MPH PhD Department of Public Health and Preventive Medicine amp Travel Medicine Unit Faculty of Medicine Udayana University Outline Definitions Healthy Tourism Public Health Epidemiology ID: 904284
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dr. I Md.
Ady Wirawan, MPH, PhDDepartment of Public Health and Preventive Medicine &Travel Medicine UnitFaculty of Medicine, Udayana University
Slide2Outline
Slide3Definitions
Slide4Healthy
TourismPublic Health
Epidemiology
Demography
Health Policy
Occupational Health
Food Safety
Environmental Health
Health Promotion
MCH – RH
Medicine
Tropical and Infectious DiseasesNon-Communicable DiseasesTraffic accidents and other conditions
Supporting Factors
InfrastructureTourism IndustryPolicies
ImpactsTraveler’s HealthLocal Community HealthTourism Area Environment
Specifically related to Travel
Hazard Identification and Risk Assessment
Control Measures
Wirawan
(2016)
Slide5Challenges in program development and implementation
Slide6Travel Disease Surveillance
Slide7Travellers
Slide8Challenges in providing data on travel epidemiology
Limited knowledge on risk of diseases for specific regionsDifficulty in measuring risk (number of cases per 100,000 travellers)Difficulty in finding numerator data (travellers with diseases/cases)Difficulty in finding denominator data (total number of travellers at risk)
Slide9Challenges in providing data on travel epidemiologyTravelers infected to a disease has gone back to their origin when signs and symptoms appear
surveillance problems at the destinationDiseases with short incubation period surveillance problems at the originMild diseases tend to be not reported, or reported with inaccurate diagnosisTravelers visit many places difficulty in determining infection site/location
Slide10Surveillance on Travellers
Slide11http://www.istm.org/geosentinel
Slide12Limitation of GeoSentinel Data
Slide13Challenges for health workforces
Slide14Challenges in Tourism Industry
Slide15Tourism Industry
Slide16Tourism Industry Involvement
Generally supportive to travel health measuresWestern Australia (1999)145 Travel Agents56% supportiveQuebec (2002)708 Travel Agents81% supportiveBali (2015)500 Travel Agents and Tour Guides70.6% supportive
Slide17Challenges in researchDeveloping research capacity to fill the gap in travel health scientific information
Health Impact Assessment (HIA) at tourism areasEmerging and Re-emerging DiseasesAnti-Microbial ResistanceTalbot E.A., et. al, Travel Medicine Research Priorities: Establishing an Evidence Base. Journal of Travel Medicine 2010; Volume 17 (Issue 6): 410–415
Slide18Research Priority in Travel Medicine
Slide19Research Priority in Travel Medicine
Slide20Emerging and Re-emerging Diseases
Slide21Anti-Microbial Resistance
Slide22Tourism Areas in Bali
Slide23Mapping of tourism spots and health facilities
Slide24Risk analysis at tourism areas
Slide25Level of health and safety risk by types of tourism areas in Bali
Slide26ConclusionsChallenges in healthy tourism program development
Travel health surveillance at destinationsCollaboration between government and private sectorsHealth workforce competencies in travel healthTourism industry involvementChallenges in researchDeveloping research capacity to fill the gap in travel health scientific information – ISTM research prioritiesHealth Impact Assessment (HIA) at tourism areasEmerging and Re-emerging DiseasesAMR
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