CISTM16 Pre-Courses

CISTM16 Pre-Courses will be held at the Washington Hilton Hotel the afternoon of Wednesday, 5 June 2019, staring at 13.00. ISTM will offer eight pre-courses which will occur concurrently.  Be sure to include registration for the CISTM16 pre-course when registering for CISTM16; the pre-course is included with CISTM16 full registration at no extra cost. If you are not planning to attend the CISTM16, you may still register for a Pre-Course for 40 USD.


Challenges around Children and International Travel (Pediatric)

Challenges around Children and International Travel

Time and Location
13.00-16.30, Georgetown East

Interest Group
Pediatric Interest Group

Keyword Topics
Orphanages, medical electives, voluntourism, pediatric traveller, children with special needs, adventure travel, fever after travel

Pediatric travel medicine is more than providing the right vaccines and prophylactic medications. Why should we mind children at destination countries? We would like to start by discussing how globalization and international travel impacts local children. Pediatric pre-travel care knows many challenges. This time we will focus on children with pre-existing medical problems and special needs, as well as on children planning travel off the beaten tracks. How do we keep them well so that they can enjoy their trips? Children and especially young children experience frequently febrile illnesses. Providers caring for young children with post-travel fever need a good understanding of the geographic and seasonal epidemiology of febrile travel associated illnesses.

Agenda Topics
• Travel care for children with special healthcare needs: how to help our most vulnerable travellers, Sarah Kohl
   (United States of America)
• Wild Kats: Introducing kids to adventure travel, Sheila Mackell (United States of America)
• Impact of travel on local children, Mike Starr (Australia)
• Fever in returned pediatric traveller, John Christenson (United States of America)
• Panel Discussion Moderators: Philip Fischer (United States of America), Sheila Mackell (United States of


Destination Southeast Asia: An Overview with Case Studies on the Travel Health Needs of Different Age Groups (Nursing)

Destination Southeast Asia: An Overview with Case Studies on the Travel Health Needs of Different Age Groups

Time and Location
13.00-16.30, Shaw

Professional Group
Nursing Professional Group

Keyword Topics
Southeast Asia, vaccines, Boomers, Millennials

Southeast Asia has become a very popular travel destination for people of all ages and from countries around the world. While there are commonalities among people who travel to this destination, different age groups can have vastly different travel health needs and concerns.

This workshop will examine and compare the travel health needs of two distinct demographic groups who frequently travel to Southeast Asia: Baby Boomers and Millennials. For the purposes of this workshop, we will focus on Thailand, Laos, Cambodia and Vietnam. The workshop will contain five interrelated modules:
        1) An overview of the geoscience of the region (i.e. geography, climate, history and culture);
        2) An overview of the health risks in the region, such as food-, water-, and vector-borne diseases,
            vaccination (with special attention to JEV and rabies vaccine), and other health and safety risks;
        3) Providing travel health consultations to Boomers (i.e. itineraries, style of travel, common health risks
            and pre-existing medical conditions)
        4) Providing travel health consultations to Millennials (i.e. itineraries, style of travel, common health risks,
            similarities and difference to Boomers)
        5) Case Studies

Agenda Topics
• An overview on the culture, climate and popular travel routes and attractions of Southeast Asia, Caroline Nash (Australia)
• Health Risks in Southeast Asia, Lisa Scotland (New Zealand)
• Travel health needs and trends common among Boomers, Gail Rosselot (United States of America)
• Travel health needs and trends common among Millennials, Catherine Keil (Australia)
• Case studies, Danielle Peel (Australia)


Ethical Dilemmas on an Expedition (Responsible Travel)

Ethical Dilemmas on an Expedition

Time and Location
13.00-17.00, Cardozo

Interest Group
Responsible Travel Interest Group

Keyword Topics
Ethics, Responsible travel, Responsible tourism, Expedition, Wilderness Medicine

Agenda Topics
Jim Bond (Scotland), Responsible Travel Interest Group Chair, will facilitate a participatory workshop, based on a real-life, practical, ethical dilemmas faced by expedition medics in the field, when supporting expeditions and safaris in a number of tropical countries. The aim is the stimulate discussion and to challenge various participants' perceptions of what is involved in organizing a responsible expedition. Participants will learn and review their knowledge about the principles of medical ethical reasoning first and break into small groups to work through case scenarios.

