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Traveler's Health

Recent news of disease outbreaks around the globe include MERS-CoV (Middle East Respiratory Syndrome Coronavirus) in the Arabian Peninsula, and the H7N9 strain of influenza in China, among others.  It is important to research and plan ahead when travelling, especially outside the United States.  Use these resources to be prepared before you leave home:

International Travel:  Planning ahead is even more important!

  • Important basic actions such as hand hygiene, cough etiquette and insect protection are effective measures to prevent exposure to many diseases while travelling.
  • Travelers to underdeveloped countries are at greater risk than those who travel to developed countries, so research the health conditions well ahead of your trip, and plan accordingly.
  • Get all recommended vaccinations in plenty of time before your trip - as early as 3 months prior to your trip.  See the link to a current list of clinics below.
  • Use recommended protective medications for travel.  Some medications need to be started before you travel.  One example is preventive medicine for malaria.
  • Select food with care, especially in areas where hygiene and sanitation are poor.  All raw foods may be contaminated, so avoid salads, uncooked vegetables, and unpasteurized milk and milk products such as cheese.  Eat only food that has been cooked and is still hot, or fruit that has been washed in clean water and then peeled personally.
  • Avoid drinking untreated water, particularly in areas where hygiene and sanitation are poor.  Drink bottled water to avoid dehydration.

General Tips for Staying Healthy When You Travel

  • Clean your hands often.  Use soap and water when your hands are plainly dirty, otherwise using an alcohol based hand gel is enough.  Important times to clean your hands are: After using the bathroom or changing a diaper; before preparing or eating food; after blowing your nose, sneezing, or coughing; after caring for a sick person; and after touching an animal.
  • Prevent spreading germs to others.
    • Cover your mouth or nose with a tissue when you cough or sneeze.  Immediately put used tissue in the waste basket, and then clean your hands.
    • If a tissue isn’t available, use your upper sleeve to cover your cough or sneeze.
    • When you cough or sneeze into your hands, clean your hands immediately.  Otherwise you will spread germs to everything and everyone you touch.
  • Be aware that others’ respiratory droplets may be infectious.  Stay 3 to 6 feet away from coughing and sneezing people if possible.
  • Environmental objects and surfaces that look clean can have disease-causing germs.  Your best defense it to clean your hands frequently.
  • Get plenty of rest and drink plenty of water to help your immune system.
  • Be careful around all wild animals and domestic animals unfamiliar to you.  If you are bitten, clean the wound with soap and water and consult a clinician for further evaluation.  Enjoy wild animals with your eyes, not by touching them.
  • Check to see if your vaccinations are current, and find out if any others are recommended based on your travel destination.  This includes tetanus, hepatitis A, etc.
  • If you have a special health condition (e.g. diabetes or seizure disorder), wear a medical alert tag such as a bracelet or carry the information with you in case of an emergency.
  • Put together a traveler’s health kit including:
    • Enough of your prescribed medications and any medications your physician recommends (including over-the-counter medications) to last through your trip
    • Sunscreen
    • Insect repellant, ideally containing DEET or Picardin
    • Alcohol-based hand gels containing 60 to 95% alcohol to clean your hands when soap and clean water are not readily available
  • If any health issues arise during your trip, contact the local health jurisdiction.
  • If you become ill after you return home, inform your doctor where you traveled.

Travel on Cruise Ships

  • Identify and research all destinations and ports for health risks.  Be sure to get vaccines and medications you need for a safe and healthy vacation.
  • Review the cruise line or ship’s inspection history when making travel plans.  You will find that information on the CDC’s Vessel Sanitation Program (VSP).
  • If you see someone getting sick (vomiting or diarrhea), leave that area of the ship and wash your hands.  Report the accident to the ship’s staff at once for safe cleanup.
  • Eat cold foods that have been kept cold, and hot foods that have been kept hot.  Avoid foods that have been left out of refrigeration too long.
  • If you are sick before your cruise, call the cruise line to decide what you need to do to prevent others from becoming sick.  Even after you have recovered, you can still spread germs.

Travel Health Fact Sheets and Information:

Traveler's Health Fact Sheet (38k.pdf) 
Immunizations/Vaccines for International Travel 
Global Burden of Prevention of Diarrheal Diseases (40k.pdf)
Global Burden of Prevention of Infectious Diseases (40k.pdf)

External Travel Health Resources:

Traveler's Health (CDC)

Travel Health Notices (CDC) 

 

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