Team Manual - Belmont and Vol State March 2012

Guatemala Mission Trip

Team Member ManualMarch 4-10, 2012

and

May 6-12, 2012

TABLE OF CONTENTS

Introduction.............................................................................................................3The Shalom Foundation’s History in Guatemala......................................................4The Moore Pediatric Surgery Center........................................................................6Guatemala – An Overview.......................................................................................8Guatemala – Facts...................................................................................................9Prayer.................................................................................................................... 10Cost of Mission Trip...............................................................................................12Guatemalan Mission Team Meetings.....................................................................13Recommended Planning Schedule........................................................................13Team Support........................................................................................................15Suggestions for Funding Your Trip.........................................................................16Sample Support Letter..........................................................................................18Mission Trip Support Tracking Form......................................................................19Culture Shock........................................................................................................20Tips for Communicating Through a Translator......................................................20Cultural Research..................................................................................................21Spiritual Development...........................................................................................23Journaling..............................................................................................................23Health & Safety Tips..............................................................................................24Immunization Information.....................................................................................25Travel and Packing Tips.........................................................................................27Packing List...........................................................................................................28Saying Goodbye....................................................................................................29Reverse Culture Shock..........................................................................................29Journal...................................................................................................................34Checklist for Mission Trip.......................................................................................35Tips for Travel.......................................................................................................36Useful Spanish Words and Phrases.......................................................................37Recommended Medical Preparation for Service Trips...........................................39

Visit Your Doctor...............................................................................................39Vaccinations.....................................................................................................39Medications/ First Aid & Safety.........................................................................40Diet and Exercise before Travel........................................................................41Overall Health...................................................................................................41Plan Ahead for Illness & Injury.......................................................................43 Know what to do if You Become Sick or Injured................................................43Traveler’s Diarrhea...........................................................................................44Traveler Registration Emergency Contact and Itinerary Information (optional) 44Checklist / To-Do List........................................................................................45

The Shalom Foundation2

Introduction

Thank you for choosing to go to Guatemala. We are glad you will be joining us in the work there. It is our prayer that God will challenge you spiritually and help you grow in your faith as a result of this trip. God is actively at work in Guatemala, yet much work remains to be done. Your interest in helping is an answer to prayer.

Short-term teams have been partnering with us

since 1995 for the purpose of outreach to the

people of Guatemala through evangelism,

construction, medical, dental, and educational

activities. Regardless of your area of outreach,

most people find the greatest rewards are in the

relationships that are made. The most significant

work that you will do will be loving people and

spending time with them being a witness for Jesus

Christ, rather than building a wall or helping

someone meet a physical need.

The people of Guatemala know that you have spent

a significant amount of money and time to come,

and they feel honored you would choose to do that

for them. Let us encourage you to focus not only on the tasks of this trip but also on

the relationships that will develop along the way.

We have put this manual together to help you prepare for the trip. It is prepared to

provide you with practical information that will help make your trip successful and

enjoyable. Please read it, commit to attending the scheduled team meetings, and

follow the guidance of the team leadership. Even if you have previously participated

in a Guatemala mission trip, it is important to attend all meetings to help build team

spirit.

We ask that you be patient and flexible as you prepare, travel, live, and work with

the team. Evaluations from those who have gone before indicate that any

inconveniences you may experience will be overshadowed by the gratitude of the

people you will serve. You will find the Guatemalans friendly and easy to get to

know. The work you do will be a great help to them and will bring hope to many.

Our team leadership is ready to assist you in any way we can.


The Shalom Foundation’s History in Guatemala

The Shalom Foundation has been active in Guatemala City for more than a

decade serving acutely poor children and sharing the Gospel. Through our

supporters and volunteers, Shalom has touched

thousands of lives, have completed more than

70 homes, conducted 170 surgeries, and have

helped build a Christian school serving over 700

students.

The Shalom Foundation currently sponsors more

than 130 students providing for their tuition and

other associated education expenses. Through the years, 475 missions team

members have traveled to Guatemala City with The Shalom Foundation in

God’s service to others.

In June, 1991, several founding

members of The Shalom

Foundation Board took their first

trip to Guatemala City. In 1995,

a 22-member team provided

construction assistance and

conducted the organization’s

first Medical/Dental “clinic.”

Annual Missions Trips were

planned and led each year since

that time. In June, 1996, a 26-member Construction Team began work on

Shalom Church with Pastor Alvaro Perdomo. In May, 1997, a 48-member

Missions Team – the largest Shalom team to travel to Guatemala at the time

– provided construction work on Shalom Church and provided much-needed

medical treatment. The Construction Team traveling in May, 1998, began

construction on Shalom School. In January, 2000, Shalom Missions Team

members attended the Shalom School Dedication with the traditional


beginning of the new Guatemalan school year (January 15). Construction

Team members traveling in April, 2001, participated in Shalom Foundation’s

first Home Construction project by building 6 homes. In 2003, Shalom

Foundation outfitted a commercial kitchen for the “Food for Thought”

Nutrition Program. In May, 2004, 48 Shalom Team members provided

medical and dental services, eye exams, computer programming as well as

home and school construction.

Construction Teams have continued to travel to Guatemala building on

average 6–7 houses each year, renovating Shalom School and Shalom

Church. The Medical Missions Initiative has seen 7 medical trips to

Guatemala City with the cooperation of Monroe Carell Jr. Children’s Hospital

at Vanderbilt and Belmont University. With the purchase of the Shalom

Surgical Center in 2008 even more trips are in our future!


The Moore Pediatric Surgery Center

The Moore Pediatric Surgery Center serves as a base of operations for medical services and surgical procedures for children living in acute poverty from across Guatemala. Without intervention, these children would otherwise go untreated sometimes as social outcasts, facing life-long suffering or death.

All funds contributed toward the purchase of the properties, equipping and operation of the surgery center will be tax deductible. With support and guidance from architects, engineering firms, doctors, nurses, administrators from hospitals and surgery centers, The Moore Center will function as a modern, short-stay facility with all necessary and expected features. Great attention has been given to the facility’s design based upon its intended purpose and future use.

The 12,000 square foot facility features 3 operating rooms, 3 pre-op beds, 5 first-stage recovery beds, 21 recovery/overnight stay beds, crib room, nurses’ station, laundry facilities, sterilization suite, family waiting areas, elevator, conference room, kitchen, office space. Detailed floor plans document the use of all space. The facility is located at 6 calle, 0-55, zone 1, Guatemala City -- convenient to many areas of the city. You can visit our website and take a tour, www.TheShalomFoundation.org

The Moore Pediatric Surgery Center serves as an international “home base” for the Children’s Hospital at Vanderbilt and for Children’s Hospitals, Medical Centers, and medical teams from across the country supporting Slalom’s Medical Initiative. The facility will be utilized by teams year-round. These teams will work with local Guatemalan medical specialists to provide much-needed surgical procedures to the poor within a modern facility. By partnering with in-country doctors and nurses for any follow up treatment, the most and best care can be provided to the most children.

