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STAYING HEALTHY WSC 2009

Staying Healthy Overseas World Service Corps 2009

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Basic guidelines for prevention of common illnesses related to overseas travel for World Service Corps Volunteers, Presented May 2009

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Page 1: Staying Healthy Overseas World Service Corps 2009

STAYING HEALTHY

WSC 2009

Page 2: Staying Healthy Overseas World Service Corps 2009

Center for Disease Control (CDC)

US State Department

World Health Organization (WHO)

International SOS

Travel Safety Administration

CIA World Factbook

MyPyramid.gov

National Sleep Foundation

Where to look for information

Page 3: Staying Healthy Overseas World Service Corps 2009

http://www2a.cdc.gov/podcasts/media/mp3/ThreePsofTravel.mp3

Podcast: Three P’s of Travel

Page 4: Staying Healthy Overseas World Service Corps 2009

Rules:

You and your WSC partner are a team

You have 20 minutes to complete the quiz

Use web sites to find answers to the quiz

Record the website you use

BONUS: CDC info on Traveler’s Diarrhea

QUIZ: Travel Health 101

Page 5: Staying Healthy Overseas World Service Corps 2009

Center for Disease Control (CDC)

US State Department

World Health Organization (WHO)

International SOS

Travel Safety Administration

CIA World Factbook

MyPyramid.gov

National Sleep Foundation

Where to look for information

Page 6: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

Disclaimer: The questions and answers

on this quiz are merely a catalyst for

discussion. Participants ought use their

own judgment, using credible online

resources for facts.

Page 7: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

www.cdc.gov 1. How much alcohol does hand

sanitizer need to be effective?

B: 60%

Page 8: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

www.cdc.gov

for First Aid

Kit medicine

guide.

Yellow book

chapter 2

2. Which OTC medicine helps lower a

fever?

C: Acetaminophen (Tylenol)

Page 9: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

Have you had

all of your

vaccines? If

not, go to:

Travel &

Immunization

Clinic

913-469-0011

3. Which of the following diseases does

not have a preventable vaccine?

A: Dengue Fever

Page 10: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

Picaridin and

DEET are in bug

sprays.

30-50% DEET is

recommended

by the CDC, less

than 25% DEET

needs to be

applied more

often.

Up to 15%

Picaridin is

available, but

spray it on

clothes

4. What can be added to a mosquito

net to prevent mosquito born illness?

A: Pyrethroid (US)

B: Deltamethrin (International)

Page 11: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

Be sure you

know where

potential

sources of

unfiltered

water come

from

5. What foods are likely to have water

in/on them?

F: All of the above

Page 12: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

Schistosomiasis

is a parasite

that enters the

urinary tract

and chronic

schistosomal

infection causes

bladder cancer.

6. What are the risks of swimming in

international fresh water?

D. All of the above

Page 13: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

Boiling for 30

minutes

usually isn’t

practical, and

sterilizing with

iodine or

chloride can

be inconsistent

7. Which of the following methods

provide safe drinking water?

Preferred answer: B: Carbon filter

Page 14: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

fecal-oral

transmission:

know your

right hand

from your left

Which diseases can be avoided by

washing hands?

E: All of the above

Page 15: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

Symptoms of malaria:

Fever

Chills

Sweats

Severe head ache

Nausea/vomiting

Fatigue

Which of the following are spread by mosquitoes?

F: All of the above

Take home message: use a mosquito net, wear bug spray and long clothing, and take appropriate malaria prophylaxis as directed! (Start it 7-14 days before you go and continue taking it 7-30 days after you come home, depending on the FDA instructions that come with your medication)

Page 16: Staying Healthy Overseas World Service Corps 2009

Quiz Answers

Call SOS if you’ve been bitten by any animal.

Don’t play with stray dogs

Don’t touch dead birds

Don’t sleep in a chicken coop

Don’t lick turtles

Which animals can spread diseases to

humans?

F: All of the above

Birds and Chickens: H5N1 flu, West Nile

Virus

Pigs: H1N1 flu

Dogs: Rabies

Rodents: Plague, Hanta Virus

Turtles: Salmonella

Page 17: Staying Healthy Overseas World Service Corps 2009

QUIZ BONUS: Everybody Poops

Who gets

travelers’

diarrhea?

Common

symptoms?

What causes

it?

How do you

treat it?

