consultation case: travel with pregnancy

http://www.pregnanttraveler.com/

a. 22 yr female with pregnant first trimester
b. destination: Burma, cambodia, vietnam, Thailand for 3 weeks, Rural and urban, leaves in 4 weeks
c. no vaccination for 10 yrs.
d. no medication
e. past history negative.

vaccine:
routine:Tdp
reccommedation: Flu, typhoid(injection), hepatitis B(0,7,14), Heptitis A, Japanese encehalitis, rabies
requirment: no

Malaria:
malarone(begin 1-2days before travel and taken same time daily while in the risk areas, and daily for 7days after leaving the area)

Diarrhea

ORS
other disease
dengue fever

others tips
1. food and water
2. carrying  hand sanitizing solutions
3. take insect repellent
4.jetlag