Travel Medicine In Focus

cardiophile.com

Gorakhpur, India

Q:  I am going to (FILL IN YOUR DESTINATION HERE) and I don’t really think I need any shots to go there.  Should I still make a travel appointment at Wilce Student Health?

A: We see OSU students traveling to nearly every destination on the globe, and the risks do vary from country to country, no doubt.  However, there is more to a travel appointment than getting an exotic vaccine.  Our travel medicine providers will: 

·   Provide current health and security information about your destination(s)

·   Update your routine immunizations

·   Recommend tuberculosis (TB) testing when indicated

·   Prescribe travel medicines, including anti-malaria pills

·   Advise you on getting adequate supplies of your prescription medicines

·   Provide information on staying healthy while traveling, such as food and water safety, sun and insect protection, and more

·   Explain and recommend travel vaccines for diseases like typhoid and yellow fever

So, even if you are traveling to a destination with limited risk, you still might want to consider coming in for some advice and recommendations. 

Wilce Student Health is an Ohio Department of Health-approved vaccine site, and routinely stocks the most commonly used travel shots at reasonable prices.  We also issue official World Health Organization vaccine certificates to all travel patients. 

Happy Travels! 

Roger Miller, MD (OSU Student Health)

 

Take a trip with SHS

Gorakhpur, India

Surfer on the Beach

 

Take a trip with SHS!

Student Health Services sees a lot of students with plans to travel internationally, either as part of one of the many OSU Study Abroad opportunities, other travel associated with academic programs, or recreational travel.  Before you grab that passport and head for the airport, here are some healthy pointers:

  • Plan ahead – Most students plan for months or even years to get ready for international travel. Don’t forget to include health matters in those plans. Some vaccines are given in series over months, so start those early.
  • Get your shot records – Updating any incomplete or expired vaccinations from your childhood is an important part of travel preparation.
  • Talk to your health care provider about your trip – This is especially important for those students with chronic illnesses or prescriptions that they plan to continue while traveling.
  • Do your health insurance homework – Are you covered in Caracas? What is your deductible in Denmark? Is there a co-pay for Tetracycline in Timbuktu? Find out how your travel plans will impact your coverage.
  • Visit a travel expert – Our Student Health Services travel providers are ready to address your needs comprehensively, and offer an extensive selection of travel vaccines and medications. If you plan to visit someone else, make sure they are up to date on the changing health situations around the globe. (BTW, SHS is an Ohio Department of Health-certified Yellow Fever Vaccine clinic)
  • Be Patient! – Travel visits usually take a bit longer than a typical visit to the doctor, as each visit includes a thorough review of your health history, a discussion of your destination country’s or countries’ current health and safety conditions, and orders for all necessary medications and shots. Many students also start their vaccines at that same visit, so we would expect that you would be with us 40-60 minutes at a minimum. (All vaccines are recorded on an official International Vaccine Certificate for your convenience.)

Keep in mind, disease exposures can occur on a 3 month excursion across a continent or during a 5 day trip to a beach resort.  So, come see us before you order your Spring Break airline tickets.  Reduce the risk of having your trip to Cabo result in spending the first weeks of Spring Quarter sick from a preventable illness.

Healthy Travels!

Roger Miller, MD and Pat Balassone, CNP (OSU Student Health Services)

 

For the Student Traveler, Part II

insidesocal.com

We hope you do get a chance to study abroad and want you to know that we are here to help you do it. In Part I, we talked about things you should do before you head out of the country.

Once you have gotten your shots, there are still a number of things to keep in mind WHILE traveling that will reduce risks for short- and long-term health issues resulting from your travels.

Most students have great experiences abroad, but travel can pose some risks to your health and safety.  Student Health Services is prepared to guide you through some of those hazards and make sure you are armed with everything you need to stay safe – good information and advice as well as vaccines and medicines. 

Question – do you know the most common cause of preventable death in travelers in other countries?  Malaria?  Typhoid?  Flu?  Guess again.  It’s motor vehicle accidents. 

Watch the following video for more useful prevention information from the CDC:

 


BTW, you need a passport to do all of this stuff.  Don’t have one?  Check out the Office of International Affairs website to find out how to get one. 

