GLOBAL HEALTH PREPARATION. JOSEPH J SCHWERHA MD MPH PROFESSOR OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE DIRECTOR OF THE OCCUPATIONAL AND ENVIRONMENTAL.

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Presentation transcript:

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 GASTRO- INTESTINAL HEMATOLOGICAL MEDICATIONS MUSCULO- SKELETAL 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