International Travel Training Seminar

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International Travel Training Seminar

• February 01, 2013

Sponsored By Department of International
Health Center for Global Health Johns Hopkins
Travel and Tropical Medicine
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Questions About Todays Topics?
Contact Anna Kalbarczyk, MPH Program
Associate Center for Global Health akalbarc_at_jhsph.
edu
Clearly state topic in email subject!
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Introduction Tools

• -Dick Dunning, CGH
• - Christina Salazar, IH

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Travel Training Seminar
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Tools to Plan your Trip
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Travel Registry
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Johns Hopkins Berman Institute of Bioethics

• Ethical Challenges in Short-Term Global Health
  Training
• A series of ten cases that may arise during
  short term training abroad.
• Complete before travel

http//ethicsandglobalhealth.org/
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www.hopkinsglobalhealth.org
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Visas
Students are responsible for getting their own
Visa!

• Review the Visa document on CGH page
• U.S. State Department Visas Page
• http//travel.state.gov/visa/visa_1750.html
• Use country-specific embassy instructions
• International Students work with embassy of your
  citizenship

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International Health Travel Policy and forms
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Health PREVENTion

• -Noreen Hynes

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PREVENTion
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PREVENTion Highlights
PREPARE ? YOU are Responsible!
Risk Assessment

• Who?
• What?
• When?
• Where?
• Why?
• How?

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PREVENTion Highlights
EDUCATE YOURSELF
VACCINES OTHER TOOLS
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EVALUATE
NEEDS ASSESSMENT
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TRAVEL MEDICINE VISIT PREP
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International SOS
Scholastic Traveler Program
Lawrence Foley Director, Risk Management
February 1, 2013
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SOS Comprehensive Program

• Program Features
• Medical Services
• Security Services
• Online Programs

February 1, 2013
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Global Continuity of Care

• 24 Hours / Day - 365 Days / Year
• 27 Alarm Centers
• 26 Clinics
• 1000 SOS Medical Professionals
• 4000 Full Time Professionals
• Locations in over 70 Countries
• Over 170 Remote Site Clinics

February 1, 2013
Worldwide reach
Human touch
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Primary Medical Services

• Emergency Medical Evacuations
• Medically Supervised Repatriation
• Repatriation of Mortal Remains
• Transportation of Minor Children
• Medical Referrals
• Companion Ticket
• Emergency Routine Medical Advice
• Online Country Guides (200 countries)

February 1, 2013
Worldwide reach
Human touch
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Personal Travel Assistance

• Legal referrals
• Emergency message transmission
• Lost document advice and assistance
• Assistance with documentation for insurance
  claims
• Compassionate visit or family travel
  assistance
• Emergency personal cash
• Return of minors

February 1, 2013
Worldwide reach
Human touch
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Primary Security Services

• 24-hour Access to SOS Security Professionals
• and Online Security Reports
• (over 200 Countries, Territories, and
  Islands).
• Security Evacuation
• Security staff will develop, coordinate and
• perform evacuations for members to the
• nearest safe haven.
• Crisis Center
• Security staff will develop a crisis center and
• remain in constant contact with members during
  an emergency in another country or region.

February 1, 2013
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Security Online

• Country Reports
• City Guides
• Current Situations
• Alerts
• Warnings
• Evacuation Notices
• Automatic E-Mails
• Travel Tips
• Risk Ratings

February 1, 2013
Worldwide reach
Human touch
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Online Country Guides
For All Countries

• Rich Source of Information
• Standard of care medical referral
• Diseases vaccinations
• Safety Information
• Travel Guides (non-medical info)
• Print or E-mail reports

February 1, 2013
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Pre-trip Checklist

• Contact primary health insurer
• Notify them of International travel
• Ask how they process international health claims
• Insurance restrictions
• How to file a claim
• Access ISOS website or Call ISOS to speak to a
  rep for country specific information
• Vaccines, security risks, travel information
• Sign up for alerts from ISOS
• Create an Emergency Response Plan
• Leave travel itinerary, personal contact
  information, and emergency contact information
  with JHU department
• Input travel information in JHU Travel Registry