Bon Voyage!

Roger Miller, MD (OSU Student Health Services)

For the Student Traveler, Part I

Surfer on the Beach

Thinking of taking a trip to another country this summer?  Now is the time to start making plans to protect your health while you travel.  Vaccinations and other treatments are highly recommended, and sometimes even required for certain destinations. 

Want to make your trip a learning experience (and get some course credit at the same time)?  The Office of International Affairs has lots of information about the wide array of programs available.

Student Health Services Travel Medicine is ready to assist you with all the steps needed for your pre-travel health preparations.  The following brief video from the Centers for Disease Control has a number of helpful hints:

 


 

Healthy Travels! 

Roger Miller, MD (OSU Student Health Services)

Take a trip with SHS

Gorakhpur, India

Surfer on the Beach

Take a trip with SHS!

Student Health Services sees a lot of students with plans to travel internationally, either as part of one of the many OSU Study Abroad opportunities, other travel associated with academic programs, or recreational travel.  Before you grab that passport and head for the airport, here are some healthy pointers:

  • Plan ahead – Most students plan for months or even years to get ready for international travel. Don’t forget to include health matters in those plans. Some vaccines are given in series over months, so start those early.
  • Get your shot records – Updating any incomplete or expired vaccinations from your childhood is an important part of travel preparation.
  • Talk to your health care provider about your trip – This is especially important for those students with chronic illnesses or prescriptions that they plan to continue while traveling.
  • Do your health insurance homework – Are you covered in Caracas? What is your deductible in Denmark? Is there a co-pay for Tetracycline in Timbuktu? Find out how your travel plans will impact your coverage.
  • Visit a travel expert – Our Student Health Services travel providers are ready to address your needs comprehensively, and offer an extensive selection of travel vaccines and medications. If you plan to visit someone else, make sure they are up to date on the changing health situations around the globe. (BTW, SHS is an Ohio Department of Health-certified Yellow Fever Vaccine clinic)
  • Be Patient! – Travel visits usually take a bit longer than a typical visit to the doctor, as each visit includes a thorough review of your health history, a discussion of your destination country’s or countries’ current health and safety conditions, and orders for all necessary medications and shots. Many students also start their vaccines at that same visit, so we would expect that you would be with us 40-60 minutes at a minimum. (All vaccines are recorded on an official International Vaccine Certificate for your convenience.)

Keep in mind, disease exposures can occur on a 3 month excursion across a continent or during a 5 day trip to a beach resort.  So, come see us before you order your Spring Break airline tickets.  Reduce the risk of having your trip to Cabo result in spending the first weeks of Spring Quarter sick from a preventable illness.

Healthy Travels!

Roger Miller MD and Pat Balassone, CNP (OSU Student Health Services)

Book your flight, then book your travel visit with us!

The Wilce Student Health Center

Get your vaccination

Gorakhpur, India

Thinking of a trip out of the country during Winter or Spring Break?  Perhaps next summer?  Planning for a Education Abroad experience? Student Health Services offers visits for students traveling outside the United States.

By appointment: Call 614.292.4321 to schedule.  Be prepared with your travel dates and the countries you plan to visit when you call.

What to expect

  • Review of vaccination requirements and recommendations for updating your current immunizations.
  • Travel recommendations based on current health and safety precautions
  • Vaccinations can be initiated at the time of the initial consult/travel assessment

Cost

There is a nominal travel visit fee at Student Health Services.  There are also fees for immunizations, lab tests, medications, and post-travel illness screenings. We advise you to check with your health insurance carrier about coverage for these services. 

IF YOU NEED A TRAVEL PHYSICAL, THAT WILL REQUIRE A SEPARATE VISIT AND ADDITIONAL FEES.

Protect yourself

Immunization is one of the most important medical precautions a person can take when traveling. The Wilce Student Health Center offers Travel Assessment/Consultation Appointments to guide you through the immunization process and help you understand the importance of protecting yourself.

How we can help

Our Travel Medicine providers use software that is continuously updated to determine immunizations that are needed for specific countries and regions, and provide you with printed instructions for ‘take along’ medications. We are a one-stop clinic. We can administer the immunizations and supply medications that may be required for travel.

