{"id":11377,"date":"2017-05-22T09:00:00","date_gmt":"2017-05-22T09:00:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2017\/05\/22\/tips-for-staying-healthy-when-traveling-abroad\/"},"modified":"2017-05-22T09:00:00","modified_gmt":"2017-05-22T09:00:00","slug":"tips-for-staying-healthy-when-traveling-abroad","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/tips-for-staying-healthy-when-traveling-abroad\/","title":{"rendered":"Tips For Staying Healthy When Traveling Abroad"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/05\/22\/528802722\/tips-for-staying-healthy-when-traveling-abroad?utm_medium=RSS&amp;utm_campaign=healthcare\">Michaeleen Doucleff<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/05\/22\/528802722\/tips-for-staying-healthy-when-traveling-abroad?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/05\/19\/pepto-3_custom-50197e1e266d53c9e3d6804ab00b0133d68c1afe-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/05\/19\/pepto-3_enl-016adae2097082936b9472b4f45212600f216222-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Heading someplace where you could get traveler&#8217;s diarrhea? Try packing some prophylactic pills containing bismuth subsalicylate, such as Pepto Bismol.<\/p>\n<p>                <b><\/p>\n<p>                    Meredith Rizzo\/NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Meredith Rizzo\/NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>When planning a summer trip abroad, it&#8217;s easy to think, &#8220;Oh, I&#8217;ll just hop over to a travel clinic, and they&#8217;ll tell me everything I need to know \u2014 and do \u2014 to keep from getting sick.&#8221;<\/p>\n<p>But that&#8217;s not always the case.<\/p>\n<p>A <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/annals.org\/aim\/article\/2626466\/missed-opportunities-measles-mumps-rubella-vaccination-among-departing-u-s\">study published<\/a> last week in the <em>Annals of Internal Medicin<\/em>e found that travel clinics missed giving the measles vaccine to about half of eligible travelers.<\/p>\n<p>For nearly a third of the missed cases, doctors or nurses simply didn&#8217;t offer the vaccine, even though measles is a problem in many parts of the world, including Western Europe and Mexico.<\/p>\n<p>&#8220;That&#8217;s very unfortunate,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/media\/spokesperson\/sme-bios\/Brunette.pdf\">Capt. Gary Burnett<\/a>, who leads the Traveler&#8217;s Health branch at the Centers for Disease Control and Prevention. &#8220;A traveler can be very easily exposed to measles around the world. That risk is very real.&#8221;<\/p>\n<p>With international travel, Burnette says it&#8217;s best to figure out what you need <em>before <\/em>you go to the clinic, and then discuss the items with your doctor.<\/p>\n<p>So, to kick off the summer travel season, we&#8217;re offering two tips that are often overlooked by clinicians.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p><strong>1. Pack the pink pills<\/strong><\/p>\n<p>Let&#8217;s start with what you&#8217;re most likely to suffer from while traveling: food poisoning. About a quarter of travelers will get gastrointestinal problems within the first two weeks of an international trip, studies have <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4764790\/#R5\">found<\/a>.<\/p>\n<p>The major advice clinics give is, &#8220;Watch what you eat.&#8221; The CDC even has an app to help you decide whether or not to put that raw cheese or carnitas into your mouth.<\/p>\n<p>The app is appropriately name &#8220;<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/wwwnc.cdc.gov\/travel\/page\/apps-about\">Can I Eat This<\/a>?&#8221;<\/p>\n<p>That strategy won&#8217;t hurt, but also might not help. Science just doesn&#8217;t back it up, says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.bioscience.utah.edu\/faculty\/leung\/\">Daniel Leung<\/a>, an infectious disease doctor at the University of Utah.<\/p>\n<p>&#8220;There have been only a few studies on the topic, and they&#8217;ve shown that dietary discretion does not seem to change the risk of getting traveler&#8217;s diarrhea,&#8221; Leung says. &#8220;Even people who are eating street food or aren&#8217;t being very careful may not be at higher risk.&#8221;<\/p>\n<p>But science does support another strategy; a prophylaxis that clinicians often overlook. We even missed it when we <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/goatsandsoda\/2015\/08\/06\/429356591\/can-you-protect-your-tummy-from-travelers-diarrhea\">reported<\/a> on this topic back in 2015.