Traveler’s Diarrhea: CDC web site

Did anyone find anything?

When to see a doctor (Call SOS):

Diarrhea + Fever (102F)

Bloody diarrhea

Dehydration

Page 18: Staying Healthy Overseas World Service Corps 2009

CDC’s Three P’s: Proactive, Prepared, Protected

Flight health

Packing Healthy Clothes

First Aid kit

Before you go

Page 19: Staying Healthy Overseas World Service Corps 2009

Flight Health

Avoiding DVT/PE’s (Blood Clots)

Move around each hour

Yoga for air planes

Breathe Deeply

Stay hydrated

Jet Lag: desynchronosis

24 hour circadian rhythm: controls rise and fall of body temperature and plasma levels of hormones

1 day per 1 hour trans-meridian travel East or West

Stay well hydrated, avoid caffeine and alcohol

Earplugs and blindfolds for sleeping

Sunlight synchronizes

Stay up until 10 PM local time

Page 20: Staying Healthy Overseas World Service Corps 2009

Packing healthy clothes

Long sleeves and pants (especially at night)

Prevent sunburn

Prevent mosquito bites

Shoes

Prevent rodent bites & scorpion bites

Prevent fungal infection

Prevent parasitic infections causing elephantiasis

DON’T GO BAREFOOT, especially on beaches

Page 21: Staying Healthy Overseas World Service Corps 2009

First Aid Kits

Sunblock: UVA & UVB

Insect repellant

Personal Prescriptions

Antimalarial

Antidiarrheal

Antihistimine

Pain reliever

Fever Reducer

Mild laxative

Cough suppressant

Throat lozenges

Antacid

Antifungal and antibacterial ointments

Mind Body

Sleep Spirit

Health

Page 22: Staying Healthy Overseas World Service Corps 2009

Food

Water

Altitude

While You’re There

Page 23: Staying Healthy Overseas World Service Corps 2009

Paint by Number, Eat by Color

Page 24: Staying Healthy Overseas World Service Corps 2009

Grains – Orange: Try to eat whole grains and aim for at least 3 oz a day

Vegetables - Green: The greener the better, but don’t forget orange-colored veggies or dry beans! The amount you need depends on age/sex/activity level

Fruits - Red: Eat all different types of fruits either fresh, canned, dried, or even frozen. The amount you need depends on age/sex/activity level

Oils/Fats - Yellow: Don’t forget plenty of fats come from fish, nuts, and vegetable oil. Try to limit or even avoid butter, shortening, stick margarine, and lard

Milk - Blue: Milk category includes milk, yogurt, and cheeses in which provides calcium. Aim for low-fat or fat-free milk products. It keeps your bones strong. The amount you need depends on age/sex/activity level

Meat & Beans - Purple: Try to stick with low-fat or lean meats. Fish, beans, peas, nuts, and seeds are a good way to go. The amount you need depends on age/sex/activity level.

Paint by Number, Eat by Color

Page 25: Staying Healthy Overseas World Service Corps 2009

Paint by Number, Eat by Color

Page 26: Staying Healthy Overseas World Service Corps 2009

Safe Food

Avoid:

uncooked food

nonbottled beverages

unpasteuried dairy

Ice cubes

Eat:

Well cooked, hot foods

Fruits you peel yourself

Fruits/Vegetables you wash yourself with filtered water

Page 27: Staying Healthy Overseas World Service Corps 2009

H2O

Filtered H2O

Salt & Sugar

Hydration

Page 28: Staying Healthy Overseas World Service Corps 2009

Altitude

CDC Yellow Book Chapter 6

Symptoms:

Head ache

Fatigue

Shortness of breath

Nausea/Vomiting

Rapid pulse (>100)

Confusion

Know the altitude at your destination

Ascend slowly

Acclimatize for 2-3 days at 2500-3000m then 2 days per 1000m

If symptoms worsen, descend to lower altitude

Stay hydrated

Ex: Cuzco, Peru (3,000 m)

La Paz, Bolivia (3,444 m)

Lhasa, Tibet (3,749 m)

Mount Kilimanjaro (6,100 m) 5 minutes consciousness

Page 29: Staying Healthy Overseas World Service Corps 2009

Notify your state health department of any bites

See your doctor if you have any concerns

Finish vaccination series that weren’t completed

Keep taking malaria prophylaxis

After you’re back home