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F l GhFaryal GhBoard Certified in Pediatrics &

Dallas Pediatrics & InfectBaylor Grapevine Profe

(817) 41(817) 41

ng with ng with ggdrendrend ed eh ff M Dhaffar M.D.& Pediatric Infectious Diseases

tious Disease Associatesessional Office Building16-555416-5554

Travelling wTravelling wTravelling wTravelling wBE PREPARED!BE PREPARED!BE PREPARED!BE PREPARED!No one wants to think aboNo one wants to think abo

during a trip, but sometimduring a trip, but sometimg p, m mg p, m mmay not be able to prevenmay not be able to prevenyou can plan ahead to be ayou can plan ahead to be a

Pack SmartPack Smart

Plan ahead for illnesses anPlan ahead for illnesses an

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out getting sick or hurt out getting sick or hurt mes these things happen. You mes these things happen. You m g pp .m g pp .nt every illness or injury, but nt every illness or injury, but able to deal with themable to deal with them

nd injuriesnd injuriesjj

Travelling wTravelling wTravelling wTravelling w

Know what to do during illKnow what to do during ill

Know and share informatioKnow and share informatio

with childrenwith childrenwith childrenwith children

lness/injurieslness/injuries

on about your tripon about your trip

Travelling wTravelling wTravelling wTravelling wPack SmaPack Smaac Smaac Sma

MedicinesMedicines

Prescription medicines yPrescription medicines y If you have a severe alIf you have a severe al

been prescribed by youbeen prescribed by youEpin ph in tEpin ph in t inj tinj tEpinephrine autoEpinephrine auto--injectinject

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you usually take you usually take lergy and epinephrine has lergy and epinephrine has

ur doctor, bring your ur doctor, bring your t (f x mpl n t (f x mpl n EpiP nEpiP n))tor (for example, an tor (for example, an EpiPenEpiPen).).

Travelling wTravelling wTravelling wTravelling wOverOver--thethe--counter mediccounter medicO rO r thth count r m ccount r m c

AntidiarrhealAntidiarrheal medicatiomedicatiosubsalicylate, subsalicylate, loperamidloperamidy ,y , pp

AntihistamineAntihistamine Decongestant, alone or Decongestant, alone or Decongestant, alone or Decongestant, alone or

antihistamineantihistamine AntiAnti--motion sickness mmotion sickness m

with childrenwith childrenwith childrenwith childrencines cines c n s c n s on (for example, bismuth on (for example, bismuth dede))))

in combination with in combination with in combination with in combination with

medicationmedication

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OverOver--thethe--counter mediccounter medicMedicine for pain or feMedicine for pain or fe Medicine for pain or feMedicine for pain or feaspirin, or ibuprofen)aspirin, or ibuprofen)

Mild laxativeMild laxative Mild laxativeMild laxative Cough suppressant/expCough suppressant/exp

Cough dropsCough drops Cough dropsCough drops

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cines cines ever (such as acetaminophen ever (such as acetaminophen ever (such as acetaminophen, ever (such as acetaminophen,

pectorantpectorant

Travelling wTravelling wTravelling wTravelling w

OverOver--thethe--counter mediccounter medicAntacidAntacid AntacidAntacid

Antifungal and antibactAntifungal and antibact1% hydrocortisone crea1% hydrocortisone crea 1% hydrocortisone crea1% hydrocortisone crea

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cines cines

terial ointments or creamsterial ointments or creamsamamamam

Travelling wTravelling wTravelling wTravelling wOther important itemOther important itemOth r mportant t mOth r mportant t mSupplies to prevent illnSupplies to prevent illn

Insect repellent contaiInsect repellent contai Insect repellent contaiInsect repellent contaipicaridinpicaridin (up to 15%)(up to 15%)

Sunscreen (preferably Sunscreen (preferably Sunscreen (preferably Sunscreen (preferably both UVA and UVB proboth UVA and UVB pro

Antibacterial hand wipeAntibacterial hand wipe Antibacterial hand wipeAntibacterial hand wipe Lubricating eye dropsLubricating eye drops

with childrenwith childrenwith childrenwith childrenmsmsmsmsness or injury ness or injury ning DEET (30%ning DEET (30% 50%) or 50%) or ning DEET (30%ning DEET (30%--50%) or 50%) or

