Travelvax
    Travel Health Clinic

Medical doctors, registered nurses, clinical pharmacists, and a competent support staff all contribute to providing you with the best travel health care and knowledge possible.

Traveler Information

If you were traveling to a third-world country or an exotic location for business or leisure, you may be putting yourself at risk without knowing it. Up to 70% of travelers travel today without seeking professional advice, needed prescriptions, vaccinations, and/or proper laboratory work-ups. The travel industry has grown by leaps and bounds, and millions of people travel abroad for business, relief work, leisure, adventure, hunting, fishing, visiting friends and relatives, and many other reasons.  Health concerns such as political unrest, crime, and exotic diseases threaten millions of travelers to third-world countries each year. Thousands of travelers will lose their lives or become seriously ill as a result of not seeking proper travel health advice prior to their travels.

Travelvax Clinic provides a complete array of services to help prevent almost any threat posed to the third-world traveler. Our services include:
 
    

  • Prescriptions that are needed to protect against various disease states in which travelers may be subject to.
  • Immunizations that are needed to protect against various pathogens in which travelers may be exposed to.
  • Travelvax Pharmacy to fill your travel health prescriptions and help you avoid searching for sometimes hard-to-find travel health medications.
  • Laboratory services to help prevent medical issues prior to travel and to help evaluate your health post-travel
  • Comprehensive travel advice by educated and well-informed travel health clinicians, who are certified in travel health by the International Society of Travel Medicine (ISTM).
 
                   


                    

 

 

                                               
                                                 Travel Health Blog


Tularemia (Rabbit Fever, Deer Fly Fever, Pahvant Valley Plague, or Ohara's Fever)


Tularemia is a disease caused by a bacterial infection from the organism Francisella tularensis. Naturally occurring infections have been reported in all U.S. states except for Hawaii. Since rodents such as hares and rabbits (don’t forget squirrels and beavers) can be infected and pass the disease on to humans, hunters are often at risk for this disease. Although the incubation period is 14 days, symptoms usually occur within 3-5 days after exposure. This bacteria often attacks the eyes, skin, lymph nodes, and lungs. Symptoms exhibited often include fever, lethargy, loss of appetite, signs of sepsis, ulceration of the skin where the bacteria entered the body, the swelling of regional lymph glands (i.e. armpits), and the inflammation of various organs that have become infected such as the eyes, throat, and lungs. Transmission can occur a number of ways. Infected tick and deer fly bites, and handling dead rodents are the most common forms of transmission. Hunters should be particularly careful to utilize barrier protection when cleaning wild game such as rabbits and hares. The use of nitrile gloves, face shields, and plastic aprons are essential when cleaning all game animals. Hunters should be careful not to rub their eyes or face with their contaminated arms/hands. Also, hunters should wear breathing masks when skinning potentially infected game animals. Inhalation of Tularemia bacteria while skinning game can be a potentially deadly source of lung infection from these animals. In addition, hunters should always protect themselves by utilizing topical DEET containing preparations over their entire body to prevent insect bites. DEET containing products can be applied directly to one’s skin and clothing, and should contain at least 40% DEET. Picaridin containing products are a viable alternative to DEET containing products and the chemical is not neurotoxic (like DEET), is not “greasy feeling” (like DEET), and is equally as effective when used at the 20% or higher concentration.  Permethrin is a third chemical that can be used to protect folks from insect bites, but it may NOT be applied directly to human skin. Permethrin sprayed on boots, socks, and jeans offer excellent protection against ticks and fleas, which tend to climb on the body from the ground up. Permethrin can also be applied around tent openings, and on mosquito nets to help prevent insect bites. It should also be mentioned that drinking contaminated water and eating undercooked meat from infected animals are other sources of Tularemia infection; so cook that rabbit well hunters! Infection from person to person is rare and isolation procedures are rarely initiated. Although Tularemia can be life-threatening, many antibiotics have been shown to be effective against this disease. Streptomycin, Tetracycline antibiotics, and Ciprofloxacin have all been shown to be effective against this bacteria. Most cases in 2014 were reported in the midwest, in states such as Colorado, Wyoming, Oklahoma, Iowa, Missouri, and Arkansas. Most infections are reported from May through September, corresponding to increased incidences of tick and deer fly bites during the summer. Hunters beware! Always wear long sleeves and pants to keep insects off of you, utilize effective insect repellants each time you head outdoors, utilize safe cleaning practices and bodily protection when cleaning wild game, and always remember to cook your game thoroughly to avoid infections from microorganisms such as Tularemia. Remember, rabbit and other meats can remain infective, even after freezing the meat for several years. So cook it thoroughly!

Mowing over dead, infected animals and then breathing in the contaminated air is also a known source for acquiring potentially deadly lung infections from this organism. Always wear a breathing mask while mowing if this is a possibility for you. Deer, sheep, and birds have been known to be carriers of this disease also. Until recently, a vaccine has been available to protect laboratorians routinely working with F.  tularensis. This vaccine is currently under review by the US Food and Drug Administration (FDA) and is not generally available in the United States.

                                                                    Dr.Mike Adams, Pharm.D., R.Ph., CTH


 It is especially important to remember that before you travel outdoors in foreign countries make sure you seek
 professional travel health advice from a clinic like Travelvax (
travelvaxusa.com). It could mean your life.
 
                                                               Don't forget the DEET!!!

 







                                                                                                                                                                             03/10/2016

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