Transcript Forms and - Center for Global Health

International Travel Training
Seminar
February 01, 2013
Sponsored By:
Department of International Health
Center for Global Health
Johns Hopkins Travel and Tropical Medicine
Contact:
Anna Kalbarczyk, MPH
Program Associate
Center for Global Health
[email protected]
Clearly state topic in email subject!
Purpose
Introduce
resources
Discuss health
considerations
Discuss cases
and prepare
for travel
-Dick Dunning, CGH
- Christina Salazar, IH
You are responsible for preparation!
Handle travel documents early!
Prepare early to enhance your experience and preserve your health
and safety
Research where you will be going, working, living, and how to act
while there!
Tools to Plan your Trip
CGH Website
Travel
Registry & IH
Checklist
Bioethics
VISA/Medical
Insurance
Travel Registry
Used to help you in case of emergency overseas
Required – Students must register
Students funded by the CGH will be prompted to complete a profile
and an itinerary
If you know you will be traveling overseas, save time and complete
your Profile now
Link is on the CGH website
Johns Hopkins Berman Institute of
Bioethics
• Ethical Challenges in Short-Term Global Health
Training
• A series of ten cases that may arise during short
term training abroad.
• Complete before travel
http://ethicsandglobalhealth.org/
www.hopkinsglobalhealth.org
Drill down to “Student
Travel”
Then to “Travel Resources
for Students”
Multiple resources
including:
• Info sheet on VISA’s
• Info sheet on Insurance
Visas
Students are responsible for getting their own Visa!
•Review the Visa document on CGH page
•U.S. State Department Visas Page:
http://travel.state.gov/visa/visa_1750.html
•Use country-specific embassy instructions
•International Students work with embassy of your
citizenship
International Health
Travel Policy and forms
Information to Students Traveling Abroad
International Travel Checklist
Travel to Countries with Travel Warnings Form
http://tinyurl.com/IHTravel2012
-Noreen Hynes
PREVENTion
P
• Prepare  You are responsible. Have a plan!
R:
• Risk assessment  Your part in risk analysis
E:
• Educate  Yourself
V:
• Vaccines and other tools  Your protection
E:
• Evaluate  Your plan
N
N
• Needs assessment  Your needs
T:
• Travel medicine visit  Your call where/what
PREVENTion Highlights
PREPARE 
YOU are Responsible!
•
•
•
•
•
•
Who?
What?
When?
Where?
Why?
How?
Risk Assessment
PREVENTion Highlights
EDUCATE
YOURSELF
Research country and
location where you will be
VACCINES &
OTHER TOOLS
Vaccines
•Routine
•Recommended
•Required
Medications
•Pre-exposure
•Post-exposure
•Treatments
What does CDC say? Online Yellow Book
What types of health risks?
What does CDC
recommend?
Personal
protections
•Clean water
•Safe food
•ITBN
•Insect repellents
•Condoms
EVALUATE
NEEDS ASSESSMENT
What do I need to
insure optimal
experience and
maintain health?
What is ideal
for me?
What is
unacceptable
for me?
Costs of protection
Vaccines
$
Medications
Time
Other items
TRAVEL MEDICINE VISIT PREP
Ideal: 2-3 months before departure
Visits and vaccines NOT covered by
insurance
Get ROUTINE vaccines before
coming for your visit (covered by
your insurance)
Decide how much $ you have for this
BEFORE
Medications usually covered by
insurance
Find out if your Department will cover
your visit/vaccines
Decide which vaccines you are likely to
want BEFORE you go
Decide where to go for your visit: call
around
Make the appointment so all vaccines
completed at least 2 weeks before you
travel.
International SOS
Scholastic Traveler Program
Lawrence Foley
Director, Risk Management
February 1, 2013
SOS Comprehensive Program
Program Features
• Medical Services
• Security Services
• Online Programs
February 1, 2013
Global Continuity of Care
•
24 Hours / Day - 365 Days / Year
• 27 Alarm Centers
• 26 Clinics
• 1000 SOS Medical Professionals
• 4000 Full Time Professionals
• Locations in over 70 Countries
• Over 170 Remote Site Clinics
February 1, 2013
Worldwide reach Human touch
Primary Medical Services
• Emergency Medical Evacuations
• Medically Supervised Repatriation
• Repatriation of Mortal Remains
• Transportation of Minor Children
• Medical Referrals
• Companion Ticket
• Emergency & Routine Medical Advice
• Online Country Guides (200 countries) February 1, 2013
Worldwide reach Human touch
Personal & Travel Assistance
• Legal referrals
• Emergency message
transmission
• Lost document advice and
assistance
• Assistance with
documentation
for insurance claims
• Compassionate visit or family
travel assistance
• Emergency personal cash
• Return of minors
Worldwide reach Human touch
February 1, 2013
Primary Security Services
• 24-hour Access to SOS Security
Professionals
and Online Security Reports
(over 200 Countries, Territories, and
Islands).
• Security Evacuation
 Security staff will develop, coordinate and
perform evacuations for members to the
nearest safe haven.