<\/p>\n<p><!-- END ID=\"RES529121287\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>It&#8217;s cheap, safe and &#8230; it&#8217;s a beautiful pink color.<\/p>\n<p>Yep, I&#8217;m talking about Pepto Bismol, or any generic alternative with the same active ingredient, <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a607040.html\">bismuth subsalicylate.<\/a><\/p>\n<p>Back in 1987, a <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/364949\">study<\/a> found that two tablets of Pepto Bismol tablets, taken four times a day, cut the risk of traveler&#8217;s diarrhea by more than 60 percent. The pills dropped the risk from 40 percent to only 14 percent.<\/p>\n<p>The study wasn&#8217;t super big, just 182 students traveling to Guadalajara, Mexico, but it was a randomized, placebo-controlled study, which is the gold standard design for medical trials. And it showed a dose-dependent effect. A lower dose of one tablet, four times a day reduced the risk by 40 percent rather than 60 percent.<\/p>\n<p>&#8220;The findings showed fairly clearly that Pepto Bismol is effective at preventing diarrhea,&#8221; Leung says.<\/p>\n<p>So why don&#8217;t we hear more often about this strategy?<\/p>\n<p>&#8220;For one thing, the study is old,&#8221; Leung says. &#8220;A second might be because drug companies don&#8217;t widely market Pepto Bismol.&#8221;<\/p>\n<p>And some travelers might find it tough to take pills four times a day, he says.<\/p>\n<p>But even less frequent doses might be helpful, Leung says. Bismuth subsalicylate is known to have antimicrobial properties, and it may actually form a protective layer on top of the intestinal wall.<\/p>\n<p>If you do get sick, Leung says, the pink pills may come in handy again. Bismuth subsalicylate can shorten the duration of a bout of diarrhea, and is a good alternative to antibiotics, Leung says.<\/p>\n<p><strong>2. Remember the routine vaccines<\/strong><\/p>\n<p>There&#8217;s a good chance you might need a vaccine, says Burnette, even if you&#8217;re just headed for a quick trip to Europe or the U.K.<\/p>\n<p>That&#8217;s because the CDC recommends that all international travelers be up to date on &#8220;<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/wwwnc.cdc.gov\/travel\/diseases\/routine\">routine vaccines<\/a>,&#8221; no matter the destination.<\/p>\n<p>&#8220;You know, we try to stress this, with both travelers and clinicians, because some clinicians won&#8217;t check to see if you&#8217;ve completed routine vaccinations, such as the measles,&#8221; Burnette says.<\/p>\n<p>Routine immunizations are the ones we get as children. The list is long. It includes about a dozen vaccines, everything from the pneumonia and whooping cough vaccines to those for Hepatitis A and B.<\/p>\n<p>When you add onto this list any shots recommended for your specific destination, the list of possible vaccines can get complicated.<\/p>\n<p>Plus, the CDC&#8217;s recommendations often get updated. Just a few weeks ago, the agency officially started <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/66\/wr\/mm6618a6.htm?s_cid=mm6618a6_w\">recommending<\/a> the cholera vaccine for travelers headed to places with ongoing outbreaks. And last month, they <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/28\/526067401\/u-s-supply-of-yellow-fever-vaccine-will-run-out-by-midsummer\">warned<\/a> of a potential yellow vaccine shortage.<\/p>\n<p>To make sure your clinician gets the list right for your specific trip, Burnette recommends using the CDC&#8217;s new travel app, called <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/wwwnc.cdc.gov\/travel\/page\/apps-about\">Trav Well<\/a>.<\/p>\n<p>Users type their destination and time of travel into the app, and it tells them what they need to do to prepare.<\/p>\n<p>&#8220;It will suggest the vaccines and medications you probably need, and it will ask you to take those recommendations to your doctor about four to six weeks before you travel,&#8221; Burnette says. &#8220;I think it&#8217;s very helpful and can certainly make the whole process of preparing for trip a lot easier.&#8221;<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/05\/22\/528802722\/tips-for-staying-healthy-when-traveling-abroad?