Adler-Pharmacy introducing · Sunburn is dangerous It will heal, possibly with some peeling, within a few days. Treat it with cool baths, moisturizers or over-the-counter hydrocortisone

22.09.2011

1

Adler-Pharmacy, Rhaunen

by Johannes Jaenicke

Ask you pharmacist- healthy traveling -

travelling servicein a community pharmacy

www.adler-apotheke.info

introducing

Mrs AD, 45 years old

She is a customer of …

introducing… the Adler-Pharmacy in Rhaunen

… she knows our location

… she knows the team

Does she know, we are offering travel advice??

introducing

Of course she knows!!

Because …

advertising

… she reads the local newspaper

… she gets post from us

… she visits our pharmacy

… she s online

… everywhere she gets our message:

With the help of your pharmacistyou be well and keep well in your holidays

She now knows that she can choose …

…between 5 different service modules for travellers

advertising

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service modules for travelers

malaria prevention

vaccination

sun protection

travel kits

individual travel advice

malaria preventionprevent mosquito bites

… a map presenting regions with high risk of malaria

… products to help avoiding bites like repellents or screens

… general advice: do s and don ts

malaria prevention

“anti-malarials”

… advice about medical treatment of malaria

… adequate stock of “anti-malarials”and cheaper reimported alternatives

vaccination

a list of all necessary vaccinationfor safe travelling

individual checkof the vaccination card

time table for revaccination

adequate stock of vaccinesoffering cheaper reimported vaccines

sun protectiondetermination of the individual skin type

and natural given sun-protection-time

sun protection

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sun protection

Mrs AD burns easily & tans minimallyShe has a sun sensitive skin of type II

Skin type II = 10 minutes natural given sun-protection-time

sun protectionRecommendation of a sunscreen with sun protection factor

according to the skin type, the holiday region, the duration of staying in the sun and allergies

sun protectionMrs AD …

• has skin type II

• will be staying 8 weeks in Tanzania & Rwanda

• wants to visit mount Kilimanjaro (19,000 feet high)

• will stay in the sun the whole day(adventure tour)

• is generally healthy, no allergies

sun protectionWhat is a SPF?

• Sunscreens are rated or classified by the strength of their SPF

• SPF numbers can range from 2 - > 50 and refer to the product s ability to deflect the sun s burning UVB-rays (not UVA!)

• A sunscreen`s SPF rating is calculated by comparing …

the amount of time needed to produce a sunburn on sunscreen protected skin

to the amount of time needed to cause a sunburn on unprotected skin


• has skin type II

= 10 minutes natural given protection time = she turns red after 10 minutes of exposure to the sun

if a sunscreen is rated with SPF 2

she can stay 2 x 10 minutes in the sun, without getting red

if a sunscreen is rated with SPF 15

she can stay 15 x 10 minutes in the sun, without getting red

sun protection

Sunscreens breaks down and rub off with normal wear.

So it has to be reaplied to keep up the protection(approximately every 2 hours).

The maximum-protection time is not getting longerby reapplying sunscreen

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sun protection

to recommend sunscreen, you have to bear in mind …

• a sun protection factor according to the skin type and the duration of staying in the sun

• a sun protection factor according to the holiday region (sun intensity, altitude, temperature,…)

• activity level (perspiration)

• possible allergies


• has skin type II= 10 minutes natural given protection time

• will stay in the sun up to 8 hours a day with a lot of movement

• will visit hot countries with a high altitude and near to the equator

sun protection

UV radiation increases estimated 4% per 1,000 feet of elevation gain. Therefore, at higher elevations, you should more conscientiously apply and reapply sunscreen

altitude

sun protection

Sun intensity becomes greater the close you are to the equator

latidute

High levels of either will trigger increased perspiration, diminishing the sunscreen potential of effectiveness

Temperature, humidity, high activity


• Needs a sunscreen with a high SPF of 50 = 500 minutes of sun-protection according to her skin type. It should although protect her against UVA-rays

• Because of the high altitude & whole day activity, she should apply the sunscreen every day and reapply it every 2 hours

sun protection

How much sunscreen should a person apply

• recommended is one ounce for full body-body coverage = amount that would fit in a shot glass

• apply sunscreen to all exposed skin. Think of treating your nose, ears, (for sandal weares) the top of your feet

• reapply sunscreen every 2 hours

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• will be staying 8 weeks

in Tanzania & Rwanda.

