Travel Medicine 2010 - 12/2/2010 By Tanya Mohn msnbc.com...

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12/2/2010 1 Travel Medicine by Dwight Bowman By Tanya Mohn msnbc.com contributor msnbc.com contributor updated 10/21/2010 12:36:52 PM ET 2010-10-21T16:36:52 Sujal Parikh, a medical student at the University of Michigan, was killed on Oct. 12 when a motor-bike g, taxi he was riding on as a passenger was hit from the back by a vehicle in Kampala, Uganda. Parikh, who was doing HIV/AIDS clinical research, and his colleagues were on their way home to dinner. They tried repeatedly to hail a taxi, but were unsuccessful. s a last resort they jumped on oda- odas or motorbike- As a last resort, they jumped on boda bodas, or motorbike taxis, said Jerry Abraham, a friend from boarding school in Texas, where both men grew up. Parikh owned a helmet, but did not have it with him. He died from traumatic brain injury. Road crashes, the leading cause of tourist death and serious injury worldwide A new report warns that global road crashes, the leading cause of tourist death and serious injury worldwide, will continue to rise exponentially over the next two decades. “A deadly cocktail of killer roads, unsafe vehicles, dangerous driving and disoriented or carefree tourists means many dream holidays of a lifetime instead become life-ending nightmares,” reads the introduction to "Bad Trips: International tourism and road deaths in the developing world," released last month. Few travelers prepared “People have accepted that vaccines are important. But we need to do the same thing about all aspects of road safety,” aid Bella inh- arr the North American director of Make said Bella Dinh Zarr, the North American director of Make Roads Safe, a global initiative, and director of road safety for the FIA Foundation for the Automobile and Society, a nonprofit group based in London. Disease - Modes of Acquisition Enteric Routes Oral ingestion of infective stages Other Routes Respiratory Arthropod bites irect contact with soil or water Direct contact with soil or water
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12/2/2010 2 Diarrhea Most common travel-related Illness ssociated with changes in diet affecting microbial Associated with changes in diet affecting microbial community in the intestine Also, infectious agents From fecal contaminated water Enterotoxigenic E. coli –ETEC Also, Giardia Cryptosporidium E. histolytica Usually a minor, self-limiting illness in healthy adults Treatment Rehydration Fluids – sugar and salt weetened beverages and saltines or potato chips Sweetened beverages and saltines or potato chips Anti-peristaltic agents Lomotil (Diphenoxylate) Imodium (Loperamide) Antibiotics of short duration Children ehydration with beverages having a 1:1 ratio of Rehydration with beverages having a 1:1 ratio of carbohydrate to sodium Purchase over the counter re-hydrating solutions (ORS) Water Easiest way to treat is boiling May not look pretty, but will kill pathogens Over 6000 ft (1800 M), boil for 3 minutes
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Travel Medicine 2010 - 12/2/2010 By Tanya Mohn msnbc.com...

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