Travel Medicine 2006

7/28/2019 Travel Medicine 2006

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RECENT DEVELOPMENTRECENT DEVELOPMENT

OF TRAVEL MEDICINEOF TRAVEL MEDICINECURRENT ISSUESCURRENT ISSUES

Prof. Dr. Soesanto TjokrosontoProf. Dr. Soesanto Tjokrosonto20062006


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BASIC CONCEPTSBASIC CONCEPTS

DISEASE KNOWS NO BORDERS AND NEEDDISEASE KNOWS NO BORDERS AND NEED

NO PASSPORTNO PASSPORT

Trave !eat" #$s%nessTrave !eat" #$s%ness"as #een #oo&%n'"as #een #oo&%n'

t"e ast (e)a(et"e ast (e)a(e Trave !eat" a%&s to *rov%(e *rote)t%on toTrave !eat" a%&s to *rov%(e *rote)t%on to

traveers a'a%nst (%seases an( *ro&otetraveers a'a%nst (%seases an( *ro&ote

t"e s$))ess of TRA+E, INDUSTR-t"e s$))ess of TRA+E, INDUSTR-

Con)e*tCon)e*t *re/trave ($r%n' trave *ost/*re/trave ($r%n' trave *ost/

travetrave


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Travel MedicineTravel Medicine

Basic conceptBasic concept

T"e &a%n 'oa of traveers %s toT"e &a%n 'oa of traveers %s to (e*art(e*artfro& t"e%r or%'%n 1%t"fro& t"e%r or%'%n 1%t" )onf%(en)e)onf%(en)e safe an( safe an(

)onven%ent)onven%ent ($r%n' t"e%r($r%n' t"e%rjo$rnejo$rne arr%vearr%ve

safe at t"e (est%nat%on )o&forta#esafe at t"e (est%nat%on )o&forta#e($r%n' t"e%r sta($r%n' t"e%r sta safe $*on safe $*on t"e%r ret$rnt"e%r ret$rn1%t"o$t an %&*a)t of )ontra)t%n' an1%t"o$t an %&*a)t of )ontra)t%n' an

(%sease t"e &a )arr aon'(%sease t"e &a )arr aon'

T"e atest reate( to att%t$(e an( *ra)t%)esT"e atest reate( to att%t$(e an( *ra)t%)es)ontra)t (%seases 3&ost %nfe)t%o$s)ontra)t (%seases 3&ost %nfe)t%o$s

(%seases4(%seases4


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KNOLED!EKNOLED!E

In(ones%a 'o %nternat%onaIn(ones%a 'o %nternat%ona5 200.000 "aj *%'r%&a'e200.000 "aj *%'r%&a'e5 0.000 $&ro"0.000 $&ro"5 70.000 seek%n' 1ork 3TKI4.70.000 seek%n' 1ork 3TKI4.

5 Et). 8. St$(%n' a#roa(Et). 8. St$(%n' a#roa( No &oreNo &ore9(%stan)e *ro#e&:9(%stan)e *ro#e&:

5 On %n a &atter of "o$rs 1% rea)" (est%nat%onOn %n a &atter of "o$rs 1% rea)" (est%nat%on5 ;0/20 "rs;0/20 "rsrea)" E$ro*e Afr%)a an(


6/28

KNOLED!EKNOLED!E

Internat%ona !eat" Re'$at%on 3I!R4Internat%ona !eat" Re'$at%on 3I!R41as %ntro($)e( %n t"e 221as %ntro($)e( %n t"e 22n(n(Wor(Wor(

!eat" Asse %n!eat" Asse %n ;>6>;>6> I!RI!R s"o$( not affe)t t"es"o$( not affe)t t"e

)onven%en)e)onven%en)eof traveersof traveers (%seases(%seases

not %ste( %n t"e I!R 3AIDS4 &anot %ste( %n t"e I!R 3AIDS4 &a

)reate *ro#e& %f )ert%f%)ate)reate *ro#e& %f )ert%f%)atere=$%re(re=$%re(a'a%nst I!R 3*o%nt ;4a'a%nst I!R 3*o%nt ;4NONO!EA,T! DOCU


