Travel and the traveller

Travel and the traveller

Clinically appropriate measures based on good clinical evidence are required to reduce risk during this pandemic.  The emphasis needs to be on the traveller, whether the traveller is high or low risk in the context of severe COVID-19; this is indicated by the clinical picture presented to us since January 2020 (please see paragraph below).  Where the traveller is going within the country, where the traveller will be staying, mode of transit, purpose for visit – these are all essential matters to consider in any risk assessment, as it has been previously. 

The important matter is that the responsibility should be on the traveller (autonomy); education, discussion with informed and appropriate health professionals (trained and supported GPs), weighing decisions and making informed decisions considering recommended, necessary or indicated vaccines or protective equipment required. 

“80% of the time COVID-19 is a mild disease that feels like a minor cold or cough”, as reported by Prof Peter Piot, Director for The London School of Hygiene and Tropical Medicine, and 95.5% of the general population will likely not require hospitalisation, only 4.5% of the global population will likely require hospitalisation if infected with SARS-CoV-2, as reported by The London School of Hygiene and Tropical Medicine. 

There are individuals at high risk for severe COVID-19 (eg the elderly, immune compromised and some with underlying medical conditions) and there are individuals not at high risk for severe COVID-19 – two clinical risk groups – one high risk group and one low risk group in the context of COVID-19. Ask your GP if you are not sure in which group you are.

Educating the public in terms of general health, infectious diseases and this pandemic is essential to achieve good clinical outcomes.

Global Health Plan

A global health plan is clinically appropriate and required to address a global health crisis.  We have given examples of why a global health plan is essential for a good clinical outcome during this pandemic in previous correspondence.  Our reasons have included for instance the consistent approach that high risk individuals for severe COVID-19, such as the elderly, be vaccinated first, without the delay in the second vaccine, where appropriate, and that staff offering high risk work such as medical doctors and other healthcare workers engaging in clinical work, teachers, Police, Social Care be given an opportunity to be vaccinated as the second priority. 

This clinical recommendations is informed directly by the clinical presentation of this virus. 

Consistency in terms of travel, quarantine or PCR tests would also protect the global public.

Let’s move forward together with eyes wide open – let’s ask questions and consider good clinical evidence.

Helpful websites:

TRAVEL AND WORK

http://www.travelhealthpro.org.uk

http://www.nhs.uk/conditions/travel-vaccinations

BORDERS AND TRAVEL

https://www.iatatravelcentre.com/world.php

https://canitravel.net

https://apply.joinsherpa.com/travel-restrictions?affiliateId=americanairlines

https://www.worldnomads.com/travel-safety/worldwide/worldwide-travel-alerts

https://www.wanderlust.co.uk/content/coronavirus-travel-updates/

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