00 Travelers Medicine

Question 1

What are the two vaccines required for specific regions?

Answer 1

Meningococcal for Saudi Arabia (during the period of the Hajj and Umrah pilgrimages). Yellow fever for certain parts of sub-Saharan Africa and South America

Question 2

Approximately how many days are required after vaccination for meningococcal for development of protective antibody levels?

Answer 2

7-10 days

Question 3

What needs to be given to someone that comes in for a yellow fever vaccine?

Answer 3

An “International Certificate of Vaccination or Prophylaxis”, commonly referred to as a “yellow card”

Question 4

When should yellow fever vaccine not be given?

Answer 4

Hypersensitivity to eggs or gelatin. Live vaccine, avoid in pregnancy and immunosuppressed

Question 5

What are the most common malaria species seen in humans?

Answer 5

P. vivax (causes up to 65% of malaria cases). P. falciparum (most deadly species)

Question 6

What is the generic name of Larium?

Answer 6

Mefloquine (malaria prophylaxis)

Question 7

What is the generic name of Malarone?

Answer 7

Atovaquone/Proguanil (malaria prophylaxis)

Question 8

What are the common medications used for malaria prophylaxis?

Answer 8

Mefloquine, Atovaquone/Proguanil, Chloroquine, Primaquine

Question 9

What does the CDC require prior to initiating treatment with Primaquine?

Answer 9

Screening for G6PD deficiency

Question 10

What is Vivotif Berna?

Answer 10

Vaccination for typhoid which consists of 4 capsules, 1 taken every other day with cool liquid. Pills need to be refrigerated. Regimen should be completed 1 week prior to travel. IM vaccination needs to be given 2+ weeks before expected exposure

Question 11

What is Diamox Sequels used for?

Answer 11

(Acetazolamide): Altitude sickness. Best to start the day prior to ascent. Avoid with sulfa allergy