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Volume CXXXIII, Number 18
March 1, 2002
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Ask Dr. Jeff: studying away?
JEFF BENSON, M.D.

Dear Dr. Jeff: Can I get a TB skin test at the Health Center? I need one for my Study Away. J.Y.

Dear J.Y.: You sure can! You can get your TB skin test-AND a whole lot more-at the Health Center in preparation for your travels and studies abroad.

We offer vaccinations (at cost), TB skin tests (free), chest x-rays, HIV antibody tests (required by some programs and free at the Health Center), physical exams (free), and help completing health and insurance forms.
Most countries do not require proof of vaccination, but some do. Your program's information sheets should indicate whether or not this is the case. We can certainly inform you about currently recommended vaccines for your program site. We can also help you decide about preventive medications - for malaria, altitude sickness, allergies, or diarrhea, among others.

You should also check out the Centers for Disease Control website for very complete and official information. The site has links to health information on specific destinations, illness outbreaks of concern to international travelers, information about specific diseases that can affect travelers, tips on avoiding food-borne and water-borne illnesses, and, of course, vaccine recommendations and requirements. You should also take a look at this State Department site, where you can find consular and visa information and up-to-the-minute advisories on political and security situations abroad.

There are other issues to consider. If you take prescription medication, you'll want to pick up all that you'll need while away, before you leave. We can help you get a waiver from the insurance company to obtain more than the usual one month supply. You should carry prescription medications in their original containers and also have copies which list the generic name of the written prescription for each medication.

As many of you already know, the Health Center stocks a birth control pill called Zovia. If you've been getting Zovia from us, you should come in to pick up the packs you'll need while you're away.

All women should have their own Emergency Contraceptive pills on hand when they travel. You can pick those up (with directions for use) free of charge at the Health Center.

Take some condoms along as well. STD's, especially HIV, may be far more prevalent where you're going than here at home.

If a regular health care visit will fall due while you're away (e.g. Pap smear or dental exam), you might try to take care of it before you leave. Similarly, if you have any chronic medical problems or conditions, you should come in to the Health Center to discuss your care and needs while away.
If you have significant allergies or chronic medical needs, consider getting a MedicAlert bracelet.

Unless your program specifically requires you to purchase their health insurance policy, you'll be covered by Bowdoin's policy. You may also be covered under your parents' policy. In any case, you might consider obtaining the additional health, accident and medical evacuation coverage offered through the International Student Identity Card (full coverage for medical evacuation might prove particularly important).

One final point about safety while traveling: in this country, we take for granted a great many safeguards, whether environmental, legal, or cultural. These safeguards may not exist in other countries. It only makes sense to follow those that your program-and the State Department-recommends about safe behaviors and activities. Women may be particularly vulnerable to harassment and assault in certain countries.

Be especially careful about alcohol or drug use. Most problems students have while studying abroad, especially accidental injuries and criminal misadventures, occur in conjunction with drinking. And, needless to say, you do NOT want to be busted in a foreign country on drug charges!

Be well! Come in to see us! And Bon Voyage!

Jeff Benson, M.D.
Dudley Coe Health Center