1. LECTURE ON
EMPORIATRICS
BY
DR MAQSOOD HAYAT
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2. OBJECTIVES
1. TO EMPOWER THE STUDENTS WITH
KNOWLEDGE OF THE SUBJECT OF
EMPORIATRICS.
2.PREPARE THEM AS POTENTIAL
COMMUNITY PHYSICIANS FOR
IMMEDIATE DIAGNOSIS AND
TREATMENT OF TRAVEL RELATED
DISEASES
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3. EMPORIATRICS
It is the science of the health of travelers. It deals
with travel associated diseases .It seeks to
prevent illnesses and injuries to travelers going
abroad and manages problems arising in travelers
coming back .
It includes the specialties of:-
1-Tropical medicine
2-Aviation medicine
3-Immunization medicine
4-Accident medicine
5-Behavioral medicine
6-Infectious diseases 3

4. SITUATION ANALYSIS
Annual international border crossings
 1980……………………300millions
 2000……………………673millions
 2020……………………1602millions(Exp)
Country vise Annual trips (1996)
 America……………………52.3millions
 C.Zech……………………48.6millions
 Poland……………………44.7millions
 U.K……………………42.6millions
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5. RISK ASSESMENTS
 Key factors:-
1-Destination
2—Duration of visit
3-Purpose of visit
4-Standard of accommodation and food hygiene
5-Exiisting health status
6-Behavior of traveler
 Tools for assessments:-
1-Model checklist
2-Pre -departure questionnaire
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6. High Risk group of travelers
 Occupational classification
1-Health personal
2-Research workers
3-Foreign aid workers
 Lifestyle-based classification
1-Homosexuals
2-Drug addicts
3-Adventurous people
4-Remote area workers
5-Trips to under-developed countries
6-Prolonged stay in developing countries
7-Unvaccinated or inadequately vaccinated
8-Student groups
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7. Advice to travelers
 Prophylactic Immunization
 Prophylactic Medication
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8. Emergency Prophylactic
Measures
 Accelerated Protocol for:-
1-Hepatitis-B
2-Japanese Encephalitis
3-Rabies
 Human Normal Immunoglobulins
 Chemoprophylaxis against:-
1-Malaria
2-Travelers diarrhoea
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9. Health Risks Of Travel
 Environmental Risk:-
1-Changed altitude (Altitude illness ,Deep vein thrombosis)
2-Changed temperature
3-Changed humidity
4-Exposure to unfamiliar animals
5-Exposure to unfamiliar insects
6-Exposure to ultra-violet radiation
 Motion sickness
 Infections:-
 Airborne,G.Intestinal,Transcutaneous,STD’s,Heamatogenous,Malari
a,Traveler’s Diarrhoea
 Stings and bites
 Accidents:-
Burns,Wounds,RTA’s,Drowning
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10. Behavioral Modifications
 Measures against faeco-oral disease
1-Use of safe potable water
2-Dietary mistakes to be avoided
 Protection against bites and stings
1-Repellants
2-Pre-impregnated/Treated Mosquito nets
3-Use of special footwear
4-Inspection and clearance of rest areas
5-Use of pyrethrum based insecticides
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11. Special groups of travelers
 Female Travelers
 Children
 Elderly People
 Diabetics
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12. Self Treatment Kit
 Should contain:-
 Chemoprophylactics
 Common medications
 Essential medications
 Articles of personal Hygiene
 Special items for children
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13. Advice To Health Care Providers
 Selection of appropriates prophylactic
measures
 Avoid unnecessary costs
 Avoid unwarranted inconvenience
 Avoid troublesome side-effects
 Emphasize specially on:-
1-Dissemination of valid information about (safe
water , safe food, safe trips, safe sleep, safe
sex)
2-Vaccination
3-Chemoprophylaxis
4-Carrying self treatment kit. 13

14. THANKYOU
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