Travel Consult

Travel Medicine Consult: Destination: Thailand, Cambodia, and Vietnam Duration: 3 weeks Departure: March 15, 2024 Plans during trip: - The patient is traveling for leisure and cultural exploration, visiting Thailand, Cambodia, and Vietnam for a duration of 3 weeks. Summary of Recommendations: - Recommended vaccinations: Hepatitis A, Typhoid Fever, and Japanese Encephalitis. - Non-vaccine recommendations: Use of mosquito repellent and safe food and water practices. Comprehensive Travel Consult Notes: **Past Medical History:** - Hypertension - Asthma **Past Vaccination History:** - Tetanus (2020) - Influenza (2022) **Risk Assessments:** **COVID and Influenza:** - Advised COVID booster vaccination; patient eligible and accepted. - Recommended influenza vaccination; patient eligible and accepted. **Hepatitis A:** - High risk in Southeast Asia; vaccination recommended and accepted. **Typhoid Fever:** - Moderate risk in rural areas; vaccination recommended and accepted. **Gastroenteritis:** - High risk due to local food and water; advised on safe consumption practices and patient agreed to take a "Gastrokit". **Dengue Fever and Other Mosquito Borne Illnesses:** - Dengue fever is endemic; advised use of mosquito repellent and protective clothing. **Malaria:** - Low risk in urban areas; no chemoprophylaxis required. **Japanese Encephalitis:** - Risk present in rural areas; vaccination recommended and accepted. **Rabies:** - Advised on avoiding animal bites; vaccination not recommended. **Yellow Fever:** - No risk in travel destinations; vaccination not required. **MPox:** - No significant risk identified; vaccination not required. **Tick Borne Encephalitis:** - Not applicable to travel destinations. Vaccinations were administered by the practice nurse with thanks. Patient was asked to stay in the practice for 15 minutes post-vaccination to ensure no immediate hypersensitivity reactions occurred. Note created with the assistance but not reliance on Scribing software "Heidi AI" by Heidi Health - patient verbally consent obtained prior to activation of transcription - no audio recordings obtained or retained with either Heidi AI or in our system - In Heidi AI patient info is de-identified and encounter is labelled with first last name initial only for future reference. - All transcription records are deleted after 48 hours by default setting **All vaccine costs discussed with patient during consult and a copy of the vaccine costs schedule including dose regime was provided for their reference during the consult.**