July & August

Travel health nursing is concerned not only with the health of travelers, but also their safety. Road crashes are the single greatest annual cause of death of healthy U.S. citizens traveling abroad. Summer is the season for some of the highest vehicle accidents rates. Be sure to review road safety measures for drivers and pedestrians during the pretravel encounter. Provide your travelers with education to reduce their morbidity and mortality risk for MVAs, motor vehicle accidents. Learn more by reading our June Educational Resource.

THE MISSION

The American Travel Health Nurses Association (ATHNA) is the professional organization for travel health nursing in North America. We are recognized as an official ANA nursing specialty that is dynamic and evolving. With nearly 3000 members across the United States and internationally, ATHNA is committed to professional development, networking, research, and advocacy in travel health nursing.

THE SPECIALTY

As travel health nurses we specialize in advancing the well-being of all travelers in all settings who travel both domestically and internationally. We provide care for individuals, families, and groups through all stages of travel including pre-travel preparation, in transit support, and post travel evaluation and management. Travel health nurses practice in a variety of settings that include private travel health clinics, universities, corporations, the military, public health and community clinics. As clinicians, travel health nursing professionals are specially educated and trained to assess traveler health and safety risks and to manage risk reduction strategies that include immunizations, medications, health counseling, and referrals. Travel health nurses also function as researchers, faculty members, consultants to business and governments, entrepreneurs, and nursing leaders in this country and internationally.

Travel health nursing is not to be mistaken for the "travel nurse" who provides temporary traditional nursing care throughout the US where staffing needs are high and supplemental staffing is needed during times of peak capacity.

ATHNA Offers Free Membership.

Education Resource

ATHNA editors are on vacation, and we hope you are too. Perhaps you now have some "down time" as you sit on a beach or read by a lake. If so, we hope you will give this newest ATHNA feature a second look. We suspect many of you may have been too busy earlier in 2022 as Covid continued, but international travel started to resume. (Some are calling it "revenge tourism.") For July and August, we are recapping some of the content you may have missed. Be sure to check out:

  • January: An Update on SIRVA. Know what this is? How to prevent it? As we inoculate against monkeypox and await another Covid booster, knowing how to prevent this injection injury is important for you and your patient.
  • February: Are you prescribing more Tafenoquine? Then you need to know everything about G6PD deficiency. We covered that topic during the dead of winter (hard to imagine we would love a dose of that cold air right now).
  • March: Counseling travelers to prevent pregnancy? When first posted four months ago, this contraception content, provided by Director Julie Richards, was important. In light of SCOTUS and the Dobbs decision, this topic is even more critical as we counsel our travelers to prevent unwanted pregnancies.
  • April: Are you up to date on ACIP guidance for Hepatitis B, Shingles, and the Pneumococcal vaccines? Guidelines are always changing, it seems. Read the latest guidance and also learn about two terrific vaccine resources recently revised.
  • May: Travel health terminology is always growing. Can you define NTDs? What about familymoon? Gramping? Screen tourism? And because this is the "sun season," take a moment, to quickly learn the 5 W's and one H of sun protection. Help your travelers prevent sunburn and skin cancer as they head off to the shore or islands in July and August.
  • June: During Pride Month we featured content on the LGBTQ+ traveler, but this population travels year- round. Learn some tips for promoting a safe and healthy journey. And since monkeypox is now a designated WHO global emergency, add these resources to the excellent ones already listed in the June content- Washington Post Monkeypox article and the WHO monkeypox factsheet.

For quick access to Educational Resource, go to:

National Immunization Awareness Month Starts August 1

August is National Immunization Awareness Month (NIAM). This annual observance highlights the efforts to protect people of all ages against vaccine-preventable diseases through on-time vaccination. This year, NIAM serves as an important reminder to catch up on routine visits and vaccinations that may have been disrupted by the COVID-19 pandemic.