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KNOLED!EKNOLED!E

;>@7;>@7W!O a&en(e( I!RW!O a&en(e( I!R

va))%nat%on tova))%nat%on to )"oera)"oerano on'erno on'er

re=$%re( to traveersre=$%re( to traveers


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KNOLED!EKNOLED!E

;>7 %rst (o)$&ente( %n Ita%a;>7 %rst (o)$&ente( %n Ita%a CenterCenter

for trave "eat"for trave "eat" Asso)%at%on of TraveAsso)%at%on of Trave

!eat"!eat"

;> R%&%n% Ita%a %nternat%ona &eet%n';> R%&%n% Ita%a %nternat%ona &eet%n's*onsore( #s*onsore( # Wor( !eat" Or'an%at%onWor( !eat" Or'an%at%on

3W!O4 an( Wor( To$r%s& Or'an%at%on3W!O4 an( Wor( To$r%s& Or'an%at%on3WTO43WTO4tak%n' on *revent%on ontak%n' on *revent%on on

%nfe)t%o$s (%seases%nfe)t%o$s (%seasesa&on' traveers %n t"ea&on' traveers %n t"e


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ORLD TO"RISMORLD TO"RISM

OR!ANI#ATION $TO%OR!ANI#ATION $TO%

To *rov%(e a**ro*r%ate %nfor&at%onTo *rov%(e a**ro*r%ate %nfor&at%on

an( serv%)es 3%n)$(%n' "eat"4an( serv%)es 3%n)$(%n' "eat"4

s$%ta#e to t"e traveers an( traves$%ta#e to t"e traveers an( trave

%n($str%es 3'overn&ent an( *r%vate4%n($str%es 3'overn&ent an( *r%vate4 D%str%#$t%on of %nfor&at%on to t"eD%str%#$t%on of %nfor&at%on to t"e

traveerstraveers


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KNOLED!EKNOLED!E

Internat%ona So)%et of TraveInternat%ona So)%et of Trave

;atat

Atanta USAAtanta USA )on'ress ever)on'ress ever

aternate earsaternate ears t"e @t"e @t"t")on'ress %n)on'ress %nInns#r$)k A$str%aInns#r$)k A$str%a

5


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KNOLED!EKNOLED!E

Pro#e&s ar%s%n'Pro#e&s ar%s%n' fro& s*ee(fro& s*ee(

&%'rat%on an( trans*ortat%on an(&%'rat%on an( trans*ortat%on an(

ne1 (eveo*&ent of ne1 (%seasene1 (eveo*&ent of ne1 (%sease

3NEW EG


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KNOLED!EKNOLED!E

DOES -OUR DESTINATION NEED ADOES -OUR DESTINATION NEED A+ACCINATIONH+ACCINATIONH Trave 1e Trave save TraveTrave 1e Trave save Traveva))%nate(.va))%nate(.ASK BEORE -OU DEPARTASK BEORE -OU DEPART

Avent%s Paste$rAvent%s Paste$r t"e &ost )o&*re"ens%ve ran'e t"e &ost )o&*re"ens%ve ran'e

of va))%nes a'a%nst trave (%seases %n)$(%n'of va))%nes a'a%nst trave (%seases %n)$(%n'va))%ne a'a%nstva))%ne a'a%nst5 T*"o%( feverT*"o%( fever / -eo1 fever/ -eo1 fever

5 !e*at%t%s A!e*at%t%s A / Ra#%es/ Ra#%es

5 !e*at%t%s B!e*at%t%s B / Tetan$s an( (%*"t"er%a/ Tetan$s an( (%*"t"er%a

5


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KNOLED!EKNOLED!E $&ALF%$&ALF%

Internat%ona Cert%f%)ate ofInternat%ona Cert%f%)ate of

+a))%nat%on 3IC+4+a))%nat%on 3IC+4)onta%ns *roofs of)onta%ns *roofs of

k%n(s of va))%nat%on '%ven (ate an(k%n(s of va))%nat%on '%ven (ate an(

va%(%t of ea)".va%(%t of ea)". Ea&*es 9a &$st: to traveersEa&*es 9a &$st: to traveers

5 -eo1 fever-eo1 fever3Afr%)a an( A&er%)a43Afr%)a an( A&er%)a4

v%s%tor or trans%tv%s%tor or trans%t

5


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&ealt' pro(le)s needed evac*ation a)on+&ealt' pro(le)s needed evac*ation a)on+

,orei+n travelers in San+la' 'ospital in Bali,orei+n travelers in San+la' 'ospital in Bali