• She needs an minimum

amount of 7 bottles (200 ml)

of sunscreen (to apply every

day and reapply every 2

hours).

sun protectiongeneral advice to use sunscreen, in order to

prevent sunburn and skin aging and skin cancer

sun protection

On dry skin between 20-30 minutes before sun exposure.. Reapply every 2 hour, especially when sweating (dry up before), after swimming or regular contact to vegetation or rock surfaces (abrasion)

When should sunscreen be applied/reapplied

Every day, that includes extended time outdoors (even cloudy days) and especially between 10 am – 4 pm. Sand, water ,snow and ice reflect 80% of UV rays. Take care!

When should sunscreens be used


• wants to use insect repellents

(malaria!) and sunscreen.

Can she use both at the

same time?

• She was in Goa 5 years ago

and still got one old sunscreen

at home. Can she use it?

sun protection

Always sunscreen first, repellent second. Apply sunscreen 20-30 minutes before outdoor activity, after that time you can apply the repellent.

Use sunscreen and insect repellent at the same time?

Unless indicated by their expiration date, the FDA requires that all sunscreens be stable and at their original strength for at least 3 years

Does sunscreen lose its strength after some time?

sun protectionAfter sun lotions and products for the

treatment of sunburn

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sun protection

It my take up to 24 hours before the full damage is visible

Sunburn is dangerous

It will heal, possibly with some peeling, within a few days. Treat it with cool baths, moisturizers or over-the-counter hydrocortisone creams.

Treatment of “first degree” sunburn

sun protection

Treatment of “second degree” sunburn

They blister. Do not break them – they are a natural protective mechanism to heal the affected area.

Large area affected? Headache? Fever? Seek medical help!

A layer of gauze may be used to cover the area until healed

Never forget!

Be sure to protect your skin from the sun while it heals and thereafter


• never use medication with

acetylsalicylicacid to lessen

the pain of sunburn. It should

not be taken when malaria or

dengue fever is a possibility.

• ibuprofen is considered a safe

alternative

travel kitsindividual travel kit including recommended medication

appropriate for the holiday region

Mrs AD …

travel kits

• travelling in africa overland,

away from tourist routes

• is divorced, tries to get her

mind off during holidays

• preferring where possible to

take “natural” or alternative

remedies

travel kits“must have” (basic version)

• analgesic (pain relief) medicine such as paracetamolor ibuprofen. Be careful to use acetylsalicylic acid

• insect repellent & “anti malarials” & thermometer

• sunscreen & hydrocortisone cream

• anti-bacteria gel for hand washing without water

• diarrhoea medicine, e.g. loperamide-tablets & electrolyte replacement powder

• antiseptic solution for cleaning wounds or bites

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travel kits“must have” (basic version)

staying away from usual tourist routes means there areonly few medical facilities and doctors

• she therefore needs antibiotics and strong painrelievers (presciption needed) for an emergency

• also some mineral & vitamine-tablettes can be usefull

travel kits“should have” (extended version)

• antihistamine tablets for bites, stings or allergies

• bandages, band aids, plasters, gauze and gauze rollswith adhesive tape

• safety pins, scissors and tweezers, a syringe & needle (you may not be allowed to carry these in your cabin luggage)

• antiemetic tablets or drops (natural medicine possible)

travel kits“can have” (all included version)

• cold and flu tablets & throat lozenges (air-condition)

• eye lubricant drops

• motion sickness tablets (natural medicine possible)

• laxative for constipation

• ear drops & nose spray

• drops against eye inflammation

travel kits“can have” (all included version)

• ear plugs

• antacid tablets for heartburn

• water purification tablets

• antifungal creme

travel kitschecklist for look through medicine cabinet at home

to stock up the travel kit

travel kitsoffering help to fill in forms regarding entry requirements

for certain countries for controlled drugs like strong pain relievers e.g. morphine

