Date post: | 18-Dec-2015 |
Category: |
Documents |
View: | 216 times |
Download: | 1 times |
Public Health Agency of Canada
Agence de santéPublique du Canada
Committee to Advise on Committee to Advise on Tropical Medicine and Tropical Medicine and Travel (CATMAT)Travel (CATMAT)
April 2008
Pierre J. Plourde, M.D., FRCPCMedical Officer of Health, Winnipeg Regional Health Authority
Medical Director, Travel Health and Tropical Medicine Program, WRHA
Medical Consultant, Journeys Travel Health Clinic
Associate Professor, Medical Microbiology (Clinical Parasitology), University of Manitoba
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
CATMAT reports to...CATMAT reports to...
Public Health Agency of Canada,
Chief Public Health Officer of Canada,
Assistant Deputy Minister,
Migration and International Health,
Travel Health Program
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
MandateMandate
provides recommendations on prevention and treatment of infectious diseases and other health hazards for Canadian travellers;
suggests mechanisms for wide dissemination and use of recommendations and other travel medicine-related information; and
advises on priorities for epidemiological research and other activities related to travel or tropical medicine.
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
StructureStructure 10 members (4-year terms): Canadian
expertise in travel medicine, tropical medicine, parasitology, infectious diseases, public health, and epidemiology
liaison members: CPS, CPHA, CSIH, AMMI Canada (formerly CIDS), NACI, IDRC, CAEP
ex-officio members: HC, DND, CIC, DFA, US CDC
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Summary:Summary:
Future statements/guidelines Yellow fever Update CDC Update Travel Health in the Canadian
Health Care System
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Upcoming Published Statements:Upcoming Published Statements:
2007/2008 High altitude (April 2007)
Immunocompromised hosts (April 2007)
Hepatitis (in press)
Japanese encephalitis (final edits)
Malaria guidelines (final edits)
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Future Updated Statements:Future Updated Statements:
2008/2009 Tuberculosis Typhoid Dengue fever Guidelines for TM practice Meningococcal meningitis Fever in the International Traveller
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Future New Statements:Future New Statements:
2009 Yellow fever Long term traveller International adoption Elderly travellers Pregnancy and travel Pediatric traveller Accidents and injuries VFRs
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Yellow fever Update:Yellow fever Update: Case Report (Calgary):
5 week old male born March 2007 (normal delivery) presented with 2 wk history of URTI and fever for 2 days, “seizure activity” for 1 day
Admitted and treated with antibiotics, acyclovir, and anti-seizure medications
Dx: encephalitis Normal CT head, CSF negative PCR Baby completely recovered Arboviral serology positive (Yf 1:5120 IgM!!)
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Yellow fever Update:Yellow fever Update: Case Report (Calgary):
Arboviral serology positive (Yf 1:5120 IgM!!) Mother had travelled to Caracas, Venezuela for 7
days, when baby was 13 days old Mother had received yellow fever vaccine when
baby was 10 days old (no need for vaccine!) Baby was breastfed only; no rural travel Was baby infected with endemic yellow fever (no
evidence of current outbreak) or was baby infected with vaccine strain via breast milk (has never been documented)?
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
CDC Update:CDC Update:
Interactive “live” malaria maps online
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Travel Health in the Canadian Travel Health in the Canadian Health Care System:Health Care System:
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Travel Health in the Canadian Travel Health in the Canadian Health Care System:Health Care System: ~2,000,000 Canadian travellers to
developing countries 20% VFRs; “voluntourism” 75% travellers develop travel-related
illness (GI, dengue, malaria, typhoid) But true cost of travel-related illness
in Canada unknown
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Travel Health in the Canadian Travel Health in the Canadian Health Care System:Health Care System: <15% travellers visit travel clinic Primary care practitioners often
provide incorrect advise*: 37% accuracy for immunizations (vs
76% THNs) 69% accuracy for antimalarials (vs 78%
for THNs)* Keystone JS, et al. J Travel Med 1994;1:72-78
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Travel Health in the Canadian Travel Health in the Canadian Health Care System:Health Care System:
“Why don’t provincial health care plans cover travel medicine?”
“if one can afford to travel, one can afford to pay”
?VFRs, students, missionaries, altruistic volunteers
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Travel Health in the Canadian Travel Health in the Canadian Health Care System:Health Care System:
Covering cost of pre-travel consultation fees – encourage travellers to seek advice from the right places
Correct the misconception that travel medicine is a “luxury item”
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
HaitiHaiti
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
HaitiHaiti
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
HaitiHaiti
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
HaitiHaiti
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
HaitiHaiti
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
HaitiHaiti
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
HaitiHaiti
Committee to Advise on Tropical Medicine and Travel(CATMAT)
Public Health Agency of Canada
Agence de santéPublique du Canada
Contacts…Contacts…
www.travelhealth.gc.ca
www.catmat.gc.ca
Public Health Agency of Canada
Agence de santéPublique du Canada
Committee to Advise on Committee to Advise on Tropical Medicine and Tropical Medicine and Travel (CATMAT)Travel (CATMAT)
April 2008
Pierre J. Plourde, M.D., FRCPCMedical Officer of Health, Winnipeg Regional Health Authority
Medical Director, Travel Health and Tropical Medicine Program, WRHA
Medical Consultant, Journeys Travel Health Clinic
Associate Professor, Medical Microbiology and Community Health Sciences, University of Manitoba