GLOBAL HEALTH PREPARATION
JOSEPH J SCHWERHA MD MPH PROFESSOR OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE DIRECTOR OF THE OCCUPATIONAL AND ENVIRONMENTAL MEDICINE RESIDENCY PROGRAM GRADUATE SCHOOL OF PUBLIC HEALTH UNIVERSITY OF PITTSBURGH
HOW LONG IS THE ASSIGNMENT • FEW DAYS OR WEEKS • FEW MONTHS • ONE OR MORE YEARS
EMPLOYEE OR CONTRACTOR
AREA OF THE WORLD • LANGUAGE • GOVERNMENT EMBASSY • SAFETY – STABLE GOVERNMENT – INTERNAL THREATS – EXTERNAL THREATS
GLOBALIZATION • • ECONOMIC ETHNIC POLITICAL FINANCIAL TRANSACTIONS • ATTITUDES • RELOCATION • RELATIONSHIPS
OVERSEAS EXPERIENCE • SAFE • EFFICIENT • EFFECTIVE PREPARATION
CULTURE SHOCK • PERSONAL AND ENVIRONMENTAL DISRUPTION CAN BE SEVERE
SOME ISSUES TO CONSIDER • • • CAREER REQUIREMENTS SUITABILITY FOR ASSIGNMENT PSYCHOLOGICAL AND FAMILY IMMUNIZATIONS AND MEDICAL KITS PROPHYLAXIS FOR DISEASES MEDICAL INSURANCE MEDICAL SUPPORT EDUCATION OPPORTUNITIES LIVING CONDITIONS
FAMILY CONSIDERATIONS • • MEDICAL EDUCATION RECREATION ORIENTATION
MEDICAL NEEDS • MEDICATIONS • COMPLETE MEDICAL HISTORY • CONSULTATION • EMERGENCY SERVICES • EVACUATION • TRAVEL MEDICAL KIT – SHORT TERM – LONGER TERM
AVAILABILITY OF MEDICAL CARE AND EQUIPMENT • • • GENERAL SPECIALTY HOSPITALS TRANSPORTATION GLASSES AND CONTACT LENS • DENTURES
EDUCATIONAL NEEDS • • PRESCHOOL GRADE SCHOOL HIGH SCHOOL PRIVATE SCHOOL COLLEGE GRADUATE SCHOOL PROFESSIONAL SCHOOL
HOUSING AND NUTRITION NEEDS • HOUSE • APARTMENT • FOOD AVAILABILITY • SANITARY CONDITIONS
TRANSPORTATION NEEDS • PASSPORT • PERSONAL • PUBLIC TRANSPORTATION • DRIVER • ROAD TRAVEL • AIR TRAVEL • STOPOVERS
AIR TRAVEL • REMEMBER IF THE ENGINE STOPS, GRAVITY CANNOT BE REASONED WITH
RECREATIONAL NEEDS • WHAT IS AVAILABLE • PHYSICAL • INTELLECTUAL • LOCATION
MEDICAL EMERGENCIES • • • LANGUAGE EMERGENCY EXERCISES OUT OF COUNTRY EVACUATION BASIC LIFE SUPPORT MAJOR ACCIDENT PROCEDURES EMERGENCY EQUIPMENT
PERSONAL SAFETY • AVOID ADVERTISING WEALTH • TRAVELERS CHECKS • MONEY BELT • WOMEN STRAPLESS PURSE • WALLET IN FRONT POCKET • PROTECT PERSONAL INFORMATION • MAJOR HOTELS • FIRE SAFETY • LAWS OF COUNTRY
GENERAL MEDICAL ADVICE • SUNBURN • INSECT PROTECTION • SEXUALLY TRANSMITTED DISEASES • BLOODBORNE DISEASES
HEALTH INSURANCE • UNITED STATES • OTHER COUNTRIES • SPECIAL INSURANCE • ARRANGEMENTS FOR EMERGENCY MONEY • S. O. S.
PRETRAVEL MEDICAL SCREENING 1 • TREAT OR ASSESS BEFORE DEPARTURE – INFECTIOUS DISEASE – ANEMIA – DENTAL CONDITIONS – GASTRIC ULCERS – PREGNANCY – CHRONIC CONDITIONS
PRETRAVEL MEDICAL SCREENING 2 • POSSIBLY UNSUITABLE – CARDIAC DISEASE – CEREBROVASCULAR DISEASE – THROMPHLEBITIS – UNSTABLE CHRONIC CONDITIONS
PRETRAVEL MEDICAL SCREENING 3 • • DERMATOLOGICAL ENT ENDOCRINE GASTROINTESTINAL • HEMATOLOGICAL • MEDICATIONS • MUSCULOSKELETAL • NEOPLASM • NEUROLOGICAL • PSYCHIATRIC • PULMONARY
IMMUNIZATIONS • • DT MMR SMALL POX HEPATITIS FLU POLIO PNEUMONIA • • • HAEMOPHILUS MENNINGOCOCCUS PERTUSSIS YELLOW FEVER ETC.
KEEP ON HAND • RETURN TICKET • TRAVEL DOCUMENTS • EXTRA MEDICATIONS • EXTRA GLASSES OR CONTACT LENS • EXTRA DENTURES • ETC.
WHILE AN EXPATRIATE OR REGULAR OUT OF COUNTRY TRAVELING • YEARLY PHYSICAL AND PSYCHIATRIC EXAMINATIONS • CONTACT WITH CURRENT DEVELOPMENTS • FAMILY CONTACTS
REPATRIATION • PSYCHOLOGICAL STRESS • CAREER PATH • ORIENTATION • PHYSICAL AND PSYCHIATRIC EXAMINATION • HOUSING • EDUCATIONAL NEEDS
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