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Tips For Staying Healthy When Traveling Abroad\" rel=\"nofollow\">http:\/\/www.npr.org\/sections\/health-shots\/2017\/05\/22\/528802722\/tips-for-staying-healthy-when-traveling-abroad?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/05\/22\/528802722\/tips-for-staying-healthy-when-traveling-abroad?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2017\/05\/19\/pepto-3_custom-50197e1e266d53c9e3d6804ab00b0133d68c1afe-s1100-c15.jpg\" alt=\"\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2017\/05\/19\/pepto-3_enl-016adae2097082936b9472b4f45212600f216222-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Heading someplace where you could get traveler&#8217;s diarrhea? Try packing some prophylactic pills containing bismuth subsalicylate, such as Pepto Bismol.<\/p>\n<p>                <b><\/p>\n<p>                    Meredith Rizzo\/NPR<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Meredith Rizzo\/NPR<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>When planning a summer trip abroad, it&#8217;s easy to think, &#8220;Oh, I&#8217;ll just hop over to a travel clinic, and they&#8217;ll tell me everything I need to know \u2014 and do \u2014 to keep from getting sick.&#8221;<\/p>\n<p>But that&#8217;s not always the case.<\/p>\n<p>A <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/annals.org\/aim\/article\/2626466\/missed-opportunities-measles-mumps-rubella-vaccination-among-departing-u-s\">study published<\/a> last week in the <em>Annals of Internal Medicin<\/em>e found that travel clinics missed giving the measles vaccine to about half of eligible travelers.<\/p>\n<p>For nearly a third of the missed cases, doctors or nurses simply didn&#8217;t offer the vaccine, even though measles is a problem in many parts of the world, including Western Europe and Mexico.<\/p>\n<p>&#8220;That&#8217;s very unfortunate,&#8221; says <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/media\/spokesperson\/sme-bios\/Brunette.pdf\">Capt. Gary Burnett<\/a>, who leads the Traveler&#8217;s Health branch at the Centers for Disease Control and Prevention. &#8220;A traveler can be very easily exposed to measles around the world. That risk is very real.&#8221;<\/p>\n<p>With international travel, Burnette says it&#8217;s best to figure out what you need <em>before <\/em>you go to the clinic, and then discuss the items with your doctor.<\/p>\n<p>So, to kick off the summer travel season, we&#8217;re offering two tips that are often overlooked by clinicians.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<aside>\n<div><\/div>\n<\/aside>\n<p><strong>1. Pack the pink pills<\/strong><\/p>\n<p>Let&#8217;s start with what you&#8217;re most likely to suffer from while traveling: food poisoning. About a quarter of travelers will get gastrointestinal problems within the first two weeks of an international trip, studies have <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4764790\/#R5\">found<\/a>.<\/p>\n<p>The major advice clinics give is, &#8220;Watch what you eat.&#8221; The CDC even has an app to help you decide whether or not to put that raw cheese or carnitas into your mouth.<\/p>\n<p>The app is appropriately name &#8220;<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/wwwnc.cdc.gov\/travel\/page\/apps-about\">Can I Eat This<\/a>?&#8221;<\/p>\n<p>That strategy won&#8217;t hurt, but also might not help. Science just doesn&#8217;t back it up, says <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.bioscience.utah.edu\/faculty\/leung\/\">Daniel Leung<\/a>, an infectious disease doctor at the University of Utah.<\/p>\n<p>&#8220;There have been only a few studies on the topic, and they&#8217;ve shown that dietary discretion does not seem to change the risk of getting traveler&#8217;s diarrhea,&#8221; Leung says. &#8220;Even people who are eating street food or aren&#8217;t being very careful may not be at higher risk.&#8221;<\/p>\n<p>But science does support another strategy; a prophylaxis that clinicians often overlook. We even missed it when we <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/goatsandsoda\/2015\/08\/06\/429356591\/can-you-protect-your-tummy-from-travelers-diarrhea\">reported<\/a> on this topic back in 2015.<\/p>\n<p><!-- END ID=\"RES529121287\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>It&#8217;s cheap, safe and &#8230; it&#8217;s a beautiful pink color.