travel medicine

Question 1

Malaria

Answer 1

• Parasite: P.falciparum, P vivax
• mosquito bourne
• High risk travellors (preg, children, immunocomprimised)
• no vaccine, can use 100mg OD doxy (up to 4 weeks after to kill parasite when they are release from hiding in the liver , atovaquone better option but $$)

Question 2

vector borne

Answer 2

dengue: mild-severe (aedes mosquito)
Chikungunga
Zika : 80% asymtpomatic

no specific tx or preventative tx, just supportive

Question 3

hepatitis A

Answer 3

faecal /oral, developing country

Day 0 - lasts 6-12 months
booster: lifelong

Question 4

typhoid

Answer 4

food and waterbourne (salmonella typhi)

booster that lasts 2-3 yrs

IM or oral

Question 5

Meningitis

Answer 5

Men ACWY - 5 yrs
doesnt cover NZ men B as much

Question 6

rabies

Answer 6

saliva of infected mammals

fatal once symtpoms develop

x3 vaccines (700 dollars)

if bitten need IG injected around wound and 4-5IM vaccines

Question 7

yellow fever

Answer 7

mosquito bourne (aedes mosquito bourne which we dont have in NZ)
vaccination is often to prevent international spread

single dose - life long protection