During NIAM, encourage your patients to schedule appointments to ensure they are up to date on annual exams and recommended vaccines. Research shows that healthcare providers are the most trusted source of vaccine information for parents and patients.

CDC's NIAM web page includes two toolkits, one for reaching healthcare professionals and the other for reaching parents and patients. Each includes key messages, sample social media content, and educational resources. CDC encourages its partners to share these messages and resources throughout August using the hashtag #ivax2protect. Stay tuned for more resources to be released throughout the coming weeks.

Related Links

The long- awaited change in the rabies PrEP vaccination schedule is now official!

On May 5, CDC published the new recommendation in the MMWR. This was the final step necessary to make this shortened 2 dose schedule the US standard for pretravel immunization against rabies. We encourage nurses to read the publication in its entirety. In the fall, ATHNA plans to offer educational offerings to raise rabies awareness among all nursing professionals, understand how to administer rabies vaccine according to the latest ACIP guidelines, utilize a checklist to counsel behavioral prevention measures, and address FAQs about the updated vaccination guidelines. Remember: always educate your patients to avoid direct contact with mammals.

Use of a Modified Preexposure Prophylaxis Vaccination Schedule to Prevent Human Rabies: Recommendations of the Advisory Committee on Immunization Practices - United States, 2022

TravelByte #41: Traveling with Medications

August is the time of year when many students prepare for a semester or year studying abroad. During the pretravel encounter, questions often arise about medications- how much to bring? any issues crossing borders? storage during transit and at destination? etc. In this TravelByte we offer some general guidelines and two good resources for counseling students- and all international travelers- about traveling with medications.

ATHNA Speaks Out Against Gun Violence

As a member of the global public health community, ATHNA supports the May 25 statement of the American Nurses Association (ANA) regarding the need for collective action to stem the rise in gun violence in our country. We also support and refer readers to the American Public Health Association (APHA) web site addressing this leading and tragic cause for premature death across America https://www.apha.org/topics-and-issues/gun-violence

Travel health nurses are committed to the health and safety of all travelers domestic and international. ATHNA encourages its members to support local, national, and international efforts to eliminate gun violence.

ANA Announcement: https://www.nursingworld.org/news/news-releases/2022-news-releases/uvalde-school-shooting-response/

SILVER SPRING, MD - Yesterday in Uvalde, Texas, at least 19 children and two teachers lost their lives when a gunman entered an elementary school and opened fire. Two weeks ago, grandparents and family members were gunned down while grocery shopping in Buffalo, New York. These are only two of the latest instances of innocent lives lost to senseless gun violence in such a short span of time.

"Our hearts ache tremendously for the loved ones and the communities left behind in the wake of these heinous acts of violence," said American Nurses Association President Ernest J. Grant, PhD, RN, FAAN. "The loss of young lives and the trauma of those who witnessed the carnage and survived will remain with them forever. Their lives will never be the same. There simply are no words. Burying a child is the most unnatural and horrific act that no parent should ever have to experience in their lifetime."

Nurses witness the immediate carnage and devastation from mass shootings and gun violence.

"It's unimaginable and you never recover from it," said Grant. "We extend our hearts and full support to all of the first responders, nurses and health care professionals providing care to victims and loved ones at the hospitals and health systems in affected communities across the country."

For decades, the American Nurses Association (ANA) has advocated for common sense policies that will enhance the background check system to prevent potentially dangerous individuals from obtaining firearms and to improve access to mental health services. In addition to supporting the Bipartisan Background Checks Act of 2019 and 2021 (H.R. 8), ANA has declared gun violence a public health issue and called for research that helps address the underlying issues that may lead to gun violence.

ANA stands in solidarity with the individuals, families and communities impacted and calls for meaningful action now to address this tragic, ever-growing epidemic of gun violence.

Previous ANA Statement: https://ana.aristotle.com/SitePages/gunviolence.aspx

"The time to unite and take action is now. Together we can halt the growing list of victims. We can stop the madness by forging solutions that address the myriad issues that promote cycles of violence. We must raise our voices to join with members of our communities and at every level of civil society in dialogue and action, to address the underlying issues that result in hate and motivate unspeakable acts of violence."

