1. Medical Electives Dr Damian Williams BMedSc MB ChB MRCGP MSc MFTM RCPS (Glas)

2. Outline Vaccinations etc Insurance & Safety Cross Cultural Medicine Choosing a Project Questions to Ask

3. Vaccinations etc Vaccinations & Anti-malarials www.nathnac.org www.fitfortravel.nhs.uk www.malariahotspots.co.uk Text your destination to 07800 000569 See your GP/Nurse min 6 weeks before

4. More that just vaccinations Bite prevention Not just tropical locations

5. Insect Transmitted Diseases MosquitoesTicksOther Insects Malaria Yellow Fever Dengue Fever Jap B encephalitis Rift valley fever West Nile Virus Chikungunya Lyme Disease Typhus Tick borne encephalitis Plague Sleeping sickness Chagas Dx Filariasis Leishmaniasis River Blindness Trypanosomiasis

6. Bite Prevention Insect repellants –DEET, Icaridin (Bayrepel), lemon eucalyptus oil Nets (impregnanted), screens and air-con Long clothing – permethrin treated Sprays, coils and plug-ins

7. Prevention better than Cure Bite prevention Traveller’s diarrhoea Safe Sun Safe Sex Road Safety Adventurous activities Nomad Travel www.nomadtravel.co.ukwww.nomadtravel.co.uk

8. Insurance & Safety 90% of students don’t have adequate travel insurance Know where you are going CIA World Factbook www.cia.govwww.cia.gov Lonely Planet www.lonelyplanet.comwww.lonelyplanet.com Foreign & Commonwealth Office www.fco.gov.uk www.fco.gov.uk – make sure you do!

9. Cross Cultural Medicine Malaria Madness 500 million cases a year 1 million deaths a year 2 deaths every minute Majority in children in Sub- Saharan Africa 41% of the world population at risk of malaria

10. Cross Cultural Medicine

12. UK Figures $1600 per person per year Life Expectancy = 79yr Infant mortality = 5:1,000 live births Maternal mortality = <10 per 100,000 Myanmar – $97 per person per year Life Expectancy = 63yr Infant mortality = 50 in 1,000 Ethiopia – $4 per person per year Life expectancy = 52yr Infant mortality = 102:1,000 Maternal mortality = >1,000 per 100,000 www.unicef.org

14. Cross Cultural Medicine

16. Fascinating Countries

17. Great Opportunities

18. Unusual Diseases

19. Fantastic Rewards

20. Choosing a Project Choose something that interests you then find the best place to study it Even if you choose location first you can still develop your own project Work with your UK & location supervisor to get the most out of your project

21. Questions to Ask The people on the ground know the situation far better than anyone. Make sure you make use of that. Is there anything you’d like me to bring for you?