This unique model can provide on-going services where there are otherwise none available. The Moore Center provides hope and the opportunity to heal hundreds of children each year. Charitable care services provided through the surgery center will transform hundreds of families each year, touching thousands of lives.

The total cost including purchase, renovation, and equipment is approximately $1.6 million. This figure reflects the purchase of the property, all related fees and taxes, and numerous significant contributions of professional services including: design work, construction, remodeling and specialized installations. Projected costs also reflect in-kind donations of medical equipment, parts and supplies both large and small impacting all areas of the surgery center and every function.


Financial support and in-kind contributions are necessary to sustain on-going operations of the surgery center. Donations from private individuals, grants, partner institutions, music industry events, annual benefits and funding campaigns will support The Moore Center. Recognition is available to organizations and individuals making significant and generous contributions. Donors will be acknowledged at the facility through the Patrons Wall and at specific locations throughout the building.

Specialists from the United States and Guatemala continue to work together to properly equip, operate and sustain the facility. Your participation is greatly appreciated.


GUATEMALA – An Overview

Guatemala is a beautiful country decorated with mountain peaks, rivers, valleys, volcanoes, beaches, and jungles. The country and its people have survived decades of turmoil to now experience a time of hope and healing. With the help of people like you, the future for the children of Guatemala can be bright and full of possibilities.

Guatemala is located in Central America, bordered by Mexico, the Pacific Ocean, Belize, El Salvador, and Honduras. The country covers an area slightly smaller than Tennessee. It is located in the Central Time Zone. Several airlines including Delta Airlines, American Airlines, and Continental Airlines fly from the United States into a newly modernized airport in Guatemala City.

As for the weather, Guatemala maintains a tropical climate and is called the “Land of Eternal Spring.” Average year-round temperatures run 75 degrees Fahrenheit during the day and 50 to 60 degrees at night. June through October is the rainy season, while November through May sees the drier, most pleasant conditions.

Guatemala operates under a democratic constitutional government. President Otto Perez Molina began his presidency January 15, 2012, and will be president for 4 years. The vice president is Roxanna Baldetti.


Who shall separate us from the love of Christ? Shall tribulation, or distress, or persecution, or famine, or nakedness, or danger, or sword?

Romans 8:36

Guatemala Facts

Population: 13,002,206 (2008)

Comparative Size: Slightly smaller than Tennessee

Climate: Tropical; hot and humid in lowlands; cooler in highlands

GDP: $67.45 billion

GDP per capita: $5,400

Ethnic Groups: Mestizo (mixed Amerindian & Spanish/ called “Ladino”), European 59.4%, K’iche 9.1%, Kaqchikel 8.4%, Mam 7.9%, Q’eqchi 6.3%, other Mayan 8.6%

Religions: Roman Catholic, Protestant, Indigenous Mayan beliefs

Languages: Spanish 60% and Amerindian languages 40%

Major exports: Coffee, sugar, bananas, clothing, petroleum

Life expectancy at birth: 69.69 years

Independence: September 15, 1821 (from Spain)

Currency: quetzal; quetzales per US dollar average 8.15 in 2009


Prayer

PRAYER is the foundation of our ministry. Invite others to support and join you in

prayer for your trip and your team.

Pray that…

We will be equipped with every good thing to do

His work. (Heb. 13:20–21)

All spiritual, physical and financial needs will be

met. (Phil. 4:19)

We will be pleasing to Him in everything.

(I Thess. 2:4)

We will be united in spirit, looking out for one another with love.

(Phil. 2:2–4)

Our words will be full of grace and encouragement.

(Eph. 4:29)

There will be protection for us and our families.

(Psalm 91: 9–10)

We will be flexible and content in all circumstances.

(Phil. 4:12)

We will be filled with compassion, kindness, humility, and patience.

(Col. 3:12)

We will be completely useful to the Master.

(II Tim. 2:21)

We will be light to the nations, so His salvation may reach to the

ends of the earth.

(Is. 49:6)

My focused vision prayer/verse is:


My Prayer Partner, who will prayerfully journey with me in preparation before and

during the trip, is:

My Prayer Team:

Name: Email:

Name: Email:

Name: Email:

Name: Email:

Name: Email:

Name: Email:

Name: Email:

Prayer Requests


Cost of the Mission Trip

Approximately $1,500 (depending on airfare) per person + contributions for the construction.

You will only need money for personal purchases while there (gifts, souvenirs, etc.) and for meals and incidentals during travel to and from Guatemala.

The cost of your trip includes:

o Airline ticket

o Guatemala airport exit tax

o Ground transportation, including vans and fuel

o Lodging, including room and access to related facilities

o Meals

o Insurance

o Team building events

o Team manual

The team is also responsible for raising the funds which will pay for the costs of building a class room for the Las Conchas School. These funds will be raised by the team collectively. Raising funds for this purpose is not raising funds for you. Please feel confident in your efforts, knowing that the funds will be put to God’s service and will be used to help others in desperate need of assistance.

Please make all checks payable to The Shalom Foundation.

Online Donation pages:

http://theshalomfoundation.donorpages.com/Belmont2012

(Click “Become a Fundraiser” in the left column)

Team Blogs:

Team 1: http://www.theshalomfoundation.org/medical-mission/marchbelmontclinic

Team 2: http://www.theshalomfoundation.org/medical-mission/maybelmontclinic


http://www.theshalomfoundation.org/medical-mission/marchbelmontclinic

Guatemalan Mission Team Meetings

The pre-arranged, scheduled Team Meetings are a required part of your preparation process. These meeting provide an opportunity for you to meet the other individuals participating in this Mission Trip to Guatemala. Team members will come from other church congregations in the community as well as from inter-personal contact and encouragement from past missions trip participants, Shalom Foundation Board Members and Staff, Shalom Partners, many different “walks of life.”

Important information will be reviewed and shared with the group during each meeting. There will also be time for open discussion and time to answer questions each week. You should commit to attend every meeting.

Links:

www.TheShalomFoundation.org

www.Facebook.com/ShalomFoundation


http://www.Facebook.com/ShalomFoundation

http://www.TheShalomFoundation.org/

Recommended Planning Schedule

3 to 6 Months Prior:

Meet with your team, begin planning and praying together (please make this a priority).

