Podcast
Questions and Answers
When is a last-minute traveler (LMT) typically defined as departing for an international destination?
When is a last-minute traveler (LMT) typically defined as departing for an international destination?
What percentage of a clinic population do last-minute travelers (LMTs) reportedly comprise?
What percentage of a clinic population do last-minute travelers (LMTs) reportedly comprise?
What are some examples of last-minute travelers (LMTs) mentioned in the text?
What are some examples of last-minute travelers (LMTs) mentioned in the text?
What challenges do clinicians face when delivering pretravel services to last-minute travelers (LMTs)?
What challenges do clinicians face when delivering pretravel services to last-minute travelers (LMTs)?
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What is the advantage of the revised 2-dose preexposure regimen for rabies vaccination?
What is the advantage of the revised 2-dose preexposure regimen for rabies vaccination?
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What is the recommendation for travelers with sustained risk for rabies exposure who have completed the 2-dose preexposure regimen?
What is the recommendation for travelers with sustained risk for rabies exposure who have completed the 2-dose preexposure regimen?
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What is the recommendation for travelers who started but did not complete a rabies preexposure vaccination series and had a potential rabies exposure?
What is the recommendation for travelers who started but did not complete a rabies preexposure vaccination series and had a potential rabies exposure?
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What vaccine is required for adults and children traveling to Saudi Arabia for religious pilgrimage?
What vaccine is required for adults and children traveling to Saudi Arabia for religious pilgrimage?
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What is the Centers for Disease Control and Prevention (CDC) advising all eligible international travelers to be up to date with before travel?
What is the Centers for Disease Control and Prevention (CDC) advising all eligible international travelers to be up to date with before travel?
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For which group of travelers is the option to receive the rabies vaccine series at their destination warranted?
For which group of travelers is the option to receive the rabies vaccine series at their destination warranted?
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What is the recommendation for last-minute travelers (LMTs) who cannot complete the full primary vaccine series one week before travel?
What is the recommendation for last-minute travelers (LMTs) who cannot complete the full primary vaccine series one week before travel?
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What is the advantage of the shortened schedule of 2 doses of Heplisav-B vaccine for adults?
What is the advantage of the shortened schedule of 2 doses of Heplisav-B vaccine for adults?
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What should clinicians do for LMTs with imminent exposure (e.g., disaster relief workers) in terms of hepatitis B vaccination?
What should clinicians do for LMTs with imminent exposure (e.g., disaster relief workers) in terms of hepatitis B vaccination?
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What is the recommendation for last-minute travelers with sustained risk for rabies exposure who have completed the 2-dose preexposure regimen?
What is the recommendation for last-minute travelers with sustained risk for rabies exposure who have completed the 2-dose preexposure regimen?
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What vaccines are typically received by most travelers who attended school in the United States?
What vaccines are typically received by most travelers who attended school in the United States?
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What is recommended for travelers who are not up to date on vaccinations?
What is recommended for travelers who are not up to date on vaccinations?
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Which vaccine should be considered for LMTs who need protection against cholera?
Which vaccine should be considered for LMTs who need protection against cholera?
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What is the approved schedule for Japanese encephalitis (JE) vaccination for last-minute travelers in the United States?
What is the approved schedule for Japanese encephalitis (JE) vaccination for last-minute travelers in the United States?
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What should be arranged for short-term travelers who receive an accelerated vaccination schedule and need to complete the series?
What should be arranged for short-term travelers who receive an accelerated vaccination schedule and need to complete the series?
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"Carefully evaluate the need for these vaccines, factoring in destination, incidence, and disease severity" refers to which type of vaccines?
"Carefully evaluate the need for these vaccines, factoring in destination, incidence, and disease severity" refers to which type of vaccines?
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What should travelers be aware of regarding vaccines received in some countries?
What should travelers be aware of regarding vaccines received in some countries?
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Study Notes
Last-Minute Travelers (LMT) Overview
- LMTs are typically defined as travelers departing for international destinations within two weeks of departure.
- Last-minute travelers comprise approximately 10-20% of a clinic's population.
Examples and Challenges
- Examples of LMTs include individuals traveling for disaster relief, business, or family visits.
- Clinicians face challenges such as limited time for vaccinations, incomplete immunization records, and urgent health advice requirements.
Rabies Vaccination Recommendations
- The revised 2-dose preexposure regimen for rabies vaccination reduces the number of doses required, ensuring quicker protection.
- For travelers with sustained rabies exposure risk who completed the 2-dose regimen, postexposure prophylaxis is recommended without the need for additional doses.
- Travelers who began but did not finish a rabies preexposure vaccination series, and had potential rabies exposure, should receive the full postexposure prophylaxis immediately.
Travel Health Requirements
- Adults and children traveling to Saudi Arabia for religious pilgrimage are required to receive the meningococcal vaccine.
- The CDC advises all eligible international travelers to be up to date on vaccinations before travel.
Vaccination Guidance for Specific Travelers
- The option to receive the rabies vaccine series at the destination is warranted for travelers planning to stay in high-risk areas.
- Last-minute travelers who cannot complete the full primary vaccine series one week before travel should receive available doses as soon as possible.
Hepatitis B and Cholera Vaccination
- The Heplisav-B vaccine offers a shortened schedule with only 2 doses required, beneficial for adults needing Hepatitis B protection quickly.
- Clinicians should ensure immediate vaccination for LMTs with imminent exposure, like disaster relief workers.
General Vaccine Recommendations
- Most travelers educated in the United States typically receive vaccines such as MMR (measles, mumps, rubella), DTaP (diphtheria, tetanus, pertussis).
- Travelers not up to date on vaccinations should receive necessary vaccines and boosters based on their travel destinations.
Cholera and Japanese Encephalitis Vaccination
- The cholera vaccine should be considered for LMTs traveling to high-risk areas for cholera outbreaks.
- The approved schedule for Japanese encephalitis (JE) vaccination for last-minute travelers in the U.S. is a 2-dose series administered 28 days apart.
Vaccine Considerations
- The advice "Carefully evaluate the need for these vaccines, factoring in destination, incidence, and disease severity" pertains to travel-related vaccinations.
- Travelers should be aware that vaccines received in some countries may not be recognized or accepted in their home countries, potentially affecting their travel plans.
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Description
Test your knowledge about last-minute traveler (LMT) pretravel consultations, including the recommended timeframe for accessing pretravel care, services provided by clinicians, and the characteristics of last-minute travelers according to the World Health Organization.
