Archive for June, 2009

Planes, Trains and Automobiles – how scared should I be?

Tuesday, June 30th, 2009 by

Yesterday’s Yemenia Airlines crash was the second one this month involving a large number of passenger fatalities.  Although there is at least one survivor and hopefully more, these events renew anxieties about flying and overshadow just how safe flying commercially has become.

The Internet is a great tool for researching airline safety, but it is easy to get swamped by facts and figures.  Airline Safety Records.com  and its companion site, AirSafe.com, are for those who want to get mired in the details. 

For me, the most helpful table I could find was on Wikipedia and came from, of all places, Alycidon Rail, the “website of Roger Ford, Industry & Technology Editor of Modern Railways and Founding Editor of Rail Business Intelligence.”  While the facts are from a decade-old study from the UK Department for the Environment, Transport and Regions (DETR), it analyzes deaths from different forms of transportation in three ways – deaths per billion journeys, deaths per billion hours and deaths per billion kilometers (note: I assume that this study is using the British ‘billion’ which is a million million or 1,000,000,000,000, not 1,000,000,000, so these numbers are a thousand times better than you might first have thought!).

While air travel doesn’t look relatively good on a deaths per journey basis (it is only safer than riding on a motorcycle or a bicycle by this measure), on a deaths per distance-traveled basis, it is by far the safest form of transportation.

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Overreacting to H1N1: WHO and China Try to Banish Ghosts

Tuesday, June 30th, 2009 by

chinah1n1With the benefit of a few weeks of perspective on the H1N1 outbreak, it’s possible to conclude that the some of the initial response qualifies as overreaction. Let’s start with the World Health Organization’s declaration of a pandemic. Observers such as Michael Fumento have argued that the WHO adopted a “pandemic” definition that is skewed toward human transmission of animal viruses even if the transmission rate and virulence are modest compared to seasonal human flu viruses. Fumento suggests that the WHO declared a swine flu pandemic in part to justify the expenses incurred at the WHO’s behest over the past five years to ready the world for an avian flu outbreak that is still  confined to people living in close proximity to infected barnyard fowl. We may be readier than ever, but is the WHO risking its credibility in an attempt to justify our readiness?

Similarly, China, haunted by its slow and clumsy handling of the SARS outbreak a few years back, is now using a heavy hand with international visitors suspected of carrying H1N1. The U.S. State Department has issued a travel alert citing China’s quarantine measures as posing unwarranted risks. Even slightly elevated body temperatures (as measured by remote sensing devices) have resulted in airline passengers being placed in quarantine under conditions where suitable drinking water, food and sanitation are wanting. Children have reportedly been separated from parents and communication has broken down between members of families’ travel parties. This “get tough” approach appears to be clearly out of proportion to the risks posed by H1N1 and can be traced to a desire to banish the ghost of SARS past.

As the H1N1 story continues to unfold, we hope that major players like the WHO and China find a more proportional response. Overreacting can compromise the credibility of worldwide efforts to keep us safe and produce unnecessary risks as well. Look for future posts that strive to put travel health risks into perspective.

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The Safe and Healthy Traveler’s Guide to Packing: Part Two

Friday, June 26th, 2009 by

firstaidkitAs we promised in Part One of this series, we’re moving on to putting together your own medical kit.  Obviously, what you need to pack varies greatly depending on where you are going, how long your trip will be and the medical condition of those traveling.  For these reasons, it is best to research your destination to understand the special needs that may be present there.

Q: Is there safe drinking water? 

A: Bring water purification tablets.

Q: Will I be in the sun?

A: Bring sunscreen.

Q: Will I be subject to attacks by wild animals?

A: Pack a rifle.

You get the point.

Minimally, you’ll want to bring the following:

Typical first aid supplies such as bandages, tweezers and an antibiotic ointment. 

Over-the-counter products that you use may not be easily available overseas, so don’t forget to consider vitamins, pain relievers, decongestants, antacids, contact lens solutions, sunscreens, mosquito repellants, contraceptives, etc. as you pack.  

Prescription Medications – The medications you bring depend on your medical history and your host country, but antibiotics (for both travelers diarrhea and skin infections), jet lag and motion sickness remedies, and injectable epinephrine (for unexpected allergic reactions) should all be seriously considered and discussed with your regular physician.  You can avoid problems with curious customs agents by keeping all medications in their original bottles and including a letter from the prescribing doctor in the kit explaining why the medications are necessary.