• Crisis Center
 Security staff will develop a crisis center and
February 1, 2013
remain in constant contact with members during
an emergency in another country or region.
Security Online
• Country Reports
• City Guides
• Current Situations
• Alerts
• Warnings
• Evacuation Notices
• Automatic E-Mails
• Travel Tips
• Risk Ratings
February 1, 2013
Worldwide reach Human touch
Online Country Guides
For All Countries:
Rich Source of Information:
– Standard of care & medical referral
– Diseases & vaccinations
– Safety Information
– Travel Guides (non-medical info)
– Print or E-mail reports
February 1, 2013
Pre-trip Checklist
• Contact primary health insurer
▫ Notify them of International travel
▫ Ask how they process international health claims
 Insurance restrictions
 How to file a claim
• Access ISOS website or Call ISOS to speak to a rep for country
specific information
▫ Vaccines, security risks, travel information
▫ Sign up for alerts from ISOS
• Create an Emergency Response Plan
• Leave travel itinerary, personal contact information, and
emergency contact information with JHU department
• Input travel information in JHU Travel Registry
February 1, 2013
Limitations of services ISOS provides
• Medical referrals/evacuations
▫ Primary Health Insurance is first method Payment
▫ May need to make payment with credit card for medical
services
▫ In emergency or extenuating medical situations, ISOS
can guarantee payment for medical payments with
authorization from Risk Management
 If payment guarantee is made, student will need to file a claim
with health insurance so reimbursement can be made to JHU
• Excluded activities
▫ Caving, mountaineering or rock climbing, potholing,
skydiving, parachuting, bungee jumping, ballooning,
hang gliding, deep sea diving utilizing hard helmet,
martial arts, rallying, racing of any kind other than foot
February 1, 2013
Questions?
February 1, 2013
Case Study Leaders:
Pablo Yori
Christine George
Jongwoo Lee
The following cases are challenging situations based on real
situations experienced by students and/or faculty
Discuss with
the person next
to you for 1 min
Then we will
discuss as a
group
Case 1
You are asked to assist your local collaborators with the
study design for their health survey. Based on your
knowledge of epidemiology you disagree with their
selected sampling approach, and feel strongly it will bias
their study findings.
What do you do?
Case 2
Your responsibilities include organizing, observing, and
taking notes during focus group discussions and/or oneon-one interviews. Through this process you hear
comments and details from individuals that you find
interesting, humorous, unique, fascinating or sad.
You want to share your experiences with your friends
through a blog you’ve set up to document your internship
experience, or through Facebook, Twitter, etc.
What do you think is appropriate
for social media?
Case 3
You need to go with a co-worker over to the
nearby market, about 500m away, and he motions
you over to jump on the back of his motorbike.
What should you do?
What are things you should consider
with transportation?
Case 4
You are working with a coworker on regular basis and
have developed a good working relationship. She comes
to you and informs you that her child needs money
urgently for an operation that can only be done in the
capital city, and will require resources that would be
substantial for her, but manageable for you.
Should you give her money or how do you say no?
What do you consider?
Case 5
You are working in a town in Africa where you feel fairly
safe. You regularly walk across town between offices of your
field site and the partner NGO across town. Although you
are dressed in accordance with local customs, you get ‘cat
calls’ every time you walk across town. Once, a man on a
bike follows you for a few blocks and makes kissing noises at
you.
What do you do?
Case 6
You are invited out one evening by
your coworkers who have varied
backgrounds.
What are some things to consider when
socializing with peers and/or local coworkers?
Case 7
You are told that the program where you are doing your
internship will help you find housing. Once you arrive, it
becomes clear that the housing they had in mind costs more than
you can afford/had planned on or seems unsafe to you.
What are your options?
What can you do before leaving to avoid this sort of
situation?
Case 8
You’re doing an internship at a local project office with very few
non-locals. The average temperature is 90F and humid and the
office has no air conditioning. You are trying to figure out the
appropriate clothing for your job.
How do you decide what to wear?
What might you think about before you travel?
Additional Cases to discussion with
your PI/Mentor before travel
Ask your PI/Mentor if there are specific non-project considerations you should be
aware before travel (i.e. is there an ATM?)
Additional Case 1
You are working on a health survey with a local
NGO. Your job is to review the surveys and
develop the database for analysis. In doing your
job you notice differences in the way teams are
collecting and documenting the data. Today you
are invited to attend a meeting with the local
investigator, IRB members and some members of
the Ministry of Health. You feel you have
information they should know.
• What is appropriate interaction for a student in
higher level meetings?
Additional Case 2
You get off the plane and report to
your field site. You were told that
your housing and meal expenses
would be covered by the project so
you didn’t bring much cash with
you. You convert to local currency
and then find out that expenses
are reimbursed, not paid directly.
•How could this happen?
•You need to eat. What can you do
in this situation?
Additional Case 3
You’ve worked on a daily basis with a coworker
for the past six months and have developed a good
working relationship. She comes to work one
morning with a bruised eye, and says she needs
money so that she can leave her husband who has
been beating her.
•How might you respond?
•What are your options?
•Do you lend her money?