Plan your financial needs for this trip. Be timely in turning in request for money. Ensure passport is ordered and updated. Make an appointment for your immunizations with The Global Clinic or your private

doctor Put all meeting dates on your personal calendar(s) PRAY

3 Months Prior:

Start reviewing your packing list. Locate your passport, or confirm process timeline. Begin preparing for activities in which you will be involved such as your fundraising

efforts. Think through materials, supplies and gifts you will want to bring. Prepare and send out support letters in order to obtain funds in a timely fashion. PRAY

1 Month Prior:

Complete immunizations and fundraising efforts. Assemble items on packing list. Obtain all materials and gifts to be packed. Remember weight limitations are strictly

enforced. Confirm finances for the trip. PRAY

1 Week Prior:

Pack luggage — remember flight restrictions are strictly enforced by airport staff. Attend the team packing party a couple of days before departure to pack group

supplies. Review this manual and ensure you have thought through all necessary preparations. Make sure you are eating well, getting rest, and exercising for optimum health. Have family and friends praying for you and the team. PRAY

Day of Departure:

Prepare for the unexpected! (Flights do not always run on time.) Be flexible! Allow yourself plenty of time so you arrive “on time” at the airport. This is very

important for your entire group. PRAY

Return:

Know what additional follow-up vaccinations you may need (Hepatitis A/B) usually within 6–12 months of return.

Share your journal, photos and stories with family, friends and supporters. Prepare for post-ministry letdown and reverse culture shock.


Team Support

There is something you should not leave home without – A SUPPORT TEAM. A support team is made up of those people who are committed to joining you in ministry through prayer, finances, and encouragement. Support “discovery” is the process of identifying these people around you. Those who support you need to see themselves as a part of the team.

In a team concept, everyone has a responsibility. In short-term missions, those who serve through giving and praying are just as important as those who serve by going and working. You should identify those people you need on your team and send them a support letter. In this letter, they should be made aware of the following information:

Where are you going and with which organization?

What will you do?

Why are you going?

What are your prayer needs?

What do you hope to learn?

How does this fit in with your life plans?

How much support do you need?

What is your support for (airfare, materials, etc.)?

Are gifts tax deductible?

Where is support sent?

Who should be the payee on the check?

All gifts and correspondence should be acknowledged promptly. To show your appreciation, a small gift from Guatemala would be appropriate – pictures, stamps, coins, or currency. A follow-up letter upon your return should be included with your gift.

Early into the meetings, the costs of the trip and fee due dates will be provided to all team members. Each team member is asked to turn in monies as soon as possible because reservations for lodging, airline tickets, and team materials must be purchased in advance to secure the most reasonable rates available and to accommodate our travel schedule.

We will discuss team support in more detail in the fundraising section of this manual.


Suggestions for Funding Your Trip

Biblical Principles:

A. Paul urged the church at Corinth to give financially. (II Cor. 8,9)B. Paul thanked the Philippians for their support of his ministry, knowing that

they would benefit by giving (Phil. 4:17) and that God would supply their needs according to His riches. (Phil. 4:19)

C. Jesus taught His followers to seek God and His kingdom first and material needs would be provided. (Matt 6:33)

D. God’s plan is to provide support for His work through Christians who give of their finances. (Matt. 10:20, III John 5-8)

What to Do:

A. Pray…ask God to provide. (I John 5:14–15)B. Be willing to use your personal finances, for yourself and others. Be sure you

have an eternal perspective. (Matt. 6:19–21)C. Realize many Christians would cheerfully contribute to your need because:

a. It is personal; they know where the money is going.b. They are eager to give to something that will accomplish results.

D. Make a list of every possible avenue of support, and take steps to make them aware of your need. You are not raising funds for yourself but to serve others, to bring the gospel to those who will hear.

a. Family b. Friendsc. Teachers/Administratorsd. Businessmene. Church Acquaintancesf. Community Leadersg. Employers

E. Contact them by phone, letter, appointment (or a combination of these).

What to Include in your Letter:

A. A personal greeting.B. How you are growing in your Christian life.C. Why you are writing – to ask them to prayerfully consider investing in your

summer and the lives of these people living in desperate conditions.D. What you expect to get out of the trip.E. The cost involved in the project ($1,400).F. A request to consider an amount (i.e., a range of $25, $50, or $100).G. Who they should make the check payable to: (with your name & “Guatemala”

on the memo line).H. Words of appreciation for considering your opportunity.I. A handwritten signature and/or note on your letter.J. See sample letter for further suggestions.


Follow Up:

A. Call people back in a timely fashion. Be positive, don’t put this off.B. For those who invest in your summer, send them a handwritten thank you

note in a timely manner. We also highly recommend sending a follow-up letter after the trip giving an account of what you did in Guatemala.


Sample Support Letter

(Date)

Dear _______________________________,

In __________ I will have the privilege of participating with a team of adults and students from my church and other local churches on a short-term mission trip to Guatemala. Guatemala has tremendous needs due to its poor economic and social conditions. We are partnering with The Shalom Church of Guatemala to help the local church members by __________________________________________.

I am very excited about this opportunity. Our team will be working with the Guatemalans, but we will also be working on building relationships. But as much as we are going to give our lives away to serve the Guatemalans, I know this trip will deeply impact me personally and I look forward to the growth I will experience as well.

Realizing that a trip of this type does not happen without the involvement of many people, I am asking you to consider how you might support us as we pursue what we feel God is leading us to do. There are two areas of need: prayer and financial. Prayer for unity and safety with our team, for us to be sensitive and obedient to God’s leading, and that God would change lives — ours and the people in Guatemala. You can help financially by contributing to help offset the costs of the trip and supplies. Will you please consider joining our support team?

If you wish to help, please detach and return the form below to me in the enclosed envelope by ______________. If you would like to write a check, please make your check payable to _____________________________________. Thank you so much for considering this.

Warmest regards,

_________________________________________(Your signature here)

□ Yes, I will commit to pray for you leading up to and during your trip to Guatemala.

□ Yes, I will make a financial contribution to your trip, as indicated below.

______$500 ______$250 ______$100 ______$50 ____________Other gift Name _________________________________ Address ____________________________________

E-mail _________________________________ Phone ______________________________________


Mission Trip Support Tracking Form

Your Name: ______________________________________________________

And my God will meet all your needs according to his glorious riches In Christ Jesus…

Philippians 4:19

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Culture Shock

Recognizing and coping with the differences between your culture and the culture of the host country can do much to lessen the stress of travel. Several ways to enhance your travel experience before leaving are to learn several words and phrases in the language of the host country, meet and talk to an individual from that country, or visit a worship/church service where they speak the language of the host country. Try to understand why you do things the way you do in your culture and why others do things differently in another culture. Be careful how you compare one culture to another. A desire to learn and understand not only helps you become informed and adjusted, but also communicates servant-hood to your host culture.

Tips for Communicating through a Translator

Speak to the audience, not the translator.

Speak slowly and clearly. Speak loud enough for the translator to hear and understand you. Use short simple sentences. Allow time for the translator to speak. Be conscious of the time factor. Remember, everything has to be

repeated. Avoid slang. Slang confuses the audience because it does not translate

well.


