared to handle them while traveling.”
“Persons with chronic medical conditions and the elderly should promptly seek medical care if they become ill during travel.”
Age
Length of stay
Season of travel
Climatic and cultural contrast
Level of travel experience
Gender
Destination
Medication adherence Physical
exertion
Excess alcohol
Dietary indiscretion
Delays in seeking
medical care
Reasons for Sickness
Sources: Novaro GM et al. Cardiovascular emergencies in cruise ship passengers. Am J Cardiol 2010; 105:153–157. Lawson CJ et al. Deaths in International Travelers Arriving in the United States, July 1, 2005 to June 30, 2008. J Travel Med 2012; 19: 96–103. ���
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