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旅遊醫學與移民、留學、探親與出國工作之體檢

Travel Medicine and Health Checkup for Immigration, Study, Visit and Work Abroad

摘要


旅遊醫學主要的內容包括健康評估、流行病學、公共衛生學、疫苗學等。全世界每年約有十億人次出國,而根據台灣觀光局資料統計顯示,2013年國人出國人數總計超過1100萬人次。旅遊除觀光旅遊外,其中的留學生、探親、工作與移民,因為涉及外國的公衛與防疫政策與本身在台灣的健康風險,而成為特殊的一個領域。在體檢時,除病史詢問和理學檢查外,通常還要疫苗施打的紀錄和以結核菌皮膚測試或全血丙型干擾素釋放分析方法為準的肺結核病的篩檢。這幾年來,外籍移工或透過跨國婚姻來台居住的新移民人數增加,我們發現:年輕女性的外籍勞工得到肺結核的人有顯著的上升,這是台灣在面臨國際化的潮流中所要特別注意的議題。

關鍵字

旅遊醫學 體檢 留學生 工作與移民 探親

並列摘要


Traveling medicine composed of health evaluation, epidemiology, public health and immunology. There were an estimated 1000 million international tourist arrivals throughout the world. In Taiwan, there were more than 11 millions traveling abroad in 2013 according to registered data in Tourism Bureau, Republic of China. International tourist takes on many forms, including tourism, study abroad, visit friends and relatives, work and immigration. The knowledge involves international public health, disease control policy and our own health risk. In health check-up, in addition to history taking and physical examination, there has to be vaccination records and the pulmonary tuberculosis screening, which was determined by tuberculin skin test (TST) or interferon-γ releasing assay (IGRA). When the number of the foreigner workers or new immigrant in Taiwan increases recently, we found that the female foreign workers had higher prevalence of pulmonary tuberculosis. This is important issue when we are in the trend of globalization.

參考文獻


吳麗珠、冷偉緒、顏哲傑:2008 年至2012 年外籍勞工健康檢查概況。衛生福利部疾病管制署疫情報導2014年1月21日第30卷第2期。[Wu LJ, Leng WH, Yen CC: Health check of foreign workers duirng 2008-2012, Taiwan Epidemiology Bulletin, 2014]"
Brunette GW: CDC Health Information for International Travel 2014. Oxford University Press, Inc, 2014.
pira AM: Preparing the traveller. Lancet 2003;361:1368-81."
acaner NB, Stauffer DR, Boulware, et al: Travel medicine considerations for North American immigrants visiting friends and relatives. JAMA 2004;291:2856-64."
ngell SY, Behrens RH: Risk assessment and disease prevention in travelers visiting friends and relatives. Infect Dis Clin North Am 2005;19:49-65."

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