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Health Problems in travelers to Post-Earthquake Nepal.

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eMediNexus    03 December 2018

The goal of a recent study published in JNMA was to determine the pre-travel preparation and to estimate the risk of disease of volunteers and humanitarian aid workers deployed to disaster struck areas of Nepal. This descriptive cross-sectional study was conducted at CIWEC Hospital, Kathmandu, which used a questionnaire for 95 volunteers and aid workers visiting the hospital, for the evaluation of health related problems. Among the participants, 68% were females. The findings showed that immunizations received before travel were against Hepatitis A in 86%, Hepatitis B in 86%, typhoid in 73%, rabies in 40%, Japanese encephalitis in 36%, influenza within last one year in 24%, measles in 51%, cholera in 36%, tetanus within 10 years in 75%, and varicella in 40%. Additionally, 45% of the travelers carried medication for treatment of travelers diarrhea (TD) which included ciprofloxacin, azithromycin, loperamide and others like metronidazole and charcoal. While common illnesses encountered were gastrointestinal, skin problems , injury and musculoskeletal problems, respiratory problems, genitourinary problems, cardiovascular, psychological problems, syncope, and miscellaneous. From the results, it was inferred that travelers diarrhea and dermatological disease were the most common health related problems among volunteers and humanitarian aid workers deployed to disaster struck areas of Nepal. Volunteers were not adequately prepared for self-treatment and pre-travel preparation was sub-optimal. It was stated that important pre travel health advice could decrease the incidence of health problems in this group. 

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