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Worried about travelling during COVID-19 ?

Worried about travelling during COVID-19 ?

Before You Consider Traveling

Travel increases your chance of spreading and getting COVID-19.  We recommend that you do not travel at this time. Delay travel and stay home to protect yourself and others from COVID-19.

If you must travel, here are some crucial questions to ask yourself and your loved ones.

  • Are you, someone in your household, or someone you will be visiting at increased risk for getting very sick from COVID-19?
    If you get infected you can spread the virus to loved ones during travel.
  • Are hospitals in your community or your destination overwhelmed with patients who have COVID-19?
  • Does your home or destination have requirements or restrictions for travelers?
  • During the 14 days before your travel, have you or those you are visiting had close contact with people they don’t live with?

The following activities can put you at higher risk for COVID-19:

    • Going to a large social gathering like a wedding, funeral, or party.
    • Attending a mass gathering like a sporting event or concert.
    • Being in crowds like in restaurants, bars, fitness centers, or movie theaters.
    • Taking public transportation like planes, trains, or buses, or being in transportation hubs like airports.
    • Traveling on a cruise ship or riverboat.

 

If You Must Travel

  • If you are eligible, get fully vaccinated against COVID-19 and wait 2 weeks after getting your second vaccine dose to travel.
  • Get tested with a viral test 3 days before you travel. Keep a copy of your test results with you during travel in case you are asked for them. Do NOT travel if you test positive.
  • Wear your mask over your nose and mouth when in public settings. Masks and Face Shields are required on planes, buses, trains, and other forms of public transportation.
Kn95 Face Mask
Kn95 Face Mask

 

Face Shield
Face Shield
  • Avoid crowds and stay at least 2 meters away (about 2 arm lengths) from anyone who did not travel with you. It’s important to do this everywhere both indoors and outdoors.
  • Wash your hands often or use hand sanitizer (with at least 60% alcohol).
Varieties of Alcohol and Hand Sanitizers
Varieties of Alcohol and Hand Sanitizers
  • Bring extra supplies, such as masks and hand sanitizer.
  • Avoid contact with anyone who is sick.
  • Avoid touching your eyes, nose, and mouth.

 

Considerations for Types of Travel

  • The type of transportation you use, type of accommodation you stay in, and the activities you do during travel, can increase your risk of getting and spreading COVID-19.
  • Your chances of getting or spreading COVID-19 while traveling also depend on whether you and those around you take steps to protect yourselves. This occurs by wearing masks and staying 2 meters away from anyone.  This is also known as social distancing.
  • You must wear masks on planes, buses, trains, and other forms of public transportation.
  • Airports, bus and train stations, and rest stops are all places can expose travelers to the virus in the air and on surfaces. These are also places where it can be hard to social distance. In general, the longer you are around a person with COVID-19, the more likely you are to get infected.
Air travel
  • Air travel requires spending time in security lines and airport terminals, which can bring you in close contact with other people and frequently touched surfaces. Most viruses and other germs do not spread easily on flights because of how air is circulated and filtered on airplanes.
Buses and Cars Travel
  • Traveling on buses and trains for any length of time can involve being in crowded terminals and sitting or standing within 6 feet of others, which may increase your risk of getting COVID-19.
  • Making stops along the way for gas, food, or bathroom breaks can put you and your traveling companions in close contact with other people and frequently touched surfaces.

Considerations for Staying with Family or Friends

  • You must wear masks while in shared spaces inside the house. You can remove masks for eating, drinking, and sleeping, but individuals from different households should stay 2 meters away from each other’s during accommodation.
  •  Wash your hands often with soap and water for at least 20 seconds, especially upon arrival.
  • Improve ventilation by opening windows and doors or by placing central air and heating on continuous circulation.
  • Spend time together outdoors.
  • Avoid singing or shouting, especially indoors.

When using Bathrooms and rest stops

  • Wash your hands with soap and water for at least 20 seconds after using the bathroom and after you have been in a public place.
  • If soap and water are not available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
General Prevention and Pharmacological management
  • Routine vaccinations
    1. Haemophilus influenza type b
    2. Hepatitis B
    3. Influenza
    4. Measles, mumps, rubella
    5. Meningococcal
    6. Pneumococcal
    7. Polio
    8. Rotavirus
    9. Tetanus, diphtheria, pertussis
    10. Zoster
    11. Human papillomavirus

Protection against mosquitoes and ticks

  • Avoid areas of known outbreaks of communicable disease.
  • Avoid peak exposure times and places.
  • Wear appropriate clothing: Minimize exposed skin.
  • Check for ticks.
  • Bed nets
  • Insecticides and repellants, here are some natural oils that can repel mosquitos
  1. Lemon grass
  2. Eucalyptus oil
  3. Camphor oil

Traveler’s diarrhea

  • Symptoms range from mild abdominal cramping and urgent loose stools to severe abdominal pain, fever, vomiting, and bloody diarrhea.
  • Differs from food poisoning in which preformed toxins are ingested in food. Nausea and vomiting may both be present though usually resolve within 12 hours.
  • Approximately 80–90% bacterial, 5–8% viral, 10% protozoal
  • Most common bacteria is enterotoxigenic Escherichia coli.
  • Length—bacterial causes last 3 to 7 days if untreated. Viral lasts 2 to 3 days. Protozoal can last weeks to months if not treated.
  • Strategies to minimize diarrhea
    • Wash hands or use sanitizer prior to eating.
    • Avoid raw or undercooked meat, fish, or shellfish, salads, uncooked vegetables, unpasteurized fruit juices, or unpasteurized milk or milk products.
    • Avoid unpeeled raw fruit. Peel it yourself if possible.
    • Tap water may be unsafe for drinking, making ice, preparing food, washing dishes, or brushing teeth; use sealed bottled water if possible.
    • Mild diarrhea is tolerable, not distressing, and does not interfere with activities. Does not require antibiotics.
    • Moderate diarrhea is distressing and interferes with planned activities. Antibiotics such as fluoroquinolones, azithromycin, or rifaximin. Loperamide can be used as a monotherapy.
    • Severe diarrhea. Azithromycin is preferred agent though fluoroquinolones and rifaximin can also be used.

 

Jet lag

  • Before travelling, adjust sleep cycle (and possibly meal times) 1 to 2 hours earlier or later (depending on direction of travelling) for several days prior to departure.
  • Drink plenty of water to remain hydrated.
  • Optimize sunlight exposure to destination.
  • Sedative hypnotics (non-benzodiazepine), such as zolpidem, can be useful.

 

Motion sickness

  • High-risk individuals
  • Children age 2 to 12 years
  • Women, especially when pregnant, menstruating, or on hormones
  • People who get migraines, especially during a migraine
  • Prevention strategies
  • Avoidance of known triggers
  • Strategic positioning (front of car, overwing of aircraft)
  • Treatment (Diphenhydramine)

 

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