Wednesday, March 21, 2012

Travel medicine : CDCUpdate: Rabies in Bali, Indonesia

CDC / Update: Rabies in Bali, Indonesia
Center for Disease Control and Prevention: Current situation: update: March 20, 2012
An outbreak of rabies in dogs has been ongoing in Bali, Indonesia, since November 2008. As of November 1, 2011, more than 100 people have died from rabies in Bali since the outbreak began. Human and animal rabies cases have been confirmed near popular tourist destinations throughout the island. Efforts, including vaccinating dogs for rabies, have been made to control the outbreak. These efforts appear to be helping to manage the outbreak on the island.
What is Rabies?
Rabies is a rapidly progressing virus that causes death. It is almost always spread by an animal bite but can also be spread when a rabid animal’s saliva gets directly into the eyes, nose, mouth, or broken skin. The primary sources of human infection worldwide are dogs and certain wildlife species, such as foxes, raccoons, mongooses, and bats.
How can Travelers Protect themselves?
Consider rabies vaccine.
  • If your activities will bring you into contact with animals such as dogs, cats, bats, or other carnivores, you should consider pre-exposure rabies vaccination, which is a three-shot series (days 0, 7, and 21 or 28) given before travel.
  • Even if you receive pre-exposure vaccination, you will still need immediate medical treatment if you are bitten or scratched by an animal.
Avoid animal bites.
  • Avoid touching all animals, including wild animals and pets. Pets in other countries do not always vaccinate against rabies.
  • Resist the urge to rescue animals with the intent to bring them home. Dogs and cats may be infected with rabies but not show signs until several days or weeks after you first encounter them.
  • Supervise children closely, especially around dogs, cats, and wildlife such as monkeys. This is important since children are more likely to be bitten by animals, may not report the bite, and may have more severe injuries from animal bites.
  • If you are traveling with your pet, supervise your pet closely and do not allow it to play with local animals, especially strays.
Act quickly if an animal bites or scratches you.
  • Wash the wound well with soap and water.
  • See a doctor right away, even if you don’t feel sick or your wound is not serious. To prevent rabies, you may need to start a series of vaccinations immediately.
  • To get vaccinated, be prepared to travel back to the United States or to another area. (Adequate vaccination for exposure to rabies is not available in all parts of the world.)
  • After you return home, tell your doctor or state health department that you were bitten or scratched during travel.
Before your trip, find out if your health insurance covers health care overseas and medical evacuation. If it does not, consider buying supplemental health insurance for your trip.

Charak Clinics is your premier travel medicine clinic in Chandigarh, North India. We routinely provide all vaccinations including pre-exposure prophylaxis for Rabies, Yellow fever vaccine etc. You can get more information regarding Yellow Fever vaccination in India here
Please visit your travel doctor at least 4-6 weeks before traveling to any developing country to complete routine shots and take medicines (like Malaria tablets for traveling to African countries) so that you are able to travel healthy. Charak Clinics is a committed member of IAMAT - International Association for Medical Assistance to Travelers, based in Canada too. 
For any queries write to us at drgaurav -at- or call during office hours at 91-172-5092585, 4663775, or 9872303775

Monday, March 19, 2012

Kahaani- A view - The hero - Kolkata, the heroine - Vidya Balan, and the villain - The story full of loopholes

I was a bit hesitant to write this one, since it appears that most people / reviewers have given a very high rating to the movie.
However, I was disappointed. I love the depiction of kolkata, the 'realistic' potrayal by Vidya Balan of a lost pregnant soul, and some brilliant performances by the supporting casts.
But for anyone who has watched even a few English thrillers, the story has more holes than in a spider's web. And some of the characters action just do not make sense, while motivations of many including the perpetrator of the terrorist attac remain mysterious. The finale, while packing a punch, is still quite cliche'd.
To be honest, my mom (who does not watch a lot of English movies BTW) loved it, and most of the reviews seem to love it too. But for me some more attention to the script would have taken this above the ordinary. 

Thursday, March 1, 2012

Oscar fever strikes again

I saw two Oscar movies, Hugo & The Artist.
While they were very different in many aspects, both celebrated old movies. It was really great to finally watch Oscar movies that live up to some of the hype.
While the Artiste took the literal take with a black and white movie and a predictable love story done differently, Hugo is also a simple tale, told from adolescent perspectives. Both feature simple stories, that are well told, with an ensemble cast, and engaging characters. However, both lack serious twists and turns, villains, are fairly predictable and lack grittiness. I would hope that some offbeat dark movies like Drive (2011) should also get nomination since they too satisfy the urge to watch a good wholesome intelligent action flick.
Read my review on 'The Artist' burrp here 
(as cloverfield)