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What
is travel medicine ?
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Travel
medicine is a special interest of the various health
needs of travelers. For most people this means pre-travel
assessment of disease risks and providing immunizations, medications
and information for healthy travel. Your health history,
destination, purpose of travel, mode of travel, and
duration of travel all play a part in the assessment.
The clinic receives up-to-date health and security information
based on current recommendations from the U.S. Centers
of Disease Control &Prevention (CDC), the World Health
Organization (WHO) and US State Department. We have
maps showing malaria zones and provide prophylactic
medications against malaria if there is the potential
for exposure. We also address general travel health
concerns including travelers diarrhea, jet lag and altitude
sickness. Travelers diarrhea is common depending on
the country and mode of travel. It affects 30 -50 percent
of travelers. The travel clinic can provide medications
either preventative or as treatment of travelers diarrhea.
You have spent considerable time and money on your trip.
It would be terrible to have your trip ruined by diarrhea.
Taking along medications to treat travelers diarrhea
is a good insurance policy. If you need them, you will
be glad you have them. If you don’t need them, great!
Either way you win.
Another
goal of the clinic is to prevent clients from receiving
“required” vaccinations at a foreign airport or border
and the potential for exposure to Hepatitis B or HIV
from contaminated needles. A few countries require proof
of yellow fever vaccination prior to entry if you are
coming from a country know to have yellow fever. The
Travelers Clinic providers vaccination and documentation
on the “yellow card”, the International Certificate
of Vaccination.
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About
Us:
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The
clinic provides vaccinations for travel and travel consultations
since 1994.
Much
of our recommendations are based on first hand travel
experience.
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HOURS
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Regular Hours November 1 - April 30 |
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Monday - Friday 8:30 AM to 5:30
Saturday 9:00 AM to 4:00 PM
Sundays Closed |
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Summer Hours May 1 - October 31 |
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Monday - Friday 9:00 AM to 5:30 PM
Saturday 9:00 AM to 2:00 PM
Sundays Closed |
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Location:
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are located on the ground floor of the Naples Medical
Center-in the Walk-In Clinic on 8th St and 4th Ave North.
(kitty corner from Naples Community Hospital) |
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Immunizations,
Fees and Billing:
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If
you do not know what vaccines you need or require prescriptions
(including anti- malarial medication), you will need
a consultation with a physician. All visits require a brief
review of your medical history.
Doctors
Consultation: $75 per person. Includes a
review of your medical history and itinerary: and prescriptions
for malaria prophylaxis, travelers diarrhea, jet lag
or insomnia, altitude illness, and motion sickness as
your situation dictates.
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Diphtheria-Tetanus-$30 |
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Hepatitis
A adult -$90 |
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Hepatitis
B adult-$90 |
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Hepatitis
B (peds)-$45 |
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Influenza-$25 |
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Japanese
Encephalitis- special order |
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Measles,
Mumps,Rubella(MMR)-$80 |
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Meningococcus-$125 |
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Pneumococcus-$35 |
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Polio
( Injectable)-$50 |
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Rabies
(IM)-Special Order |
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Typhoid(Typhim
Vi)-$80 (Pills) |
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Varivax(chicken
pox)-$110 |
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Yellow
Fever-$110 |
Prices are subject to change
Typically, injection fee waived.
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| NOTE:Every
effort is made to ensure these prices are accurate but
vaccine costs vary and we reserve the right to change
fees without notice. Furthermore, we make every effort
to have all vaccines in stock, however, national shortages
of vaccines occur from time to time and some vaccines
may not be available. |
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BILLING:
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Payment is due at the time of service. We accept American
Express, Discovery Card, Master Card , VISA, Cash or Check.
Medicare and many individual policies do not cover travel
vaccinations. Please check with your individual insurance
company on your policies coverage. We will provide you
with a statement that you can submit to your insurance
company for reimbursement. |
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Frequently
asked questions:
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I need an immunization certificate for international travel?
Most immunizations are not “required” for entry into a
country, but are for your personal protection. A few countries
require proof of yellow fever vaccination prior to entry
if you are coming from a country know to have yellow fever.
If you are traveling to or through South America or Africa
you may require proof of vaccination against yellow fever.
We are approved by the state to administer this vaccine
and provide documentation on the “yellow card”, the International
Certificate of Vaccination. |
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When
should I be immunized?
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One
to two months prior to travel will give you adequate
time to complete most vaccines. However, even if you
are late in receiving vaccinations, there will be some
protection depending on the type and nature of your
exposure; therefore we recommend appropriate vaccinations
even if they are late.
How
do I protect myself from insect bites and the mosquito
transmitted diseases malaria, yellow fever and dengue
fever?
Take
antimalarial medication as prescribed; obtain necessary
vaccine against yellow fever and wear protective clothing
and a good insect repellent containing DEET. Many disease
carrying mosquitoes prefer to bite and feed at night.
You can limit you exposure by limiting your outdoor
activity between dusk and dawn and sleep in well screened
areas or use bed netting if available.
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Can
I eat raw fruits and vegetables?
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only fruits and vegetables that you peel yourself or are
cooked. |
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Other
Sites:
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National
Center for Infectious Diseases CDC:
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Government
agency offering up-to-date traveler’s and immunization
health information.
