Pre-travel clinic country health brief

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# Pre-travel clinic country health brief

For one traveller's itinerary (one to three countries). Entry rules, disease burden and recent outbreaks come from different places; the consult needs all three.

## 1. Entry rules and safety

1. Read @[State Department travel advisories · Country information](alexandria:travel-state-gov/travel-advisories/country_information) (code): required and recommended vaccinations, yellow fever certificate rules, medication import limits, emergency numbers.
2. Read @[State Department travel advisories · Advisory](alexandria:travel-state-gov/travel-advisories/advisory) for the level and any health-related regional warnings.

## 2. Disease burden

3. Find WHO indicators for the diseases in question with @[WHO GHO · Indicators](alexandria:who-int/indicators/indicators) (query malaria, cholera, measles, dengue, rabies). Keep **indicator_code** values.
4. Pull the latest country values with @[WHO GHO · Data](alexandria:who-int/indicators/data) (indicator_code, spatial_dims = ISO3, time_from recent years). Note year of each value; burden data lags.

## 3. Anything new

5. Search @[PubMed · Search](alexandria:pubmed-ncbi-nlm-nih-gov/publications/search) (country plus outbreak or disease name, sort date, last 18 months). Read relevant reports with @[PubMed · Article](alexandria:pubmed-ncbi-nlm-nih-gov/publications/article) for location and season.

## 4. Season at destination

6. Check typical rainfall and temperature for the travel month with @[NASA POWER · Climate normals](alexandria:power-larc-nasa-gov/weather-history/climate_normals) (geometry = main destination). Rainy season raises mosquito-borne risk.

## Write the brief

- **Required:** entry vaccinations and certificates.
- **Consider:** vaccines and prophylaxis indicated by burden, season and recent reports, each with its source and year.
- **Advice points:** food and water, insects, animal bites, medication import.
- **Sources:** country codes, WHO indicator codes and years, PMIDs. Say what could not be found. This supports, not replaces, clinical guidance such as CDC Yellow Book.

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