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Health, Safety & Risk Issues in Study Abroad 2009

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Study Abroad 2009 Department of Safety & Risk Management Minette Ellis, Director Coping with Culture Shock Make students aware if women should not appear flamboyant ... – PowerPoint PPT presentation

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Title: Health, Safety & Risk Issues in Study Abroad 2009


1
Health, Safety Risk Issues in Study Abroad 2009
Department of Safety Risk Management Minette
Ellis, Director
2
Purpose
  • Office of International Affairs has requested the
    Dept. of Safety Risk Management provide an
    annual update of safety issues and risk factors
    before going abroad to enhance preparedness of
    the Program Directors.

3
Trends
  • Academic study abroad experience enhances the
    education.
  • Increase in global awareness and international
    relations.

4
GSU Study Abroad Destinations
5
Emergencies
  • Minor pick-pocketing
  • petty theft, illness, injury, language
    communication barriers
  • Major natural disasters like earthquakes or
    hurricanes or acts of terrorism

6
What is a Medical Emergency?
  • Any Hospitalization- no matter how brief
  • Rape or sexual assault
  • Severe food poisoning
  • Severe allergic reaction
  • Any mental health issue
  • Any incident involving injuries or potential
    injuries

7
Responding to Medical Emergencies
  • Seek appropriate medical care.
  • Call Worldwide Assistance if needed.
  • Notify GSU Crisis Committee per the Study Abroad
    Crisis Prevention policy guidelines.
  • Protect students right to medical privacy. Share
    only necessary details with individuals on a need
    to know basis.

8
Non- Emergency Medical Care
  • Students should be prepared to pay for the cost
    of the treatment. Upon return to the US, they
    should submit receipts and seek reimbursement by
    filing a claim.

9
Medical Accident Insurance
  • Mandatory Study Abroad Insurance is included in
    the cost of the program
  • Prior to leaving, program directors should
    communicate to students how medical costs abroad
    will be paid when services are rendered

10
Medical Accident Insurance
  • Evacuation (for medical emergencies-does not
    include terrorism)
  • Repatriation of remains
  • Accident and Life insurance
  • Worldwide Travel assistance to help with
    emergencies
  • 1-800 number to verify insurance

11
What is a General Emergency?
  • Protests/Civil Unrest (France 2006)
  • Armed Conflict (Israel/Lebanon 2006)
  • Foiled Terrorist Plot (London 06)
  • Military Coup (Bangkok 2006)
  • Widespread Riots (Budapest 2006)
  • Protests/Civil Unrest (Bangladesh 2006)
  • Earthquake (Peru 07)
  • Terrorist Bombing (London 2007)
  • Hurricanes (Dean/ Mexico 07)
  • Anything newsworthy regardless of its effect on
    students or programs

12
Crisis Planning Preparedness
  • Make sure everyone staff students are safe and
    secure
  • Minimize anxiety for the students
  • Program Directors should be prepared to operate
    independently if cutoff from US based
    communication
  • Contact or respond to directions of local
    authorities
  • Follow the GSU Crisis Prevention Policy for Study
    Abroad Programs

13
Emergency Preparedness
  • Instruct all students to review Crisis Management
    Policy of the Study Abroad Program
  • Designate a primary and secondary place to meet
  • Agree on when, where how to meet
  • Designate a student leader in case the faculty
    become incapacitated or unavailable

14
(No Transcript)
15
Health Safety
  • World Health Problems are tracked by the CDC and
    WHO
  • www.cdc.gov
  • www.who.int
  • Dysentery, cholera, HIV, HBV are health concerns

16
1 Travelers Health Warning
  • Caused by viruses, bacteria parasites that
    contaminate food or water
  • Wash hands frequently or use cleansing gel

Diarrhea
17
Yellow Fever
  • Mosquito-borne disease
  • Vaccination required to enter certain countries
  • Prevalent in Panama,Central America Ghana
  • Malaria can also be contracted in Mexico
  • Wear long sleeve clothing for protection

18
Yellow Fever
  • As of 3/17/09, Yellow Fever Outbreak in the
    southern part of Brazil
  • Yellow Fever vaccinations are recommended by CDC
  • Recommended repellants containing 30-50 DEET for
    adults

19
Meningitis
  • As of 3/17/09, in the NE states of India
    (Tripura, Meghalaya, Mizoram) 230 deaths 2000
    ill from Meningitis Nigeria
  • Bacterial infection that causes symptoms of high
    fever, headache, stiff neck, nausea
  • Meningococcal vaccine should be taken 7-10 days
    before traveling

