Travel habits are evolving, travelers are better informed, however climate change and the spread of fake news are giving rise to new problems: spread of epidemics, new vaccination recommendations, controversy over the use of Artemisia annua, risks related to air pollution… These are all topics addressed by specialists from the Pasteur Institute of Lille to allow you to have a worry-free stay.

Health and travel

Health precautions before departure

Administrative security

Accidents and illnesses are always possible during a trip, so make sure you have adequate health insurance coverage. For stays within the European Union, you can obtain the European Health Insurance Card (EHIC) from your health insurance provider. For trips outside the EU, it is recommended to take out insurance that covers medical expenses. Also, inquire about travel assistance services, which are separate from health insurance and may offer medical repatriation. Registering with the [relevant organization/service] is also recommended. Ariane website of the Ministry of Foreign Affairswhich allows you to receive security and health alerts via SMS or email.

Vaccinations for travelers

Preparing for a trip, especially to tropical areas, should be an opportunity to review your vaccination record and consider getting additional vaccinations depending on the epidemiological situation in the country you're visiting and/or your risk factors. Also, consider getting a prescription for malaria prophylaxis if needed. For initial advice, visit [website address]. our Metis application. To find out all the recommendations related to the country visited or the continent crossed, you simply need to specify your destination and select a disease from those listed.

Attention, for women who are pregnant or planning to have a child in the coming months, please read all recommendations regarding the Zika virus.

Keep in mind that even in Europe, some vaccinations may be necessary. For example, cases of tick-borne encephalitis have been reported, notably in Lithuania, Sweden, Austria… Take precautions wherever you go.

Aid kit

There is no standard first-aid kit. Its contents should be adapted to your specific trip. It could include: pain relievers and fever reducers, antidiarrheal medication, antiemetics, mosquito repellent, antiseptic eye drops, hand sanitizer, sunscreen, a thermometer, tweezers, and condoms (those purchased in Europe offer better guarantees than those available locally). If you are on ongoing medication, be sure to bring your prescriptions with you. If possible, have them written in English using the international nonproprietary name (INN). It is advisable for travelers to have all their medication for the duration of their trip, and even more in case of a delayed return or loss. It is best to carry medications in your carry-on baggage due to the risk of lost or delayed checked baggage.

Health precautions during travel

No single method can provide complete protection. Therefore, it is essential to avoid being bitten by mosquitoes carrying the disease and to regularly take preventative medication. The choice of medication requires a medical consultation and prescription, and depends on several factors such as the risk of transmission, the length of stay, the type of activity, the living conditions, and the time of year. The prescription must also take into account the traveler's age and weight, medical history, potential interactions with other medications, and the duration of the trip. Depending on the prescribed medication, this preventative treatment should begin before departure or on the day of arrival, continue throughout the stay, and for 1 to 4 weeks after returning.

More and more people are looking to replace medication with "natural" solutions. Recently, the use of plants has been increasing. Anniversary Artemisia In the form of herbal teas or capsules, it has generated a lot of discussion, with its popularity steadily increasing among travelers. Herbal teas and capsules ofAnniversary Artemisia They have not been shown to be effective in any way. Lacking marketing authorization, their use has even been prohibited by the WHO since 2012. Cases of malaria have been observed in travelers who used this plant. To best protect yourself against malaria, discuss it with a specialist doctor.

To keep mosquitoes away

Wear light-colored, long-sleeved clothing (dark clothing attracts mosquitoes) and apply insect repellent to any exposed skin (including your ankles, even if you're wearing socks). If you have children, make sure the repellent products are suitable for their age.

At the hotel, turn on the fan or air conditioner. Mosquitoes dislike both wind and cool air, and/or sleep under insecticide-treated mosquito nets.

Accidents (traffic or otherwise) are a leading cause of medical repatriation and death. Whenever possible, preventative measures should be followed: wear seat belts, helmets, and child car seats. If you are prone to motion sickness and are traveling by boat, car, or plane, remember to bring appropriate medication.

On the plane, if you have risk factors for venous thrombosis, it is advisable to stay hydrated, move around and move your legs regularly, wear elastic compression stockings and, in case of high risk, get a prescription for low molecular weight heparin.

Some major cities experience high levels of air pollution that can impact health. Children and the elderly are particularly vulnerable, as are those with asthma, chronic bronchitis (COPD), or cardiovascular disease; fetuses are also at risk. It is advisable to check air pollution levels according to the season and location and to be attentive to any unusual symptoms (cough, shortness of breath, wheezing, palpitations). Wearing surgical masks, which are generally available in pharmacies, is not truly effective. Only the masks recommended on the website of the Ministry of Health can be used effectively during periods of high pollution: filtering masks such as N95 or FFP2.

It is through contact with contaminated water, food, or dirty hands that one can become infected by a virus or bacteria that will cause an diarrheaOne in two travelers who travel three weeks or more in tropical areas contracts the touristMost often, diarrhea is acute but short and mild. Sometimes it can be much more serious. The following hygiene measures are valid in all circumstances, whether you buy your food from a street vendor or eat in a "good" hotel:

  • Wash your hands before eating or use hand sanitizer;
  • make sure that the food has been cooked thoroughly and is still hot when it is served to you;
  • avoid raw foods, unless they are fruits and vegetables that can be peeled or shelled;
  • avoid ice cream and ice cubes;
  • drink only bottled water with a properly sealed cap, otherwise disinfect it using a disinfectant agent designed for this purpose or filter it;
  • Drinks such as hot tea or coffee, wine, beer, soft drinks and bottled fruit juices are generally not dangerous.

As soon as diarrhea starts, drink more fluids and increase your salt intake by regularly salting your food. However, if the diarrhea lasts more than three days, consult a doctor immediately. In cases of dehydration, especially in young children, oral rehydration salts should be administered promptly, and medical advice should be sought.

Altitude

High-altitude excursions absolutely require a specialist medical opinion before departure. Ascend gradually so that your body can adapt to the reduced oxygen levels.

In water

In tropical areas, beaches are rarely supervised and rescue services are not always available. Be aware of the risk of drowning if the currents are strong. Jellyfish stings, on the other hand, require medical attention.

For any scuba diving activity, a specialist medical opinion is recommended before departure.

Prevention and vigilance upon returning from a trip

The Pasteur Institute of Lille: Specialists in medical advice for travelers

The mission of the International Vaccination Center at the Pasteur Institute of Lille, accredited by the WHO (World Health Organization), is primarily geared towards travelers departing for or returning from exotic regions. In 2018, nearly 26,000 vaccines were administered, including 6,500 yellow fever vaccines. Several hundred specialized consultations were provided, covering pre-travel advice, malaria and rabies prevention, and checkups for pregnant women traveling to or returning from Zika virus endemic areas. The Metis website is regularly updated to reflect current diseases worldwide and current health recommendations. The International Vaccination Center thus meets the needs of clients seeking information and advice to prepare for travel: required (mandatory or recommended) vaccinations, potential risks, and various medical advice.

Remain vigilant upon your return from your trip

Don't hesitate to consult your doctor or a travel medical center if you experience fever, skin problems, digestive issues, or other symptoms. Remember to mention that you have traveled. Pregnant women or couples planning a pregnancy should be especially vigilant if they are returning from an area infected with the Zika virus, as this virus is particularly dangerous for fetuses. To answer questions from women and couples, the Pasteur Institute of Lille offers personalized interactive modules on its website, allowing everyone to assess their risk and find practical answers based on their individual situation. Its travel medical center also offers specialized consultations for couples.

Useful websites for travelers