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Table of Contents



Introduction………………………………………………………………………..3

Day one Clinical Immunology



Women Travelers…………………………………………………………………..6

Women’s medical kit………………………………………………….14

Pharmacology of Travel Medicine…………………………………………….…19 Antivaccinationists………………………………………………………….…..…29

Vaccine Safety…………………………………………………………………...…31

Immunizing Health Care Personnel……………………………………………...52

Cruise ship Health……………………………………………………………….…58


Mefloquine and Madness……………………………………………………….…74


Day 2 Expedition Medicine



Skin Cancer………………………………………………………………………….79

Medical Entomology for Backpackers …………………………………….………81

Third World Dentistry (Belize and Haiti)

& Dental Emergencies in the Wilderness…………………………………….…95

Flu, Colds, ad Avian Flu………………………………………………………..….103

Cultureshock………………………………………………………………………..110


SCUBA medicine……………………………………………………………………113

Arctic Medicine Meeting……………………………………………………………120


Introduction and Welcome

Thank you for your interest in this years meeting. We have some new speakers and have divided the sessions into a clinical day and an expedition day.

Our Clinical medicine day focuses on Pharmacology and Nursing and common scenarios will be explored. Some of the topics we will be explored are very lengthy so we decided to focus on specific scenarios for general debate and use these as springboards for discussion. By this we hope that our attendees will be learn more practical issues and be able to research solutions using the reference information we have provided in this syllabus.
Jacinda Wagner is a Compounding Pharmacist with Shoppers Drug mart. She is experienced in formulating medications to allow precise doses to be delivered in new ways. She will speak on the actions of immunizations and medications used to prevent illnesses in travelers. Often many doctors and pharmacists are unfamiliar with these drugs and her talk will introduce these products. She will also host a workshop that will examine drug interactions and contraindications.

Shane Woods RN, ONH is a registered nurse wit a specialty in occupational health nursing at Red River College. Shane manages, interprets, and is responsible for health related course student’s immunization records according to WRHA guidelines and with respect to students practicing in facilities under the direction of the WRHA.

He will speak on the Immunization record required for Health Care Students at Red River College, which also includes the Mantoux test for Tuberculosis. He will also host a workshop on immunization.

Candace Corroll is an Office Manager at the Skylark Travel Medicine Clinic and frequently assists prospective travelers in obtaining information for their trips. Her talk on Women travelers will focus on short vignettes involving women travelers with diverse and unique problems. She will go over these scenarios with possible solutions. A comprehensive reference guide will be included but not emphasized during he talk. We decided to focus on the specific cases to springboard discussion and emphasize the process on how we arrived at the solutions and not the solutions themselves.
Dr Gary Podolsky is the Conference Coordinator and Director of his Travel clinic. He will cohost the workshops on the Adverse effects of Immunizations with Shane Woods and another on Anti-vaccinationists in Winnipeg. These will be a series of scenarios with emphasis on real issues and controversies that revolve around the safety and effectiveness of immunizations. We have included an extensive reference document to back up this evidence. We wish for all of our delegates to be able to use this information to help educate the general public about misconceptions about immunizations. Gary has also expressed a wish that if anyone has problems regarding vaccine issues they may contact him after the conference.

He will also later talk on “Cruise Medicine” He will explore issues of safety and health aboard cruise ships. His talk on “Dive Medicine” will be a brief overview on the injuries that occur in recreational SCUBA.


Dr Simon Trepel is Psychiatry resident who will present two lectures- “Mefloquine and Madness” and “Fears in Travelers”. He will examine specific travel related problems from the perspective of a clinical psychiatrist. This will include a critical appraisal of the literature on such issues such as mefloquine-induced psychosis, traveller’s culture shock and substance abuse among travelers. In researching psychiatry and travel we have found that although this subject has been spoken of lightly in the past there are many areas to explore in improving mental health in travellers. Simon will define these psychiatric issues for non-psychiatrists as well so that we all may communicate these important discoveries to our own patients.


Dr Richard Heyday is a Dermatologist practicing at the Winnipeg clinic and is an Associate Professor with the Faculty of Medicine, University of Manitoba. He has trained at the University of Manitoba for both his MD and BSc Med and has additionally trained in New York with specialization of a Diplomate of the American Board of Dermatology (DAB Derm) University Skin and Cancer 1980 and an FRCP at the University of Manitoba 1983

He will discuss Dermatological problems in Travelers and will include emphasis on skin cancers in travellers, tropical illnesses in travelers and fungal infections. He has lectured on this for our group in the past and will include updates on the new powerful immunolgic drugs that are now being used routinely to treat skin cancers. This aspect of medicine is still one of the most important and exciting topics for clinicians- to learn about a non-toxic effective treatment for some severe cancers. This topic gives hope to very ill people and has been enthusiastically received at a number of sessions by both clinicians and non-clinicians alike.


Dr Terry Galloway is an Entomologist at the University of the Medicine. He has lectured to us several times and has always both entertained and informed us with accounts of the life of Insects. This year his talk will focus on Mosquitoes and he will also discuss the role mosquitoes played in the development of Malaria in the Dominican Republic this past winter.

Dr Elsa Hui-Derksen is a practicing Dentist with the Cholakis Dental group. She will present “Dental Emergencies in the Wilderness” as well as help define important components of a dental emergency kit. Her colleague Dr Eric Parsons will also present his recent dental relief work in Haiti.


Dr Scott Clifford, Veterinarian was tentatively scheduled to speak on the Avian Flu, continuing his previous years lecture on Zoonoses. He had defined emerging zoonoses as more likely with the increased communication among previously isolated biovars that had increased speciation in the past. As these isolated plants, animals, bacteria and viruses were brought together new recognized human diseases emerge as zoonoses through chance jump to humans. Scott is unable to join us because of work commitments but we wish him the best. Dr Podolsky will talk on Avian Flu in relation to the common cold and other flus and will add recent updates from the Public Health Agency of Canada that were recently presented here in Winnipeg at the National Antiviral Meeting.




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