$R*d'iarta-.///%$R*d'iarta-.///%

NoNo D%seaseD%sease ;>>;>> ;>>>;;>>>; 20002000

;; Infe)t%o$s (%seaseInfe)t%o$s (%sease ;0;0 00

22 ra)t$res of %ra)t$res of % 66 ;0;0 00

77 A)$te


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EVAC"ATION D"RIN! FLI!&TEVAC"ATION D"RIN! FLI!&T

INCAPACIT- O TRA+E,INFINCAPACIT- O TRA+E,INF

Internat%ona A%r Trans*ortInternat%ona A%r Trans*ort

Asso)%at%on 3IATA4Asso)%at%on 3IATA4;>0;>0

5 INCAPACIT- ($r%n' f%'"tINCAPACIT- ($r%n' f%'"t "%'" r%sk"%'" r%sk

traveers 3s%)k )"%(ren an( *re'nanttraveers 3s%)k )"%(ren an( *re'nant

1o&en41o&en4 ref$sa or (eae(ref$sa or (eae(

5 INCAPACIT-INCAPACIT- *"s%)a oran( &enta*"s%)a oran( &enta(%sor(er re=$%r%n' s*e)%a attent%on(%sor(er re=$%r%n' s*e)%a attent%on (%st$r#an)e or en(an'er%n' ot"ers(%st$r#an)e or en(an'er%n' ot"ers


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P"s%oo'%)a )ons%(erat%onP"s%oo'%)a )ons%(erat%on5 In/f%'"t env%ron&entIn/f%'"t env%ron&ent )a#%n *ress$re)a#%n *ress$re

%s o1er t"an sea/eve *ress$re%s o1er t"an sea/eve *ress$re

5 Barotra$&aBarotra$&a(ro* of a%r/*ress$re 3e'.(ro* of a%r/*ress$re 3e'.%n &a%&$& )r$%s%n' at%t$(e4 of 2G%n &a%&$& )r$%s%n' at%t$(e4 of 2Gre($)e *art%a o'en *ress$re # 2Gre($)e *art%a o'en *ress$re # 2Gan( 72 %n aveo%an( 72 %n aveo% no *ro#e& %nno *ro#e& %n

nor&a *assen'ers BUT res$t%n'nor&a *assen'ers BUT res$t%n'"*o%a"*o%a%n%n *assen'er 1%t" ane&%a $n'*assen'er 1%t" ane&%a $n'*ro#e& )oroner )%r)$at%on (%sor(er*ro#e& )oroner )%r)$at%on (%sor(er


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P"s%)a )ons%(erat%onP"s%)a )ons%(erat%on

5 ,a)k of s*a)e %n f%'"t/L,a)k of s*a)e %n f%'"t/L %&*ro*er *os%t%on to a (o1n%&*ro*er *os%t%on to a (o1ne'. %n ane'. %n an

e&er'en) re=$%r%n' CPRe&er'en) re=$%r%n' CPR Pa)e&ent of a stret)"er for a *art%)$arPa)e&ent of a stret)"er for a *art%)$ar

*at%ent*at%ent re&ova of 6/> seatsre&ova of 6/> seats


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ESCORTER for a s%)k traveerESCORTER for a s%)k traveer

5 Ca#%n )re1 areCa#%n )re1 are foo( "an(erfoo( "an(er

not ao1e( to "an(e a s%)k *eo*enot ao1e( to "an(e a s%)k *eo*e on for e&er'en) *$r*oseon for e&er'en) *$r*ose

5 Re=$%re&ent of anRe=$%re&ent of an "eat" ass%stant"eat" ass%stant1"o1"o

"as a**ro*r%ate kno1e('e %n %n/f%'"t"as a**ro*r%ate kno1e('e %n %n/f%'"t

"eat" to es)ort a s%)k traveer"eat" to es)ort a s%)k traveer


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&EALT& PROBLEMS $&P% d*rin+&EALT& PROBLEMS $&P% d*rin+

,li+'t,li+'t ;. !P a''ravate( t"e (%sease ($r%n' f%'"t;. !P a''ravate( t"e (%sease ($r%n' f%'"t

)a$se( #)a$se( # a)k of o'ena)k of o'en

5 Coronar (%seases M $n' (%sease M ane&%a MCoronar (%seases M $n' (%sease M ane&%a M

e*%e*s Ms"o)k M severe %nfe)t%o$s (%seasee*%e*s Ms"o)k M severe %nfe)t%o$s (%sease 2. !P 3(%seases42. !P 3(%seases4 )onta'%o$s)onta'%o$sto ot"ersto ot"ers

7. !P7. !P en(an'er%n' env%ron&enten(an'er%n' env%ron&ent

*s)"os%s *s)"one$ros%s*s)"os%s *s)"one$ros%s

J. Con(%t%onJ. Con(%t%on re=$%r%n' s*e)%a )arere=$%r%n' s*e)%a )are %nfant %nfant

*re'nan) e(er*re'nan) e(er


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&EAL&T PROBLEM D"RIN!&EAL&T PROBLEM D"RIN!

