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Derek Evans

Welcome to Evans Travel Health

Blog     posted on Wednesday 4th August 2021


       How to prepare for Travel Medicine post-Covid

"We are all aware of that the impact of Covid infections has had on travel and continues to do. With the advent of vaccination programs and sophisticated testing and recording systems in place travel is starting to increase.

However the types of travel such as short haul continues to expand according to the determination of national governments whilst long haul remains dormant. The traveller groups have changed and the emphasis on routine vaccinations being sought by first time travellers going to exotic destinations has shifted to business and essential workers.

With this in mind the marketing of any specific travel medicine services will need to understand these changes. Following lockdowns and extended restrictions many travellers are now attempting to visit families and friends (VFRs) who they have only seen through video links. These VFRs will be a key target group during the revival of travel medicine demands and services.

A key part of the practitioners will be the flexibility to react to short time departures and supply necessary vaccines and medication where required. This parallels with the quick turn around that Covid tests are required for entry into another country before departure from the UK. It seems that a mix of PCR and rapid antigen tests are required within a range of departure times from 24 to 96 hours before departure.

The underlying point here is that this increased cost needs to be allowed for during any travel consultation and also the returning costs of testing and/or isolation. It is unlikely that these costs will be removed in the short term and certainly Covid will become another disease to be routinely covered during a travel medicine risk assessment."


Blog

WHO- World Malaria Report 2017

Posted on May 2, 2018 at 10:15 AM


WHO- World Malaria Report 2017 .This annual report has previously been the online publication of a single document of many pages available through the WHO web site and not easily accessed.

This year the WHO have produced the report in an app version which can be downloaded on Apple and Android platforms. This far easier to use app includes headings of

Quick Stats- estimated annual cases 216 million, 90% of which occurred in the WHO African region. Along with India this region showed 16 countries with indigenous malaria; however this was Dow by 18% from 2010. Estimated deaths were 445000, mainly from the P falciparum in Africa and P vivax in SE Asia and the Americas.

Regions- the African region reports all Sub-Saharan countries with a risk of malaria. In the Americas most countries in central and South America and islands off shore. Similarly countries in SE Asia and Western Pacific regions report malaria presence.

Indicators- for more detailed analysis the presence of falciparum and vivax by country and the accuracy of the detection by slide observation and rapid diagnostic kits (RDT). The policy section discusses the availability of free malaria testing services, supply of treated nets and treatment/surveillance policies.

This overview of the world standards and variance between countries can provide the supporting information especially when discussing longer term travellers and those travelling as VFRs returning to family in high risk areas.

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