29082011 IFRC 2 Vaccinations Tetanus Diphtheria 10yrs Polio 5yrs Measles lifelong Yellow Fever 10yrs Meningitis 3yrs Hepatitis A and B 15yrs Typhoid 3yrs Cholera 6 months ID: 1039880
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1. Delegates Health“Stay Healthy - Be Happy”
2. 29/08/2011IFRC 2VaccinationsTetanus + Diphtheria 10yrsPolio 5yrs Measles lifelong Yellow Fever 10yrs Meningitis 3yrsHepatitis A and B 15yrsTyphoid 3yrsCholera 6 monthsRabies 3 yearsJapanese B Encephalitis 1-3yrsSeasonal Human Influenza 1 yearKeep a copy separately in case you loose your original records
3. 29/08/2011IFRC 3The greatest health hazardsStomach up-sets, food poisoning Traffic accidentsMalaria and Dengue feverSTI’s including HIVStressSubstance abuse such as excessive drinking and smoking
4. 29/08/2011IFRC 4Air Travel High risk of Deep Vein Thrombosis (DVT) after 4 hour flightConsider the use of knee-length gradient compression stockingsAvoid dehydration by drinking at least 2 dl of non-alcoholic beverage / hourMove your feet and legs regularly Increased risk for smokers, short (<160cm) and tall (>190cm) peopleBefore flight: take 100mg aspirin?Jetlag can be prevented
5. 29/08/2011IFRC 5First Aid PreparednessIn the delegation there might be:First Aid Kit for Vehicle in every Federation car (compulsory)Health Delegate KitBurns KitTrauma KitResuscitation KitSterile KitHome First Aid Kit in every houseEarthquake Kit including FA equipmentCheck them regularly. All staff should have basic first aid skills updated annually.
6. 29/08/2011IFRC 6Personal Medical KitFor basic first aid and minor health problemsBandages, medicines, sterile syringes and needles, malaria self test, disinfectant, ORS, condoms, thermometer, talcum powder, eye drops/cream, sun screen, antiseptic creamAdvisable to carry in hand luggage, sharp things in suit case
7. 29/08/2011IFRC 7Malaria Malaria is an acute febrile illness with an incubation period of 7 days or longer. Might be fatal.Malaria parasite is transmitted by Anopheles mosquitoes, which bite mainly between dusk and dawn.Prophylaxis and treatment existsCommon in over 100 countries
8. 29/08/2011IFRC 8Malaria ProphylaxisUse repellent containing DEET 35%Mosquito coilRight clothingTreated mosquito dome (or bed net)Medicines: -Doxycycline 100mg -Lariam -MalaroneNeeds to be taken prior to travel
9. 29/08/2011IFRC 9Dengue Fever Viral hemorrhagic fever transmitted by day biting mosquitoes Incubation period 3-14days, commonly 5-7daysNo vaccine existsYou can protect yourself from dengueSpray office premises every month
10. 29/08/2011IFRC 10Dengue Signs and SymptomsSudden feverHeadacheBleedingSkin-RashNeeds to be treated in receive safe blood if Joint painMuscular painRetro-orbital painShocka place where you cannecessary.
11. 29/08/2011IFRC 11Chikungunya Viral diseaseTransmitted by mosquitoesIncubation time 3-11 days Rapidly increasing specially in Asia and AfricaSymptoms: Fever, arthritis, rash, haemorrhagesSpecific treatment: none
12. Filariaris29/08/2011IFRC 12Lymphatic filariasis is caused by paracites carried by Wucheria bancrofti mosquitoesCauses ”Elephantiasis leg”120 milj. people in tropical areas are infectedCommon in e.g. Haiti
13. 29/08/2011IFRC 13Avian Influenza = “Bird Flu”No good vaccine available yetSeasonal Human Influenza vaccine for some prevention recommended by WHOTamiflu tbl for cureN95 Facial masks or PPE for protectionStay away from poultry, eat only well-cooked chickenGood hygiene importantRisk for pandemic outbreak high
14. 29/08/2011IFRC 14MedicinesTake them regularly at right timeTake them with right foodStore them carefullyBe aware of side effectsCounterfeit medicines are common in many countriesDon’t forget your sun screen products
15. 29/08/2011IFRC 15WaterTap water is not drinkable in many countriesSource of many diseasesAvoid ice if source unknownSwimming is highly risky. There might be rip currents and undertows in the ocean. Please read the swimming advisory carefully. Don’t swim alone.