Cultural Research

The more you understand about the culture of Guatemala, the more effective you will be. It is possible to gain a great deal of understanding about Guatemala and begin adjusting yourself personally for entering that culture. As you research and study, look for ways to creatively impact your host culture with the message of Jesus Christ. Speak with nationals from the host culture, the Internet, libraries, travel brochures, and periodicals for your research. Creatively prepare a report for your team.

Religious Background: Study the religious beliefs of the people. How do these beliefs differ from Christianity? How devout are the people? What are creative ways to communicate the message of Jesus Christ to these people?

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Political Background: What is the primary political system of the culture? How long have they operated under this system? What would be the major differences in thinking politically from your home culture?

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Social Background: How is the social structure set up? Family? Male roles? Female roles? How do the sexes interact? Dating? How should your team adjust to honor their social structure? _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Geographic Background: What is the basic geography and climate of Guatemala? How does this climate affect the people? (For example: A hot culture often shuts down during the afternoon and has events late into the night.) What can your team expect to experience as a result of the geography and what adjustments will they need to make?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Historical Background: Research and historical overview. Has the country been war torn? Is it stable? Is there a strong world influence? How does the history affect the way the nationals view themselves? What, if any, recent changes have occurred?

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Economic Background: What drives the cultural economy? Industry? Agriculture? Tourism? What is the standard of living? Average income? What can your team expect of the culture’s living conditions?

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Cultural Background: Investigate the country’s cultural celebrations. Holidays? Arts, drama, music? Is their culture tied to the religious beliefs? How do they celebrate?

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Statistics and Other Facts: Population? Crowded living conditions? Racial mix? Etc.?

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Spiritual Development

Your initial motivation to go on a mission trip may be self-centered. Before leaving, you may have the thought that you are going to change the life of someone else – that they will be the recipients of your efforts. However, upon your return, you may realize that you were changed by the ones you went to help, or possibly, you both were changed. As stated earlier, “It is our prayer that God will challenge you spiritually and help you grow in your faith in Jesus Christ as a result of this trip.” Also, you will find the greatest rewards are in the relationships that are made on the trip. Most importantly, this includes a deepening relationship with Jesus Christ.

Journaling

It is recommended you take a pen and journal to record the events of your trip on a daily basis. If you keep a journal, you will find yourself referring to it for many years. Journaling is an important way for you to process what you are experiencing and learning on the trip, as well as revealing areas where you may need to experience spiritual growth and maturity.

You may want to begin your journal before you leave in order to record what God may be revealing to you. Once you’re on the trip, you will want to journal daily. Some of the information you want to include might be: (1) your relationship with God, (2) your relationship with others, (3) your impressions of the host culture, (4) special people, places, events, food, (5) what you are learning about yourself, (6) and what you are learning about “kingdom building.” Later on, your journal may help you realize that you did not understand all you had experienced on your trip. Allow God to use this journal as a tool to grow spiritually. This journal will help strengthen your witness to others about your relationship to Jesus Christ and what He means to you – how your faith in Him is growing and changing your life. (Journal pages are provided for you in the Appendix of this manual.)

NOTE: Team Blog will be at:Team 1: http://www.theshalomfoundation.org/medical-mission/marchbelmontclinic

Team 2: http://www.theshalomfoundation.org/medical-mission/maybelmontclinic


Health & Safety Tips

Before you leave, give copies of your passport and any credit cards you plan to use to a family member or trusted friend.

Several days prior to departure, begin drinking plenty of water. Guatemala City’s elevation of just less than 5,000 feet is significantly higher than Nashville’s elevation of 746 feet.

Once in Guatemala, drink only purified water; use only ice that has been made from purified water.

Your team’s leader will have a first aid kit; see him/her for first aid needs.

Do not eat ANY foods from street vendors. Eat only fruits that can be peeled. Take hand sanitizer and use it often. NEVER go anywhere alone; remain with the group AT ALL TIMES. Clean out your wallet. Take only necessary identification, credit cards,

or cash. It is advisable to purchase a special pouch or belt for the purpose of discretely carrying your valuable items.

If you don’t need it, don’t take it. We strongly suggest you leave all non-necessary valuables at

home, including ALL jewelry EXCEPT an inexpensive watch. You will be expected to be “on time” to all meetings and all

group functions. When possible, always ask permission before you take a picture of

someone: “¿Un photo, por favor?” While traveling in vehicles in-country, always wear your seatbelt.


Immunization Information

Required Shots and length recommended time between shots

Hepatitis A and Hepatitis B are good for 20 years once you have completed the series correctly.Tetanus is good for 10 yearsTyphoid is good for 2 years

Global Outreach ClinicBrentwood Baptist Church7777 Concord RoadBrentwood, TN

Schedule:

Clinic hours are between 6–8 p.m. with check in from 6–7 p.m.

Information at

http://www.globaloutreachclinic.org/1.0.12/

Notes: You must make a reservation to attend this clinic They prefer cash – if you pay with credit card a 5% surcharge will

be added Enter at door “B”. There will be signs directing you to our

location within the building.

Pricing:Hep A — $79.00 (2 shot series to be completed within 1 year.)Hep B — $55.00 (3 shot series to be completed within 6 months.)Twinrix (Combo A & B) — $118.00 (3 shot series to be completed within 6 months.)Tetanus (TDaP) — $55.00Typhoid — $66.00

For an important presentation on travel medicine, please visit:

http://www.slideshare.net/kevinmcquaig/travel-medicine-information


Shots, Etc.7648 Hwy 70 South at I 40 (exit 196) Suite 15Nashville, TN 37221(615) 469-7413

Office HoursMonday — Friday 9 a.m. to 5 p.m.Saturdays 10 a.m. to 2 p.m.

Pricing:Hep A — $80 per dose x 2 dosesHep B — $75.00 per dose x 3 dosesTwinrix (Combo A & B) — $125 per dose x 3 dosesTetanus (TDaP) — $65.00Typhoid — $80.00 injectable or $85.00 orale

Note: All of their services can be obtained on a walk-in basis, but you may want to call just to make sure they have all the vaccines. You may pay by cash, check, credit or debit card. They do not accept insurance but will give you a receipt that you can file on your own.

Vanderbilt Travel Clinic 1301 Medical Center Drive TVC Suite 2501 Nashville TN 37232 Phone: (615) 936-1174

Office Hours:Monday and Thursday 8 a.m. to 5:30 p.m.Wednesday and Friday 8 a.m. to 2:30 p.m.

Appointments Only

Hep A — $82 per dose x 2 dosesHep B — $77 per dose x 3 dosesCombo — $122 per dose x 3 dosesTetanus — $53 Typhoid — $77

Note: They do not accept insurance


Travel and Packing Tips

Travel light—you carry what you pack. Take only what you need.

