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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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There are a number of valid concerns regarding medical tourism that should be addressed before medical and procedure as well as travel plans are put into place.

In many cases the reasons for choosing medical tourism and having a medical or surgical assessment or procedure done outside your home catchment area involve questions of cost and economy. In other cases its to get the procedure done more rapidly ( to jump the que) . In the cases of a business person they can often more than justify costs spent in terms of return on their income – not being disabled or inconvenienced by a surgically repairable illness or to linger with a given medical condition. In other cases the procedure may be done away from home for reasons of privacy and confidentiality.

Remember that in the end its your health and life that is on the line. Unless standards and what one might call”workmanship”- in both technical expertise of the medical staff – including doctors , specialists , nursing and hospital staff etc, is not up to “snuff” , then the whole exercise will be a wasted effort , false economy. Potentially it can even be a tragic or even lethal result for yourself or members of your family.

First of all remember that traveling abroad to get medical care goes both ways. The door swings in both manners. When among the most wealthy in the world , say for example oil sheiks , need medical care , the choice , more often than not , are prestigous American medical and hospital facilities such as the Mayo Clinic or Rochestor Minnesota , or John Hopkins in Baltimore Maryland. The United States and its medical system is a very common and standard destination for people of means and wealth who seek what they perceive and regard as the very best care in the world for particular health problems and concerns. Indeed for these people of wealth and/or power , money is of no object – its the highest level of health care that they seek.

Medical tourism is not new. While the term “medical tourism ” may be of recent origin the whole idea of traveling abroad to seek less expensive or more rapidly available medical care is not. Some can even trace the original concepts and practices of what we now regard with the standard term of “medical tourism” all the way back in history to the ancient Greeks.

It all sounds great . Medical tourism seems on the surface to be a win-win situation for those patients and customers who wish to avail themselves of these services. The patient gets served and serviced. They get their medical needs taken of at less cost , or quicker. In the process they both save money , have their procedures completed. On top of that they may have a “free” enjoyable vacation and may reside in hospitals with decor , food and service levels akin to that of a 5 star hotel.

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