Travel Medicine about Philippines

Yesterday Dr Yates told me to go over that if one visits Philippines, which vaccines, anti-malaria drugs, antibiotic diarrhea drugs and mosquito repellents should get.

This afternoon, a patient would go to Philippines, Dr Yates asked me how I went over the questions about Philippines. Then I told the material I prepared.

Malaria Prophylaxis with mefloquine, Malarone, or doxycycline is recommended for all rural areas below 600 m (1969 ft), except on Bohol Island, Borocay Island, Catanduanes Island, and Cebu Island. Subic Bay is a risk area.

Antibiotic for diarrhea: ciprofloxacin and levofloxacin.

Dr Yates told me that typhoid in Philippines is in high risk and rabies, JE are expensive, so it is few patients want to vaccinate. After talked about it, we went to the exam room, to ask the patient’s itinerary. Then I knew the vaccines should given to the patients.

It’s really helpful to me to learn travel medicine.

Vaccinations:

Hepatitis A	Recommended for all travelers
Typhoid	For travelers who may eat or drink outside major restaurants and hotels
Yellow fever	Required for all travelers greater than one year of age arriving from a yellow-fever-infected area in Africa or the Americas. Not recommended otherwise.
Japanese encephalitis	For travelers who may spend a month or more in rural areas and for short-term travelers who may spend substantial time outdoors in rural areas, especially after dusk
Hepatitis B	Recommended for all travelers
Rabies	For travelers spending a lot of time outdoors, or at high risk for animal bites, or involved in any activities that might bring them into direct contact with bats
Measles, mumps, rubella (MMR)	Two doses recommended for all travelers born after 1956, if not previously given
Tetanus-diphtheria	Revaccination recommended every 10 years

Malaria Prophylaxis with mefloquine, Malarone, or doxycycline is recommended for all rural areas below 600 m (1969 ft), except on Bohol Island, Borocay Island, Catanduanes Island, and Cebu Island. Subic Bay is a risk area.

Antibiotic for diarrhea: ciprofloxacin and levofloxacin.

Dr Yates told me that typhoid in Philippines is in high risk and rabies, JE are expensive, so it is few patients want to vaccinate. After talked about it, we went to the exam room, to ask the patient’s itinerary. Then I knew the vaccines should given to the patients.

It’s really helpful to me to learn travel medicine.