SPF 15 or greater) that has SPF 15 or greater) that has SPF 15 or greater) that has SPF 15 or greater) that has tectiontectioneseseses

Travelling wTravelling wTravelling wTravelling w

Special prescriptions fSpecial prescriptions fMedicines to prevent mMedicines to prevent m Medicines to prevent mMedicines to prevent m

Antibiotic prescribed bAntibiotic prescribed btreatment of moderatetreatment of moderatetreatment of moderatetreatment of moderate

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for the trip for the trip malaria if neededmalaria if neededmalaria, if neededmalaria, if neededby your doctor for selfby your doctor for self--e to severe diarrheae to severe diarrheae to severe diarrheae to severe diarrhea

Travelling wTravelling wTravelling wTravelling w

Use sunscreen and inseUse sunscreen and inse Be careful about food aBe careful about food a Be careful about food aBe careful about food a Try not to take risks wTry not to take risks w Wear a seatbeltWear a seatbelt Wear a seatbelt.Wear a seatbelt. Wear protective gear wWear protective gear w

activitiesactivitiesactivities.activities.

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ect repellent as directed.ect repellent as directed.and waterand waterand water.and water.

with your health and safety.with your health and safety.

when doing adventure when doing adventure

Travelling wTravelling wTravelling wTravelling w

FirstFirst--aid supplies aid supplies First aid quick referencFirst aid quick referenc First aid quick referencFirst aid quick referenc

Basic firstBasic first--aid items (baid items (bbandage antiseptic twbandage antiseptic twbandage, antiseptic, twbandage, antiseptic, twtipped applicators)tipped applicators)

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ce cardce cardce cardce cardbandages, gauze, ace bandages, gauze, ace weezers scissors cottonweezers scissors cotton--weezers, scissors, cottonweezers, scissors, cotton--

Travelling wTravelling wTravelling wTravelling w

FirstFirst--aid supplies aid supplies Aloe gel for sunburnsAloe gel for sunburns Aloe gel for sunburnsAloe gel for sunburns

Digital thermometerDigital thermometerOral rehydration solutiOral rehydration soluti Oral rehydration solutiOral rehydration soluti

with childrenwith childrenwith childrenwith children

ion packetsion packetsion packetsion packets

Travelling wTravelling wTravelling wTravelling w

Health insurance card (eitHealth insurance card (eitsupplemental travel healtsupplemental travel healtppppof claim formsof claim forms

Other items that may beOther items that may beyycircumstancescircumstances

Mild sedative or other sleMild sedative or other sleMedicine to prevent altituMedicine to prevent altitu

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ther your regular plan or ther your regular plan or h insurance plan) and copies h insurance plan) and copies p ) pp ) p

e useful in certain e useful in certain

eep aideep aidude sicknessude sickness

Travelling wTravelling wTravelling wTravelling w

Water purification tabletWater purification tabletChild safety seatsChild safety seats f yf yBicycle helmetBicycle helmet

with childrenwith childrenwith childrenwith children

tsts

Travelling wTravelling wTravelling wTravelling w

Plan ahead for illnessePlan ahead for illnesse

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es/injurieses/injuries

Travelling wTravelling wTravelling wTravelling wTravelers are responsiTravelers are responsi

other medical expenseother medical expenseother medical expenseother medical expensetrip. Visit trip. Visit Country SpeCountry SpeMedical InsuranceMedical Insurance (U S(U SMedical InsuranceMedical Insurance (U.S(U.Sto learn more.to learn more.

Check ur health insuCheck ur health insuCheck your health insuCheck your health insuwill cover your health nwill cover your health n

with childrenwith childrenwith childrenwith childrenible for hospital and ible for hospital and es incurred during their es incurred during their es incurred during their es incurred during their ecific Information ecific Information --S Department of State) S Department of State) S. Department of State) S. Department of State)

urance plan t see if the urance plan t see if the urance plan to see if they urance plan to see if they needs abroad.needs abroad.

