Medical Electives

Dr Damian WilliamsBMedSc MB ChB MRCGP MSc MFTM RCPS (Glas)

Outline

• Vaccinations etc

• Insurance & Safety

• Cross Cultural Medicine

• Choosing a Project

• Questions to Ask

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

More that just vaccinations

• Bite prevention

Not just tropicallocations

Insect Transmitted Diseases

Mosquitoes Ticks Other Insects

MalariaYellow FeverDengue FeverJap B encephalitisRift valley feverWest Nile VirusChikungunya

Lyme DiseaseTyphusTick borne encephalitis

PlagueSleeping sicknessChagas DxFilariasisLeishmaniasisRiver BlindnessTrypanosomiasis

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

Prevention better than Cure

• Bite prevention

• Traveller’s diarrhoea

• Safe Sun

• Safe Sex

• Road Safety

• Adventurous activities

• Nomad Travel www.nomadtravel.co.uk

Insurance & Safety

• 90% of students don’t have adequate travel insurance

• Know where you are going

CIA World Factbook www.cia.gov

Lonely Planet www.lonelyplanet.com

Foreign & Commonwealth Office www.fco.gov.uk

– – make sure you do!make sure you do!

Cross Cultural Medicine

Malaria Madness500 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

Cross Cultural Medicine

Cross Cultural Medicine

Cross Cultural Medicine

UK Figures

$1600 per person per yearLife Expectancy = 79yrInfant mortality = 5:1,000 live birthsMaternal 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

Cross Cultural Medicine

Cross Cultural Medicine

Fascinating Countries

Great Opportunities

Unusual Diseases

Fantastic Rewards

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

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?