Medtravellers medical traveler tourists are usually on the way for treatment. However we live in a global interconnected world that works all ways. Diseases , plagues and pandemics can travel either way. On top of that modern travel both can spread diseases and illnesses as well as actually serve to infect unwilling victims – in this case patients on their way for therapy and medical treatment and treatments in a far off place. Being in a fuselage of a moving aircraft – a jet aircraft – be it a Boeing 747 or Airbus jet transport plane , may be luxurious but it is an ideal place for the development and spread of diseases among passengers. As a passenger you are held captive in a tube with recirculating air . Add to that after disembarking the aircraft you have no idea either where your next seat neighbor or surrounding passengers / infected vectors of infection and disease originated , where they were or even if they are now a former sufferer of the disease but are now as much a carrier as “Typhoid Mary”.
Mexican Swine Flu-An Advanced Biowar Event, page 1 – The new Mexican Swine Flu has elements of DNA from the following: avian flu, human flu Type A, human flu Type B, Asian swine flu, and European swine flu. A strange combination never seen before and having less than 1/10% chance of being …
What’s new in the world of pandemic and avian flu?: Swine Flu: The … – The unusual strain of H1N1 virus includes genes from North American swine and avian influenza, human flu, and a European/Asian strain of swine flu. WHO is working with US, Canadian, and Mexican health officials to determine the extent …
Flu virus could be ‘pandemic’ – world | Stuff.co.nz – The new flu strain – a mixture of swine, human and avian flu viruses – is still poorly understood. Mexico has shut schools and museums and cancelled hundreds of public events in the capital to prevent further infections. …
Mexican Swine Flu Pandemic? Protecting Yourself In The Event of An … – The recent rise of deaths and sicknesses in the case of the Mexican swine flu, an “animal strain of the H1N1 virus,” has more than the WHO concerned. I remember following the Asian avian flu scare of 2005. Apparently, the WHO is even …
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An area of concern for medtravels and those seeking medical treatment abroad is the real concern that they may be refused entry at their country of destination for medical treatment based on the real concern that they may be carriers of an illness that can be either spread in the destination country , on boarding at various points of travel exchange and exchanges and in addition place other travelers , passengers and indeed aircraft , airport and airline staff at risk.
With the advent of modern travel and communications – especially jet aircraft travel – with its immediacy and ability to criss-cross the globe so rapidly this becomes a real concern and apparent danger.
Take for example the case of on single, solitary person with either infectious T.B. ( tuberculosis ) or even hepatitis. The infectious T.B. patient ( infectious tb being spread by exhaled droplets), can easily infect a great amount of people traveling alongside the aircraft with him or her , and in addition place a great amount of fellow aircraft passengers and crew additionally at risk due to the closed recycled air in the interior of the aircraft during longer and extended flights. Add to this the additions and complications of all the passengers and people exposed to all travelers and staff involved. Its a potential medical nightmare and medical disease treatment fiasco.
For these apparent reasons and concerns medical travelers and med tourists need to be aware that they may be screened pre flight and post flight in aircraft , airport and airport security settings. Screening may involve the use of medical staff , customs staff and may involve the use of thermometers and other medical instruments and diagnostic tools, processes, tests and procedures.
For example:
Several countries plan to introduce non-contact infrared thermometers (NCIT) at international airports in order to detect febrile passengers, thus to delay the introduction of a novel influenza strain. We reviewed the existing studies on fever screening by NCIT to estimate their efficacy under the hypothesis of pandemic influenza. Three Severe Acute Respiratory Syndrome (SARS) or dengue fever interventions in airports were excluded because of insufficient information. Six fever screening studies in other gathering areas, mainly hospitals, were included (N= 176 to 72,327 persons; fever prevalence= 1.2% to 16.9%). Sensitivity varied from 4.0% to 89.6%, specificity from 75.4% to 99.6%, positive predictive value (PPV) from 0.9% to 76.0% and negative predictive value (NPV) from 86.1% to 99.7%. When we fixed fever prevalence at 1% in all studies to allow comparisons, the derived PPV varied from 3.5% to 65.4% and NPV was >=99%. The low PPV suggests limited efficacy of NCIT to detect symptomatic passengers at the early stages of a pandemic influenza, when fever prevalence among passengers would be =<1%. External factors can also impair the screening strategy: passengers can hide their symptoms or cross borders before symptoms occur. These limits should be considered when setting up border control measures to delay the pandemic progression.
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