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    Good Health Abroad: A Traveller's Handbook
    Good Health Abroad: A Traveller's Handbook
    Good Health Abroad: A Traveller's Handbook
    Ebook169 pages1 hour

    Good Health Abroad: A Traveller's Handbook

    By W. H. Jopling

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    About this ebook

    Good Health Abroad: A Traveller’s Handbook guides travelers of possible risks to health, comfort and peace of mind encountered abroad. It discusses the steps to be taken before departure, during the journey, and upon arrival of the tourist. It addresses the measures to protect the health of the individual. Some of the topics covered in the book are the medical and dental check-up; active immunization; vaccination against smallpox, yellow fever, and cholera; optional vaccinations in regions of the world; optional vaccinations which are restricted to special categories of travelers; anti-glare precautions; and pre-travel exercises. The definition of acclimatization is covered. The medical, visa, and currency requirements are discussed. The text describes the clothing for warm, temperate, and cold climates. A study of the travel sickness, postural oedema, package cruises, and survival at sea are presented. A chapter is devoted to the food, water, heat effects abroad. Another section focuses on the accidental hypothermia, frostbite, effects of glare, and tropical parasites infecting the skin. The book can provide useful information to travelers.
    LanguageEnglish
    PublisherElsevier Science
    Release dateOct 22, 2013
    ISBN9781483183428
    Good Health Abroad: A Traveller's Handbook

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      Book preview

      Good Health Abroad - W. H. Jopling

      Good Health Abroad

      A Traveller’s Handbook

      W.H. JOPLING, FRCP (LOND), FRCP (EDIN), DTM & H (ENG)

      Table of Contents

      Cover image

      Title page

      Copyright

      Preface

      Foreword

      Chapter 1: Preparation for Departure

      Publisher Summary

      A MEDICAL AND DENTAL OVERHAUL

      B ACTIVE IMMUNIZATION

      C MEDICAL SUPPLIES

      D ESSENTIAL SUNDRIES

      E ANTI-GLARE PRECAUTIONS

      F PRE-TRAVEL EXERCISES

      G ACCLIMATIZATION

      H MEDICAL INSURANCE (see also p. 83)

      I VISA AND CURRENCY REQUIREMENTS

      J A NOTE FOR MOTORISTS

      K CLOTHING

      Chapter 2: The Journey

      Publisher Summary

      A TRAVEL SICKNESS

      B POSTURAL OEDEMA

      C PACKAGE CRUISES

      D SURVIVAL AT SEA

      E CIRCADIAN RHYTHM AND THE TRAVELLER

      Chapter 3: After Arrival (or during Overland Travel)

      Publisher Summary

      A FOOD

      B MILK AND MILK PRODUCTS

      C WATER

      D TRAVELLERS’ DIARRHOEA

      E HEAT EFFECTS

      F COLD EFFECTS

      G THE EFFECTS OF GLARE

      H BATHING IN RIVERS AND LAKES

      I PROTECTION FROM BITING INSECTS

      J SUNBURN

      K SWIMMER’S EAR

      L TROPICAL PARASITES INFECTING THE SKIN

      M MALARIA PRECAUTIONS

      N ANIMAL BITES

      O SNAKE BITE

      P HEALTH ON EXPEDITIONS

      Q MEDICAL TREATMENT ABROAD

      R MOTORING

      Chapter 4: After Return Home

      Publisher Summary

      APPENDICES

      Appendix 1: The Representatives in Britain of Overseas Countries

      Appendix 2: Yellow Fever Vaccination Centres

      Appendix 3: Double Conversion Tables

      References

      Index

      Copyright

      COPYRIGHT NOTICE

      © JOHN WRIGHT & SONS LTD., 1975

      All Rights Reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of John Wright & Sons Ltd.

      By the same author:

      Good Health in the Tropics (2nd ed., 1966);

      The Treatment of Tropical Diseases (2nd ed., 1968);

      Differential Diagnosis for Practitioners in the Tropics (2nd ed., 1968);

      Handbook of Leprosy (1971)

      ISBN 0 7236 0397 9

      Printed in Great Britain by John Wright & Sons Ltd., at the Stonebridge Press, Bristol

      Preface

      The proposal that I should write this handbook came from Mr. H. A. Humphrey, the Publisher of John Wright & Sons, when the question of producing a third edition of my booklet Good Health in the Tropics came up for discussion, and he suggested that the subject matter should be expanded to include advice to travellers the world over. The result is the present handbook, and in writing it my objective has been to inform travellers of possible risks to health, comfort and peace of mind which may be encountered abroad, and to describe what can be done to counter them.

      I have followed the scheme adopted in Good Health in the Tropics by describing the steps to be taken before departure, during the journey, and after arrival, and in so doing I have supplemented personal experience with useful information derived from articles and correspondence in the British Medical Journal and the Lancet over the past decade, and also from the various pamphlets supplied to travellers by the Department of Health and Social Security.

