The secret to staying healthy while traveling abroad.


The secret to staying healthy while traveling abroad.

When planning a summer trip abroad, it’s easy to think, “oh, I just need to skip to the travel clinic and they’ll tell me everything I need to know – and – avoid getting sick.”

But that is not always the case.

A study published last week in the annals of internal medicine found that travel clinics missed about half the eligible travelers for measles vaccines.

Nearly a third of the cases have been missed, and doctors or nurses have not provided vaccines at all, although measles is a problem in many parts of the world, including Western Europe and Mexico.

“This is very unfortunate,” said capt. Gary brunette, director of the center for disease control and prevention’s travelers health division. “A traveler can easily access measles around the world, and the risk is very real.”

Through international travel, brunette says it’s best to figure out what you need before you go to the clinic and discuss the items with your doctor.

So, in order to start the summer vacation season, we offer two tips that clinicians often ignore.

Package pink pills.

Let’s start with the things that are most vulnerable to travel: food poisoning. The study found that about a quarter of travelers experienced gastrointestinal problems in the first two weeks of international travel.

The main consulting clinic says, “see what you eat.” The CDC even has an app that can help you decide whether to put raw cheese or cinnamon into your mouth.

The application appropriately named “can I eat this?”

The strategy will not be hurt, but it may not help. Science just doesn’t support it, says Dr. Daniel Leung, an infectious disease doctor at the university of Utah.

“There are only a few studies on this topic, and they have shown that the amount of discretionary diet doesn’t seem to change the risk of traveler’s diarrhea,” liang said. “Even people who are eating street food or don’t care about it don’t have a higher risk.”

But science does support another strategy; Preventive measures that clinicians often ignore. When we reported this topic in 2015, we even missed it.

Can you protect your tummy from the traveler’s diarrhea?

Goats and soda.

Can you protect your tummy from the traveler’s diarrhea?

It’s cheap, safe,… It’s a beautiful pink.

Yes, I’m talking about Pepto Bismol, or any generic alternative that has the same active ingredient, bismuth salicylate.

As early as 1987, a study found that two Pepto Bismol tablets were taken four times a day, reducing the risk of traveler diarrhea by more than 60 percent. The pill reduced the risk from 40 per cent to just 14 per cent.

The study was not very large, with only 182 students going to guadalajara in Mexico, but this was a randomized, placebo-controlled study, the gold standard design for medical trials. It shows dose-dependent effects. A lower dose of a pill four times a day reduces risk by 40 per cent rather than 60 per cent.

“The results suggest that Pepto Bismol can effectively prevent diarrhea,” Leung said.

So why don’t we hear this strategy a lot?

“First of all, the research is very old,” liang said. “The second possibility is that the pharmaceutical companies do not sell Pepto Bismol widely.”

He says some travelers may find it difficult to take medicine four times a day.

But even less frequent doses can help, says Leung. It is known that bismuth salicylate has antimicrobial properties, and it can actually form a protective layer on the intestinal wall.

If you’re sick, liang said, pink pills might come in handy. Bismuth salicylate can shorten the duration of diarrhea and is a good substitute for antibiotics, Leung said.

Remember routine vaccines.

‘you probably need to get vaccinated, even if you just want to get to Europe or the U.K. quickly,’ Mr. Brunette says.

That’s because the centers for disease control and prevention recommends that all international travelers, regardless of their destination, be “regular vaccines.”

“You know, we try to emphasize this point, both travelers and clinical doctor, because some clinicians do not check whether has been completed routine vaccination, such as measles,” bloom said.

Routine immunization is what we get as children. The list is long. It includes about a dozen vaccines, from pneumonia and pertussis vaccines to hepatitis a and hepatitis b vaccines.

When you add any photos that you recommend for this particular destination to this list, the possible list of possible vaccines can become complex.

In addition, CDC recommendations are often updated. Just a few weeks ago, the agency officially began recommending a cholera vaccine for travelers to the site. Last month, they warned of a possible shortage of yellow fever vaccine.

To make sure your clinicals have a list of your specific itinerary, brunette recommends using the CDC’s new travel app, Trav Well.

Users enter their destination and travel time to the application and tell them what they need to do.

“It would suggest that you might need a vaccine and a drug that would require you to submit these recommendations to your doctor in the first four to six weeks of your trip,” brunette says. “I think it’s very helpful and it makes it easier to prepare for the trip.”