International vaccination is found in data similar to what it had before the pandemic, with a growing demand, and which almost suggests that this service dependent on Preventive Medicine at the General Hospital of Ciudad Real, could be a unique section. With two days of attention, Tuesday and Thursday, and a nursing consultation, last year they attended 2,358 travelers and recommended 1,358 necessary vaccinations for their international trips.
“The post-pandemic triggered” these trips to other countries, explains the doctor Pedro Luis Romera, one of the doctors that make up the unit, who points out that after this sustained increase in the last two years, in 2023, as “the crisis has ended health, people are traveling as they did before the pandemic. At the end of June, the figure was 716 vaccinated and, although it is not believed that last year’s data will be reached, they will be close, but the data is more due to the situation of the service than to the fact that there are fewer international travelers.
Dose to leave Spain – Photo: Rueda Villaverde This implies that the consultation, which is usually held every Tuesday throughout the year, in summer, is also extended to Thursdays. “We are seeing 10 travelers per day”, with a work that starts by telephone, to find out dates and rushes for vaccination, and that concludes in that appointment in which the mandatory doses are inoculated. The ideal is to request the service about two months in advance, but there are those who do it days or weeks, which makes the work of the service difficult. “The vaccines must be given at least ten days before the trip” and “just as they plan their trip, they should also be scheduled in time” the vaccines.
The most widely used vaccine is Hepatitis A, which is recommended for everyone who is going to travel outside of Europe. “We send it to practically everyone assuming that they have the childhood vaccines and those that we adults have to have.” In this sense, for example, it is assumed that there are also those for tetanus. Added to this is yellow fever, which is mandatory in large areas of South America and sub-Saharan Africa. Typhoid fever is also included as the most recommended.
travel and insects That of Hepatitis A and typhoid is the result of food or water in poor condition and yellow is due to mosquito bites. For this reason, the international vaccination consultation not only talks about vaccines and doses, but also about the use of repellents, in which it is requested that there be a concentration of the repellent product of at least 45 or 50 percent. hundred.
One of the most requested trips this summer are trips to Africa, such as Kenya, which is one of the areas where yellow fever is mandatory. This vaccine cannot be given to immunosuppressed people, pregnant women, or people over 60 years of age. “You can make a certificate of exemption by age, but always warning that there is a risk of contracting the disease.” For this reason, it is usually recommended that they not make the trip, but there are those who change the destination to Tanzania, in southern Kenya, where “it is not necessary or mandatory.” For this reason, another of the most tourist destinations this year in Africa would be Tanzania, specifically.
The second destination is South America after the coronavirus or to introduce nephews and grandchildren to relatives. “The most requested destinations, before the pandemic, were Bolivia,” but this year there have also been many trips to Colombia.
Beyond destinations thousands of kilometers away, there are also recommendations for those who travel to central Europe and in mountainous areas, where you have to be careful with tick bites. “There we have a vaccine that we also only put here” for cases of encephalitis, but that is not mandatory, only recommended. “We have vaccinated quite a few young people who go camping, for example, in the Black Forest area or in the Alps,” but the key is prevention with clothing and footwear. As well as the repellents with that formula of at least 50%, which helps “that the insect does not stick to you.” There are other aspects such as permethrin for clothing, backpacks or tents, although in this case without having it in contact with the skin. In addition, the doctor reminds the importance of knowing how to remove an attached tick, a technique that requires tweezers and oil. “You have to take it out whole in case you come across one.”
2023-07-18 03:00:00
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