Available immunizations

  • Hepatitis A
  • Hepatitis B
  • Human Papillomavirus (HPV)
  • Influenza (flu)
  • Japanese encephalitis
  • Measles/Mumps/Rubella (MMR)
  • Meningitis
  • Pneumonia
  • Polio
  • Rabies
  • Tetanus/Diphtheria/Pertussis
  • Typhoid Fever
  • Varicella (chickenpox)
  • Yellow Fever

When should I start my vaccinations

Travelers should call us to schedule an appointment as soon as they know that they will be taking a trip. Some vaccines may require a series of doses and therefore will require prior planning to meet vaccine-dosing schedules. Whenever possible, travelers should be seen a minimum of 6 weeks prior to departure.  

Post-travel medical care

Despite the best planning and preventive measures, accidents and illnesses can occur while traveling. Students with illnesses within a few months of travelling are strongly encouraged to come in for a post-travel medical visit.

What to bring to the appointment:

  • up-to-date vaccination records
  • current medications
  • recommendations from tour organizers
  • your list of questions

Did you get your travel recommendations from another clinic?  We can still give you the vaccines you need, if you bring a written order from your outside provider.

Injections normally start at the time of the Travel Assessment. Additional vaccinations can be scheduled separately as needed.

Health Tips:

  • Food and waterborne diseases are the number one cause of illness in travelers.
  • Wash your hands frequently with soap and water.
  • Drink only bottled/boiled water, or carbonated drinks in cans or bottles, without ice.
  • Eat only cooked food or fruits and vegetables you have peeled yourself.
  • Boil it, cook it, peel it, or forget it.
  • Don’t handle animals.
  • Don’t swim in freshwater, salt water is usually safer.
  • Protect yourself from insects by remaining in screened areas, using insect repellent, and wearing long sleeves and pants.
  • To prevent fungal and parasitic infections, do not go barefoot.
  • Carry a backup supply of your prescription medications with you on your trip.
  • Be sure you are up-to-date on your vision, dental, and medical exams before leaving.

Please visit U.S. Department of State for up-to-date travel advisories and information regarding specific countries.

Don’t forget to send us a postcard!

Roger Miller, MD
Student Health Services
The Ohio State University

Travel Medicine In Focus

cardiophile.com

Gorakhpur, India

Q:  I am going to (FILL IN YOUR DESTINATION HERE) and I don’t really think I need any shots to go there.  Should I still make a travel appointment at Wilce Student Health?

A: We see OSU students traveling to nearly every destination on the globe, and the risks do vary from country to country, no doubt.  However, there is more to a travel appointment than getting an exotic vaccine.  Our travel medicine providers will: 

·   Provide current health and security information about your destination(s)

·   Update your routine immunizations

·   Recommend tuberculosis (TB) testing when indicated

·   Prescribe travel medicines, including anti-malaria pills

·   Advise you on getting adequate supplies of your prescription medicines

·   Provide information on staying healthy while traveling, such as food and water safety, sun and insect protection, and more

·   Explain and recommend travel vaccines for diseases like typhoid and yellow fever

So, even if you are traveling to a destination with limited risk, you still might want to consider coming in for some advice and recommendations. 

Wilce Student Health is an Ohio Department of Health-approved vaccine site, and routinely stocks the most commonly used travel shots at reasonable prices.  We also issue official World Health Organization vaccine certificates to all travel patients. 

Happy Travels! 

Roger Miller, MD
Student Health Services
The Ohio State University

For the Student Traveler, Part II

Did you know that of the 21 students profiled in the What I Did This Summer review on osu.edu, more than half of those life-changing experiences occured in other countries?  That, along with our record enrollment of international students this year, means that Ohio State is truly your gateway to the world.  Student Health is ready to help make your international travels as safe and healthy as we can, through our Travel Medicine Consultations.  Take a look at this information from the CDC, from a blog post we ran this summer:

President Gee wants every Ohio State student to take advantage of opportunities to study internationally.  As he recently wrote, “I am convinced that an international experience is an essential element of every student’s education.”  You can see his full comments here.