Leave valuables at home. Clean out your wallet. Take only necessary legal photo identification, credit cards or cash. If you plan to bring your cell phone with you, check with your cellular phone carrier well in advance regarding international phone service and equipment requirements. Your cell phone will not complete calls in Guatemala without the proper service options which are often free or inexpensive while other systems may be more costly.

Pack a carry-on bag for necessities and a change of clothes, prescription medications. Consider sharing a carry-on bag with a teammate. Be aware of current Transportation Security policies.

Each piece of luggage should have a highly visible tag for easy identification. Do not leave team luggage unattended.

Remember your manners when traveling—be courteous and considerate of those around you. Remain as a group. Team leadership does not need to organize any search parties.

Know where you are supposed to be, what time, and be there. Consider taking clothes and shoes you can give away. The nationals

can use the clothing, and you can gain space to bring back souvenirs. Put a copy of your passport in each piece of your luggage and leave a

copy at home with a family member or friend. We will provide airline baggage restrictions when tickets are booked.

One of your checked bags will be for team supplies and donated items for the mission.


Packing List

GENERAL CLOTHING

ID/Passport/Copies of passport Pants/JeansBible Long or short-sleeved shirtsNotebook/Journal T-shirtsPen/Pencil Skirts (below the knee)Cash/Credit card Work shoesSnacks Other comfortable shoesWash Cloths/Bath rug ScrubsSoap BeltInsect Repellant Jacket or fleeceSunscreen SleepwearSunglasses SocksCamera/Film/BatteriesAlarm Clock PERSONALExtra Mirror Pain RelieverFlashlight Pepto-BismolWater bottle Contacts/GlassesSmall extension cord Toilet paper rollHand sanitizer Small pack KleenexBaby wipes Personal hygiene itemsDeck of playing cards Personal medicationsDevotional book VitaminsCell phone and charger Lotion


Saying Goodbye

Value the moment. Tell your new friends goodbye. You may or may not ever see them again.

Leave a picture or small gift as a token of friendship. This would be better if done in a private setting.

Hugs and words of appreciation are expressions you will not regret. You have probably made some close friends, and it will be appropriate to give a goodbye hug.

Don’t make promises you can’t keep. Don’t get so emotional that your words become “intentions,” and you fail to fulfill your promises.

Reverse Culture Shock

The person that returns from a mission trip is not the same person who left earlier. When you come home, you will feel like you have returned to a different country. You will be experiencing reverse culture shock. Some suggestions for helping to cope with what you are experiencing are: 1) express your feelings to a person who has been through the re-entry process as well as your team mates, 2) talk with team leadership or a pastor that can help sort out your emotions, and 3) read through your journal. There may be information that you recorded that will help you readjust to your home culture. Plan to attend any discussion activities or “reunions” of the team members with whom you traveled. This communication process may help you share your experiences with others with joy, peace, and hope. Your work will have blessed many lives and many families.


Missions Trips without “Guilt Trips”

Imagine that you’re on a celebrity’s luxury boat, cruising through the warm turquoise waters off the coast of Palm Beach – only days after serving and weeping over the poorest of the poor in Mexico. How could you allow yourself to indulge in such a frivolous activity knowing that a village could be fed for a week on just the cost of fuel for this two-hour jaunt? That nagging question hung over me like a cloud that even the swiftest boat couldn’t outrun.

I had recently returned home to Palm Beach County, Florida, from Reynosa, Mexico, where our church team had worked with people who lived in shanties built over the town’s abandoned landfill. Children with rawhide feet ran without concern over shards of glass and metal that worked their way to the packed-dirt surface. I drank purified, bottled water while toddlers mouthed the solitary, rusty spigot.

Now I was having great difficulty reconciling myself to my affluent surroundings. As our cruiser left the inlet for the open sea, I thought of those delightful, dusty children who would never lay eyes on an ocean. My conscience roared louder than the dual inboard motors.

Like me, you may have participated in a short-term mission project that exposed you to disturbing conditions and underprivileged people. Then what? What are you supposed to do when you return from the land of scarcity to the land of plenty? How are you supposed to feel?

Got Guilt?

Many missions veterans report experiencing reverse culture shock when they return to their home country. After adjusting to a foreign (often impoverished) culture that likely is more relationship-driven and less frantic than their own, participants are thrust back into a culture of excess that wastes much and seems grateful for little, a commercial world enslaved to clocks and cell phones.

Some returnees become severe social critics who attack all that seems wrong with their homeland. Others struggle to find meaning in their daily work. Ron is an architect who recently returned from a project in Romania. “After experiences that seemed weighty with eternal significance,” he said, “it was hard to come back and get excited about calculating the measurements of an elevator shaft.” Many returnees simply feel confused as they try to reconcile opposing worlds.


I had my first missions experience as a 14-year-old when I went to Haiti with my church youth group during Christmas break. We were a typical noisy throng of teens when we boarded the bus at the Port-au-Prince airport. Minutes later we grew silent as we drove through the city streets. The sights and smells of abject poverty opened our eyes wide and clamped our mouths shut.

During that trip, I experienced a hybrid of compassion and guilt. Days earlier I had been a gift-greedy teen enveloped in the abundance of an American Christmas; the lingering holiday memories only accentuated my guilt. I could almost imagine myself back home ripping into my pile of Christmas packages while homeless and disabled Haitian street children peered in through the living room window. I remember feeling as if I needed to apologize for my decent clothes and good health, for having my own room in an actual house. I almost wanted to blurt out, “I’m sorry for being born in the United States. I couldn’t help it!”

Fifteen years later, I again found myself ambushed by guilt and feeling apologetic. However, with a friend’s help, I learned that such guilt is counterproductive. Rather than impressing God as an admirable form of humility, it only robbed me of joy and kept me in bondage. Feeling guilty for enjoying an elegant anniversary dinner with my wife, a round of golf with a friend, or a spectacular morning on the water did nothing to honor God – or improve the plight of the children in Mexico. Instead of guilt, my friend helped me discover healthier, more productive responses that can bring peace, honor God, and genuinely help others.

Giving Thanks

The first response is deep gratitude. The disparity between the world we visited and the world we live in should provoke a profound recognition of our undeserved blessings. Moses warned the Israelites:

You may say to yourself, “My power and the strength of my hands have produced this wealth for me.” But remember the Lord your God, for it is he who gives you the ability to produce wealth. (Deut. 8:17–18)

Gratitude acknowledges that we did not earn our geography or parentage. After all, did you or I strategically orchestrate our births to dodge delivery into impoverished regions where famine, disease, and perpetual danger are the inheritance? We simply received the advantages we were born to. Everything that we enjoy is a lavish gift from God, as undeserved as our salvation. Gratitude recognizes and throws its arms around this grace.


Instead of giving in to unfruitful guilt, thank God for what you enjoy and perhaps take for granted: a stable government, constitutional liberties, medical care, your comfortable home, clean water, leisure, and entertainment.


