International Travel and Health 2009: Situation as on 1 by By (author) Who, By (author) UNAIDS By (author) World

By By (author) Who, By (author) UNAIDS By (author) World Health Organization

From the area wellbeing and fitness association, this consultant for doctors who suggest overseas tourists, in addition to trip brokers and organizers, airways, delivery businesses, and tourists themselves, information how they could remain fit, with suggestion on vaccinations, malaria chemoprophylaxis and therapy, defense opposed to bugs and different ailments, touring via air and sea, accidents, exposur...

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Extra resources for International Travel and Health 2009: Situation as on 1 January 2009

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In swimming pools and spas, infection may occur if treatment and disinfection of the water are inadequate. Diarrhoea, gastroenteritis and throat infections may result from contact with contaminated water. Appropriate use of chlorine and other disinfectants controls most viruses and bacteria in water. However, the parasites Giardia and Cryptosporidium, which are shed in large numbers by infected individuals, are highly resistant to routine disinfection procedures. They are inactivated by ozone or eliminated by filtration.

Pregnant women Pregnant women can normally travel safely by air, but most airlines restrict travel in late pregnancy. Typical guidelines for a woman with an uncomplicated pregnancy are: — after the 28th week of pregnancy, a letter from a doctor or midwife should be carried, confirming the expected date of delivery and that the pregnancy is normal; — for single pregnancies, flying is permitted up to the end of the 36th week; — for multiple pregnancies, flying is permitted up to the end of the 32nd week.

Acetazolamide should be avoided in persons with allergies to sulfa drugs. Only a few conditions are contraindications for travel to altitude; they include unstable angina, pulmonary hypertension, severe chronic obstructive pulmonary disease (COPD) and sickle-cell disease. Patients with stable coronary disease, hypertension, diabetes, asthma or mild COPD, and pregnant women generally tolerate altitude well but may require monitoring of their condition. Portable and stationary oxygen supplies are readily available in most high-altitude resorts and – by removing hypoxic stress – remove any potential danger from altitude exposure.

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