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Health Concerns

 
In This Section:
Immunizations and Medical Resources
Avoiding Insects 
Traveler's Diarrhea (Center for Disease Control)
Traveler's Diarrhea (by Dirk Schroeder)
Malaria (Centers for Disease Control)
Traveler's Guide to Malaria (Magellan's Traveler's Catalog)
Haiti-specific Information (Centers for Disease Control)
Honduras Specific Information (Centers for Disease Control)
Uganda Specific Information (Centers for Disease Control)





Travel and Immunization Clinic of Kansas City
Kansas City's Only Travel Health specialists

4550 W. 109th Street
Suite 170
Overland Park, KS 66211
(South of I-435 and East of Roe)

Ph: (913) 469-0011
Fax: (913) 469-0285
E-mail:
TICofKC@aol.com
Travelers are seen by appointment
Monday- Friday
9 a.m. - 4 p.m.

Out of 30 million Americans who travel abroad each year, approximately 8 million will be traveling to lesser-developed countries where the incidence of tropical and infectious diseases is high. Almost 2 million U.S. travelers are exposed to malaria each year. Many of these people are not warned about malaria risks.

The travel health specialists at the Travel and Immunization Clinic, Inc. provide prospective travelers with pre-travel counseling along with immunizations and medications needed to stay healthy while traveling abroad. Post-travel assessments are also available to returning travelers who develop a travel related illness.

During a travel consultation with a travel nurse specialist, travelers are provided country information sheets containing up-to-date information on the health risks, basic country information, and U.S. State Department Advisories of each country they plan to visit. Our database of over 200 countries is updated each week from information compiled by the World Health Organization (WHO), and the Centers for Disease Control (CDC), ensuring the traveler receives current data specifically for their planned itinerary.

The Travel and immunization Clinic is an official state designated yellow fever vaccination site and in addition provides a complete selection of travel immunizations. Medications are prescribed for the prevention of malaria, motion sickness, altitude sickness, and for the self-treatment of travel associated diarrhea. We offer the widest variety of travel vaccines in the Kansas City metro area.


  • Cholera
  • Hepatitis A
  • Hepatits B
  • Immune Globulin
  • Japanese Encephalitis
  • Meningococcal Meningitis
  • Plague
  • Rabies
  • Typhoid
  • Yellow Fever

Routine Vaccines Available

  • Influenza
  • Measles ? Mumps ? Rubella
  • Pneumococcal
  • Polio
  • Tetanus ? Diphtheria
  • Tuberculin Skin Test
Along with the most up-to-date travel health information, the Travel and immunization Clinic, Inc. stocks essential travel supplies for all your travel health needs. These items have been selected and approved by the medical director of the clinic, a board certified Infectious Disease physician and Travel Medicine, Inc. the leading travel medicine group in the United States.

  • Water Purification Kits
  • Potable Aqua Tablets
  • First Aid Kits
  • Insect Repellents
  • Permethrin Insecticide
  • Oral Rehydration Salts
  • Travel Health Publications
Members of:
International Society of Travel Medicine
and International Association for Medical Assistance to Travelers


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Avoiding Insects

The avoidance of insect bites is very important when traveling to tropical and subtropical areas. Some diseases transmitted through insects are Malaria, Dengue Fever, Japanese Encephalitis, Lyme Disease, Typhoid Fever, Chagas' Disease, and Yellow Fever. Great care should be taken to protect against all insects: mosquitoes (day and night), ticks, sand flies, fleas, tsetse fly, black flies, and chiggers.

Avoiding Insect Bites


Learn about the feeding and nesting habits of insect residents of your destination and take extra precautions and/or minimize activities accordingly.

Wear an effective insect repellent containing DEET. Newer Sawyer products and Ultrathon that contain 17-3 5% DEET are as effective as I 00% DEET.

Reapply insect repellent after swimming or excessive sweating.

When applying both insect repellent and sunscreen, always apply the sunscreen liberally first, wait 10-15 minutes if possible, then apply insect repellent.

