malaria 3 - micrognome.priobe.netstudy materials manual of travel medicine & health. 3rd...
Post on 14-Oct-2020
0 Views
Preview:
TRANSCRIPT
Malaria 3
Public Health, Travel & Expedition Medicine FACTM Pt 1
Tim Inglis Division of Microbiology & Infectious Diseases,
PathWest Laboratory Medicine, WA
Malaria series
Malaria 1 Clinical Tropical Medicine Malaria 2 Clinical Parasitology Malaria 3 Public Health, Travel & Expedition Medicine Malaria 4 Clinical Entomology
Study materials
Manual of Travel Medicine & Health. 3rd Edition, Steffen R et al. 2007. Decker.
Oxford Handbook of Expedition & Wilderness Medicine Johnson C et al. 2008, Oxford
• FACTM study notes • Specialist review articles • Self-assessment questions
Blog http://micrognome.priobe.net Web www.priobe.net FACTM http://lifeinthefastlane.com/exams/actm-fellowship/
Outline
• Timeline • Epidemiology • Pre-travel risk assessment & planning • Expedition contingencies
journey aftermath preparation
Risk atlas • Global distribution • Regional distribution • Australian receptive zone
Source = WHO Roll Back malaria Programme; http://www.who.int/entity/health_mapping
Epidemiology
• What, how & where • Who, when
Pre-‐travel prepara8on
• Risk assessment: location, activities, duration, complexity • Personal measures: clothing, repellent, bed nets, activity • Chemoprophylaxis:
– options include • Atovaquone/proguanil; Mefloquine; Doxycycline …
– Specific issues • Short notice • Pregnant women • Children • Long stay
Expedi8on Medicine
• Personal measures – Personal protection – Chemoprophylaxis
• Group measures – Group prophylaxis – Area control measures – Rapid tests – Antimalarial therapy, SBET
• Local people • Medevac arrangements
On return
• May present after interval, up to 1yr after end of journey • Exclude malaria in anyone with fever who has travelled to an
endemic area • Detailed history of location, duration & intensity of exposure
to biting insects, PPM and CPx used – Thai/Myanmar border area; PNG – Other arthropod borne infections in DD – Indications of resistance – Compliance, esp after arrival in Aus
journey aftermath preparation
Emerging Issues • Highland malaria • Unusual malaria transmission methods • Malaria & air travel • Changing resistance • Use for portable rapid diagnostic methods • SBET in pregnancy • CPx for long stay • Prep for AUSMAT members
top related