Giving Resources

Second, I realized that genuine gratitude leads to generosity. As recipients of undeserved blessings, we are to be good stewards. And stewards are generous – not guilt-ridden.

Many years ago, Calvin Miller spoke at a conference I was attending and asked me for a ride to a nearby store. As I opened the passenger door of my old Toyota Corolla, Miller patted the faded roof and chuckled, “You must give a lot of money to missions.”

Truth be told, apart from a meager year-end check to my denomination’s fund, missions giving was far from my mind.

The Reynosa experience attuned me to hear God’s heartbeat for the world. Now my wife and I discuss our monthly contribution to missions at the beginning of each year and decide how to make adjustments and sacrifices to free up that amount.

Does that mean we shun lattes, boycott entertainment, and ride mopeds to work? No. The point is not to become pleasure-shunning misers, but to be willing to make changes that release valuable resources for others in need. We are becoming deliberate spenders who desire to see our money flow toward what we value.

At times, missions giving may be short-circuited by the reasoning: “What difference will my small contribution make in the face of such a huge need?” True, your donation is unlikely to feed an overpopulated refugee camp, but it will make a difference to someone.

The Apostle Paul praised the Macedonian churches for their exceptional generosity toward a distant church:

We want you to know about the grace that God has given the Macedonian churches. Out of the most severe trial, their overflowing joy and their extreme poverty welled up in rich generosity…Entirely on their own, they urgently pleaded with us for the privilege of sharing in this service to the saints. (II Cor. 8:1–4, emphasis mine)

Like the Macedonians, let your generosity flow from a grateful heart, one that freely tastes and delights in God’s blessings and invites others to do the same.

Giving Yourself


In addition to being generous with our resources, we can be generous with ourselves. Rather than being immobilized by false guilt, we can mobilize ourselves for additional missions projects as opportunity and resources allow. The reason for going is not to assuage guilt (I’ll feel okay about buying this big screen TV if I go on that mission trip this summer) but to express God’s love through the generous offering of ourselves. On our Mexico trip, a village woman asked one of the team leaders which government agency was paying us to build her a home. Bob told her that our team members had each taken a week of vacation and paid $700 for the chance to smash our thumbs with hammers. As the woman silently watched the sweaty crew of strangers pounding her new roof into place, I wasn’t sure if she doubted Bob’s explanation or was trying to comprehend it. “We are all Christians,” he continued, “and we’ve come to show you God’s love.”

When the woman turned back to Bob, her eyes were moist. “Gracias,” she whispered. Later at the home dedication service, she invited Christ to take up residence in her heart.

Going doesn’t always mean traveling to another country; there are local opportunities too. The single adults in our church regularly serve breakfast at a soup kitchen, volunteer during the Special Olympics, and visit nursing homes. The possibilities are as limitless as the needs.

While local needs and people should not be ignored, do not fall for the oft-repeated grumble: “I don’t know why we spend so much to go overseas when we’ve got people who need Jesus right here in our own backyard.” Jesus said to His disciples, “You will be my witnesses in Jerusalem, and in all Judea and Samaria, and to the ends of the earth” (Acts1:8). Christ’s commission to the church draws a set of enlarging circles: Jerusalem, Judea, Samaria, and the ends of the earth.

Go across the street, and go across an ocean. Go where they speak your language, and then go where they don’t. Be willing to work in the inner city for a day and have your heart stirred, and be willing to work for a week in a distant village and have your heart broken. If your heart stretches in grief, don’t worry. A heart enlarged by grief also has a greater capacity for joy.

So when you return from your mission experience, cancel your reservations for a guilt trip. Instead, live in a spirit of gratitude, liberally sow seeds of generosity, and keep your luggage handy.

(Discipleship Journal – Issue #135 May/June 2003)Reprinted by permission from Ramon Presson.


JOURNAL


Checklist for Mission Trip

Pre-trip planning:

Immunizations are up-to-date

Hepatitis A & B

Typhoid

Tetanus

Read team manual

Made passport copies — left copy with a family member or friend, one copy for each suitcase, one copy to carry

Left a copy of emergency phone list and itinerary with family member or friend

Made adjustments to cell phone service — if you want international calling

Filled prescriptions

Purchased Imodium and other needed over-the-counter meds

Recruited someone for airport drop-off, pick-up

Purchased hand sanitizer

Packing Day/Night:

Put prescription drugs in my carry on luggage — containers must be clearly labeled with your name or the drugs are at risk for confiscation. Over-the-counter meds should also be packed in carry not check luggage.

Packed a light jacket and poncho or other rain gear

Cleaned out purse and wallet — taking only essentials

Weighed luggage to make sure it is less than 50 lbs — you will be responsible for any over the weight limit fees on your personal luggage.

Taken unapproved items out of my carry on luggage including: over-sized liquids, nail clipper, files, etc…

Packed a good pair of sturdy work boots.


Tips for Travel

Arrive at the airport two hours before scheduled flight departure.

International Flight gates sometimes change from the published itinerary gate. Be sure to check the monitor as you depart your arriving flight to make sure you are headed to the correct gate/terminal.

Keep your team manual with you on the airplane so that you will have the Nazarene Center address and other information that you will need to complete your customs information. Select tourist as your reason for travel on this form.

There are carts in the Guatemala airport to help transport your bags. If a porter approaches and asks to help just say, “No thanks.”

Never walk around alone.

Only drink bottled water. Use bottled water to brush your teeth.

When you arrive back at the US airport on the return flight, you will have to retrieve your luggage and take it through customs. Once you have cleared customs, you can recheck your bags.

When in doubt on the food in Guatemala “don’t.” Avoid lettuce and mayonnaise based sauces.

If you start to feel woozy, immediately start taking your cipro if you have it. Better safe than sorry.

Bring a bottle of hand sanitizer and use it frequently.

Bring old cloths that you can leave behind to donate.

The Shalom Foundation loves to get pictures from team members, so please take lots and share with us so we can let our supporters know the great work you are doing.

Please be punctual in the mornings. It is important for the team to get started on time.

Be flexible! Changes in the schedule may need to be made.

Always wear your seat belt when traveling in Guatemala.

* Female only* If you could possibly need feminine hygiene products, be sure to take them. They are hard to get in Guatemala; and if you find them, they will not be of the same quality as here.


Useful Spanish Words and Phrases

Pleasantriesplease Por favorthank you Graciasthank you very much Muchas graciasyou’re welcome De nadano problem No hay de queI’m sorry Lo siento

Hello and Goodbye / Hola y AdiósGood morning Buenos diasGood afternoon Buenas tardesGood evening Buenas nochesHello HolaGoodbye AdiósSee you tomorrow Hasta mañanaHave a nice day Que pase buen dia

Health / SaludHow are you feeling? ¿Cómo se siente?I don’t feel well. No me siento bien.I feel well. Me siento bien.I feel better. Me siento mejor.I feel worse. Me siento peor.It hurts. Me duele.Pain El dolorWeak DébilThe surgery is finished. La cirugía se

terminaYour child will be well. Su niño será bien.Surgery was successful.

