Finding and Accessing Care
(at Home and Abroad)
Anna Kalbarczyk, MPH
Center for Global Health
Johns Hopkins University
Section A
Finding Care Overseas
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rules of fair use for registered students in this course only. No additional copies of the copyrighted work may be made or distributed.
Before You
Depart: Travel
Clinic
Photo: Johns Hopkins Center for Global Health. 3
Identify Nearby
Resources
Photo: Johns Hopkins Center for Global Health. 4
Establish a Plan
Photo: Johns Hopkins Center for Global Health. 5
Accessing Care
Photo: Johns Hopkins Center for Global Health. 6
Accessing Care
Most importantly, use your preventive measures and
prophylaxis as needed
Photo: Johns Hopkins Center for Global Health. 7
Section B
The Returned Traveler
The material in this video is subject to the copyright of the owners of the material and is being provided for educational purposes under
rules of fair use for registered students in this course only. No additional copies of the copyrighted work may be made or distributed.
Returning Home
Syndrome Possible cause
Systemic febrile illness Malaria, dengue, typhoid fever; Rickettsial diseases (such as scrub
with initial nonspecific typhus, relapsing fever); East African trypanosomiasis; acute HIV
symptoms infection; leptospirosis
Fever with central Meningococcal meningitis; malaria; arboviral encephalitis (such as
nervous system Japanese encephalitis virus); East African trypanosomiasis;
involvement angiostrongyliasis; rabies
Fever with respiratory Influenza, bacterial pneumonia; acute histoplasmosis or
complaints coccidioidomycosis; Legionella pneumonia; Q fever; malaria;
tularemia; pneumonic plague
Fever and skin rash Dengue, measles, Varicella; spotted-fever or typhus group rickettsiosis;
typhoid fever; parvovirus B19; mononucleosis; acute HIV infection
Source: http://wwwnc.cdc.gov/travel/yellowbook/2016/post-travel-evaluation/general-approach-to-the-returned-traveler 2
Common Illnesses Upon Return
Febrile illness
Diarrhea
Skin and soft tissue infections
Respiratory issues (influenza, pneumonia)
3
Common Care Pathway
Consult infectious
disease specialist
Outpatient Inpatient
4
Parasitic
Infections
Source: CDC. Neglected Tropical Diseases.
Available at:
http://www.cdc.gov/globalhealth/ntd/. Accessed
January 7, 2016. 5
Mental Health
and Reverse
Culture Shock
Photo: Johns Hopkins Center for Global Health. 6