Review your health

Get plenty of sleep.

Do not travel if you are sick

Jyoshna Bagde & Maryflora Samuel

Clinical site Monitors,

Regional Clinical Operations, BMS (India)

Hello, I am Mr. Travy

• Understand & become familiar with Food borne diseases

• Learn, take food and water precautions. • Things to carry while travelling

‘any illness resulting from consumption of contaminated food’

Food Infection Food Intoxication

Presence of bacteria or other

microbes which infect the body

after consumption

Ingestion of toxins contained within the food, including bacterially produced exotoxins, which can happen even when the microbe that produced the toxin is no longer present or able to cause infection

Who contaminates food..? Mostly: pathogenic bacteria, viruses, prions or parasites Rarely: chemical or natural toxins (poisonous mushrooms or reef fish ), pesticides or medicines in food

Bacterial Pathogens Illness/ Symptoms

Campylobacter jejuni ( rarely life threatening)

Clostridium perfringens

Salmonella spp (zoonotic infections)

Escherichia coli O157:H7

Contaminated water, unpasteurized milk, poultry meat, household pets

poorly prepared meat and poultry

Unclean food particularly in Institutional kitchens/ restaurants,excrements, polluted water, eggs, cattleundercooked, contaminated ground beef, drinking unpasteurized milk, swimming in or drinking contaminated water, and eating contaminated vegetables.

Gastroenteritis, Peridontitis, less than 1 in 1000 cases- Guillain-Barre’ syndrome

abdominal cramping and diarrhea, Gas gangrene

Diarrhea, Salmonellosis, Typhoid Fever, paratyphoid fever

Bloody diarrhea,no fever and occasionally - sudden kidney failure. Other strains: gastroenteritis, UTI and peritonitis

Source of Infection

Viruses: Vibrio and Hepatitis

Malaria,

Diarrhea,

Leishmaniasis,

Rabies

Dengue

M. Meningitis,

Tuberculosis,

Leptospirosis

Cysticercosis, or neurocysticercosis

Immunizations to Consider for Adult Travelers

RoutineDiphtheriaTetanusPertussisMeaslesMumpsRubellaVaricellaPneumococcusInfluenza

Travel relatedHepatitis AHepatitis BTyphoidRabiesMeningococcal diseasePolioJapanese encephalitisYellow Fever

MMR

DPT

1. Food from street vendors, dingy restaurants and the ones that are empty. X

2. Improperly cooked food (usually contaminated with dust) X

3. Warm Food X (Danger Zone)

4. Food left sitting (may attract flies and cause major health hazards) X

5. Junk foods like burgers, chowmein, chips, samosas, cold drinks X

6. Salads, raw vegetables and unpasteurized dairy products X

7. Ice X

8. Foods like omelets sandwiches sold by vendors on buses/trains X

9. Sauces, soufflés, prawns, cocktails and mousses X ..cont

Avoid:

10.Fresh fruit juices from the roadside juice stalls. Go for branded packed juices or unpeeled fruits (wash them before you eat) X

11. Un-cooked meat like salami and ham cold cuts X

12. Food which contains a lot of food coloring or MSG – check with the wait staff about Chinese food and soups in particular X

Carry packed, healthy dry meals

..contd

http://foodsafetyindia.nic.in/

by Directorate General of Health Services, Ministry of Health and Family Welfare

1. Drink only bottled mineral water.

2. If mineral water is not available, ask for boiled water

3. Do not drink beverages with ice.

4. Never ever drink water from roadside vendors, water sold in polythene bags, tap water, at restaurants and other public places.

5. Beware of cheap fake bottled water. Make sure to check that the seal of the bottle is intact.

6. Also, see if there is anything floating in it before buying.

• Air Travel

• Sun Protection

Extreme Heat and Cold (dehydration, heat stroke, hypothermia, frostbite

•Please consult your GP before you

travel •Get a list of travel medicines•Check expiry dates

First-aidFirst aid quick reference card Basic first-aid items (bandages, gauze, ace bandage, antiseptic, tweezers, scissors, cotton-tipped applicators) Moleskin for blisters Aloe gel for sunburns Oral rehydration solution packets

Over-the-counter medicines Anti-diarrheal medication (for example, bismuth subsalicylate, loperamide) Antihistamine Decongestant, alone or in combination with antihistamine Anti-motion sickness medication Medicine for pain or fever (such as acetaminophen, aspirin, or ibuprofen) Mild laxative Cough suppressant/expectorant Cough drops Antacid Antifungal and antibacterial ointments or creams 1% hydrocortisone cream

Prescription MedicinesPack your prescription medications in your carry-on luggage. Pack copies of all prescriptions, including the generic names for medications. Extra pair of glassesLeave a copy of your prescriptions at home with a friend or relative.

Most important thing you can do to keep from getting sick !

Correct way to wash hands

1. Wet your hands with warm water, Apply soap.2. Rub hands together and scrub really well.3. Be sure to get under fingernails and in between

fingers.4. Scrub for about 10-15 seconds5. Rinse hands of soap & Dry hands well with a clean

paper towel or cloth.6. Turn off faucet with paper towel.

Correct way to use Hand Sanitizer

• Cover your mouth and nose with a tissue when you cough or sneeze, put used tissue in the trash.

• If you don't have a tissue, cough or sneeze into your upper sleeve, not your hands

• Wash your hands often with soap and running water, especially after coughing or sneezing

• Avoid close contact with sick people

• In case of nasty sunburn, visit the nearest clinic and get yourself treated.

• Do not roam around barefoot as it might give you fungal and parasitic infection. If you do, make sure you wash your feet thoroughly with clean water and soap and dry them quickly.

General Reminders….

Food safety is currently one of WHO's top ten priorities !!

Sources and for further information…

1. http://www.foodborneillness.com/food_poisoning_faq

2. http://www.foodsafetynews.com/

3. http://wwwnc.cdc.gov/travel/content/health-during-trip.aspx

4. http://www.webhealthcentre.com/HealthyLiving/first_aid_kits.aspx

5. http://healthy-india.org/#

6. http://en.wikipedia.org/wiki/Foodborne_illness

X

Thank you and Good bye !!!