PIL!RIMA!EPIL!RIMA!E !%'" r%sk J0!%'" r%sk J0&an%fest on t"e%r ret$rn&an%fest on t"e%r ret$rn

5 Car(%ovas)$arCar(%ovas)$ar

5 FIT %nfe)t%onFIT %nfe)t%on

5 URT %nfe)t%onURT %nfe)t%on5 RTI %nfe)t%onRTI %nfe)t%on

5 Bone an( &$s)es (%sor(erBone an( &$s)es (%sor(er

Infe)t%o$s (%sease *ro"%#%te( to fInfe)t%o$s (%sease *ro"%#%te( to f

5 T*"o%( )"oera TB 3a)t%ve 1%t" )averns4T*"o%( )"oera TB 3a)t%ve 1%t" )averns4


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MEDICAL INFORMATION FORMMEDICAL INFORMATION FORM

$MEDIF%$MEDIF%


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MEDICAL INFORMATION FORMMEDICAL INFORMATION FORM

$MEDIF%$MEDIF%


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MEDICAL LICENCEMEDICAL LICENCE

Pro#e& on trave "eat" re=$%resPro#e& on trave "eat" re=$%res

a**ro*r%ate "an(%n' # "eat"a**ro*r%ate "an(%n' # "eat"

*rofess%on*rofess%on $r'es s*e)%a tra%n%n'$r'es s*e)%a tra%n%n'

on trave &e(%)%ne 3$n(er an( *oston trave &e(%)%ne 3$n(er an( *ost'ra($ates4'ra($ates4 kno1e('e an( sk%kno1e('e an( sk%

,e''at 3;>>>4 &ost (o)tors %n Ne1,e''at 3;>>>4 &ost (o)tors %n Ne1

eaan(eaan( "a( no for&a tra%n%n'"a( no for&a tra%n%n'onontrave &e(%)%netrave &e(%)%ne


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APPROAC&ES TO TRAVELAPPROAC&ES TO TRAVEL

MEDICINEMEDICINE ;.;. Tra%n%n' on trave &e(%)%neTra%n%n' on trave &e(%)%neto (o)torsto (o)tors

(one )ont%n$o$s(one )ont%n$o$s

2.2. Coa#orat%onsCoa#orat%ons #et1een *"ar&a)%st an(#et1een *"ar&a)%st an(

traveers S1%teran(traveers S1%teran( 7.7. Trave !eat" Asso)%at%onTrave !eat" Asso)%at%on

5 Trave Do)tor Fro$* Trave


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DEVELOPMENTDEVELOPMENT

5 ;>>G #oo&%n' of traveers;>>G #oo&%n' of traveers

5 ;>>@ fo$n(%n' of Per"%&*$nan Kese"atan;>>@ fo$n(%n' of Per"%&*$nan Kese"atan

W%sata In(ones%a 3PKWI4W%sata In(ones%a 3PKWI4 1ork%n' on1ork%n' on

nat%ona re'%ona an( %nternat%ona s)o*esnat%ona re'%ona an( %nternat%ona s)o*es

5 ;>>. Con'ress on As%a Pa)%f%) Trave !eat";>>. Con'ress on As%a Pa)%f%) Trave !eat"

So)%et 3APT!S4 at Ta%*e"So)%et 3APT!S4 at Ta%*e"

5 2000. Con'ress of APT!S %n Ba%2000. Con'ress of APT!S %n Ba%

5 2002. Con'ress of APT!S %n S"an'"a%2002. Con'ress of APT!S %n S"an'"a%5 200J. Con'ress of APT!S %n S(ne200J. Con'ress of APT!S %n S(ne

5 2006. Con'ress of APT!S %n K$aa ,$&*$r2006. Con'ress of APT!S %n K$aa ,$&*$r


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Documents

Travel Medicine 2006