The most comprehensive source for healthy packing is the CDC.  In their Travelers’ Health – Yellow Book, they have a section on medical kits in Chapter Two.   They also include information for a pediatric travel health kit at the bottom of a page all about traveling safely with children and infants and one for pregnant travelers.  Finally, for the Mother Theresa in all of us, the CDC details an extended travel kit for humanitarian aid workers.  Even if your “voluntouring” trip has not been planned yet, it would be a good idea to read through the items included in this extended kit.  Many of them are applicable to general travel.

There are many commercially available kits, but doing a little thinking about your specific needs will help you decide the right choice for you – make or buy or a combination of the two.

Stay tuned for Part Three of our Guide to Packing which will help you decide what to pack for safe driving on your trip.

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Angelo Masciantonio, Entrepreneur of the Year

Wednesday, June 24th, 2009 by
 eoy3Congratulations to Angelo Masciantonio, CEO and Co-Founder of HTH Worldwide, for receiving the Greater Philadelphia Ernst & Young Entrepreneur Of The Year 2009 Award in the Health Care Services and Products category.  This award celebrates individuals like Angelo, who are building and leading successful, growing and dynamic businesses. 
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Travel Medical Plans: Why Smart Travelers are Buying Them

Wednesday, June 24th, 2009 by

globe-and-scope1Scores of Americans are traveling the globe for leisure, business, study and missionary travel.  Because of the recent travel concerns raised by the H1N1 pandemic and terrorist threats like the Mumbai attacks, many of these smart travelers are better planning and preparing to avoid potential hazards. 

Greater consumer awareness has led to an increase in the popularity of travel medical insurance.  The simple fact is that existing health insurance plans are inadequate when taken across U.S. borders because they strictly limit overseas benefits. In addition, most health insurers will refuse to pay to get you to a higher standard of care should you need to be evacuated due to a medical emergency. Savvy travelers are aware of these limitations and are not leaving anything to chance.

Travel medical insurance policies are designed to pick up where your primary health plan leaves off. If you do not have health coverage, these plans act as primary insurance while abroad. The best designed plans offer more than emergency benefits. They cover big ticket items such hospitalization and surgeries but will also pick up the tab on physician office visits, ambulance services, prescription medications and more. The premier plans make it a point to cover sickness or injury due to a terrorist event or a pre-existing medical condition. Critically, some policies will pay medical providers overseas on a direct basis so you can avoid hassles and red tape.   

Also, remember that there can be big differences in coverage rights when you buy travel medical insurance. Some plans are licensed and regulated in the U.S. while others sit offshore: beyond the reach of your local Department of Insurance. U.S. licensed and approved plans are called Admitted Insurance and should be given first consideration when choosing your plan.

Do your homework. Shop around. Compare the plans.  Always ensure that you read the fine print rather than just scanning a benefit schedule. Ask your broker or insurance company to send you a sample policy so you can get a complete picture of what you’re buying.

Enjoy peace of mind when you travel with a well built travel medical plan.

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Dangerous Roadways Abroad: A Major Health Hazard

Thursday, June 18th, 2009 by

vietnamaccidentExperienced travelers know that taking to the local roadways can be one of the most dangerous passages on an international itinerary. Whether in a taxi or a bus, or as a cyclist or a pedestrian, travelers roll the dice with their health and safety. Now the World Health Organization (WHO) has released a comprehensive study of road hazards across 178 countries that documents the risks in detail.

It turns out that 85% of the world’s countries lack adequate laws to address the growing problem of traffic deaths and injuries. In a New York Times story on the subject, WHO’s Dr. Etienne Krug notes anecdotal evidence that in some hospitals and surgical wards in the developing world, almost half of the surgery beds are occupied by victims of road traffic crashes.

The report is a trove of data that the Healthy Travel Blog will mine for insights. For starters, we sampled the data to get an idea of the range of risk around the world. The table below shows a country-specific Road Hazard Index based on the number of traffic fatalities per 1,000 registered vehicles. Based on this preliminary analysis of fifteen countries, you are 78 times more likely to die on the roadways in Uganda than in Japan. It’s less dramatic but nevertheless intriguing to compare risks in Southeast Asia (Viet Nam) to those in the Andes (Ecuador) where the risk is threefold higher. How much hazard is posed by terrain rather than traffic laws, driving habits or road engineering and maintenance? What’s your experience?