-Former ANA President Pamela Cipriano, PhD, RN, NEA-BC, FAAN

As the largest single group of health care professionals, nurses are increasingly caring for those victimized by gun violence and those forced to confront the physical and emotional consequences of these senseless acts. For decades, ANA has called on Congress to enact sensible legislation aimed at reducing gun violence. In the wake of multiple mass shootings that have taken place across the country, ANA, representing the voices of more than 4.2 million registered nurses nationwide, renewed its call to action by urging lawmakers to immediately repeal restrictions prohibiting the CDC from studying gun violence.

May 30, 2022

Travel Health Nursing: Scope and Standards of Practice

Do you prepare individuals and families for international travel?

As international travel returns, nurses will need to be prepared to offer travel health services according to best practices and the latest legal guidelines. An essential resource for delivering comprehensive and quality care is Travel Health Nursing: Scope and Standards of Practice, 2021, a joint publication of the American Travel Health Nurses Association (www.athna.org) and the American Nurses Association.

  • Did you know? Fewer than twenty percent of travelers seek pretravel services at travel health clinics; most travelers seek immunizations, medications, and counseling guidance from their primary care provider.
  • Travel Health Nursing: Scope and Standards of Practice is written not only for nurses in this new specialty, but also for any nursing clinician with patients who travel
  • This text is the legal foundation for the nursing care of US travelers
  • If you provide any travel health services: pre-travel assessment, immunizations, or health counseling (e.g., malaria, zika, traveler's diarrhea, jet lag, altitude illness) you will find this text essential
  • Post travel care is mentioned as well- Recommendations for post-travel triage and evaluation are included
  • To access the Table of Contents, go to: www.nursingworld.org/~4951d0/globalassets/catalog/book-toc/2021_travel-health-nursing_toc.pdf

To purchase your personal copy or multiple copies for your clinical setting:

Support American Travel Health Nurses Association Inc

Support ATHNA's by using our direct link the next time you shop

Announcements

Courses & Conferences

ATHNA shares this list for information purposes only and does not endorse any of the programs. Nurses will want to contact the conference organizers directly for all details and relevance to their professional educational needs. Members are encouraged to inform us of other programs for posting on this website.

2022

The 20th International Congress for Tropical Medicine and Malaria (ICTMM) postponed in 2020, will be held on October 2022 at the Bangkok International Trade and Exhibition Centre (BITEC), Thailand. The ICTMM is one of the largest tropical medicine conferences in the world, bringing together thousands of researchers, experts, policymakers, stakeholders, and international authorities in the field of tropical medicine and malaria. Date: October 24 - 28, 2022 Place: Bangkok, Thailand. More information at https://ictmm2020.org/

71st Annual Meeting of the American Society of Tropical Medicine and Hygiene (ASTMH), 30 October - 3 November 2022, Seattle Washington, United States of America. www.astmh.org/annual-meeting

The Westchester Course Returns- Virtually In response to many requests, Gail Rosselot will offer another two sessions of her course in travel health fundamentals. If you have an interest in a Zoom format course to run this summer, please contact Gail directly at garosselot@aol.com. The content is suitable for nurses new to travel health as well as those seeking a refresher after two + years of Covid. There will be an option to earn 12 CNE credits.

Wilderness Medicine Society- multiple CME 2022 and 2023 conferences in Santa Fe and Big Sky. Dates and contact information at https://wilderness-medicine.com/

2023

18th Conference of the International Society of Travel Medicine (CISTM18) 21-25 May, 2023, Basel, Switzerland The 18th Conference of the ISTM will be the largest international meeting bringing together physicians, nurses, pharmacists, and public health professionals from academia, government and the private sector who are committed to the promotion of healthy and safe travel. This will be a hybrid conference where participants can attend virtually or in-person. The theme is: "Dawn of a New Era in Travel Medicine." www.ISTM.org/CISTM18

Support U.S. Certification for Travel Health Nurses

With the 2020 official recognition of travel health nursing by the ANA and now the publication of the foundational text for our specialty, Travel Health Nursing: Scope and Standards of Practice, 1st edition, the ATHNA Board of Directors is ready to achieve its next goal for our profession: the achievement of U.S. certification.

