Archive for the ‘Traveling with Children’ Category

Europe, the Perfect Educational Holiday for the Family

Thursday, October 20th, 2011 by

In a recent post, guest blogger Anthony Garcia suggested that graduate students should get out from behind the books to do some hands on research and enjoy a healthier learning experience. This is true for all stages of education and is a good reason to consider planning an educational holiday for your family.  When sitting in a classroom, it’s easy to memorize dates, artist’s names, events and the lineage of kings, but there is nothing to compare with actually seeing a historical location or work of art. Those living in or visiting Europe have the unique advantage in being surrounded by thousands of years of history.

A visit to ancient Greece, the cradle of Western thought, is awe inspiring for all ages. The Parthenon, which was completed in 438 BC, is as magnificent today in our age of technology as it would have been for travelers throughout history. However some of its surviving marble sculptures were sold to the British Museum in the early 1800s, a place that provides another wonderful educational experience.

Housing over seven million objects from all continents and eras of human history, the British Museum in London, England tracks the story of humanity from its foggiest beginnings to the present day. With items on display such as the Rosetta Stone and art from the greatest masters in history, a visit this museum can be duplicated nowhere else on earth. However, you will find amazing art museums in every major city in Europe including the Musée du Louvre in Paris, France; Museo del Prado in Madrid, Spain; and Galleria dell’Accademia in Florence, Italy.

Visiting the actual sites of many important events makes history come alive. Walking through the ruins of the Forum or Colosseum in Rome make the events that took place there seem more real and relevant, even all these centuries later. Seeing the Magna Carta Memorial in Runnymede Meadow, Egham will solidify the significance of its signing more than reading about it a hundred times in a book. A visit to the site of the Berlin Wall or the Battle of Waterloo in Belgium will create real educational experiences that are not likely to be forgotten.

Another way to bring history alive is to visit the dead. Not only are the catacombs of Paris and Rome amazing, albeit creepy locations for learning, but Europe is full of individual graves of the famous and infamous. Westminster Abbey in London, England contains the remains of dozens of royals and monarchs, as well as even more famous history makers such as Geoffrey Chaucer, Charles Dickens, Sir Isaac Newton, Rudyard Kipling, and Alfred Tennyson. Les Invalides in Paris, France is home to the tomb of Napoleon and other military leaders of France. In Rome, you can find the alleged tombs of saints and apostles such as St. Peter. Visiting the dead makes us realize that they were real people and not merely characters in a story we read. They lived, loved, ate, drank, became sick and died just like us, except in between all of that they created history.

One word of caution however, when travelling in Europe with children, you need take some extra steps to ensure their health and safety. If your child is on any medication, ensure that you bring an adequate supply with you. You should also bring along a first aid kit to take care of minor cuts and scrapes, as items such as antibiotic creams are only available by prescription in some countries. In the event that you and your children should ever get separated, make sure that your child knows enough of the local language to ask for help, understands how to use European pay phones, has a few Euros and a photocopy of their passport, knows the name and phone number of your hotel and has contact information for relatives at home. With a little planning and preparation you can ensure that your family has a healthy educational holiday in Europe.

Author: Nisha Sharma

Nisha Sharma represents a site called KissimmeHotels.co.uk. She loves to write, especially about family, travel and going on holiday. She invites you to visit these sites for travel information Comfort Suites Maingate Hoteland Goldstar Hotel and Suites.

Photo by Rol1000

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Ancient Disease a New Problem in Hong Kong

Tuesday, June 28th, 2011 by

Hong Kong’s recent reporting of the deaths of two children from scarlet fever is a serious reminder that infectious diseases still pose a great risk in many parts of the world, even in places that have evolved from third world status.   

The death of a seven year old in May and was the first casualty of scarlet fever in ten years. When the second death (a five year old) occurred on June 21st, officials grew increasingly concerned.  Both children deteriorated very quickly from two different antibiotic-resistant strains of scarlet fever, according to Kwok-yung Yuen, head of Hong Kong University’s microbiology department, who sequenced samples taken from the current outbreak. One of the two strains appears to be more dominant, and has undergone a genetic mutation that increases its ability to spread. 

Scarlet fever, also known as scarlatina, is rarely seen by physicians in the developed world.  Most medical students in the United States would likely miss the diagnosis despite its classic presentation- fever, sore throat, a sandpaper rash and bright tongue. The widespread use of penicillin during the 20th century virtually wiped out the infection, but overuse of both penicillin and other antibiotics such as erythromycin and clindamycin have allowed bacteria such as the streptococcus strains responsible for scarlet fever to develop resistance. Fortunately, penicillin has thus far weathered the storm and is still effective against the bug, a fact that is very surprising to Mark Walker, a microbiologist and strep expert who heads the Australian Infectious Disease Research Center. “We’re very lucky. We still have a treatment we can use.”  

 “Germs outsmarting antibiotics is a cause of lots of nightmares,” said Dr. Edward Kaplan, who heads a World Health Organization research center at the University of Minnesota that focuses on the streptococcus germ. “The fact that we still have penicillin is something we all get down on our knees and say prayers about each night.” 

