Cruise Ships and Norovirus Outbreaks

Norovirus infection is characterized by abdominal cramps, vomiting, and diarrhea that lasts 1-3 days. It may also increase the risk of developing irritable bowel syndrome, and cause chronic diarrhea in immunocompromised or elderly individuals. It is spread by three different means: Public vomiting, which exposes anyone in a 10 meter radius. Fecal-oral surface transmission (poor handwashing after bowel movement), contaminating railings, elevator buttons, public restroom fixtures, self service utensils. The virus continues to be shed in the feces for several weeks after infection. Food/water/ice contamination. Poor hygiene can cause human contamination of food, ice machines, or water dispe

"Kissing Bugs" Spread Chagas

Chagas is a disease affecting 6-7 million people, mostly in Latin America. Its long term complications affect the heart, and it is thought to be the leading cause of cardiomyopathy amongst young Latin Americans. The infection is spread by a parasite in the feces of the reduviid bug (also known as the "kissing bug"), which feeds by a bite on exposed skin, often the face, at night. It leaves feces near the bite, and when one instinctively rubs the area they unintentionally move the parasite from the feces into the bite. The infection has an acute phase which lasts for about 2 months, and may present with a visible skin lesion or swelling of one eyelid. Can also include headache, swollen lymp

Peril at the Peaks

Travel to an area over 2500m (Cusco, Quito, La Paz, Kilimanjaro, Lhasa are some popular high altitude destinations) can put you at risk of altitude illness, caused by less oxygen in the air. Acute Mountain Sickness (AMS), high altitude pulmonary edema (HAPE) and high altitude cerebral edema (HACE) are risks that must be managed and prevented. The mildest of the the three, AMS, is still described by the 1993 Lake Louise Consensus Committee definition: a recent gain in altitude, several hours at the new altitude, and presence of headache and at least one of the following: gastrointestinal upset, fatigue, weakness, dizziness, lightheadedness, or difficulty sleeping. It is wise to consider

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Prepared Traveller | Travel Clinic

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403-289-6761 or 403-282-3225

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