Wear protective clothing such as long sleeves and pants whenever practical. Shirts should be tucked in. Foot wear that provides maximum coverage is ideal, including socks (sandals are not recommended). Avoid jewelry and bright or dark-colored clothes; the best colors are light green, tan, and khaki.

Do not walk barefoot.

When at the beach or pool, lie on a chair or, at the very minimum, on a blanket or long towel. Do not lay clothes on ground since perspiration or other scents may attract insects. Shake them vigorously before putting them back on.

Sleep in well-screened areas, use bed nets and/or air conditioned rooms.

Use bed nets permeated with a permethrin insecticide.

Avoid using fragrance containing products such as perfumes, colognes, after-shaves, scented soaps, shaving creams, hair sprays, etc. Use only unscented hygiene products.

Avoid swimming or wading in fresh water, and hiking around stagnant bodies of water, such as marshes and ponds. Learn about protecting yourself against schistosomiasis and leptrospirosis.

General Insect Behavior


Mosquitoes

Those carrying Malaria and luanes Encephalitis bite from dusk to dawn. 

Those carrying Dengue Fever and Yellow Fever bite during daylight.

Ticks 

Insects that burrow into your skin.

Carried on animals.

Remove ticks with a slow steady tug pulling perpendicular to the skin, using tweezers or tick remover if available.

Check all of your skin at least every 12 hours for presence of ticks if in high risk areas

Fleas

Especially present on and around animals and in sand and soil.

Product Information

The following products are essential to avoiding insect bites and their respective diseases. They can generally be purchased in a pharmacy, backpacking, or military surplus stores. DEET repellent Has long lasting effectiveness. Avoid contact with eyes, mouth, and synthetic materials. DEET is he most effective repellent against mosquitoes, chiggers, ticks, fleas, and biting flies. Use repellents with low DEET content for children. Toxic if ingested.

NEW Controlled Release DEET Formula by Sawyer with 20% DEET may be effective up to 24 hours depending on sweating and moisture. Scent free and non-greasy.

DEET Plus by Sawyer (17.5% DEET) purchased as a spray or lotion at a pharmacy. 

  Ulatrathon made for US military. It contains 31.5% DEET. Available at some Army Surplus stores.

Permethrin Very effective product for clothing and bed netting to repel insects-both flying and crawling. Permethrin is sold as a spray and a solution. If used according to directions, the spray will repel insects for several weeks, lasting through 2 or 3 washings; soaking may provide months of protection. Apply to inside and outside of clothing, including hats and socks.

To soak: fill a plastic bag or basin with mixture of 4 to 8 oz. of 13.3% permethrin solution with 2 to 4 quarts of water. Submerge clothing or netting for 10 minutes. Wring out excess solution and hang for 2 to 3 hours to dry. This technique should be performed with caution, using rubber gloves, in an outdoor setting, and away from pets and children. The strength of this solution will protect the garments for months.

If using a spray place item on plastic sheet. Spray inside and outside of clothing or netting using a slow, circular motion. Spray for 30-45 seconds.

Moisten all areas. When spraying bednets, spray both sides repeatedly using about half of the can of spray. 

  Permethrin (spray) by Sawyer lasts for 2 or 3 weeks, 2 or 3 washes, and protects two sets of garments, Mosguito Netting

LaMosquette can be purchased for around $110 through IAMAT and is of very high quality. It is large enough to protect a double bed. 417 Center Street, Lewiston, NY 14092

REI has two models to choose from, ranging from $30 to $40. 206/223-1944

Savvy Traveler in Edmonds carries one for around $40. 425/744-6076

Army Surplus stores have cheaper models.

NOTE:
Topical repellents are generally not very effective against stinging insects. If you have allergic reactions to bees, see you doctor.

Use repellents according to directions and avoid prolonged or mucous membrane exposure.




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Other Links:

Traveler's Diarrhea (Center for Disease Control)
Traveler's Diarrhea (by Dirk Schroeder)
Malaria (Centers for Disease Control)
Traveler's Guide to Malaria (Magellan's Traveler's Catalog)
Haiti-specific Information (Centers for Disease Control)
Honduras Specific Information (Centers for Disease Control)
Uganda Specific Information (Centers for Disease Control)




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