Travel the world.


John D. Wilson, M.D.
1200 Hilyard St. Ste. 560
mailing address: POB 5337
Eugene, Oregon 97405 USA
fax 541.485.7702
www.TravelClinicOregon.com


TRAVEL MEDICINE STANDARDS

 

These specifics are standards you should expect any Travel Medicine provider to meet.

Any provider advising travelers to destinations outside the US will need the following information. My practice is no exception.

  1. basic registration information.

  2. a printed list of all available prior immunizations.

  3. a printed itinerary, or whatever is available; something written down and as specific as possible will serve you best.

  4. a written list of regular medications.

  5. some indication of your ongoing medical diagnoses.

  6. some method of payment

  7. a copy of both sides of your insurance card if you would like insurance to be billed.

As a general rule, providers advising travelers to destinations outside the US should address concerns including, but not limited to, the following. The provider will need to be alert for potential interactions between vaccines and medicines.

1. Hepatitis A - travelers should receive or have had hepatitis A vaccine if the destination is Asia, Africa or Latin America. It may also be advisable for some other destinations.

2. Measles - assure measles immunity. (see Measles handout).

3. Influenza – all travelers to destinations outside the US should receive or have had the current influenza vaccine regardless of the time of year or destination (ideally, high dose influenza vaccine for seniors). (see Influenza handout)

4. Malaria - determine whether an antimalarial is recommended and which one to use. (see Malaria handout)

5. I suggest you see a Travel Medicine provider if you will be entering an area with malaria or yellow fever. A Travel Medicine recommendation is also a good idea if Japanese encephalitis, rabies or typhoid fever are concerns, or if you plan a long, complicated or not yet well defined trip.

6. Update general vaccines - travelers should be up to date on general vaccines, which may include tetanus, pertussis, polio, measles (as well as concern about mumps and rubella in some circumstances). General vaccines for specific groups may also include vaccines for: pneumococcal pneumonia, hepatitis B, shingles, HPV or meningococcal meningitis.

7. Information about mosquito precautions and diarrhea prevention and self-treatment is appropriate for most travelers. Information about other infections including dengue, Zika, measles, polio, hepatitis B and others is appropriate for some travelers. In addition, information about motion sickness, water disinfection, jet lag, rabies prevention, altitude illness, sun protection and other topics is available from “The Yellow Book” (CDC.gov >> Travelers Health >> The Yellow Book >> Table of Contents). Browse for your topics of interest, like scuba diving, fish poisoning, cruise travel, etc.

Hepatitis A and other general vaccines are often available from a pediatrician or family practitioner who treats children, or from a county health department (in Lane County, call 541-682-4041 for an appointment; address 151 W. 7th, Eugene).

This link will give you guidance about general vaccines for children and adults:  http://www.cdc.gov/vaccines/schedules/hcp/index.html.

 

Back  

  John D. Wilson, M.D. 1999-2017; Last Update 3/17/2017