In light of the Ebola virus outbreak in Liberia, Guinea and Sierra Leone, many questions have arisen about student-related travel in general. Below are responses to several common issues based on the most recent information we have available.
It should be noted that the risk of contracting Ebola is extremely low for anyone who has not traveled to Liberia, Guinea and Sierra Leone or had direct contact with an individual who has the Ebola virus and is symptomatic. Ebola is not an airborne virus and can only be transmitted through exposure to bodily fluids of an infected and symptomatic individual.
- What should a student who is traveling do if he/she has a fever or other symptoms similar to Ebola?
Seek medical attention. The symptoms of Ebola are similar to many other illnesses. A health care professional should be able to assess and advise the student appropriately. Be sure to advise your health care provider of your travel itinerary. If a student needs a recommendation for an area health care provider, contact International SOS, which is available 24 hours a day, 7 days a week at any of the following numbers: Philadelphia + 1 215 942 8226; London + 44 20 8762 8008; or Singapore + 65 6338 7800.
- What should a student who is traveling do if he/she is unwell during a trip or in the first three weeks after returning?
Seek medical attention. If the student is still in the Durham area, the Duke Student Health Center or Duke Urgent Care are options for non-severe symptoms, and the Duke Emergency Room for those with more severe symptoms. If not in the Durham area, then seek medical care from their customary provider or local urgent care or emergency department. Regardless of where the student is seen, be sure to advise your provider of your travel itinerary.
- What steps can students take to help protect themselves from infectious diseases while traveling internationally?
See a medical travel clinic before travel to get immunization and medications that can prevent illness, and take any medications as prescribed before, during, and after the trip. Be sure to follow standard hygiene practices such as frequent hand washing, drinking bottled water, being careful with foods eaten, and wear appropriate protective clothing/insect repellant if needed.
- How should Duke administrators counsel students who are considering travel to Africa?
Travel to Liberia, Guinea and Sierra Leone is currently restricted due to the Ebola outbreak. Graduate students, faculty and staff can request an exemption to the travel policy if they wish to travel to these countries. Other countries in Africa are restricted for various other reasons. See the Restricted Regions List for other areas of Africa that are restricted for non-Ebola related reasons.
- How should Duke administrators counsel students who are considering travel to Madrid or other areas where Ebola patients or suspected Ebola patients have been identified?
All countries other than Liberia, Guinea and Sierra Leone are considered safe for travel. Infectious disease screening and monitoring protocols are in place for those traveling from Liberia, Guinea and Sierra Leone to other countries. These efforts greatly reduce the potential exposure in other countries. If an individual in another country is suspected or identified to have the Ebola virus, the risk is still extremely low to students unless they were directly exposed to the bodily fluids of the infected and symptomatic individual.
- How should we advise students if they are quarantined in another country for suspicion of Ebola?
Be sure to communicate with the consulate to let them know that they have been quarantined. As a standard precaution, students should be advised to have a personal communications plan while traveling (e.g., cell phone access, periodic check-ins with Duke staff if on a University-funded trip or with parents/friends if traveling independently).
- What type of health coverage is available to students traveling internationally?
Students who are enrolled in the Duke Student Medical Insurance Plan (SMIP) have worldwide health insurance coverage. You can get information about the plan’s international benefits at the BlueCard WorldWide website. Students who are not enrolled in the Duke SMIP should refer to their health insurance policy for details about international coverage.
- Should students or departments consider purchasing additional travel insurance for students traveling internationally?
Duke has contracted with International SOS (ISOS) to provide additional travel assistance at no additional charge. The service includes seamless coverage and evacuation services in the event of an illness or injury while abroad. Current policy restricts reimbursement for “optional travel or baggage insurance,” which are considered personal expenses. However, departments interested in purchasing additional travel insurance (trip cancellation, baggage, accident, life or medical insurance), should contact Employee Travel and Reimbursement at firstname.lastname@example.org or 919-668-3877 to discuss options.
- What are symptoms of Ebola? How easily is it transmitted? How is it treated?
Symptoms of Ebola include:
- Severe headache
- Muscle pain
- Abdominal (stomach) pain
- Unexplained hemorrhage (bleeding or bruising)
Symptoms may appear anywhere from 2 to 21 days after exposure to Ebola, but the average is 8 to 10 days.
Recovery from Ebola depends on good supportive clinical care and the patient’s immune response. People who recover from Ebola infection develop antibodies that last for at least 10 years.
Ebola is transmitted by:
- When an infection occurs in humans, the virus can be spread to others through direct contact (through broken skin or mucous membranes in, for example, the eyes, nose, or mouth) with
- blood or body fluids (including but not limited to urine, saliva, sweat, feces, vomit, breast milk, and semen) of a person who is sick with Ebola
- objects (like needles and syringes) that have been contaminated with the virus
- infected fruit bats or primates (apes and monkeys)
Treatment of Ebola is by:
- Symptoms of Ebola and complications are treated as they appear. The following basic interventions, when used early, can significantly improve the chances of survival:
- Providing intravenous fluids (IV) and balancing electrolytes (body salts).
- Maintaining oxygen status and blood pressure.
- Treating other infections if they occur.
From the CDC (www.cdc.gov)
- Are students who travel internationally required to complete a health review prior to returning to Duke’s campus?
Students who travel internationally will follow whatever protocols that are set up by governmental agencies. Additionally, students who travel internationally are told in advance by the Duke Travel Clinic in Duke Student Health if and when they need to return to be seen.Undergraduate students are restricted from travel to Guinea, Sierra Leone, or Nigeria. But any graduate student who travels to Guinea, Sierra Leone, or Nigeria must contact Duke Student Health for an evaluation prior to their return to campus. It is likely that anyone who has traveled to the endemic Ebola area for any reason will be required to self quarantine for 21 days following the completion of travel before returning to Duke.
- Are we making any special provisions for international students who are abroad and come back to the U.S. with an illness?
Any student who travels from Liberia, Guinea and Sierra Leone must go through the CDC screening before returning to the United States. In addition, Duke requires any student, faculty or staff member who has traveled to Liberia, Guinea and Sierra Leone to visit Student Health or Employee Occupational Health & Wellness prior to returning to campus.
- What is the best way for me to stay informed about Duke’s travel safety advice while I am traveling internationally?Students, faculty and staff traveling internationally should complete the Travel Registry prior to travel. The Travel Registry allows Duke to contact individuals with pertinent information based on their location of travel. All members of the Duke community are automatically enrolled in International SOS and can also register with International SOS, which provides students and parents with peace of mind when traveling away from home on a Duke program. International SOS offers a network of multilingual specialists for immediate help with medical, personal, travel, security information, emergencies and legal referrals.