Edition 20, sent 2008-10-01 10:50:02
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Travel Medicine Alliance eNewsletter

Outbreak information and news in Travel Medicine Alliance eUpdate - read on-line from archives here

TRAVEL MEDICINE ALLIANCE UPDATE

Travel Medicine Alliance eUpdate - health news & information for international travellers

Sept/Oct 2008

1300 42 11 42

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In this issue:
Avoid food to beat jet lag?
Travellers diarrhoea update
Motion sickness - fast facts
Outbreak information and news
  Indonesia - Avian influenza
Sri Lanka - Leptospirosis
Fiji - Dengue

Whether you are travelling overseas, or you are assisting others to travel overseas, this update will provide you with information on some of the important travel health news for that month. Please feel free to forward this to anyone who is interested. New people can sign up here.

 

Do you have a holiday story to tell, especially one with a medical event?

Send it to info@travelmedicine.com.au, and we will send you one of our mini TMA torches to put on your key ring - a great help when finding your lock at night.

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Avoid food to beat jet lag?

New US research shows that travellers who are recovering from jet lag can fend off fatigue by not eating, according to a study published in the journal Science. Researchers have found a new "feeding clock" which is separate from the brain's circadian master clock that controls daily sleep cycles, behaviour and metabolism.

In experiments on mice the US researchers found that the animals were able to stay awake until they had eaten, suggesting the feeding clock could override the body's circadian rhythm when food was scarce.

...prepared by Dr Deborah Mills, Travel Medical Alliance, Brisbane, QLD


Travellers diarrhoea update

Travellers diarrhoea may not be a trivial illness. Recent studies have shown that 1 in 10 persons who develop travellers diarrhoea will acquire post infectious irritable bowel syndrome.  This may mean months of bowel upset.  Recommendations for treatment of travellers gastro have changed.  It is not a good idea to just "let the diarrhoea flush the germs away". Current recommendations are to treat travellers gastro early with an antibiotic.

...prepared by Dr Deborah Mills, Travel Medical Alliance, Brisbane, QLD


Motion sickness - fast facts

  • Motion Sickness is not "a lack of moral fibre".
     

  • How common is it in the population?
     

  • One third is highly susceptible; one third react to fairly rough conditions; one third only in extreme conditions.
     

  • Women are more susceptible than men.
     

  • Persons 2-12 years are most susceptible.
     

  • Susceptibility decreases with age  - uncommon after age 50.
     

  • Motion sickness takes about 3 days to subside on average - mostly treatable with right combination therapy (Stemetil is NOT the right treatment - it does not work).

Consult your local TMA clinic for up-to-date advice.


Outbreak Information and News

Avian influenza - Indonesia

On the 10th September 2008 the Ministry of Health of Indonesia has retrospectively announced two confirmed deaths of human infection with the H5N1 avian influenza virus - both died in July (2 months ago!) - this brings the total to 137 cases confirmed to date in Indonesia, 112 have been fatal. 

Travellers need to ensure they don't eat or handle raw chicken, and wash hands frequently.

Flu vaccine Trivia
The composition of the influenza vaccines for use in the northern and southern hemispheres in 2009 are identical.

Sri Lanka - Leptospirosis

Leptospirosis is an infection that causes fever and liver disease (jaundice). It is caught from exposure to animal urine - usually in water.

According to postings on ProMED, more than 3,900 cases of leptospirosis, a significant increase over the average incidence, have been reported so far this year including in areas near the capital, Colombo.

Travelers to Sri Lanka who anticipate extensive outdoors exposure, including disaster relief workers and adventure travelers such as hikers and rafters, need to take extra precautions. Antibiotics are available to be taken weekly to prevent this disease.

Fiji - Dengue

The Ministry of Health in Fiji is bracing for more cases of dengue, with 815 people reported to have been affected so far since last month [August  2008], says Director of Curative Health Services Dr Ami Chandra. Dr. Chandra said the ministry had no time frame on how long it  expects it will take to control the mosquito-born disease.

He confirmed to Fijilive that Fiji has category [dengue virus serotype] 4 dengue, similar to the recent situation in other South Pacific countries like Samoa, New Caledonia and Kiribati.

Dr. Tharid Ali, the Divisional Medical Officer in the Western Division, where the disease is more prevalent, has called on members of the public to help the ministry control the outbreak by clearing their homes and surroundings of all mosquito breeding places.


Do you have a holiday story to tell, especially one with a medical event?

Send it to info@travelmedicine.com.au, and we will send you one of our mini TMA torches to put on your key ring - a great help when finding your lock at night.

1300 42 11 42

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www.travelmedicine.com.au

Travel Medicine AllianceThe Travel Medicine Alliance
GPO Box 2832, Brisbane, Queensland, 4001, Australia

Ph: 07 3221 9066
Fax: 07 3221 7076
Email: info@travelmedicine.com.au
www.travelmedicine.com.au

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