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Preparing for your Medical Elective Overseas
Preparing for your Medical Elective - in a resource poor country

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What about HIV/AIDS?

Safe practice and safe behaviour are the key to avoidance.

  • Assume all patients could be HIV positive and act accordingly.
  • Make sure you know the universal precautions to take if injury/contamination occurs
  • Take such precautions, as far as is possible, if such incidents occur.
  • Assume that all blood and body fluids are potentially infective and take necessary precautions
  • Ensure you wear gloves and wash your hands after patient contact.
  • Think of taking a personal supply of surgical gloves with you so that you can double glove.
  • Take a visor or spare pair of glasses to protect your eyes.
  • Beware of contaminating any open cuts you might have.
  • Take every care to avoid needle stick injuries
  • Refuse blood transfusion - unless a dire emergency and you know the donor is HIV free.
  • Take a course of anti-retrovirals with you
  • They are usually available from your student Occupational Health Department.
  • Make sure the drugs are in date and that you know how to use them
  • Avoid casual sex
  • Don't be paranoid but do take every precaution

Post exposure prophylaxis for occupational exposure to HIV

  • Follow normal UK protocols, as far as possible.
  • Establish the status of the source patient, if at all possible.
  • Start taking ARVs within 2 hours of any high risk injury, if possible, and continue for 28 days.
  • Seek UK advice as to whether you should return home sooner rather than later

Did you know that:

The BMA offers a student elective insurance policy, to its members, that includes cover for needle stick injury. See what is on offer at: www.bma.org.uk/ap.nsf/Content/jointheBMAstudentmembership



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Fifth edition with appendices – January 2007
© 2007 Christian Medical Fellowship, London.

First Edition 1997 – Amended April 1999 & November 2000
Second Edition September 2002
Third Edition November 2003
Fourth Edition August 2004

All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of Christian Medical Fellowship.

Christian Medical Fellowship
6 Marshalsea Road
London
SE1 1HL
United Kingdom

Tel: +44 (0)20 7234 9660
Fax: +44 (0)20 7234 9661
Email: peter.armon@cmf.org.uk
Websites: www.cmf.org.uk, www.healthserve.org

Christian Medical Fellowship is a registered charity No. 1039823

ACKNOWLEDGEMENTS
My thanks are due to Mark Pickering (CMF Student Secretary), Avril Stirzaker (Chairperson, CMF National Students Committee) and Laura Risdale (PA, Overseas Department) for their comments and suggestions during the preparation of this fifth edition.

DISCLAIMER
Christian Medical Fellowship cannot be held responsible for the information contained in this booklet. Students should confirm the information with individual institutions and missions agencies, including the conditions for undertaking electives and the precautions advised to reduce health and transport risks.
Any questions or comments on website content? E-mail us: healthserve@cmf.org.uk
Cure the sick who are there, say to them
"The Kingdom of God has come near to you." Luke 10: 9

©2004 - Christian Medical Fellowship.
CMF is a registered charity, number 1039823
CMF is a Member of Global Connections
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