20
Avian Flu Bird Flu
  • At this time, WHO recommends that travelers to
    countries experiencing outbreaks of this disease
    in poultry should avoid areas with live poultry,
    such as live animal markets and poultry farms
  • As of 3/11/09, Human cases of Bird Flu detected
    in China, Egypt, Indonesia , Vietnam due to being
    in contact with ill birds

21
Health Safety
  • Students should be informed on sexually
    transmitted diseases such as gonorrhea, syphilis,
    herpes and HIV
  • For pre-existing medical conditions-the students
    medical doctor should assist in this planning
    stage or provide some recommendations
  • Program Director should have protocol for
    pre-existing medical conditions such as asthma,
    diabetes, hypertension, etc.

22
Laws for Alcohol Consumption
  • Drinking age in the host country
  • If drinking-do it in moderation
  • Program Directors should advise students they
    are subject to the laws of the host country

23
AGE 19
No Minimum Age
AGE 18
AGE 16
AGE 20
24
Effects of Reckless Behavior
  • Makes you vulnerable to street crime
  • Auto accidents
  • Falls from hotel balconies
  • Drowning
  • Fatalism
  • Poor grades abroad
  • Social conflicts with peers authorities
  • Ugly American Syndrome

25
Drug Abuse
  • Less common than alcohol abuse
  • Severity is greater as jail sentence can be
    imposed

26
Criminal Acts
  • Avoid public demonstrations
  • Be aware where its appropriate to take pictures
  • Do not take pictures of civil disturbances
  • Consequence
  • Financial burden of legal representation is the
    responsibility of the student
  • Mistreatment in the jails
  • Court held in language of the host country
  • US Embassy can not get you released if
    incarcerated

27
Dont Become a Victim of Crime
  • Think about using a money belt
  • Stay in well lighted areas
  • Beware of beggars
  • Avoid being alone at night in an isolated areas
  • Know where the high crime areas are
  • Dont sleep in unlocked areas
  • Do not go in public under the influence of
    alcohol or drugs

28
Nutritional Changes
Advise your students on the diet of the host
country Advise changes may be necessary
29
Food and Drink
  • Avoid salad, uncooked foods, fruits and
  • foods you do not peel yourself
  • Do not accept food from Strangers
  • Dont drink Untreated water
  • Avoid raw seafood, rare meats
  • Avoid unpasteurized foods e.g. cheese and milk
  • Beware of the food and water in the aircraft as
    it may come from the departing country

30
Study Abroad Should be
  • Adventuresome
  • Informative
  • Fun

31
Emotional Mental Health
  • Pre-existing emotional conditions may intensify
    by living in a foreign culture
  • Culture Shock can have a shattering effect on
    some students and cause Anxiety

32
Minimize Emotional Problems
  • Conduct one-on-one counseling with students to
    establish positive motivation for studying
  • Be aware of the ten stages of anxiety of students

33
Anxiety
  • Ten Stages of Adjustment
  • Initial anxiety
  • Initial elation
  • Initial culture shock
  • Superficial adjustment
  • depression-frustration
  • Acceptance of host culture
  • Return anxiety
  • Return elation
  • re-entry shock
  • reintegration

34
Coping with Culture Shock
  • If racial or religious differences exist within
    the culture-the students should be made aware
  • Students should participate in group activities
  • Non-verbal communication know the gestures that
    are considered rude
  • Make students aware if women should not appear
    flamboyant or aggressive in the host country
  • Appropriate inconspicuous dress
  • www.journeywoman.com
  • http//www.fekids.com/img/kln/flash/DontGrossOutTh
    eWorld.swf
  • (Dining etiquette quiz)

35
Foreign Medical Practice
  • Healthcare standards will vary from country to
    country around the world
  • Students should be advised that they should not
    expect the same practices as those in the U.S.
  • Ensure that specialized medications or
    prescriptions will be available when
    participating in longer study abroad programs

36
  • RELEVANT LEGAL ISSUES CONCEPTS AND THEORIES

37
Legal Relationships
  • Contractual Relationships exist simply by the
    student being a member of the university and
    agreeing to abide by university rules.
  • In Loco Parentis exists if you have an underage
    student participating in your program You, the
    Program Director, act in place of the parent.
  • Special Relationship exists as the Program
    Director for Study Abroad who oversees the
    students enrolled in this program.