Travelling wTravelling wTravelling wTravelling wThink about purchasingThink about purchasing

insurance for your tripinsurance for your tripinsurance for your tripinsurance for your tripdoes not cover you whidoes not cover you whi

C nsid pu ch sin mC nsid pu ch sin mConsider purchasing meConsider purchasing meinsurance. This kind ofinsurance. This kind ofc st f transp rtin c st f transp rtin cost of transporting yocost of transporting yocountry or outside thecountry or outside theseriously ill or injuredseriously ill or injuredseriously ill or injured.seriously ill or injured.

with childrenwith childrenwith childrenwith childreng additional health g additional health p if your health insurance p if your health insurance p if your health insurance p if your health insurance ile you are traveling.ile you are traveling.

dic l cu ti n dic l cu ti n edical evacuation edical evacuation f insurance will cover the f insurance will cover the

u t ther parts f a u t ther parts f a ou to other parts of a ou to other parts of a e country if you are e country if you are

Travelling wTravelling wTravelling wTravelling wTo find a list of possibTo find a list of possib

medical evacuation insumedical evacuation insumedical evacuation insumedical evacuation insuMedical Information fMedical Information f(U S Department of S(U S Department of S(U.S. Department of S(U.S. Department of S

For more information, For more information, What Y u Need t KnWhat Y u Need t KnWhat You Need to KnoWhat You Need to Kno

Be prepared to pay outBe prepared to pay out d dyou receive any medicayou receive any medica

traveling, even if you dtraveling, even if you d

with childrenwith childrenwith childrenwith childrenble travel health and ble travel health and urance companies visit urance companies visit urance companies, visit urance companies, visit or Americans Abroador Americans Abroad

State)State)State).State).visit the section visit the section Health: Health:

in Advance f Travel in Advance f Travelow in Advance of Travelow in Advance of Travelt of pocket at the time t of pocket at the time l h l l h l al services while al services while

do have insurance.do have insurance.

Travelling wTravelling wTravelling wTravelling wBe Prepared for IllneBe Prepared for IllneTravelTravelTravelTravel

It is a good idea to knoIt is a good idea to knond s mpt ms f illn snd s mpt ms f illn sand symptoms of illnesand symptoms of illnes

to recognize these symto recognize these symtake acti n quickl hitake acti n quickl hitake action quickly whitake action quickly whidefines an ill traveler adefines an ill traveler aor more of the followinor more of the followinor more of the followinor more of the followinobviously sick (e.g., sevobviously sick (e.g., sevskin or eyes turning yeskin or eyes turning yeskin or eyes turning yeskin or eyes turning ye

with childrenwith childrenwith childrenwith childreness Before and During ess Before and During

ow beforehand the signs ow beforehand the signs ss This ill p p u ss This ill p p u ss. This will prepare you ss. This will prepare you mptoms so that you can mptoms so that you can ile n ur trip CDC ile n ur trip CDC ile on your trip. CDC ile on your trip. CDC as a person who has one as a person who has one ng symptoms: Appearing ng symptoms: Appearing ng symptoms: Appearing ng symptoms: Appearing vere headache, weakness, vere headache, weakness, ellow)ellow)ellow)ellow)

Travelling wTravelling wTravelling wTravelling w

F f 100F f 100°° F (38F (38°° CCFever of 100Fever of 100°° F (38F (38°° CCSkin rashSkin rashShortness of breath oShortness of breath oSevere cough that doeSevere cough that doeSevere cough that doeSevere cough that doe

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C) tC) tC) or greaterC) or greater

r difficulty breathingr difficulty breathinges not go awayes not go awayes not go awayes not go away

Travelling wTravelling wTravelling wTravelling w

C nf si n sp i ll ifC nf si n sp i ll ifConfusion, especially ifConfusion, especially ifBruising or bleeding (wBruising or bleeding (wDiarrhea that does notDiarrhea that does notVomiting that does notVomiting that does notVomiting that does notVomiting that does not

motion sickness)motion sickness)

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f it h s j st st t df it h s j st st t df it has just startedf it has just startedwithout previous injury)without previous injury)t go awayt go awayt go away (other than t go away (other than t go away (other than t go away (other than

Travelling wTravelling wTravelling wTravelling w

Ox n L l in Fli hOx n L l in Fli hOxygen Levels in FlighOxygen Levels in FlighThe air pressure in fligThe air pressure in flig

l l h l l l h l sea level. This lowers tsea level. This lowers tcarried in the blood. Mcarried in the blood. M

ll h hll h hwill not notice these chwill not notice these ch

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hthththtght is lower than that at ght is lower than that at h f h f the amount of oxygen the amount of oxygen

Most healthy travelers Most healthy travelers h h hanges. hanges.