We hope you do get a chance to study abroad and want you to know that we are here to help you do it.  In Part I, we talked about things you should do before you head out of the country.  In this post, we’ll talk about things you should do to stay safe and healthy once you get there.

Most students have great experiences abroad, but travel can pose some risks to your health and safety.  Student Health Services is prepared to guide you through some of those hazards and make sure you are armed with everything you need to stay safe – good information and advice as well as vaccines and medicines. 

Question – do you know the most common cause of preventable death in travelers in other countries?  Malaria?  Typhoid?  Flu?  Guess again.  It’s motor vehicle accidents. 

Watch the following video for more useful prevention information from the CDC:

 


 

BTW, you need a passport to do all of this stuff.  Don’t have one?  Check out the Office of International Affairs website to find out how to get one. 

Bon Voyage!

Roger Miller, MD
Student Health Services
The Ohio State University

For the Student Traveler, Part I

In celebration of today’s Education Abroad Expo at the Ohio Union, we are reposting this item from this past summer. Enjoy! 

One of the MANY great opportunities Ohio State has to offer is the chance to study abroad.  The Office of International Affairs has lots of information about the wide array of programs available, and Student Health Services is ready to assist you with all the steps needed for your pre-travel health preparations.  The following brief video from the Centers for Disease Control has a number of helpful hints:


Healthy Travels! 

Roger Miller, MD
Student Health Services
The Ohio State University

Leaving on a jet plane… don’t know when I’ll wake up again!

click to enlarge

We’ve been seeing a lot of students here recently who are preparing for travel abroad – see our last post. These visits are fun. They’re exciting! Pack your bags; brave new world; new foods; exotic locations….It takes me back to my own study abroad days. Thinking about flying across the ocean, though, makes me tired.

Jet lag occurs when you cross multiple time zones without giving your brain – which regulates your internal (cirdadian) clock – time to catch up. It’s a common phenomenon of air travel; if you’ve even flown across country you might have experienced it: irritability or moodiness, fatigue and daytime sleepiness, insomnia (ironic in that you are bone-tired but can’t fall asleep), upset stomach, and trouble concentrating.  Jet lag may cause one, several, or all of these symptoms.

Some people can tolerate big changes in their sleep-wake cycle, but for most of us, the farther the travel the more severe the symptoms. In general, traveling east-to-west is more difficult that west-to-east. And those of us who fly in the cattle car, er, coach, find that we tend to be more tired than those who recline and sleep in business and first class.

There are some things you can do to minimize the pain:

  • Try to get regular sleep and exercise before you go. Travel itself is tiring (and boring). You sit in one place for long periods of time, have weird meals, don’t drink normally, and often don’t sleep well en route. Don’t leave home without your Visa card in your wallet and a good night of sleep under your belt.
  • If you can, start moving your bedtime an hour or so in the direction of your time change. That means if you’re traveling eastward, try to go to bed and wake up a couple of hours earlier for a few days before your trip. If heading westward, try to go to bed and wake up a couple of hours later.
  • If you need it, try using melatonin (5mg or so) at bedtime to make you drowsy and nudge that clock along. You can do this before leaving home, once you arrive at your destination, and after you get home if you need to.
  • Once you arrive at your destination (or home), aim in the direction of a normal bedtime. If you land first thing in the morning and sleep for seven hours you might have trouble going to bed that evening. Try limiting naps to just what you need.
  • Exposure to sunlight (if you’re lucky enough to be escaping the endless gray-skied Central Ohio winter) helps your internal clock reset. Doing it right is a little tricky. The timing of exposure depends on which direction you’re travelling. Going east, exposure in the morning is most helpful; going west, exposure is more effective in the early evening.
  • If you’ve had big problems in the past adjusting to a new time zone; if you’re traveling far away, or if you have multiple legs in your journey, come see a provider at Student Health. There are some other medications and strategies we can talk about to help you get off to a running start.

Don’t forget to send us a postcard!

Victoria Rentel, MD (OSU SHS)

American Academy of Sleep Medicine’s Melatonin information page.

Jet Lag. Sack, RL. New England Journal of Medicine Volume 362:440-447. February 4, 2010.

Photo: forbestraveler.com