Tetanus : Routine Vaccinations All routine vaccinations should be current these include….

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Bracelet charm - Rhinestone horse shoe [fits Pandora bracelet] Horses-store.comTetanus : Routine Vaccinations All routine vaccinations should be current these include….

It is essential to prearrange to be met on arrival by a hotel representative or trusted local contact and to pre-plan your onward journey if arriving by air.

Be aware that no means of transport between Lungi International Airport (located across a bay from Freetown) and Freetown are risk free. Sporadic unrest is likely, though foreigners are unlikely to be directly targeted.

Avoid all demonstrations, rallies, and protests and vacate the area immediately if a crowd begins to gather.

In the event of unrest, where possible to do so slowly, return to your accommodation and remain there until the situation has stabilised. Do not travel on foot unaccompanied or outside daylight hours. Hire a private vehicle and trusted local driver; do not self-drive.

A four-wheel-drive (4WD) vehicle is a necessity.

Ensure your vehicle is in good condition, and carry a full medical kit, spares, adequate communications, and enough water and fuel to complete your journey.

Undertake travel outside urban centres in daylight hours only According to ISOS, the Medical Country Risk Rating is EXTREME.

The following medical precautions are recommended: 
Routine Medical Care Obtain any necessary routine medical/dental care before you leave. Carry a copy of your personal health record with you when you travel. Pack an ample supply of prescription and routine medications in their original packaging. Place them in your carry-on luggage, with copies of your prescription.

Consider carrying a doctor’s note explaining your need for legal, non-prescription drugs you have packed – in English and the language of your destination(s). Routine Vaccinations All routine vaccinations should be current; these include: Measles, Polio, Tetanus-Diphtheria-Pertussis, and  Varicella. Influenza occurs in the northern and southern hemisphere winters and year-round in the tropics.

Consider an annual vaccination. As of October 13, 2011, the U.S.

State Department has no Travel Warnings for Sierra Leone.

This trip will be registered with the U.S.

Embassy in Freetown upon trip approval.

The Southridge, Hill Station may be reached at (232) (22) 515 000 or (232) (76) 515 000.

The emergency after-hours telephone is (232) (76) 515 000.

Up-to-date security information can be found by calling 1-888-407-3737 in the U.S./Canada or 1-202-501-4444.

This line is open from 8am-8pm Eastern Time M-F.

The U.S.

State Department security entry on Sierra Leone reads (in part) as follows. “Security in Sierra Leone has improved significantly since the end of the civil war in 2002.

The United Nations Peacekeeping Mission in Sierra Leone (UNAMSIL) withdrew in December 2005 and Sierra Leone resumed responsibilities for its own security.

The Sierra Leonean police are working to improve their professionalism and capabilities, but fall short of U.S.

Standards in response time, communications, and specialty skills. Areas outside Freetown lack most basic services.

U.S.

Embassy officials are free to travel throughout Sierra Leone.

Travelers are urged to exercise caution, however, especially when traveling beyond the capital.

Road conditions are hazardous and serious vehicle accidents are common.

Travel outside the capital after dark is not allowed for U.S.

Embassy officials and should be avoided by all travelers.

Emergency response to vehicular and other accidents ranges from slow to nonexistent. There are occasional unauthorized, possibly armed, roadblocks outside Freetown, where travelers might be asked to pay a small amount of money to the personnel manning the roadblock.

Because many Sierra Leoneans outside of Freetown speak broken English or Krio, it can be difficult for foreigners to communicate their identity.

Public demonstrations are rare, but can turn violent.

U.S.

Citizens are advised to avoid large crowds, political rallies, and street demonstrations.

Maintain security awareness at all times.

In addition, U.S.

Citizens should carry a means of communication at all times (fully charged cell phone with emergency contacts).” 4.3 Chemical Hazards Chemical hazards are not anticipated for the site assessment trip.

If a chemical hazard is encountered during the trip, proper skin and respiratory protection will be utilized. Relevant management strategies include: TH 31 Falling Objects, Punctures, Abrasions, Dust, and Noise (Personal Protective Equipment) 4.4 Biological Hazards Waterborne and food-borne diseases are a concern; as a result the EWB team will utilize food and water transported to the site from established safe sources.

Properly designed lavatory facilities exist at both the school site and the housing site.

Recommended vaccinations are discussed in Section 10.1.

All recommended vaccinations are required for the EWB travel team. In addition to the antimalarials described in Section 10.1, many strategies are recommended for avoiding insect bites, primarily mosquitoes.

According to ISO the following tips should be followed: — Physical Zones The team does not anticipate any physical exclusion zones for this trip as we will not be performing demolition, excavation, or overhead work tasks. 9.2 Site Hygiene All team members will be expected to keep their personal spaces at the LemonAid house free of clutter.

Personal hygiene amenities will be available at this house and are the responsibility of each individual on the travel team.

As this is a site assessment, no grounds keeping of the project site will be necessary. 10.0 MEDICAL CONSIDERATIONS 10.1 Medications and Vaccinations All travel team members are recommended to obtain a physical prior to departure, and are required to fill out a personal health and emergency contact form listing medical conditions, treatments, location of medications, and relevant contact information.

Recommended and required vaccinations include: All routine vaccinations should be current Measles-Mumps-Rubella Polio Tetanus-Diphtheria-Pertussis Varicella For Travel to Sierra Leone (recommendations by ISOS) Hepatitis A Hepatitis B Polio (one-time booster recommended) Typhoid Yellow Fever (current vaccination certificate required for entry) Malaria Present year-round in Sierra Leone Transmitted by mosquitoes (usually dusk to dawn), so preventing bites is highly recommended Malaria in Sierra Leone is resistant to the medication chloroquine.

Appropriate antimalarial medications include: Atovaquone plus proguanil (Malarone®) Doxycycline (many brands and generics) Mefloquine (Lariam® and generics) All recommended vaccinations are required for the EWB travel team.

In addition, a post trip health assessment is recommended for all travelers 2-4 months after return from the trip.

All general information regarding possible adverse health effects from the trip will be submitted to EWB-USA by the Health and Safety leads to aid in future trip preparations.

Management Strategies are available in Attachment I.

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    Horses-Store.com - Tetanus : Routine Vaccinations All routine vaccinations should be current these include….