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Health Questionnaire
Fill out this online form or print and fax it to Dr. Kovner at least seven days before your scheduled appointment.

Completing the questionnaire online does not automatically schedule an appointment.

 

 


 

I’m traveling to a major city in a developed country. Is there really a risk to my health?
What are the risks of travel to developing countries?

What if I get sick while traveling?
Will my health insurance work overseas?
What if I get sick after returning home?
When should I start getting ready for the trip?
Is it safe for children to travel?
Can I travel during pregnancy?

I have a chronic health problem. Is it safe for me to travel?

How many shots can I take at once?
What are the side effects of the shots?

How much will this cost?
Do you accept insurance or Medicare?
Do you share information with my physician?
Where do you get your information?

Why do you have a mobile clinic instead of an office?

 

 

I’m traveling to a major city in a developed country. Is there really a risk to my health?
More travel-related deaths occur in developed countries because more people travel to developed countries than developing ones. A developed country is defined as having a Gross National Product of more than $2,000 per capita.
 

1% of deaths in travelers to developed countries are from infections.
49% are cardiovascular (like heart attacks).
22% are due to injury.

The most common causes of death in all travelers are heart attack, stroke, motor vehicle accident and drowning. As in the United States, most motor vehicle accidents and drowning are associated with alcohol. Here’s a general risk analysis:

To put this in perspective, except for the increased risk of fatal injury, this risk is the same as if you stayed home.
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What are the risks of travel to developing countries?
Travel to developing countries, defined by a Gross National Product of less than $2,000 per capita, carries a 40% risk of illness, usually gastro-intestinal or respiratory infection. One in 10 travelers will be forced to limit their activities due to illness. One in 75 will seek local medical care. Pre-travel consultation and good personal health behaviors can cut the risk of illness while traveling in half.

 Here’s a general risk analysis:

Only 2.5% of deaths are from infectious diseases such as pneumonia, malaria, typhoid fever, leptospirosis and hepatitis A.
The risk of death while traveling is 1 in 100,000 per month of travel…A very low number.
1 in 1,000 may require hospitalization and 1 in 10,000 may need emergency evacuation. Emergency evacuations start at around $100,000. For more information, please visit SOS International Travel Medical and Evacuation Insurance.
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What if I get sick while traveling?
If you get sick while traveling, you have options:

 

self-treat using the information and medications in the pre-travel consultation
seek local care
if the illness is severe you may need medical evacuation.

You may also contact me via phone or email, or contact your personal physician, for advice. Upon returning home, I highly recommend you schedule an appointment with your personal physician and possibly with me for appropriate follow-up and after-care.
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Will my health insurance work overseas?
It depends on the benefits offered by the insurance company, but most likely no. Check with your insurance company to verify international coverage. Even if your insurance company does offer global coverage, it will not include medical evacuation.
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SOS International is an excellent international medical evacuation program that comes highly recommended. SOS provides a 24-hour hotline.
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What if I get sick after returning home?
You can also reach me by phone or e-mail and you should contact your personal physician. If you return ill or become ill after returning home, I am available for consultation in cooperation with your personal physician.
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When should I start getting ready for the trip?
One to two months lead-time is ideal, especially for adventure travel and for overseas assignments. For leisure travel on organized tours, two weeks is acceptable.

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Is it safe for children to travel?
Healthy infants and toddlers can safely travel to areas without malaria and yellow fever. Older children can travel safely but are more likely to be exposed to animal bites and injury.

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Can I travel during pregnancy?
Travel is safe during an uncomplicated pregnancy up to the last month of gestation. After that there is a risk of premature labor and blood clots.
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I advise against remote and stressful trips because of the lack of medical facilities. Live vaccines are contra-indicated in pregnancy with minor exceptions. See the CDC website for more information.
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I have a chronic health problem. Is it safe for me to travel?
Yes, with preparation in cooperation with your personal physician and consideration of your specific risks and physical capabilities.
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How many shots can I take at once?
As many as you need. Simultaneous administration of vaccines results in good immune response with minimal side effects.
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What are the side effects of the shots?
Usually it’s just some soreness at the injection site. Routine tetanus-diphtheria boosters cause the most soreness. Occasionally fever and aching may result, but can be relieved with Tylenol.

In some rare instances, someone might experience minor skin rashes. Interference with normal activities is rare. The most serious reactions occur in people with previous vaccine allergy or severe egg allergy.

Serious reactions, including death, have been reported at less than 1 per 1,000,000.
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How much will this cost?
The cost of immunizations varies based on where you’re traveling, how long you’re going to be there, what immunizations you’ve already received and whether the vaccine is a single dose or requires a series of shots for full-effectiveness. Figure around 10%-12% of the cost of the trip to protect your health.

On average, you can expect to spend $350 to $600 per person depending upon prior vaccinations and intended destination. If rabies and/or Japanese Encephalitis vaccines are required, the cost can be $900 to $1,200.
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Do you accept insurance or Medicare?
No. Medicare would cover pneumococcal vaccine and flu vaccine but no other immunization services.

You should get routine immunizations such as tetanus-diphtheria, flu and pneumonia vaccination from your personal physician.
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Do you share information with my physician?
Only with your written permission. I keep a record of your immunizations. If you lose your yellow immunization card, I will provide a replacement at no charge.
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Where do you get your information?
I subscribe to services that provide timely information about disease outbreaks, the U.S. Centers for Disease Control and Prevention website and daily e-mail notifications of international political and health situations that could impact a leisure, adventure or business traveler.
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Why do you have a mobile clinic instead of an office?
For your convenience and mine. I had an office for 40 years.
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