February 1, 2013
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Limitations of services ISOS provides

• Medical referrals/evacuations
• Primary Health Insurance is first method Payment
• May need to make payment with credit card for
  medical services
• In emergency or extenuating medical situations,
  ISOS can guarantee payment for medical payments
  with authorization from Risk Management
• If payment guarantee is made, student will need
  to file a claim with health insurance so
  reimbursement can be made to JHU
• Excluded activities
• Caving, mountaineering or rock climbing,
  potholing, skydiving, parachuting, bungee
  jumping, ballooning, hang gliding, deep sea
  diving utilizing hard helmet, martial arts,
  rallying, racing of any kind other than foot

February 1, 2013
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• Questions?

February 1, 2013
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Case Studies
Case Study Leaders Pablo Yori Christine
George Jongwoo Lee
The following cases are challenging situations
based on real situations experienced by students
and/or faculty
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Case 1
You are asked to assist your local collaborators
with the study design for their health survey.
Based on your knowledge of epidemiology you
disagree with their selected sampling approach,
and feel strongly it will bias their study
findings.  
What do you do?
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Case 2
Your responsibilities include organizing,
observing, and taking notes during focus group
discussions and/or one-on-one interviews. Through
this process you hear comments and details from
individuals that you find interesting, humorous,
unique, fascinating or sad. You want to share
your experiences with your friends through a blog
youve set up to document your internship
experience, or through Facebook, Twitter, etc.
What do you think is appropriate for social
media?
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Case 3
You need to go with a co-worker over to the
nearby market, about 500m away, and he motions
you over to jump on the back of his motorbike.
What should you do? What are things you should
consider with transportation?
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Case 4
You are working with a coworker on regular basis
and have developed a good working relationship.
She comes to you and informs you that her child
needs money urgently for an operation that can
only be done in the capital city, and will
require resources that would be substantial for
her, but manageable for you.
Should you give her money or how do you say no?
What do you consider?
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Case 5

• You are working in a town in Africa where you
  feel fairly safe. You regularly walk across town
  between offices of your field site and the
  partner NGO across town. Although you are
  dressed in accordance with local customs, you get
  cat calls every time you walk across town.
  Once, a man on a bike follows you for a few
  blocks and makes kissing noises at you.

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Case 6
You are invited out one evening by your coworkers
who have varied backgrounds.
What are some things to consider when socializing
with peers and/or local coworkers?
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Case 7
You are told that the program where you are doing
your internship will help you find housing.  Once
you arrive, it becomes clear that the housing
they had in mind costs more than you can
afford/had planned on or seems unsafe to you.
What are your options?   What can you do before
leaving to avoid this sort of situation?
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Case 8
Youre doing an internship at a local project
office with very few non-locals. The average
temperature is 90F and humid and the office has
no air conditioning. You are trying to figure out
the appropriate clothing for your job.
How do you decide what to wear? What might you
think about before you travel?
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Additional Cases to discussion with your
PI/Mentor before travel
Ask your PI/Mentor if there are specific
non-project considerations you should be aware
before travel (i.e. is there an ATM?)
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Additional Case 1

• You are working on a health survey with a local
  NGO. Your job is to review the surveys and
  develop the database for analysis. In doing your
  job you notice differences in the way teams are
  collecting and documenting the data. Today you
  are invited to attend a meeting with the local
  investigator, IRB members and some members of the
  Ministry of Health. You feel you have information
  they should know.
• What is appropriate interaction for a student in
  higher level meetings?

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Additional Case 2

• You get off the plane and report to your field
  site. You were told that your housing and meal
  expenses would be covered by the project so you
  didnt bring much cash with you. You convert to
  local currency and then find out that expenses
  are reimbursed, not paid directly.
• How could this happen?
• You need to eat. What can you do in this
  situation?

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Additional Case 3

• Youve worked on a daily basis with a coworker
  for the past six months and have developed a good
  working relationship. She comes to work one
  morning with a bruised eye, and says she needs
  money so that she can leave her husband who has
  been beating her.
• How might you respond?
• What are your options?
• Do you lend her money?