Travelling wTravelling wTravelling wTravelling wHowever, passengers witHowever, passengers wit

conditions particularlyconditions particularlyconditions, particularlyconditions, particularlyand blood disorders, suand blood disorders, sube able to tolerate thibe able to tolerate thibe able to tolerate thibe able to tolerate thiIf you are concerned aIf you are concerned aoxygen talk with your oxygen talk with your oxygen, talk with your oxygen, talk with your few days before your tfew days before your tadditional oxygen durinadditional oxygen durinadditional oxygen durinadditional oxygen durin

with childrenwith childrenwith childrenwith childrenth certain medical th certain medical y heart and lung diseases y heart and lung diseases y heart and lung diseases y heart and lung diseases uch as anemia, may not uch as anemia, may not s reduced oxygen level s reduced oxygen level s reduced oxygen level. s reduced oxygen level.

about needing more about needing more doctor and the airline a doctor and the airline a doctor and the airline a doctor and the airline a trip to arrange for trip to arrange for ng flightng flightng flight.ng flight.

Travelling wTravelling wTravelling wTravelling wKnow and Share ImpoKnow and Share ImpoAbout Your TripAbout Your TripAbout Your TripAbout Your Trip

Important InformatioImportant InformatioB f l B f l Before you leave, it is Before you leave, it is contact information (pcontact information (pdd ) f dd ) f addresses) of servicesaddresses) of services

t t

with childrenwith childrenwith childrenwith childrenortant Information ortant Information

on for Travelerson for Travelers d d important to write down important to write down

hone numbers and hone numbers and d ds you may need.s you may need.

Travelling wTravelling wTravelling wTravelling wFind the American EmbFind the American Emb

your destination by goiyour destination by goiyour destination by goiyour destination by goiWebsites of U.S. EmbaWebsites of U.S. EmbaDiplomatic MissionsDiplomatic Missions (U(UDiplomatic MissionsDiplomatic Missions (U(UState). Consular persoState). Consular persoand Consulates abroad and Consulates abroad and Consulates abroad and Consulates abroad available 24 hours a daavailable 24 hours a daprovide emergency assprovide emergency assprovide emergency assprovide emergency ass

with childrenwith childrenwith childrenwith childrenbassy or Consulate in bassy or Consulate in ing to the list of ing to the list of ing to the list of ing to the list of assies, Consulates, and assies, Consulates, and

U S Department of U S Department of U.S. Department of U.S. Department of nnel at U.S. Embassies nnel at U.S. Embassies and in the U S are and in the U S are and in the U.S. are and in the U.S. are ay, 7 days a week, to ay, 7 days a week, to sistance to U S citizenssistance to U S citizenssistance to U.S. citizens.sistance to U.S. citizens.

Travelling wTravelling wTravelling wTravelling w

For specific questions rFor specific questions r For specific questions rFor specific questions rinvolving an American cinvolving an American cOffice of Overseas CitOffice of Overseas CitOffice of Overseas CitOffice of Overseas Cit407407--4747 (from overse4747 (from overse

To learn more about seTo learn more about sen m un m uemergency, see the infoemergency, see the infoConsular Assistance andConsular Assistance and

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regarding an emergency regarding an emergency regarding an emergency regarding an emergency itizen overseas, contact the itizen overseas, contact the izens Services at 1izens Services at 1--888888--izens Services at 1izens Services at 1 888888

eas: 202eas: 202--501501--4444.4444.rvices available during an rvices available during an u ng nu ng normation at ormation at Emergencies: Emergencies: d Crises Abroadd Crises Abroad..