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US
State Department: Travel Warnings and Consular Information:
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IMMIGRATION
PHYSICALS
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GENERAL
INFORMATION:
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The
immigration physical is required for the process of
citizenship. Specially designated doctors provide this
examination and complete Form I-693. The INS requires
that you be current with all the vaccines for your given
age group Your vaccine history will be recorded on “Supplemental
Form to I-693”. Both forms are placed in a sealed envelope
and given to you for your interview with INS.
Guide
lines have been established what elements are needed
to complete the forms. You will be examined with emphasis
on detecting communicable diseases. Blood tests for
HIV and syphilis will be taken. A skin test for tuberculosis
will be applied to the skin of your arm and read at
the clinic in 2 - 3 days. A chest x-ray may be needed
if your skin test is positive. Your written vaccine
history will be reviewed (if available) and needed updates
will be given. It usually takes 3 - 5 business days
to complete the examination, tests and forms
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FEES:
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basic examination covers the skin tests for tuberculosis,
blood tests for syphilis and HIV virus, lab fee, and physical
examination. |
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Chest
x-ray and vaccine costs are additional.
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Physical
Examination: $291
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(includes
TB (tuberculin) skin test and required blood tests for
syphilis and HIV)
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Under
15 years of age: $150 (if blood tests not needed)
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Chest
X-ray: $97 (if
required)
PPD
: $25 (if
required)
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Vaccinations:
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Cost
vary depending on needs. Most adults between age 18
and 45 who have no documentation of previous vaccination
require 3 vaccines: diphtheria/ tetanus; measles,mumps,rubella(MMR);
and chicken pox(Varivax).
Vaccine
and test costs vary from time to time and are reflected
in the current fees. While rarely required, we reserve
the right to change fees without further notice.
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| No appointment is necessary.
Afternoons are typically less busy. Lab work is only done on weekdays
between 9 AM and 5 PM (need to check in before 4 PM) and
Saturdays before 2 PM November through April. |
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Regular Hours November 1 - April 30 |
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Monday - Friday 8:30 AM to 5:30
Saturday 9:00 AM to 4:00 PM
Sundays Closed |
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Summer Hours May 1 - October 31 |
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Monday - Friday 9:00 AM to 5:30 PM
Saturday 9:00 AM to 2:00 PM
Sundays Closed |
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STEPS
IN THE PROCESS
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Registration: |
Information
needs to be accurate and clear as this information
will be used to fill out INS documents. |
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Physical Examination: |
Some
brief questions will be asked relating to past
medical history and symptoms. If you do not speak
and understand English well, please bring an INTERPRETER
to help. Blood pressure and vision tests will
be done. Then you will be examined with special
attention to evidence of infectious diseases.
This will include examination of the female or
male genitalia. |
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Lab
tests will include a test for HIV (the “AIDS virus”)
and RPR, a test for syphilis. |
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A
skin test will be placed on your forearm and must
be read in 48-72 hours, which means you must return
to the clinic in 2-3 days for it to be read. If
it is positive or you had a history of positive
test in the past, a chest x-ray will be taken
to ensure that the disease is not active. |
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Vaccines: |
The
INS requires that you be current with all the
vaccines for your given age group (see Table on
back of brochure). A legible written document
of your previous vaccines is required. As per
INS instructions, “Self reported doses of vaccine
without written documentation are not acceptable”.
Many applicants do not have documents of previous
vaccines and will require vaccination. For most
adults this requires 2 or 3 vaccines, 1) diphtheria/tetanus,
2) measles / mumps / rubella , and 3) varicella
(chicken pox). There are additional charges for
these vaccines. Your vaccine history will be recorded
on “Supplemental Form to I-693”. A copy will be
placed in the sealed envelope and a copy given
to you for your records. Some shots require a
booster in 1 month and will be documented as such
on the form. |
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INS Forms: |
After
all the information is gathered, the quadruplicate
Form I-693 can be completed. This will be signed
by you and placed in a sealed envelope along with
the vaccine form (Supplemental Form to I-693)
. This envelope is to remain sealed until reviewed
by an INS officer. |
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CHILDREN
/ ADOLESCENTS:
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you are 15 years of age or older, you will need testing
for HIV and Syphilis (both blood tests) and tuberculosis
(skin test and / or chest x-ray). If you are younger than
15, you may need a skin test. |
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SOME
COMMONLY ASKED QUESTIONS:
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Q:
What will the examination cost?
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| A:
The basic examination fee quoted by the receptionists
covers the skin tests for tuberculosis, blood tests for
syphilis and HIV virus, lab fee, and physical examination.
Chest x-ray and vaccine costs are additional and available
on request. Vaccine and test costs vary from time to time
and are reflected in the fees. While rarely required,
we reserve the right to change fees if needed. |
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Q:
What if I have a condition found on exam? Am I excluded
from applying?
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Depending on the abnormality, you may need treatment started
or completed prior to final completion of all forms. You
may be referred to the Health Department. For some chronic
medical conditions a determination of severity (mild,
moderate,or severe); recovery or rehabilitation potential
(minimal, partial, full) and need for further care (none,
low, or high) is required by INS. Your regular doctor
may be asked to assist in this determination. |
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