Travel Health Case Study 6 - Bismah - Saudi Arabia. 
Read the vaccine histories carefully and have Travel Health Pro open to consult while completing the questions. 

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Please be aware, however, that travel health is very changeable therefore this assessment is being completed based on the information provided and the current guidelines. A small change in the guidelines or the information your traveller has provided can change the recommendations you provide. Therefore it is important to realise that the recommendations for this traveller are unique to them at a specific point in time.

Every effort will be made to keep this scenario up to date based on advice from NaTHNaC Travel Health Pro and may differ from advice provided on other databases such as TRAVAX. 

Please send and feedback about this document to: alyslouisebunce@gmail.com OR there is also an optional question at the end regarding your thoughts if you have any comments on the activity. THANKYOU! 
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Travel Vaccine Traffic Light Tool
The Travel Vaccine Traffic Light tool will to help you complete the risk assessment for your traveller. For more detailed information on using the The Travel Vaccine Traffic Light tool see this free online course.
Bismah   - Saudi Arabia 
Bismah (45) is super excited. She’s off to do her first pilgrimage for Hajj in Saudi Arabia in 2 months time (September time). She has waited all her life to do this trip. It was very expensive and she has been saving up. She’s now a little short of cash.

She is a type one diabetic, insulin dependent. Well managed.  No other PMH. She has a BCG scar. She has had 1 dose of MMR as a child. Her friend advises her she needs to get a vaccine for Meningitis ACWY for the visa. She has come to clinic specifically to source the vaccine. 

She has never travelled out of Europe before. She has kept up with her COVID-19 vaccines, last one was 2 months ago. 

What are your vaccine recommendations? Tick all that apply below
 *
16 points
Red (High Risk - Recommended)
Amber (Medium Risk - To be considered)
Green - (Not recommended. Up to date or no risk))
Hepatitis A
Typhoid
Diphtheria, Polio, Tetanus (DTP)
Rabies
Hepatitis B
Japanese Encephalitis
Tick Borne Encephalitis
Yellow Fever
Yellow Fever Exemption Certificate
Measles, Mumps, Rubella (MMR)
Meningitis ACWY
Cholera
Tuberculosis
Influenza
COVID-19
Dengue
Click 'yes' if you would like some more information about the risk assessment thought processes for Bismah above (this question does not form part of the overall mark - it's just to aid with providing some feedback on the above activity) *
0 points
Would you need to advise about malaria risks for this trip? *
1 point
The pilgrimage will involve visiting Mecca and Medina. Would Bismah need to consider taking Malaria tablets on this trip?  *
1 point
List some key individualised risks that stand out to you the most for Bismah *
0 points
FINALLY! Please can you provide a quick bit of feedback on this activity so this can be made as useful as possible for others? This bit is not compulsory to complete but very much appreciated if you do. Thank You!
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