Please click to download and read the "Essential Pre-Workshop Reading" handout.


Introduction to Migration Health: Knowledge for Travel Medicine Providers (Migrant and Refugee Health)

Introduction to Migration Health: Knowledge for Travel Medicine Providers

Time and Location
13.00-16.30, Tenlytown East

Interest Group
Migrant and Refugee Health Interest Group

Keyword Topics
Migration, Global Health Policy

An understanding of the principles that underlie migrant health is essential for travel health providers as we increasingly engage in discussions about the health issues of vulnerable populations, such as migrants and refugees, that may have global public health implications. In the sessions, participants will have the opportunity to view presentations regarding global health promotion goals and global health policies, as well as specific contexts relevant for travel health providers.

Agenda Topics
• Overview of Migration Patterns and their health Issues
• Global health promotion goals
• Health and Safety of Migrant Workers
• Health needs from sending country's perspective
• Health Screening for integration to health system
• Point-of-Care: health care needs of migrant and refugee
• Point-of-Care: health care needs of migrant and refugee


Corporate Malaria Management — Working towards an International Best Practice Guideline (Travel for Work)

Corporate Malaria Management — Working towards an International Best Practice Guideline

Time and Location
13.00-17.00, Georgetown West

Interest Group

Travel for Work Interest Group

Keyword Topics
Malaria, Best Practice, Guidelines, Fitness to Work, Remote Area, High Health Risk, Poor Health Care Facilities

Malaria There are no international best practice guidelines that travel and occupational health practitioners taking care of expatriates and frequent travellers to malaria risk areas can refer to. The Travel for Work Group Committee has set the goal to do so to arm colleagues to face up to multinational company management that lacks such guidelines and to ensure that there is consensus on matters such as the provision of and / or enforcement of taking prophylaxis and the provision of insect-repellents and safe working, leisure and sleeping structures.

Content will be developed by Travel for Work Group Committee Members.


Military Travellers: Deployment-Related Health Issues (Military Travel)

Military Travellers: Deployment-related Health Issues

Time and Location
13.00-17.00, Fairchild

Interest Group
Military Travel Interest Group

Keyword Topics
Traveller’s Diarrhea prevention, Ebola, bacterial and fungal infection prevention, respiratory infections, rabies, STI, suicide, Tick-Borne Encephalitis, Leishmaniasis

Pre Course Chairs
Olivier Aoun (France)
Mark Riddle (United States of America)

Agenda Topics
• Introduction and overview of Deployment-Related Health Issues, Olivier Aoun (France)
• Diarrhea prevention during deployment: works in progress, Mark Riddle (United States of America)
• Hot Topics in Military Dermatology: A Practical Approach with Cases, Lucy Lamb (United Kingdom)
• The 2014-2015 Ebola outbreak: lessons learned by the French Military Health Service, Christophe Rapp
• The burden of Respiratory infections during deployment, John Sanders (United States of America)
• Update on the preventive and therapeutic management of infectious diseases before, during and after
   Africa deployment in Belgian Armed Forces, Patrick Soentjens (Belgium)
• Sexually Transmitted Infections and the military: a long lasting relationship, Eric Garges  (United States of 
• Suicide and deployment: is there an association?, Gary Wynn (United States of America)
• Leishmaniasis and deployed troops: is it still a significant threat?, Anne McCarthy (Canada)
• Epidemiology of Tick-Borne Encephalitis in troops, Martin Haditsch (Austria)
• Late Breaker presentation: Smallpox re-emergence: just a military issue?, Martin Haditsch (Austria)