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travel kitscompression socks,

preventing thrombosis during long flight

individual travel advicetips concerning long distance flights

especially thrombosis prophylaxis, dry eyes, dry mucous membranes, earaches, motion sickness and jetlag

individual travel adviceList of German speaking doctors to consult abroad

individual travel adviceaddress of the German embassy abroad

and general safety information from the foreign country

individual travel adviceSafety informations from Tanzania (exampels)

• pirates attack and highjack ships

• terror attacks possible, be carful at public locations

• robbing/kidnapping by alleged taxi-drivers, use

registered taxis (yellow, green or blue stripes)

• do not go for a walk at night

Safety informations from Rwanda (exampels)

• handgranate attacks in 2010/11 in Kigali

• no traveling to the border area of Kongo/Rwanda

individual travel adviceadvice to prevent insect bites

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individual travel adviceoptimizing medical therapy (like insulin, cortisone or

contraceptives) with regard to time change

individual travel adviceDo s and don ts

concerning foreign food and drinkable water

• “Cook it, wash it, peel it or forget it”

• be careful with fruits, you have not peeled by yourself

• eat freshly cooked (hot) food: no buffets, no cold plates

• avoid unpasteurized dairy products (cheese, ice, yogurt).

Careful with anything containing milk products

• be careful when eating seafood: it can go bad quickly, avoid

fish organs and shellfish (shrimps, oysters, …)

• no raw meat (take your steak well done)

individual travel adviceFood hygiene


individual travel adviceFood hygiene

• “Buy bottled water” (make sure the cap has not

been tampered with). Use it also for brushing your

teeth.

• no ice cubes in your drinks

• if you get no bottled water, you can boil it before

drinking

• water purification tablets and ceramic filters are

available

individual travel advicethe best tips

Never forget to wash you hands before eating or touching food

(e.g. use hand sanitizers, you can also use them to wipe the cutlery)

Don t become obsessed with food safety(take necessary measures, use your common sense

and enjoy eating while traveling)

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Special tips for Mrs AD

• Before your 8 week trip – let a dentist check your teeth

• Use always repellents and sleep under a screen, to avoiodmosquito bites

• Don t take a bath in a river or a lake (risk of bilharziosis)

calculating costscosts

• Software(program based on CRM-Data – crm.de): 218 $/year

• Team trainingbasic training (2 days): 433 $

refresher training (1 days): 240 $ / 2 years

• Advertisementlocal newspaper (4x): 174 $

flyer, poster: free – included in CRM membership

twitter, social networks, website, pharmacy-tv: free of direct costs

mailing (4x): 581 $

calculating costscosts

• Personnel costs during the time of giving travel advice½ hour pharmacist: 22 $

• Storage costs, especially to have vaccines on stockLoss of interest: 131 $/year

= Costs calculated (5-year plan, 1 Expert): 5974 $

calculating costs

• Charges for independent travel advice (combined with a voucher for products of a travel kit)

• Profit from selling or restocking a travel kitCalculated: on average an 43 $ travel kit means a profit of 13 $

Charge: 29 $ for ½ hour advice (7 $ voucher included)

• Profit from selling vaccinesCalculated: on average 2 vaccines per advised Person means a profit of 23 $

profit

calculating costs

• Profit from selling sunscreen and other travel productsCalculated: on average a profit of 7 $

= Profit calculated 44 $ / case

Costs (5 year plan, 1 Expert) of 5974 $ means you need 137 customers in 5 years booking travel advice

= 27 customers / year.

Realistic??

profit

calculating costs

Positive image to your customer and doctors

Mrs AD will statistically tell 5 people, how good your travel service is

How much is this worth?

profit

22.09.2011

11

Adler-Pharmacy, Rhaunen

by Johannes Jaenicke

thank youfor your attention

travelling servicein a community pharmacy

www.adler-apotheke.info

Documents

Adler-Pharmacy introducing · Sunburn is dangerous It will heal, possibly with some peeling, within a few days. Treat it with cool baths, moisturizers or over-the-counter hydrocortisone