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H1N1 News: WHO Declares Pandemic, Sets No Travel Restrictions

Thursday, June 11th, 2009 by

swineflupicThe World Health Organization has declared the H1N1 outbreak a pandemic but has characterized it as “moderate in severity” and has not recommended any international travel restrictions.  At a press conference this morning, WHO officials noted that the most severe cases are in adults aged 30 to 50 and said their greatest concern is “we don’t know how this virus will behave under conditions typical in the developing world.” In fact, they anticipate a “bleaker picture as the virus spreads to areas with limited resources, poor healthcare and high prevalence of underlying medical problems.”

This declaration sets in motion a coordinated worldwide effort to manage the spread of the virus and to treat those infected.  Details are sketchy but WHO officials say anti-viral drugs have already been sent to “many countries.”  As for a vaccine, the WHO reports that the first doses will be available in September but in very small amounts.  The WHO will be watching the progress of the pandemic in the coming weeks and will make recommendations on which populations (and countries) should be at the head of the line to receive vaccine supplies.

The Healthy Travel Blog will be tracking events as they unfold and highlighting the angles of most concern to international travelers.  Please stay tuned.

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The Safe and Healthy Traveler’s Guide to Packing: Part One

Thursday, June 11th, 2009 by

iphonePacking for a trip used to be easy.  I would wake up the morning of the trip, grab a suitcase, throw in more clothes than I needed, dump all of the things on my bathroom sink into my Dopp kit*, sign a stack of traveler’s checks and, of course, write all of their serial numbers in that small, separate booklet just in case and last, but not least, make sure I had my itinerary or at least a semblance of one.

Two items (are they newspaper articles or blog posts? – does it even matter anymore?) in yesterday’s ‘papers’ caught my attention relative to planning for an international trip.  First, the Wall Street Journal’s Laura Landro writes about the importance of pre-travel vaccinations in Taking the Bite Out of Travel.  While we have blogged a lot about the H1N1 virus, it is still far more likely that you will catch an infectious disease when traveling to certain destinations.  This risk is multiplied if you forego seeing a travel-medicine specialist well before your departure date and fail to get the recommended vaccines or prophylactic medications.   

On a completely different subject, The New York Times article, Smartphone Rises Fast From Gadget to Necessity, makes it clear that these devices are not going away, and although it does not discuss travel explicitly, smartphones have become a must-have item for international travel.  In one fell swoop, a smartphone can serve as a hand-held GPS, a gateway to the Internet, a phone (duh), an MP3 player for audio tours, a calculator for currency conversion and an alarm clock.  Of course, if you are willing to spend some time in your phone’s app store, you can find even more functionality specifically tailored to your trip.  Did I mention that the new iPhone 3G S will have a built-in compass (like T-Mobile’s G1 Android phone)?

Both of these articles relate to the complexity of international travel – one on the dangers and corresponding precautions that should be taken ahead of your trip, the other to a tool that can greatly aid you during your travels by keeping you informed and connected. 

Stay tuned for Part Two in our What to Pack series where we will focus on putting together your own medical kit.

* Dopp kit – named after Charles Doppelt, a leather-goods maker from Chicago, the Dopp kit was popularized during World War II when they were issued to the U.S. armed forces.  In the U.K., they are called ‘sponge bags.’

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Japan Scans International Flights for H1N1

Friday, June 5th, 2009 by

h1n1planescanJapan is taking the threat of H1N1 very seriously, as evidenced by the new process arriving international flights must undergo.  I experienced this first hand when I went to Japan a few weeks ago to attend my niece’s wedding.  

As I prepared myself for the flight from the U.S. to Japan, H1N1 was not something that I was thinking about.  However, the Japanese officials were focused on it and were hoping to prevent the virus from invading Japan by stopping it at the airport.  For this reason all incoming flights were rescheduled in order to arrive 30 minutes earlier than planned so that health examiners would have time to scan every arriving passenger for signs of the flu.

Once our flight landed in Tokyo, we were told to remain in our seats.  Then seven health examiners awkwardly stepped onto the plane.  Each one was dressed in a plastic suit and was wearing a protective cap, goggles, a mask and gloves (they looked like spacemen).  They walked up and down the aisles with a body temperature scanning device stopping to analyze each passenger by aiming the device at them to check for elevated temperatures indicating a fever.

If anyone had shown signs of a fever, EVERYONE on the flight would have been quarantined in a local hospital for one week.  I was stressed for the entire thirty minutes these men spent scanning the passengers, worried that I was going to miss the wedding!  Fortunately, no one had a fever, and we were allowed to exit the plane. Three days later the health officials called me to see if I had a fever, which I did not (but I did have a great time at the wedding!). 

The Japanese actively work to contain potential outbreaks, but I have heard from family members in Japan that the officials are now loosening up on the inspection process.  

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