Products in the Pharmacy for Preparing the Traveller (Pharmacist)

Products in the Pharmacy for Preparing the Traveller

Time and Location
13.00-17.00, Rock Creek

Professional Group
Pharmacist Professional Group

Keyword Topics
Pharmacy, pharmacist, travel health, medicines, vaccines, immunisation, water purification, probiotics, natural medicines, first aid kits, insect bites, repellents

The aim of this course is to give pharmacists the practical and theoretical information regarding products in the pharmacy that can be recommended for travellers. Many pharmacists know of water purification devices and may even sell some, but do not know how to actually use them. There will be a practical demonstration on them. Correct use and efficacy of insect repellents is most important for travellers, and pharmacists need ot give correct advice. The use of natural medicines is growing rapidly and there is very little robust information on the safety and even more importantly, the efficacy of them.

Pharmacists in some countries have been very fortunate to legally be able to immunise and will share their experience regarding issues such as required training, adverse reactions, any studies that have been done to show the benefit to the travellers and databases used to capture data.

Agenda Topics
• Water purification — exhibition of different products, Mark Walberg (United States of America)
• First Aid kits — what to put in them, Sheila Seed (United States of America)
• Natural medicines — available products and evidence of efficacy (includes Pre- and Probiotics),
   Karl Hess (United States of America), Derek Evans (United Kingdom)
• Avoiding insect bites, Larry Goodyear (United Kingdom)
• From 'Eh' to Zika: The scope of practice and evidence related to Canadian pharmacists as travel healthcare
   providers, Sherilyn Houle (Canada)
• An interprofessional collaboration between a pharmacy and a travel clinic in a Swiss outpatient hospital,
   Jérôme Berger (Switzerland), Marie-José Barbalat  (Switzerland), Vanessa Pavon Clément (Switzerland)


Student Travel in 2019: Five Challenges, Five Solutions (Student Travel Abroad)

Student Travel in 2019: Five Challenges, Five Solutions

Time and Location
13.00-17.00, Tenlytown West

Interest Group
Student Travel Abroad (STA) Interest Group

Keyword Topics
(MeSH): Universities, colleges, students, travel medicine, developing countries, interest groups

Providing expert travel medicine practice in a changing climate is as important in our universities and colleges as it is elsewhere. Students are traveling more than ever before, not only for leisure during university vacations but increasingly as part of their studies by going on study tours, field trips or even spending entire semesters abroad on exchange programs, for example those studying medicine, sociology, community development etc. In addition, increasing numbers of students from developing countries are studying in Western universities, forming a special group when they return home to visit friends and relatives, with often a lowered risk perception than Western students visiting such countries. Additional challenges facing travel health professionals at universities include increasing numbers of student travellers with pre-existing medical conditions, older travellers, those undertaking volunteering in resource poor settings and those with time and financial limitations pre-travel. All of is highly relevant to the CISTM16 theme of “travel medicine in a changing climate”.

This pre-course will raise awareness in those attending CISTM16 of the special needs and challenges of student travellers and will consist of five 20 minute presentations, followed by a Q&A session and discussion with the panel.

It is anticipated that the panel discussion will not only lead to networking opportunities within ISTM including other Interest Groups, but to greater interest in student travel health within ISTM and the wider international travel medicine community.

Agenda Topics
• Post Exposure Prophylaxis (PEP): Implications for Clinical Programs Abroad, Dawd Siraj (United States of America), Anjali Silva
   (United States of America)
• Too little time, too little money- the student with insufficient pretravel resources, Gail Rosselot (United States
   of America)
• Student Travelers and Contraception: Embrace the Optimal Solution, Julie Richards (United
   States of America)
• Gender Issues and Student Travel, Catherine Ebelke (United States of America)
• Variations in international vaccination schedules impacting student travellers, Marie Plisson-Sauné (France)

Pre-Course Handout Materials
PEP Implications for Clinical Programs Abroad
• UVA PEP Protocol for Clinical Programs Abroad