38
WARN
CARE
REASONABLE PRUDENT
DUE DILIGENCE
39
Personal Liability
  • Georgia State provides a liability limit of
    1,000,000 for each employee if allegations are
    made regarding wrong doing while operating within
    the scope of your employment and services
    performed on behalf of the university.
  • Program directors are expected to respond to
    emergencies with reasonableness and good faith
    (Prudent Man Theory.)
  • Suits filed against the GSU Program Director
    while oversees will have representation provided
    by the State of Georgia

40
Standard of Care
Wanton, Willful Intentional
Negligence
Claims or Allegations are made when Program
Directors act Negligent. Tort is a wrongful act
or malfeasance against another.
Tort Liability
41
Protect GSU from Potential Liability
  • FERPA/HIPAA
  • Protect students medical privacy
  • Title IX Prohibition Against Sex Discrimination
  • Do not hold office hours in your hotel room
  • Avoid excessive alcohol consumption with your
    students or while on duty
  • Forbid students of the opposite sex to share
    accommodations even if consensual

42
The ADA and the Rehabilitation Act
  • Understand that medical conditions may qualify as
    disabilities
  • Be aware that the ADA (1990 and 2000) prohibits
    discrimination on the basis of disability
  • Follow the Rehabilitation Act (1973) that states
    no otherwise qualified individual with a
    disability shall be excluded from the
    participation in any federally funded program or
    activity.

43
Reducing Liability for you and the University
  • Disclose any known dangers regarding the trip.
    Advise or clarify if warnings are issued in the
    native language
  • Disclose disciplinary action to be taken for rule
    violation
  • Waivers and releases of liability should be apart
    of any agreement

44
Reducing Liability for you and the University
  • Where a contract exists, a choice-of-law clause
    should be included to ensure that, if a case if
    filed, it will be tried in our jurisdiction under
    our laws
  • Disclose all significant cultural differences
    between countries
  • Identify potential risks of host county from the
    US State Department website
  • Be sure that parents have signed for minors, if
    any.

45
  • GETTING READY TO STUDY ABROAD

46
Pre-departure Medical Evaluations
  • Eyeglass/contact lens prescription(s)
  • Doctors statement about any relevant health
    problem
  • Medication prescriptions (written in generic
    terms)
  • Medical evaluations should be in advance of
    leaving
  • Blood type
  • Dental Records
  • EKGs/X-Rays (if relevant to students medical
    situation)

47
What to Pack suggested
  • Medicines
  • Extra Syringes (diabetics)
  • Extra Eyeglasses/lenses
  • Small first aid kit/supplies
  • Sun block \
  • Anti-diarrhea (Imodium)
  • Anti-motion sickness meds
  • Water purification tablets
  • Allergy medicine(s)
  • Insect repellent
  • Moisturizer
  • Condiments of choice
  • Antibiotic ointment
  • Hand washing gel
  • Aspirin/pain killer
  • Feminine hygiene products

48
Medication
  • Prescription meds must be in the containers from
    the pharmacy in order to clear security in the
    airport and foreign countries

49
Practical Tips for Safe Traveling From The
Parents Guide to Study Abroad by William Hoffa
NAFSA 1998
  • Take only the cards that will be used on the trip
  • Keep a list or copy of the cards, numbers
    emergency replacement procedures
  • Make 3-lists of Travelers Checks (home, carry one
    remote location w/ receipts)

50
Practical Tips Luggage
  • Mark all luggage inside out
  • Enclose an itinerary in each bag
  • Keep a list of the contents for each bag

51
  • Dont carry everything in one place! Never pack
    essential documents, medicine etc. in checked
    luggage. Keep them in your carry on bag.
  • Keep names and phone numbers of insurance
    companies in close proximity.

52
Passport
  • Carry 2 extra passport photos or
  • 1 passport copy or
  • 1 copy of your certified birth certificate or
  • 1 expired passport

53
Practical Tips for Safe Traveling From The
Parents Guide to Study Abroad by William Hoffa
NAFSA 1998
  • A lost passport should be reported to local
    police
  • Get written confirmation of the incident from the
    police
  • Go to the U.S. Consulate for an application

54
Ten Tips for Travel Under the New Security Rules
  • Arrive early
  • Have proper id such as drivers licenses,
    passports, military id
  • Get your ticket on boarding pass before you
    arrive (procedures are changing)
  • Avoid using the Ticket Counter if you have
    nothing to check
  • Make sure carryon bags have been cleaned out no
    unacceptable items should be left in them

55
  • Any questions about the content.
  • Please contact Minette Ellis
  • 413-9548 mmellis_at_gsu.edu
  • Special thanks to Calif Polytechnical State
    University
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