Along with the nearly 550 cases of scarlet fever reported this year, which is already double Hong Kong’s annual number, there are over 9,000 cases in mainland China.  Although resistance to alternative antibiotics used by those allergic to penicillin is not new, the severe toxicity and ease of spread of the new strains seen this year is what concerns health officials the most. As the development of vaccines is years away, controlling the spread of the illness and the judicious use of antibiotics is now the top priority. 

Those traveling with children are advised to research their destination for any reported outbreaks of infectious disease.

Photo from choa.org.

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Measles in Europe: Health Agency Urges Vaccination for Children

Thursday, April 14th, 2011 by

The Health Protection Agency (HPA) in Europe is urging parents to get their children vaccinated against measles before the heavy spring travel period begins. As The Telegraph reported this week, this warning is in response to the surprisingly high number of reported measles cases among children in Europe.  The center of the outbreak seems to be in France where so far this year 4,000 cases have been reported (to put it in perspective in all of 2006 there were 4,500 reported cases in Britain).

To date, 24 countries have reported measles cases in 2011.  Health officials speculate that the virus was exported from France to popular tourist destinations such as Italy, Denmark, Germany, Switzerland, Spain and the United States.

An estimated 1.9 million U.S. children travel overseas each year and often are at risk for acquiring infectious diseases that might not be common in the United States. So before your next global trip, consult the Centers for Disease Control’s (CDC) Vaccine Recommendations for Infants and Children.

The CDC lists measles as one of the leading causes of death for children around the world, despite the availability of a safe and effective vaccine.  However, due to a sensationalized report that the measles vaccine was linked to autism (which has since been discredited and retracted by The Lancet where it was originally published), some parents made the decision not to have their children vaccinated.  In other cases, parents assume that their infants are too young to receive the vaccine. Though most children in the U.S. get inoculated at their one year check up, the CDC recommends that those aged 6 – 11 months old be vaccinated if they are going to travel outside of the U.S.

Measles is very contagious and can lead to other dangerous conditions such as pneumonia and encephalitis.  If you have recently been to Europe and your child is exhibiting signs of measles – hacking cough, high fever, red eyes and possibly a rash that starts at the forehead and spreads down – be sure to let your doctor know where you’ve been.  Measles is not common in the U.S. so diagnosing can be delayed if your doctor doesn’t know to look for it.

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FAA Urges Parents to Buckle Up Babies

Friday, December 17th, 2010 by

The Child Passenger Safety in the Air and in Automobiles forum was held last week in Washington.  Here members of the NTSB, the FAA and the Association of Flight Attendants all agreed that a young child is safer when buckled into a safety restraint on an airplane than when just held in a parent’s lap.  Despite this consensus, the FAA has never required parents to purchase a separate airplane seat for a child under two, and it has no plans to change this policy.  The reasoning seems to be that such a requirement would discourage air travel for families with children under two and put more cars on the road, where the likelihood of harm is statistically far greater. 

Many flight attendants have stressed the difficulty of being able to safely hold onto a child during turbulence or a crash.  In a plane crash, a 20-pound baby can fly with the force of a 100-pound missile, putting other passengers in danger.  The Child Safety on Airplanes document on the FAA website states that an approved child restraint system (CRS) is the safest place for a baby on an airplane, and offers these guidelines:

  • Children weighing less than 20 pounds use a rear-facing CRS
  • Children weighing from 20 to 40 pounds use a forward-facing CRS
  • Children weighing more than 40 pounds use an airplane seat belt

The FAA suggests that parents ask the airline about a discount when booking an extra seat for their baby.  They also recommend that if the parent decides to hold the child, they should check with a flight attendant after boarding to see if there is an empty seat that could be used to secure the child.

Photo by Up Your Ego.

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Securing Children in Cars and Planes: the NTSB Advocates for Kids

Friday, September 24th, 2010 by

The National Highway Traffic Safety Administration (NHTSA) has declared this week “Child Passenger Safety Week.”  The main goal of this event is to raise awareness of the importance of having the right safety seats for children who are passengers in cars. To this end, the NHTSA is promoting a National Seat Check on Saturday so parents and guardians can have an expert ensure that their child is in the correct type of seat and that it is installed properly. If you are not sure what type of seat is considered safe for children, check out this chart that details the varying state child seat safety laws.

Each year millions of children are passengers in planes, yet the guidelines for keeping them safe in the air are not as clear as they are for the road.  Children under the age of two are not required to have their own seat when flying. This means the adult they are traveling with is safely buckled into a seat, but the child’s safety is predicated on the strength of the person holding her.  In a piece published on MSNBC.com this week, Nora Marshall of the National Transportation Safety Board (NTSB) asks this question of parents, “Why wouldn’t you want your child to be as well protected as you are?”

Unfortunately, the guidelines for protecting the children on airplanes are not determined by the NTSB, but by the Federal Aviation Administration (FAA). Whereas the FAA’s stance is that children are safer in an approved child restraint system, they do not require that children be secured during air travel.   The NTSB will be hosting a live webcast, Child Passenger Safety in the Air and in Automobiles, on their website on December 9th.  This forum will educate the public and advocate for the protection of children as they travel on the road or in the air.

