旅行医学 课件(英文版).ppt
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1、Introduction to travel medicine,About the author,Dr Peter Leggat has co-ordinated the Australian postgraduate course in travel medicine since 1993. He has also been on the faculty of the South African travel medicine course, conducted since 2000, and the Worldwise New Zealand Travel Health update pr
2、ograms since 1998. Dr Leggat has assisted in the development of travel medicine programs in several countries and also the Certificate of Knowledge examination for the International Society of Travel Medicine.,Objectives,In this session Define travel medicine Examine some figures for global and loca
3、l migration Hopefully gain an appreciation of the importance of giving travel health advice Discuss some of components that are needed in order to give correct advice to traveller,What is travel medicine?,It is a science and an art,What is travel medicine?,It is that part of health professional prac
4、tice that: seeks to prevent illnesses and injuries occurring to travellers going abroad manages problems arising in travellers coming back or coming from abroad is concerned about the impact of tourism on health and also advocates for improved health and safety services for tourists is increasing co
5、ncerned about refugee and migrant health (Primer of Travel Medicine 3rd Ed),“the art of travel medicine is selecting the necessary prevention strategy without unnecessary adverse events, cost or inconvenience” (Steffen, 1994),Challenge of travel medicine,Sea of global migration of people More people
6、 travelling People travelling further a field Rapid movement of travellers,USA / Canada 35.2 million,Europe 25.0 million,Japan 11.4 mio,AUS / NZ 3.3 million,Travellers from industrialised areas to developing areas 1999 (WTO),2.8,2.3,19,7.8,1.9,3.6,6.8,2.5,1.3,1.6,2.4,4.6,6.1,4.8,2.6,Total:,n million
7、 travelers,0.2-1 million travelers, 80 million travelers,1.2,Globalization of health and safety,Affects Health of local populations Health determinants Safety and security Results in Global impacts Emerging and re-emerging infectious disease,Commerce and Health,Pathogens travel as fast as transporta
8、tion: borders are not respected,Tsunami,SARS,Influenza,Terrorism,Travellers are exposed to a variety of hazards,The Importance of Travel Health Measures,100,000 travelers to the developing world for 1 month 50,000 will become ill 8,000 will see a physician 5,000 will stay in bed 1 will die,Steffen,
9、1994,The Importance of Travel Health Measures,Per 100,000 travellers that have travel insurance 8000 will make a claim (8%) 2000 will use emergency assistance (2%) 400 ER or clinic referrals (0.4%) 200 Hospital admissions (0.2%) 50 Aeromedical evacuations (0.05%),Leggat et al. Travel Med Inf Dis 200
10、5;3:9-17.,The Importance of Travel Health Measures,Mortality Cardiovascular Disease (50 to 70%) Accidents/Trauma (20-25%), esp. MVAs Infectious diseases (2.8-4%) (Reid and Cossar, BMBull. 1993;257-268; Prociv, MJA. 1995;163:27-30; Baker et al., PHR 1992;107:155-159; MacPherson et al, JTM. 2000; 2000
11、:227-233; Steffen, Trans RSTM85: 156-162 ),Travel medicine is a continuum,Travellers do get sick or injured abroad or when they come back The commitment to travel health can therefore be regarded as a continuum,The Continuum of Travel Medicine,During Travel,Preventive Medicine,Contingency Planning,T
12、reatment & Rehabilitation,Visitors,Pre-Travel,Post-Travel,What do we need to do in order to be giving the correct advice to travellers?,Travel Health Advice needs Information,“Information is power in Travel Medicine”,Travel Health Advice needs Training,Training gives you a framework for using that i
13、nformation,Travel Health Advice needs Experience,Experience helps put the information and training in perspective,Travel Health Advice needs to be Documented,Documentation is important for Quality assurance and reinforcing travel health advice,Travel Health Advice needs Travellers,Marketing is essen
14、tial in travel health, whether in general practice or in specialist travel clinics,Giving the correct advice to travellers,Giving the correct health advice to travellers needs: Information Training Experience Documentation Travellers,Travel Health Advice needs Information,Guidelines Policies Textboo
15、ks, including an World Atlas Journals Professional organisations Staff/colleagues Electronic Databases WWW,International Guidelines,WHO International Health Regulations International Travel and Health www.who.int/ith Yellow fever requirements,“National Guidelines”,Travel Health Guidelines Malaria Gu
16、idelines Immunisation Guidelines Antibiotic Guidelines Journals Seminars,You need access to www-sites,International Society of Travel Medicine www.istm.org US Centers for Disease Control and Prevention www.cdc.gov/travel US Guidelines Similar government sites for UK and Canada World Health Organizat
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