As many of you know, there is currently no professional nursing certification for travel health nursing in the United States. Unlike other specialties- occupational health nursing, oncology nursing, ambulatory nursing and the like- travel health nurses have not established an equivalent national certification. Lacking a U.S. specialty credential, some nurses have undertaken international or interdisciplinary certificates and courses to demonstrate professional achievement. However, none of these are specific to professional nursing, nor do they confirm knowledge of U.S. standards of care. Acceptance of these alternatives by employers and academic institutions is mixed at best.

Now that our specialty has obtained formal recognition in this country, we can proceed to establish a U.S. certification that adheres to the eligibility and renewal criteria consistent with the American Nurses Credentialing Center (ANCC). We can achieve equal standing with other U.S. nursing specialties.

ATHNA envisions a certification process that will feature a professional portfolio rather than an examination and we have already initiated contact with organizations that can help us achieve this goal in 2022.

But we need your financial support! As you know, during this pandemic crisis, ATHNA has waived all membership dues. We know how Covid-19 has affected so many of you. However, the process for creating a legally recognized professional certification has a cost.

Please consider making a donation today to ATHNA's Certification Fund. As a 501(c) (3) organization, your donation is tax deductible to the extent allowed by law. No amount is too little. And every donation will help us towards this important, final professional goal.

Recognition Standards Certification
2020 2021 2022

Thank you!

ATHNA is tax-exempt under Section 501(c) (3) of the US Internal Revenue Service and is registered with the NY State Charities Bureau.

ATHNA Crossword Returns

Over the years, ATHNA has periodically offered a crossword for our members. With the soaring popularity of Wordle and the spinoff Worldle (https://www.washingtonpost.com/video-games/2022/02/16/wordle-spin-off-worldle-creator-antoine-teuf) we thought it the right time to start publishing our puzzles again. This crossword features general travel health terminology- some of it quite new. Vocabulary in our field is always changing. See if you know these terms. It can be challenging. Good Luck!

To access the puzzle, go to: https://mycrosswordmaker.com/1034164

Book Review: Do You Provide Health Services to College Students?

Not sure how to prepare study abroad students? Wondering about resources for students with anxiety or eating disorders? Looking for new ways to fund student health services?

Whether you practice within a college health service or care for college students in another setting, the newly published Principles and Practice of College Health is a worthwhile guide for delivering comprehensive quality health services to this population. Just released by Springer, this important text is edited by John A. Vaughn, M.D., Director of Student Health at Duke University since 2013 and Anthony J. Viera, M.D., Chair of the Department of Family Medicine and Community Health at Duke.

A Seismic Shift in US Travel Health Nursing: The Achievement of Specialty Recognition and its Implications

Richards JA, Rosselot GA
J Travel Med, Volume 28, Issue 1, 2021, taaa202
https://doi.org/10.1093/jtm/taaa202

Past Presidents Julie Richards and Gail Rosselot recently published an article in the Journal of Travel Medicine about the implications of ANA specialty recognition for Travel Health Nursing here in the US. The Perspectives piece is timed to coincide with the soon to be published Travel Health Nursing: Scope and Standards of Practice. According to Julie, "We believe specialty recognition will go a long way to recognize travel health nursing professionalism and promote quality care for travelers and the communities they impact. We hope travel health professionals in all 50 states can benefit." The article details the process for specialty recognition and its benefits, including the opportunity now to establish a U.S. certification for travel health nurses comparable to other U.S. nursing certifications.

ATHNA will feature an article on this website introducing the new Scope & Standards when they become available early in 2021.


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