Do you think air safety guidelines should be given more consideration? We’d love to hear your comments.

Photo by Ma1974.

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Going to the beach? Pack some common sense.

Friday, May 28th, 2010 by

A disturbing story from England hit the news this week.   A mother took her five month old boy to the beach where the powerful rays of the sun left him severely burned on over 40% of his body.  The fact that several people intervened to get the infant out of the sun and into care shows that most people recognize that the beach is no place for a newborn.  But with summer coming, it’s important for everyone to remember just how powerful the sun can be.  In case you need a reminder, check out CNN’s collage of bad sunburns.  

In addition to the threats of sunburn and sun poison, dehydration is also a serious risk for anyone who spends too much time in the sun. How much sun a person can tolerate depends on their age, their skin and their overall health.   So in addition to the necessary supplies including water, suntan lotion, sunglasses and a hat, be sure to bring your common sense with you when you hit the beach with or without your family this summer.

Photo by Dave Gray.

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Vaccinations and Autism – Fact or Myth?

Friday, May 28th, 2010 by

A British doctor, whose research linked autism to common vaccines, was stripped of his license to practice medicine earlier this week.  Dr. Andrew Wakefield, whose reports in 1998 found an increased incidence of autism in children who received the measles, mumps and rubella vaccines, and whose study influenced millions of parents to forego vaccinations for their children, was found to have conducted “unethical research.” 

In banning him from practicing medicine in the United Kingdom, Britain’s General Medical Council cited a January ruling that “Wakefield and two other doctors acted unethically and showed a callous disregard for the children in their study.”  Among other indiscretions, Wakefield allegedly paid children for blood samples collected at his son’s birthday party and later joked about the incident.

Despite the fact that numerous other studies failed to corroborate Dr. Wakefield’s results, and that the British journal Lancet eventually retracted the original article detailing his findings, vaccination rates in Britain and other rich countries remain lower than before the study was published over a dozen years ago.  This has led to a number of measles outbreaks in Europe each year and even sporadic cases in the United States. 

Dr. Wakefield has appeared as an expert witness in a number of lawsuits against governments and vaccine manufacturers claiming that the measles, mumps and rubella vaccines led to autism.  Over 5,500 claims have been filed attempting to indict the MMR vaccine, but most have been dismissed for lack of evidence.  Two rulings in March of last year by a special branch of the U.S. Court of Federal Claims found no link between vaccines and autism.

In addition, at least a dozen British medical associations including the Royal College of Physicians, the Medical Research Council and the Wellcome Trust have issued statements verifying the safety of the measles, mumps and rubella vaccine. 

Parents of children who did not receive recommended vaccinations as infants should be aware of the dangers of travelling outside of the United States, and of having close contact with other unvaccinated children who have travelled internationally.  In 2008, a 7 year old unvaccinated boy became infected with measles while traveling in Switzerland.  He unknowingly exposed over 800 people and infected 11 unvaccinated children when he returned to California.  The public health cost for managing the outbreak was almost $200,000!

If you have read this far, I hope you have concluded that the answer to this post’s title is: MYTH.  Were you swayed in the past by these false claims?  How about friends or family members?  Let us know if your opinion on this subject has changed over time and why.  It is important to spread facts and not fiction, at least that’s what we here at the Healthy Travel Blog think.

Photo by firma.

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New Meningitis Vaccine Offers Greater Protection

Tuesday, May 25th, 2010 by

As reported last month, several cases of meningitis have been reported in the Sub-Sahara so far this year.  In this area where the high season for meningitis runs from December to June, there has been a big push to get those at risk for infection vaccinated.  The vaccines being offered effectively protect 90% of those who receive it from the A and B subtypes of meningitis that are responsible for the epidemics in Africa.

However, there are other forms of meningitis, and it is important that children, travelers and those in developing countries are protected from the many different strains caused by bacterial infections.  In developed nations the Meningitis C vaccine  is given in childhood, but this still leaves children and adults vulnerable to other strains known as  type A (common in Africa), type W and type Y. The ACWY vaccine, a conjugate vaccine, was developed to provide the necessary protection across all of these strains.  Results of these tests show a greater level of protection, a reduction in the length of time an individual can carry the infection and provides longer lasting immunity.

The current guidelines for the new conjugate vaccine recommend administering the vaccine to those age 11 and up, but it is so good that some authorities (the JCVI) in the UK are advising off-license use in those under 11 years as well.

In summary: if you are traveling and/or want to protect your children, ask for the new conjugate Meningitis ACWY vaccine over the traditional one.

Author: Charlie Easmon, MBBS
Charlie Easmon, MBBS is a General Practitioner whose practice has a strong focus on Travel Medicine.  He is a Regional Physician Advisor for HTH Worldwide and the Medical Director for The Number One Health Group on Harley Street in London and ALC Global Health Insurance.  He is a member of the Royal College of Physicians, UK and has a Diploma in Tropical Medicine and Hygiene from the University of Liverpool.   Dr. Easmon is an Honorary Lecturer at the London School of Hygiene and Tropical Medicine. 
Photo by: Teseum

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