25 - Nee-Kofi Mould-Millman - Caring for Yourself, Part II

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Foundations for Global Health Responders

21 calificaciones

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University of Colorado System

Foundations for Global Health Responders

21 calificaciones

Around the world, we are increasingly socially and economically interdependent. Health on one side of the globe affects people on the other. Global health, once merely an ethical consideration, now dominates discussions and policies of global security. A diverse team of experts in this emerging field has come together to help you contextualize your experiences as a new or seasoned global health responder. By the end of this course, you will be enlightened about the changing world you live in, and have a much better understanding of the machinations on how organizations and governments are striving to improve health worldwide. You'll also learn how to keep yourself safe and be a savvy participant in the global health arena. You'll be prepared to travel and to take your skills to chronic/emergent situations and help respond to the pressing needs while participating in global health activities throughout the world. Week one will serve as an introduction to global health concepts with a look at changing trends in the 21st century; urbanization, environmental stress and resource scarcity. During week two, we will dive into global health security: food, water, energy, and the threats of a changing climate. Week three will cover the global burden of disease, infectious disease, the rise of non-communicable diseases, mental health, and access to care. During week four, we will learn about the stakeholders in global health: NGOs, governments, non-state actors; understanding where the money comes from, how it is allocated and the challenges of measuring results; human rights: what are they and how are they protected? During week five, we move onto complex humanitarian emergencies: forced migrations, wars, response standards, and the legal basis for interventions. Finally, during week six, we will end our course by learning how to be an effective participant--caring for yourself: pre-travel preparation, understanding risks when traveling outside your home country, and physiologic vulnerability. This course also serves as a prerequisite to the hands-on 'Global Health Responder' certification from the University of Colorado School of Medicine. If you're interested in taking this 3-day hands on course-- offered throughout the world-- please go to coloradoWM.org or email our administrator: marisa.burton@ucdenver.edu.

De la lección

Being an Effective Participant

You've now been educated in the nuances of global health, and it's time to get involved. We've pulled a crack team of travel experts to give you all the tips you need to stay healthy and thriving as a global health responder. Dr. Tracy Cushing is going to open her go-bag backpack and show you the high yield tools that every traveler should consider. Dr. Chris Davis and Dr. Mould-Millman will clarify just what dangers exist and how to protect yourself when leaving your home country, and Dr. Ryan Paterson returns to explain how a warming planet is changing the risk profile for infectious disease. Be sure to tune in for a final wrap-up from Dr. Jay Lemery at the end of the week, when he'll impart some parting thoughts and next steps for you in the world of global health.

Jay Lemery - Weekly Overview0:48

24 - Tracy Cushing - Caring for Yourself, Part I9:24

25 - Nee-Kofi Mould-Millman - Caring for Yourself, Part II10:07

26 - Chris Davis - Travel Health for the Global Health Provider14:14

27 - Ryan Paterson - Infectious Disease & Climate Change10:58

28 - Chris Davis - Physiologic Vulnerability17:33

29 - Jay Lemery - Conclusion1:10

Conoce a los instructores

Dr. Jay Lemery, MD
Associate Professor
Emergency Medicine, University of Colorado School of Medicine

Nee-Kofi is back to talk about situational awareness, trauma, and security.

He'll talk about pre-trip planning, do's and don'ts, and post-trip considerations.

Again, echoing the teaching point in this course that once you become mentally or

physically incapacitated, you now become part of the problem.

>> So, today, we're going to be continuing the lecture series on caring for

yourself before, during and after travel.

Specifically, we're going to be talking about situational awareness trauma and

security for yourself before, during and after a trip.

The objectives of our lecture today are threefold.

One, to provide you with some guidance and

resources around pre-trip safety preparation.

Secondly, to discuss some do's and don'ts regarding personal safety and

security while you are in a foreign environment.

And last, to suggest a few post-trip actions to enhance your well-being.

So, the first point I'd like to make is that, is that humans are complex beings.

We have several domains including the mental, physical, emotional, and

some would add, spiritual, all of which are required to be pretty

high-functioning for you to function as a global or humanitarian responder.

So I'd like you to keep this in mind.

If, during the course of relief mission or volunteer work, you become ill, injured or

otherwise incap, incapacitated, you then become a burden on the local system.

And this effect is even more magnified,

if you are in a low-resource setting that has very scarce resources.

So, your primary objective as always to firstly protect yourself,

secondly your crew, and lastly, the population you're there to serve.

So before you jump on a plane headed to your destination, I think it's in,

incumbent upon you to plan, prepare, and prevent.

There are several facts and

variables you should know about the environment before you arrive.

For example, what is the local climate like?

Is it hot? Is it cold?

Is there a 30 degree

to 50 degree Fahrenheit difference in daytime versus nighttime temperatures?

What is the local political situation?

Is it election time?

Are there protests?

What are the neighboring country politics?

Is the, are the neighboring countries unstable?

Are they engulfed in a civil war?

Are there refugees fluxing into the environment you're, you're going into?

What is the local burden of disease?

What are the infectious exposures?

For example, in 2014, we have Ebola outbreaks in West Africa.

And in 2002 to 2004, there was a SARS epidemic in East Asia.

Is trauma and violence rampant in the environment?

Are there terrorist bombings, for example, as we have seen in East Africa and

the Middle East?

So, what is the local road system like?

Do they drive on the left, the right?

Are roads safe in general?

What about physical and safety or security concerns of people of your citizenship?