Travelling wTravelling wTravelling wTravelling wImportant InformatioImportant InformatioFamily and FriendsFamily and FriendsFamily and FriendsFamily and Friends

In addition to preparinIn addition to preparinit is imp t nt t ls it is imp t nt t ls it is important to also it is important to also family at home for a pofamily at home for a pofamil member friendfamil member friendfamily member, friendfamily member, friendcontact person while ycontact person while yyou leaveyou leaveyou leaveyou leave

with childrenwith childrenwith childrenwith childrenon for a Traveler’s on for a Traveler’s

ng yourself for your trip, ng yourself for your trip, p p u f i nds nd p p u f i nds nd prepare your friends and prepare your friends and ossible emergency. Ask a ossible emergency. Ask a r empl er t be ur r empl er t be ur , or employer to be your , or employer to be your ou are traveling. Before ou are traveling. Before

Travelling wTravelling wTravelling wTravelling wMake arrangements toMake arrangements to

intervals during your tintervals during your tintervals during your tintervals during your tperson.person.

L th m c p f L th m c p f Leave them a copy of yLeave them a copy of ydetails of your travel pdetails of your travel p

uuyou.you.Leave them a copy of yLeave them a copy of y

d h d h medicines that you aremedicines that you areinformation for your dinformation for your d

with childrenwith childrenwith childrenwith children check in at regular check in at regular rip with this contact rip with this contact rip with this contact rip with this contact

u p ssp t s ll s u p ssp t s ll s your passport, as well as your passport, as well as plans and how to contact plans and how to contact

your prescription for any your prescription for any k d h k d h e taking and the contact e taking and the contact octor.octor.

Travelling wTravelling wTravelling wTravelling wIf there is an emergenIf there is an emergen

family member is worrfamily member is worrfamily member is worrfamily member is worrwelfare, they can ask twelfare, they can ask tfor help See the for help See the WelfWelffor help. See the for help. See the WelfWelfServices AbroadServices Abroad webpwebpavailableavailableavailable.available.

with childrenwith childrenwith childrenwith childrenncy at home, or if a ncy at home, or if a ied about a traveler’s ied about a traveler’s ied about a traveler s ied about a traveler s the embassy or consulate the embassy or consulate fare/Whereabouts fare/Whereabouts fare/Whereabouts fare/Whereabouts age for specific services age for specific services

Travelling wTravelling wTravelling wTravelling w

Y m ish t ns lY m ish t ns lYou may wish to consulYou may wish to consuldisease doctor or travdisease doctor or travd ct s h sp ci lid ct s h sp ci lidoctors who specializedoctors who specializeare infectious diseasesare infectious diseases

D d h dD d h dCDC provides these dirCDC provides these dirto the public but does to the public but does

d dcare provider.care provider.

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lt ith n inf ti s lt ith n inf ti s lt with an infectious lt with an infectious el medicine doctor. Most el medicine doctor. Most in th dis s s f t l in th dis s s f t l e in the diseases of travel e in the diseases of travel s (ID) physicians. s (ID) physicians.

rectories as a courtesy rectories as a courtesy not endorse any healthnot endorse any health--

Travelling wTravelling wTravelling wTravelling w

If h isit d mIf h isit d mIf you have visited a mIf you have visited a mIt is very important thIt is very important th

l ll l d d your your antimalarialantimalarial drug drug taking taking doxycyclinedoxycycline or or mm( f k ( f k (if you are taking (if you are taking atovaatovaleaving the risk area.leaving the risk area.

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m l im l i isk :isk :malariamalaria--risk area:risk area:hat you continue taking hat you continue taking f 4 k ( f f 4 k ( f for 4 weeks (if you are for 4 weeks (if you are

mefloquinemefloquine) or seven days ) or seven days // ll) f ) f aquoneaquone//proguanilproguanil) after ) after

Travelling wTravelling wTravelling wTravelling w

M l i is l s sM l i is l s sMalaria is always a serMalaria is always a sera deadly illness. If youa deadly illness. If you

flu flu lik illn ss ithlik illn ss ithor fluor flu--like illness eithelike illness eithemalariamalaria--risk area or afrisk area or afup t 1 ear) u sh uup t 1 ear) u sh uup to 1 year), you shouup to 1 year), you shoumedical attention and smedical attention and syour travel historyyour travel historyyour travel history.your travel history.

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i s dis s nd m b i s dis s nd m b ious disease and may be ious disease and may be u become ill with a fever u become ill with a fever

hil t lin in hil t lin in er while traveling in a er while traveling in a fter you return home (for fter you return home (for ld seek ld seek immediateimmediateld seek ld seek immediateimmediateshould tell the physician should tell the physician