Student Project 1

Pre-Travel Consultation
Ni Komang Surya Sanistiasih Budaya
1870121084
SGD 3
 PRE TRAVEL CONSULTATION
o Effective pretravel consultations
require attention to the health
background of the traveler and
incorporate the itinerary, trip
duration, travel purpose, and
activities, all of which determine
health risks of the trip in order to
prepare travelers for the health
concerns that might arise during
their trips.
 ANGOLA
o Southern African nation known for its capital
Luanda, Kissama Wildlife Reserve and Atlantic
beaches.
o Total area 1,246,700 SQ KM.
o Estimated population 30,136,000.
o Angola has a tropical climate.
 HEALTH RISK
VACCINE/MEDICINES- NON-VACCINE-
PREVENTABLE DISEASES PREVENTABLE DISEASES

VECTORBORNE AIRBORNE & DROPLET

BLOODBORNE DISEASES
DISEASES DISEASES
MALARIA
o Plasmodium falciparum malaria is one of the most important public
health problems in Angola, with more than three million cases confirmed
between 2000–2013 and 7300 attributed deaths in 2013.
o Facing chloroquine drug resistance, Angola promptly adopqted
artemisinin-based combination therapy as the first-line to treat malaria.
o Chemoprophylaxis to prevent malaria is recommended, it involves
taking a medicine before, during, and after travel to an area with
malaria.
MALARIA
o Several medications are available for malaria prophylaxis. When
deciding which drug to use, clinicians should consider the specific
itinerary, length of trip, drug costs, previous adverse reactions to
antimalarials, drug allergies, and medical history.
 NON-VACCINE-PREVENTABLE
DISEASE:
ZIKA VIRUS

o Zika virus infections and suspected

microcephaly cases have been
reported in Angola since late 2016.
o Zika virus is an RNA virus of the
Flavivirus genus that is primarily
transmitted by Aedes spp mosquitoes.
ZIKA VIRUS
o ZIKV infection in humans is asymptomatic in about 80% of cases. When
symptoms occur, they are typically mild, self-limiting and similar to other
arboviral infections.
o Vertical transmission of the virus leads to congenital Zika virus infection;
sequelae include microcephaly with brain anomalies and fetal loss.
o No vaccine or preventive drug is available. All travelers to areas with Zika
virus transmission should take steps to avoid mosquito bites to prevent the
risk of Zika virus and other vectorborne infections.
YELLOW FEVER (YF)
o In 2016 Angola faced Yellow Fever outbreak with 962 confirmed cases of
yellow fever across Angola and Congo.
o Three countries have reported Yellow Fever cases exported from Angola.
o Yellow fever (YF) virus is a single-stranded RNA virus that belongs to the
genus Flavivirus.
o YF is preventable by a relatively safe, effective vaccine.
YELLOW FEVER (YF)
o Because of the risk of serious adverse events after YF
vaccination, clinicians should only vaccinate people who
are at risk of exposure to YF virus or who require proof of
vaccination to enter a country.
o Common adverse reactions are generally mild: including
low-grade fever, headache, and myalgia that last 5–10 days.
o Contraindications: infants younger than 6 months,
hypersensitivity, altered immune status.
 REFERENCE
CDC Yellow Book. (2020). Oxford University Press
CDC. Student
(2020).
Angola, Project
Clinician View. 1Available at

Pre-Travel Consultation
https://wwwnc.cdc.gov/travel/destinations/clinician/none/angola.
Accessed: 7/08/2020.
Ni Komang Surya Sanistiasih Budaya
SGDP.3/1870121084
Keystone, J. S., Kozarsky, E., Connor, B. A., Nothdurft, H. D.,
Mendelson, M., & Leder, K. (2019). Travel Medicine (4th ed.).
Elsevier Inc.