Are there issues with abductions,

violent crimes targeted specifically to folks of your national origin?

Do you know where the safe and

unsafe neighborhoods are in the environment you're going into?

What about technological and financial safety considerations?

Do they accept credit cards, for example?

What about when you log onto the wi-fi, or the internet?

Do you have a safe and secure connection?

Will you be at risk for identity theft?

And finally your, if you have travel insurance,

what sort of benefits will your insurance company cover?

Will they medevac you to a destination?

Will you receive on the ground care and support from?

Those are all I think really important considerations

to know before you head off to your destination.

So let's discuss some resources that you can obtain some country facts.

So, for example, the US Central Intelligence Agency, the CIA,

has a World Factbook.

It is an excellent resource to learn about the politics and

the demographics and the geography of the environment you plan on going into.

The United States Department of State has a Safe Travel program

that also has very valuable information on many countries.

And finally, the US Centers for Disease Control and Prevention,

the CDC, offers specific medical related and infectious disease related information

on many foreign destinations which you should look at before you head off.

So there are even check lists available to help you consider everything

from travel documents you should take, vaccinations you should receive, and what,

what kind of equipment and clothing you should pack.

The U.S. Department of State offers some very America specific,

or some North America specific resources.

However, there are regional specific similar sites.

For example, in the European Union in South America and Southeast Asia.

So you should become very familiar with what's available for your region.

On the ground, it's really important for

you to consider what your most likely exposures and dangers will be.

Especially, if you're in a tropical environment or

a low- to middle-income country.

We know globally that road traffic injuries are the number one cause of

morbidity and mortality of foreigners, especially motorcycle and car accidents.

Secondly, infectious diseases and fevers.

If you're going to a malaria endemic region, be very cognizant and careful of

prophylaxing yourself and preventing yourself from being bitten by mosquitoes.

Diarrheal and gastrointestinal illnesses are very common exposures for

travelers, especially in warm and tropical environments.

Consider the risk from theft or physical assault,

especially if you're in a more urban environment.

And finally, if you're a health care worker, you need to consider strongly

blood and respiratory borne infections such as HIV and tuberculosis.

So here are some tips for you on how to stay safe during your travel.

I recommend when you arrive talk to locals,

especially taxi drivers, concierge workers at hotel front desks.

Read the local newspapers.

Listen to media.

Get very familiar with all the issues on the ground.

Play, pay, pay especially close attention to your physical safety.

Communicate clearly, so there's no confusion about your movements,

why you're there, what you're doing.

Know the local layout, know where the safe and unsafe neighborhoods are.

And again by talking to people on the ground you can become familiar with

with these new answers.

And lastly, know the local emergency access number for reaching police or

ambulance if those resources are available.

So regarding medical and safety specific precautions,

I strongly recommend that you evaluate your source of drinking water critically.

Evaluate the source of your meals.

What sort of environment were they prepared by?

Whom are they prepared?

I would strongly recommend taking an antidiarrheal treatment along with you.

For example, ciprofloxacin.

And even consider taking an emergency diarrhea kit, which is simple and contains

oral rehydration salts that you can simply empty into a bottle of clean water.

If you're a healthcare worker in particular,

it's going to be really important for you to take personal protective equipment.

When I travel to do emergency-related work,

when I work in acute care settings or an ambulances, I take gloves, I take goggles,

I take simple masks, I take N95 respirator masks and

I take plastic gowns in case there's a lot of bleeding or body fluids.

So here are a few do's and

don'ts around your physical safety when in a foreign environment.

Use caution, especially at night.

Travel in groups whenever possible.

Avoid jewelry, watches, and anything flashy.

And pay a special caution with road travel.

Use seat belts whenever you can if available.

Avoid riding on scooters and

motorbikes at all costs as these are an especially high risk way to travel.

Consider taking mace or even a whistle if they're locally and

culturally appropriate.

And do report events to local authorities especially if they involve crime,

violence to you.

Or, if they involve theft of any sensitive documentation like your passport.

Do know if and where your home country embassy is located and how to access it.

Do keep a backup copy of your passport, your credit card, and

any other critical identifiers in a safe location, preferably in a separate

location than where you have your passport and all your original documents located.

For example a hotel safe or with the hotel front desk staff or with the members or

the organizers of your host institution.

And do leave local contacts with family, friends and co-workers in your home

country and again, especially when you're travelling to higher risk areas.

And finally, upon return to your home country, if you've unfortunately

experienced any injury or violence do get a prompt follow up care and assessment.

I would hope you would have received this in your in the foreign country,

before arriving back in your home country.

If you are exposed to an infectious disease do seek care with a,

with a requisite specialist.

And finally, if you do have any psychological trauma,

I recommend you seek professional advice and maybe even counselling.

Other things you could do upon return to your home country,

consider debriefing you know, with family, friends, or professional.

And this may help you cope with any stressors or

any potentially traumatic things you witnessed.

Consider journaling or, or maintaining a diary to reflect on events

as a way of processing them as they occur or even upon your return.

And finally, share your story, but responsibly.

It may resonate with others, it may be inspirational to others, or

it may provide some solace to you or for others.

So to conclude our lecture, we reviewed some pre-departure safety planning and

preparation items.

We reviewed some in-country do's and don'ts for your physical safety.

And we reviewed tips upon returning to your home country to help you process and

debrief sort of psychologically.

So, remember be safe, so

you can be an effective, happy, engaging global and humanitarian responder.

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