La cirugía tuvo éxito

The Body / El Cuerpo

Brain la cerebroNeck el cuelloShoulder la espaldaArm el brazoHand la manoWaist la cinturaChest el pechoThigh el musloKnee la rodilla


Introduction / IntroducionWhat’s your name? ¿Cómo se llama?My name is . . . Me llamo . . .Pleased to meet you. Mucho gusto.I’d like you to meet . . . Querria

presentarie a . .

This is . . . La presento a . . .Where are you from? ¿De dónde es

usted?I’m from . . . Soy de . . .How are you doing? ¿Cómo está

usted?I’m (very) well. Estoy (mui) bien.I’m (very) bad Estoy (mui) mal.I’m so-so. Estoy asi-asi.Miss SeñoritaMr./Sir SeñorMrs./Ma’am Señora

doctor el mediconurse el enfermeroheight la alturaweight el pesopulse el pulsoblood pressure la tension arterialmedicine (drug) la medicinabandage el verdajea pill una pildorawound la heridascar la cicatriz

heart el corazónstomach el estómagobelly la barrigahip la caderaskin la pielbone el huesoblood la sangreskull el craneolung el pulmon


Medical Preparations

VISIT YOUR DOCTOR

No one wants to miss or postpone a trip, but there are times when staying home might be best for health reasons. First, evaluate your health or the health of those traveling with you by using the guide below. Then, talk to your doctor.

The best time to see the doctor is at least 4–6 weeks before your trip. Discuss with your doctor where you are traveling, length of trip, and other personal matters such as age, medical and vaccine history, and current medical state.

According to CDC guidelines, volunteers who have had stomach, brain, eye, or orthopedic surgery, recent heart attack or stroke, and pregnant women passed 36 weeks should not travel by air.

The Shalom Foundation recommends all volunteers to get a physical exam by their primary doctor or travel clinic before departure. However, volunteers with blood disorders like anemia, heart and lung diseases, and pregnancy are particularly encouraged. Traveling while you are sick may put your health at risk or put others around you at risk for getting sick.

TN Public Health Departmento http://health.state.tn.us/CEDS/immunization.htm o 615-741-3111

Private Travel Clinicso American Society of Tropical Medicine and Hygiene (ASTMH)

http://www.astmh.org/source/ClinicalDirectory o 847-480-9592

VACCINATIONS

5 Required Vaccinations

1. Hepatitis A2. Hepatitis B3. Typhoid4. Tetanus5. Up-date routine shots

o measles/mumps/rubella (MMR) vaccineo diphtheria/pertussis/tetanus (DPT) vaccineo poliovirus vaccine

To date, NONE of the Shalom Foundation sites in Guatemala are associated with malaria. Therefore, anti-malaria medication and malaria vaccines are NOT recommended. To have the most benefit, the CDC recommends


http://www.astmh.org/source/ClinicalDirectory

http://www.astmh.org/source/ClinicalDirectory/

http://health.state.tn.us/CEDS/immunization.htm

vaccinations 4 to 6 weeks before the trip to allow vaccines time to work. Visit your doctor or a travel medicine clinic to determine your individual needs based on your health history and immunization history.

It is best to eat something before you arrive to receive your shots. Take your yellow card (immunization record) with you if you have one. Most places prefer cash or check. Although not required, individuals may want to make an appointment before-hand to allow the clinics time to order the needed vaccines. Appointments may also be helpful since Hepatitis A and Hepatitis B may require multiple visits. However, if you are using the Global Outreach Clinic, contact and scheduling should be made via the Team Coordinator and not by individual volunteers.

Resources:

Davidson County Residentso Lentz Public Health Departmento http://health.state.tn.us/CEDS/immunization.htm

615-741-3111 Nashville Residents Outside Davidson County

o Global Outreach Clinic [email protected] 615-791-0289

Studentso Contact your University Health Clinic on campus

MEDICATIONS / FIRST-AID & SAFETY

NOTE: You should try to purchase all your medicines before travel. Drugs purchased overseas may not be manufactured according to United States standards and may not be effective. They also may be dangerous, contain counterfeit medications or contaminants, or be combinations of drugs that are not safe to use.

Prescription medicines Pack your prescription medications in your carry-on luggage. Pack copies of all prescriptions, including the generic names for

medications. Pack a note on letterhead stationery from the prescribing physician

for all controlled substances and injectable medications. Leave a copy of your prescriptions at home with a friend or relative.

Over-the-counter medicines o Anti-diarrheal and anti-nausea medication, antihistamines, and

decongestantso Medicine for pain or fever (such as acetaminophen, aspirin, or

ibuprofen), antacids, and hydrocortisone cream


mailto:[email protected]

http://health.state.tn.us/CEDS/immunization.htm

First-aid supplies o Basic first-aid items (bandages, gauze, ace bandage, Neosporin,

antiseptic, cotton-tipped applicators)o Moleskin for blisters, Aloe gel for sunburnso Digital thermometer

“Travel Pack” medicines – recommended by the Global Outreach Clinic

o Ciporfaloxacin 500mg #10 – take one tablet 2 times a day at onset of diarrhea

o Ondansetron 4mg ODT #6 – dissolve 1 to 2 tablets on tongue every 4 hours as needed for nausea/vomiting

o Imodium 2mgo Pepto-Bismol tablets

Items that may be useful in certain circumstanceso Sleep aidso Bengay or Epsom salt for crampingo Meclizine or Scopolamine to prevent altitude sickness

Technical & Legal Information with Medications o If taking controlled substances (pain medicines, anxiety

medicines, muscle relaxants) on the trip, it should be accompanied with letterhead stationery from prescribing physician. Other precautions may apply.

o Check for updates on permitted and prohibited items, including medicines that you are and are not allowed to be carried onto an airplane. Remember, Customs has fluid restrictions (in ounces) per passenger.

Transportation Security Administration http://www.tsa.gov/index.shtm or 1-866-289-9673 (optional)

o Check to make sure that your medicines will be allowed into the country you are visiting. Some countries do not let visitors bring certain medicines into the country.

Customs and Import Restrictions http://www.cbp.gov/xp/cgov/travel/vacation/kbyg.

Foreign Embassy on Country Specific Information. http://www.state.gov/s/cpr/rls/dpl/32122.htm.

DIET AND EXERCISE BEFORE TRAVEL

Participants should begin warm-up and stretching exercises a couple of weeks before the trip if they do not exercise on a regular basis.