<\/p>\n<p>Yep, I&#8217;m talking about Pepto Bismol, or any generic alternative with the same active ingredient, <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a607040.html\">bismuth subsalicylate.<\/a><\/p>\n<p>Back in 1987, a <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/364949\">study<\/a> found that two tablets of Pepto Bismol tablets, taken four times a day, cut the risk of traveler&#8217;s diarrhea by more than 60 percent. The pills dropped the risk from 40 percent to only 14 percent.<\/p>\n<p>The study wasn&#8217;t super big, just 182 students traveling to Guadalajara, Mexico, but it was a randomized, placebo-controlled study, which is the gold standard design for medical trials. And it showed a dose-dependent effect. A lower dose of one tablet, four times a day reduced the risk by 40 percent rather than 60 percent.<\/p>\n<p>&#8220;The findings showed fairly clearly that Pepto Bismol is effective at preventing diarrhea,&#8221; Leung says.<\/p>\n<p>So why don&#8217;t we hear more often about this strategy?<\/p>\n<p>&#8220;For one thing, the study is old,&#8221; Leung says. &#8220;A second might be because drug companies don&#8217;t widely market Pepto Bismol.&#8221;<\/p>\n<p>And some travelers might find it tough to take pills four times a day, he says.<\/p>\n<p>But even less frequent doses might be helpful, Leung says. Bismuth subsalicylate is known to have antimicrobial properties, and it may actually form a protective layer on top of the intestinal wall.<\/p>\n<p>If you do get sick, Leung says, the pink pills may come in handy again. Bismuth subsalicylate can shorten the duration of a bout of diarrhea, and is a good alternative to antibiotics, Leung says.<\/p>\n<p><strong>2. Remember the routine vaccines<\/strong><\/p>\n<p>There&#8217;s a good chance you might need a vaccine, says Burnette, even if you&#8217;re just headed for a quick trip to Europe or the U.K.<\/p>\n<p>That&#8217;s because the CDC recommends that all international travelers be up to date on &#8220;<a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/wwwnc.cdc.gov\/travel\/diseases\/routine\">routine vaccines<\/a>,&#8221; no matter the destination.<\/p>\n<p>&#8220;You know, we try to stress this, with both travelers and clinicians, because some clinicians won&#8217;t check to see if you&#8217;ve completed routine vaccinations, such as the measles,&#8221; Burnette says.<\/p>\n<p>Routine immunizations are the ones we get as children. The list is long. It includes about a dozen vaccines, everything from the pneumonia and whooping cough vaccines to those for Hepatitis A and B.<\/p>\n<p>When you add onto this list any shots recommended for your specific destination, the list of possible vaccines can get complicated.<\/p>\n<p>Plus, the CDC&#8217;s recommendations often get updated. Just a few weeks ago, the agency officially started <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.cdc.gov\/mmwr\/volumes\/66\/wr\/mm6618a6.htm?s_cid=mm6618a6_w\">recommending<\/a> the cholera vaccine for travelers headed to places with ongoing outbreaks. And last month, they <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.npr.org\/sections\/health-shots\/2017\/04\/28\/526067401\/u-s-supply-of-yellow-fever-vaccine-will-run-out-by-midsummer\">warned<\/a> of a potential yellow vaccine shortage.<\/p>\n<p>To make sure your clinician gets the list right for your specific trip, Burnette recommends using the CDC&#8217;s new travel app, called <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/wwwnc.cdc.gov\/travel\/page\/apps-about\">Trav Well<\/a>.<\/p>\n<p>Users type their destination and time of travel into the app, and it tells them what they need to do to prepare.<\/p>\n<p>&#8220;It will suggest the vaccines and medications you probably need, and it will ask you to take those recommendations to your doctor about four to six weeks before you travel,&#8221; Burnette says. &#8220;I think it&#8217;s very helpful and can certainly make the whole process of preparing for trip a lot easier.&#8221;<\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-11377","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/11377","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=11377"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/11377\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=11377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=11377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=11377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}