1. What extra screening do immigrants need if they are traveling from SE Asia? (3)
1.1. Intestinal Parasites
1.1.1. Strongyloides
1.1.1.1. Need to do a serum test
1.1.1.1.1. If positive: Treat with Ivermectin
1.1.1.2. Disease caused by a nematode
1.1.1.2.1. Upper abdominal pain
1.1.1.2.2. Diarrhea
1.1.1.2.3. Cough
1.1.1.2.4. Vomiting
1.2. Hepatitis B Virus
1.2.1. High prevalence for those people from Southeast Asia
1.2.2. Increased risk for associated hepatocellular carcinoma
1.2.3. Increased likelihood of chronic infection after acute infection of HBV
1.2.3.1. 80-90%
2. What are possible effects of traditional herbal medicine (CAM) on health outcomes? (4)
2.1. Ephedra Species
2.1.1. Long history of use for respiratory conditions
2.1.1.1. Adverse effects: Cardiovascular and CNS effects
2.1.2. Marketed in the US as a weight-loss supplement
2.2. Aconitum Species
2.2.1. Pain relief
2.2.1.1. Adverse effects: Bradycardia and hypotension
2.3. Ginkgo Biloba and Ginseng
2.3.1. Supposedly help inhibit cell proliferation, metastasis, and tumor cell invasion
2.3.1.1. Adverse effects: Hypertension, dizziness, nausea, diarrhea, dermal sensitivity, headache, and restlessness
2.4. St. John's Wort (Hypericum Perforatum)
2.4.1. Used for mild depressive symptoms
2.4.1.1. Adverse effects: Allergic reactions, headache, dizziness, dry mouth, constipation, hyperventilation, mydriasis, and palpitations
3. Who are the Khmer Rouge? (5)
3.1. 1975 to 1979
3.2. Followers of the Communist Party of Kampuchea (CPK)
3.2.1. Lead by Pol Pot
3.3. Mass killing and imprisonment of people belonging to specific groups
3.3.1. Former Cambodian Government members
3.3.2. Professionals and intellectuals
3.3.3. Ethnic Vietnamese, ethnic Chinese, ethnic Thai and other minorities in the Eastern Highlands, and Cambodian Christians
3.4. 1.671 million to 1.871 million Cambodians were executed (6)
3.4.1. 21-24% of Cambodia's population in 1975
3.5. About 158,000 Cambodians came to the United States between 1975 and 1994 as refugees
4. What immunizations/prophylaxis are required for those who travel to South East Asia? (1)
4.1. All Travelers
4.1.1. Measles
4.1.1.1. 1 additional dose is required, even for those patients who have been given 1 dose
4.1.2. MMR
4.1.3. Yearly Influenza Vaccine
4.1.4. Diphtheria-Tetanus-Pertussis Vaccine
4.1.5. Varicella (chickenpox) Vaccine
4.1.6. Polio Vaccine
4.2. Most Travelers
4.2.1. Hepatitis A
4.2.1.1. Can get Hep A via contaminated water and food
4.2.2. Typhoid
4.2.2.1. Transmission via contaminated food and water
4.2.2.2. CDC recommends this especially if you are staying with family or friends
4.3. Some Travelers
4.3.1. Hepatitis B
4.3.2. Japanese Encephalitis
4.3.3. Malaria
4.3.4. Rabies
4.3.5. Yellow Fever
5. What travel requirements need to travel to Cambodia?
5.1. Documents Required for Travel (2)
5.1.1. Passport
5.1.1.1. Must be good for 6 months after returning from the trip
5.1.1.2. Need to have at least 1 empty page
5.1.2. VISA
5.1.2.1. Can obtain a VISA upon arrival, which is $30
5.1.2.2. VISA is good for 30 days maximum
5.1.2.3. eVISA which is $36
5.1.3. If Refugee:
5.1.3.1. Need Refugee documents and paperwork
5.1.3.2. Passport from home country