Several days prior to departure, begin drinking plenty of water. Guatemala City’s elevation of just less than 5,000 feet is significantly higher than Nashville’s elevation of 746 feet.


http://www.state.gov/s/cpr/rls/dpl/32122.htm

http://www.cbp.gov/xp/cgov/travel/vacation/kbyg/

http://travel.state.gov/travel/tips/tips_1232.html#customs

http://www.tsa.gov/index.shtm

http://www.tsa.gov/index.shtm

Doing little things like stretch exercises and drinking water can help your body transition much easier and prepare your body for the trip.


OVERALL HEALTH

Sunscreen o Use sunscreen with both UVA and UVB protection.

Eyeso Sunglasseso Eye lubricant (optional for some volunteers)

Insect Repellent o Repellents that have 30% – 50% DEET (N,N-diethyl-m-

toluamide) are recommended for adults. If the repellent has less than 25% DEET, it may not protect you as long, so be sure to reapply more often.

-or-o Repellents that have up to 15% Picaridin are also available.

This type of repellent should be reapplied often to protect you. Clothing

o Clothing should be appropriate for working conditions. Medical missions trips

Scrubs and tennis shoes Labor-intensive missions trips

Comfortable and loose clothes are preferred. Clothes should also be light and non-heavy due to heat and altitude. Suggest clothes: boots, tennis shoes, t-shirts, sweat pants, baseball caps, straw hats, and thick socks. Protective gear should also be worn (and will be provided by the Shalom Foundation).

Medical and Labor-intensive missions tripRelative humidity is 82%. Average annual temperature is 66 to 72o. Most of our volunteers are not accustomed to the high altitudes and humidity. Please dress accordingly.

Reference: Instituto Nacional de Sismología, Vulcanología, Meteorología e Hidrología. Climate data for Guatemala City- La Aurora Airport- 2010.

Food and Watero Wash your hands often with soap and water, especially before

eating and after you use the bathroom. If soap and water are not available, use an alcohol-based hand gel (with at least 60% alcohol).

o Drink only bottled or drinks in cans or bottles. Avoid tap water, fountain drinks, and ice cubes.

o Avoid raw vegetables, salads or fruits. Only eat cooked and prepared foods.

o Note: If any questions or concerns arise ask your group leader. The Shalom Foundation will provide bottle water and alcohol-based hand gels for volunteers.


Safetyo Always wear a seatbelt when traveling.o Avoid animal bites by not handling or petting animals, especially

dogs and cats. If you are bitten or scratched, wash the wound immediately with soap and water and seek medical attention to determine if medication or anti-rabies vaccine is needed.

PLAN AHEAD FOR ILLNESS OR INJURIES

Although incidents usually do not occur, the Shalom Foundation plans ahead for illness and injury to protect all participants.

Vanderbilt has its own policy and is free to all employees and students. However, it must be activated. Please contact your team coordinator for more details.

The Shalom Foundation covers all Non-Vanderbilt employees and Non-Vanderbilt students with Medical evacuation insurance. The cost is already included in the cost of your trip. Please see Protect Assist Gold Travel Insurance Pamphlet included in your folder for more details.

The Medical evacuation insurance, whether through Shalom or Vanderbilt, will cover the cost of transporting you to other parts of a country or outside the country if you are seriously ill or injured. In the event you need medical assistance, be prepared to pay out of pocket at the time you receive any medical services while traveling. You will be reimbursed.

KNOW WHAT TO DO IF YOU BECOME SICK OR INJURED

See a doctor right away if you have:

Diarrhea AND high fever (102oF)

Vomiting that does not go away (other than motion sickness)

Bitten or scratched by animal

Sudden bruising or bleeding without previous injury

Severe headache with or without confusion

High grade fever (102oF)

Skin rash Serious injury Shortness of breath

Cough that will not go away

Diarrhea that will not go away

Bloody diarrhea

Difficulty breathing

Table 1. Signs and Symptoms of Illness during Travel.

Being prepared for Illness Before and During Travel will put you ahead of the game in terms of your health. It is always a good idea to know beforehand the signs and symptoms of illness. This will prepare you to recognize these


symptoms so that you can take action quickly while on your trip. In general, any new and sudden changes in your body that have not decreased or stopped within 2 days needs to be checked out by a healthcare professional.


TRAVELER’S DIARRHEA

Most traveler’s diarrhea is caused by contaminated foods and water (See Food & Water). Traveler’s diarrhea is usually self-limiting, but dehydration can occur early. That’s why rehydration, rest, and medication can reduce worsening symptoms and hospitalization.

o Avoidance is the best tool of prevention. Only eat fruits and vegetables that can be peeled Do not eat local salads, etc. — only foods that are cooked Do not drink the local water

o If diarrhea should occur, the volunteer should get rest, fluids, and medicine

Rest. Traveler’s diarrhea is not contagious, but one should get rest to allow your body time to heal and fight off infection. The sooner one heals, the sooner you can get back to enjoying your trip. Most people remain sick 1 to 2 days when rested.

Fluids. Drink plenty of Gatorade or water. Medications. If needed, Imodium (Loperamide) is the drug of

choice for traveler’s diarrhea. It should be given as 4mg after first loose stool followed by 2mg after each subsequent loose stool. Up to 8mg/day. Constipation and drowsiness are common side effects. If diarrhea lasts more than 48 hours, consult a doctor. Do not take if diarrhea is bloody.

TRAVELER REGISTRATION EMERGENCY CONTACT AND ITINERARY INFORMATION (OPTIONAL)

Several airlines have registration processes that allow travelers to provide their contact information, emergency contact/next-of-kin information, and travel itinerary information in case on an emergency (Optional).

Before you leave, please give copies of your passport to a family member or trusted friend. Contact your credit card company to alert them that you will be using this card in Guatemala so that your card is not suspended due to potential fraud concerns.

Resources:

U.S. Department of State’s Travel Registration site or visit http://wwwnc.cdc.gov/travel/page/register-contact-info.htm


http://wwwnc.cdc.gov/travel/page/register-contact-info.htm

https://travelregistration.state.gov/ibrs/ui/

CHECKLIST / TO-DO LIST

8 weeks +o Passport

4–6 weekso Vaccinationso Doctor’s visito Medical Evacuation Insurance if not purchased through Shalom

Foundation 2–4 weeks

o Maintenance Prescription Medications: May need to contact doctor’s office for a refill if the amount

of medication is getting low and will not last through the trip May need to contact health insurance company (# on back

of card) if early refill authorization is required.o Make copies of passport to give to family member or trusted

friend. Contact your credit card company if needed. 1 week: Packing

o Sunglasseso Sunscreeno Light-weight clothes and/or Scrubso Boots and Tennis shoes & sockso Medicines (Prescription and/or OTC)o Insect Repellento Hat or capo Hygiene supplieso Underclothes and pajamaso Passporto Medical insurance card (if applicable)o Spending money


Team Manual - Belmont and Vol State March 2012

Education

Transcript of Team Manual - Belmont and Vol State March 2012