16. 29/08/2011IFRC 16WoundsBE CAREFUL AND TRY TO AVOID THEM!Careful treatment, even small wounds and skin infections might become serious illnessRisk of tetanus, check your vaccinationsKnow where the nearest PEP (post exposure prophylaxis) kit is, should be mentioned in the medical evacuation plan
17. 29/08/2011IFRC 17HygieneHand disinfection is essentialToilet hygiene – clean toilets every dayTry to avoid: Sexually Transmitted Infections (STI) HIV/AIDS Fly control is essential Prevention is better than cure
18. 29/08/2011IFRC 18HIV in Workplace New directive on HIV in the work placeCommitted to implement WP programsA project to ensure organization wide implementation of workplace programsInformation available on FedNetIncludes:Treatment for local staff if not otherwise coveredEach person will be dealt with on an individual basisAdaptation of duties, and flexibility in terms of working hours possible
19. 29/08/2011IFRC 19Mental WellbeingRead: “Managing stress in the field”Take care of your team – you are a member of itR&R – “Refuel your Reserves”What is your survival strategy?We have four stress counselors in Geneva whom you can contact (CONFIDENTIAL) by email, skype or phone, soon also two in each zone available
20. 29/08/2011IFRC 20StressFeelings of distress in yourself and others are legitimate and not signs of personal weakness or lack of professionalism.
21. 29/08/2011IFRC 21Signs of Cumulative StressPhysical symptoms Emotional symptomsMental signsRelational signs Behavioral changesCollapse of belief systems
22. 29/08/2011IFRC 22Prevention of Cumulative StressUse your personal resources fullyKnow yourselfShare – communicate – be clearSupport each otherAsk for support from Geneva
23. 29/08/2011IFRC 23Risk AssessmentTo be done in each delegationLook specially at:Assessment of local medical and dental facilities and servicesTraffic hazardsSnakes and other animalsClimate risks (altitude, humidity)Cultural aspects
24. 29/08/2011IFRC 24Delegate falling sickInform the Country Rep and Health delegateInform Health Officer in GVA (by phone)Applies also if accompanying family member is hospitalised (also deliveries)Ensure that the person is monitored and followed up regularly and approriatelyInform Insurance company and if needed Assistance company by the HOD or designated personFederation contracted delegates: No SOS coverage during leave, AXA Winterthur as normallySick leave document to be presented
25. 29/08/2011IFRC 25Medical Evacuation PlanLatest version of information on FedNetFollow the SOPThe plan includes also info on location of the nearest PEP kit and safe blood Must be known by all delegatesAlways keep your passport, visa and insurance card with you, or copies of sameGive administration a copy of your passport and visaHOD responsible for regular updatesIf in doubt – send them out!
26. 29/08/2011IFRC 26More information“International travel and health” from www.who.int/ith www.who.inthttp://wwwn.cdc.gov/travel/contentReliefWorkers.aspx#www.internationalsos.com Codes: 22AMMS000091 FedNet: Resources and services/ Support/HR/Health
27. 29/08/2011IFRC 27
28. Health InsuranceHealth Insurance for Delegates in the fieldIt is really important that the HR department is kept informed about all changes concerning delegates (marriage, birth, divorce etc).Family members not declared to the HR dept: No insurance coverage for them!Do not forget: Baby deliveries-> GOP and child allowence 28Hannele Haggman, Health Officer
29. 29/08/2011IFRC 29InsuranceKnow the conditions of your own insurance policyInsurance is not the same as Life InsuranceFor Federation delegates: our contact in Federation for AXA Winterthur is Francine Golay Tangen, Insurance Unit, GVA E-mail: Insurance.Unit@ifrc.org Basic information on benefits, general conditions, reimbursement and claim forms can be obtained from FedNet (Resources and Services – Support – Insurance)Claims can now be done by email
30. 29/08/2011IFRC 30For Federation contracted delegates:Annual Medical Check UpHighly recommended for all delegates with Federation contractIncludes visit to GP and the basic health testsAXA Winterthur will reimburse up to 500CHF once a yearEnd of Mission MedicalHighly recommended for all delegatesSame form as for Medical ClearanceValid for a new contract for 6 months
31. 29/08/2011IFRC 31 Health OfficerEmail:Hannele.Haggman@ifrc.orgSkype: hannelehaggmanP.O. Box 372CH-1211 Geneva 19SwitzerlandDirect line:+41-22-730 4417Mobile:+41-79-217 3319FAX:+41-22-730 4958
32. 29/08/2011IFRC 32QUESTIONS?Take Care