      I have had to make a special study of the circadian rhythm in order to give a concise account of how it can be disturbed by air travel, and in this I have found Dr. Strughold’s book Your Body Clock very helpful. The subject of shipwreck has interested me ever since the days when I was a ship’s surgeon, and the book on this subject which has been of particular value to me is Safety and Survival at Sea by Lee and Lee. In preparing the section on clothing I had many discussions with my brother-in-law, Dr. E. T. Renbourn, author of Material and Clothing in Health and Disease, and I am grateful to him for his helpful advice.

      The items in the Appendices have been included in order to give travellers ready access to the addresses of Embassies in London and of Vaccination Centres in Britain, and as most of the world uses the metric system of weights and measures I hope that the conversion tables will prove of help to those British readers who, like me, find it difficult to think in terms of kilograms, metres and degrees Centigrade.

      Finally, I would like to express my gratitude to Sir Robert Drew, an eminent and widely travelled physician, for writing a Foreword to this handbook.

      W.H.J.

      London, June 1974.

      Foreword

      Robert Drew, KCB, CBE, MB, FRCP, Hon FRCS, DTM&H,     Deputy Director, British Postgraduate Medical Federation

      For the traveller a journey abroad is an adventure but it also implies real or imaginary dangers. It is therefore not surprising that measures to protect the health of the individual cannot be taken for granted in the same way as they are at home.

      The problems of modern travel have become so diverse that it is difficult to obtain all the necessary information concerning them. This was brought home to me in 1962 when I helped the Royal Geographical Society to organize a scientific meeting on ‘Exploration Medicine’. This conference was followed by some notable publications in this field.

      With this experience in mind I willingly agreed to write a Foreword to this new guide to travel and health. Dr. William Jopling is a physician with a wide experience of tropical medicine, and his 25 years on the staff of the Hospital for Tropical Diseases, London, have provided him with exceptional opportunities to discover exactly what the adventurer, business man, holiday maker or indeed emigrant needs to know in order to preserve good health while overseas. He has written a useful handbook which is simple, comprehensive and fits easily into the pocket or handbag. Naturally its main emphasis is on the prevention of disease but it also contains much general advice on carefree travel and safe living abroad. I predict that this work will prove invaluable to explorers and travellers alike.

      Section 1

      Preparation for Departure

      Publisher Summary

      This chapter explains how a traveller must be medically prepared before embarking on a journey. To reduce the chances of him or her having to face medical or dental expenses abroad, it is advisable that a medical and dental overhaul should be carried out prior to departure so that any hidden abnormality may be brought to light and any neglected disability corrected. Vaccinations are compulsory for persons travelling to or from the tropics and subtropics. The traveller who is under treatment for a chronic disorder should carry a spare supply of medicines in case of loss while abroad. It is useful for those who have regular holidays abroad to make a list of essential items to be carried on each trip; the list can be kept inside a trunk or a suitcase to facilitate packing on future occasions. For travellers going to the tropics and subtropics, a sunglass is not a necessity but is important for those who normally wear them in hot summers in their own country.

      A MEDICAL AND DENTAL OVERHAUL

      In order to reduce the chances of the tourist or traveller having to face medical or dental expenses abroad, it is advisable that a medical and dental overhaul should be carried out prior to departure so that any hidden abnormality may be brought to light and any neglected disability corrected.

      B ACTIVE IMMUNIZATION

      The term ‘inoculation’ is now described internationally as ‘vaccination’, so this nomenclature will be adopted in this book.

      Preventive vaccinations are an important safeguard, and should be begun well in advance of the intended date of departure so that they can be carried out without haste and in the best order. The tourist or traveller should write to the representative, in his own country, of the country to which he is going, asking for the precise requirements as to preventive vaccination, and he should state by what means and by which route he intends to travel. For example, a list of representatives in England is supplied by the Passport Office in London. The reader will find this list, together with addresses, on pp. 87–92.

      Vaccination against smallpox, typhoid and tetanus are basic safeguards irrespective of where one proposes to travel, and can be carried out by a medical practitioner or at a vaccination clinic. As regards travellers from Great Britain a list of official vaccination centres is given on pp. 93–97. These centres are primarily intended for yellow fever vaccination, but many of them will undertake certain other vaccinations in addition, such as those against smallpox, cholera, tetanus and typhoid. Parents should make sure that children travelling abroad have been protected against diphtheria and poliomyelitis. These various immunization procedures will now be described.

      I VACCINATIONS WHICH ARE COMPULSORY FOR SOME REGIONS OF THE WORLD

      Vaccination against Smallpox

      This is compulsory for persons travelling to or from the tropics and sub-tropics, and for persons

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