Small Pox by Dr. Rajiv Narula
Anthrax… Small Pox…Nuclear attacks…kamikaze middle eastern men …. Al kaieda….sounds like a suspense novel, no this is reality 2001. The new millennium that so many of us were looking forward to, has not been exactly been a predictable one. I started writing this column about 1 ½ years ago, as the title – Travel Medicine suggests, it has to do with medical issues faced by the traveler – usually when they were traveling. This column will deal with one of the above mentioned items – Small Pox . Even though there is no risk for travelers, this virus has been mentioned over and over again as a possible mode of a terrorist attack .
More
Sun Safety by Dr. Rajiv Narula
The Sun had been worshipped by the Egyptians as Ra, amongst Hindus, Surya is the name given to this celestial body, without whose magical powers life would cease to exist. In the west the term ‘sun worship’ means trying to expose ones skin to the sun to darken it, in order to attain the perfect tan. For those of us who live in the northern climates, nothing feels better than the warm rays of the sun, especially after a long cold ‘sunless’ winter. There is nothing wrong in this new form of sun worship as long as it is in moderation and we pay attention to certain things.
More
Road Safety by Dr. Rajiv Narula
The peak travel season is on us, due to the slow down in the economy, there has probably been some reduction in spending towards leisure activities, like vacations. However in our Travel Clinic in NYC we are seeing a lot of travels who are going to locations like India, Peru, Bolivia, Thailand, Cambodia , China, etc. People travel for several reasons: for adventure, exploration, relaxation, see how other people live and for other countless reasons. During the pre travel consultation we do a risk assessment on possible health issue that will face the traveler at the destination. Most of the infectious issues are looked after with proper advice, vaccinations, medications, and sometimes with treatment if exposure occurs. One aspect of the talk has to do with road safety . Things that we take for granted here are – like road conditions/ traffic laws / vehicle safety do NOT exist is many parts of the world.
More
Altitude Sickness by Dr. Rajiv Narula
This column is being written in the beautiful Alpine City of Innsbruck, Austria, where I am attending a conference of the International Society of Travel Medicine. There are approximately 1700 attendees from 70 countries. There are various presentations ranging from jet lag to malaria to yellow fever to road safety etc. the common link is diseases or conditions that are encountered by travelers, and how best to prevent them. I will discuss the issue of altitude sickness, as it is becoming a common illness encountered by travelers who are finding themselves traveling to regions of the world, which were traveled only by a few people years ago.
More
Traveling with Children by Dr. Rajiv Narula
With the overall increase in travel, this very important segment of society has also participated in the boom – the children. According to surveys done by Travel Association of America, nearly one half of US adults – 46% said that they had included a child/children on a trip in the past 5 years. Adding to these numbers are children of business travelers, who are increasingly traveling with their globe trotting parents.
More
Insect Repellents
by Dr. Rajiv Narula
Maybe someday we will be using a commercially prepared version of crushed centipede on our skins to repel mosquitoes. A recent NYT article on this subject, described how certain African monkeys rub live centipedes (crunch-squish) over the bodies in order to keep mosquitoes from biting them. US studies on this underway, for now DEET and Permetherine are the repellents of choice for us humans .
More
DVT
by Dr. Rajiv Narula
Do an Internet search on ‘Economy Class Syndrome’ and you are likely to come up with a long list of articles/ links. The death of a 28 year old woman, after a 20 hour flight from Australia to England, from a blood clot in her lungs ,has been a popular news item in Australia and the UK. The Australian government and a British Parliamentary committee are commissioning a study on Deep Vein Thrombosis or DVT and its relationship to air travel. The person who coined the term Economy Class Syndrome, perhaps spent a restless part of their trip in the dungeons of an airplane – the ‘economy’ section. This section usually has fares advertised in national newspapers and when you call, they are usually sold or not available due to one of those reasons listed at the bottom of the page.
More
Influenza Vaccine
by Dr. Rajiv Narula
The year 2000 will be remembered as the “Year of Waiting….” waiting for elections to end,…waiting for the stock market to stop spiraling down to the bottom,….waiting at busy airports …..and yes, waiting for the flu vaccine. In case you had not noticed there was a delay in the distribution of this year’s vaccine to distribution sites : hospitals, clinics and Doctor’s offices. This has unfortunately left vast amounts of people unprotected. To get a flu vaccine in my experience, is a confusing decision for some people. Usual reasons given include: the misconception that one will get the flu from the vaccine, knowing other people who believe that they got the flu after a vaccine. Recently I had a patient who asked me if an episode of abdominal pain almost 2 weeks after getting the vaccine was due to the vaccine!
More
The traveler and sexually transmitted diseases
by Dr. Rajiv Narula
Not every aspect of the travel boom, is good news. Probably one of the most worrisome is the ease by which diseases can be spread. Airlines are transporting more than people, they can and are indirectly helping diseases like Malaria, Dengue Fever, Typhoid and also some sexually transmitted diseases to spread. Reports state that the incidence of STDs worldwide is around 200 million per year, out of this 80% occur in ‘developing countries’. Amazingly 1/3 of the world’s population is infected by an STD or carry a transmissible STD pathogen.
More
Travel Medical Kits
Passports, tickets, visas, other travel documents, vaccination books, money, credit cards. and travel medical packs are some of the items that are essential when traveling. In most cases having a successful trip requires planning for events, some expected and some unexpected ones that may occur while enroute to your destination and while you are there. This column will focus on the importance of having a carefully planned travel medical pack as part of your travel gear.
More
