How to Avoid Medical Scams Abroad

Yesterday, Tullia Marcolongo, IAMAT's Director of Programs and Development was asked by Sean O'Shea from Global TV's Consumer SOS about avoiding medical scams abroad in light of recent reports from tourists being duped in Mexico.

Some common medical scams experienced by travellers include:
- Taxi drivers taking commissions from private clinics to take ill tourists to their location.
- Doctors overcharging patients for consultations and suggesting unnecessary procedures.
- Clinics not accepting insurance coverage and asking for payment upfront by credit card or cash.

Why is it important to be prepared with the names and locations of doctors and hospitals when people travel?
In many countries the level of care is very different from what you expect back home. The standard of care and medical practices may not be what you're used to. As well, language differences are a huge barrier to ensuring that you get the care you need. Having the name of a reputable physician or clinic in case of an emergency can save you hassle and stress.

Photo by: Brian Lary courtesy of stock.xchng

You or your travelling companion should insist to be taken to a clinic that you know provides trusted medical care and the physicians on staff speak your language. Always make sure to get a detailed receipt that includes the date of treatment, diagnosis of the illness, medical services provided, and medication needed. This is essential to get reimbursed by your travel insurance company. Check the fine print of your policy to see which services are eligible for a refund and the proper course of action for making a claim. Here's more information on what to look for when purchasing travel medical insurance.

Are a lot of people uninformed about this need and if so why do you think that is the case?
Unfortunately, travel health is not always on top of people's minds when they're planning a trip. As travellers, we tend to focus on the destination, the hotel, the activities we'll be doing. We don't think about the possibility of illness and injury.

If you've booked a last-minute vacation, you're often in a rush and don't have the time to find out the health risks of your destination. For example, is there malaria? Do you need yellow fever vaccination to enter the country? What about food and water safety? It's important to make time to do some basic travel health research and consider the possible health risks of your destination. It's also important to consider your current health status and how you will cope in case of a medical emergency abroad.

What does IAMAT offer travellers?
Our non-profit organization offers travellers a Medical Directory of English speaking doctors around the world whose clinics have been vetted by us. Our doctors have been trained according to international health standards so you can expect the same level of care you are used to back home. They will help you navigate the local health system. Here's a complete list of what IAMAT affiliated doctors will do for you.

We also have easy to use downloadable materials on how to prepare for a healthy trip such as immunization recommendations and requirements, an online database of health risks and food and water safety for all countries, and information on travel and mental health - how to reduce travel stress, minimize culture shock, and deal with post-travel blues.

We'd like to hear from you. How do you plan for a healthy trip? Is travel health always at the top your mind when getting ready to go abroad?

>> See the Global TV segment on how to avoid travel scams.


Health is Part of Being a Responsible Traveler

When we think about Responsible Tourism, promoting respect for the cultures and the environment of our destination country come to mind. Health on the other hand, is the other component that is not often talked about.

Learning about the cultures, regional geography, languages, and customs is key to being a responsible traveler, as is informing yourself about the potential health risks at your destination. While we have the means to protect our health, we also need to be mindful of how our health status impacts the people we come across during our travels.

When it comes to travel, getting immunized against vaccine preventable diseases is not only for your benefit, but also for the locals you encounter abroad. At home you may not consider vaccination for yourself, but as a traveler, even if you are healthy, you risk being a conduit for infectious diseases.

Diseases that are considered eradicated or rare in our part of the world (polio, mumps, measles, meningococcal meningitis, yellow fever), are a serious concern for local populations where there are low vaccination rates and different immunity patterns. At home you may not be exposed to diseases because people around you are vaccinated (herd effect), but abroad - if you are not immunized - you risk catching an infection without exhibiting symptoms right away and unwittingly pass it on to someone who is not immune. Not to mention that if you do get sick, you also put a strain on already taxed local healthcare systems.

The recent H1N1 outbreak clearly showed us how infectious diseases leap from continent to continent in a matter of hours, not months or weeks or days. As travelers, we have the potential to bring over infections to places where there was little or no previous concern and we also bring them back with us, adding stress to our own medical system.

Like other infectious diseases, the spread of H1N1 also showed us how poverty plays a major role in health. Persons living in crowded conditions are more susceptible to contracting infections and fighting diseases is harder if you have little or no access to healthcare.

Judging on a recent poll by the Consumer Travel Alliance (CTA), many of us still have a long way to go to becoming responsible travelers. According to the survey of frequent travelers, 73% said that they would fly even if they had the flu. A similar survey done by TripAdvisor last Fall also found that 51% of respondents said they would fly with the flu to avoid the ticket change fee (getting trip cancellation insurance or checking the fine print of your airline's policy for reimbursements on flu and major illnesses may be part of the solution).

Sexually Transmitted Infections (STIs) are especially linked to travel. You've heard this before, but avoid unprotected sexual contact. If you are going to have sex with a stranger, use latex or polyurethane condoms consistently and correctly. Bring your own condoms from home. The spread of STIs, including HIV, is in part due to the proliferation of sex trafficking and sexual tourism.

As travelers, we not only have the responsibility to help prevent the spread of diseases, but we should also be aware of the health of tourism industry employees who take care of us. Too often, workers deal with poor and unsafe working conditions, long hours, and poor wages. For example, trail guides may face frost bite in cold environments, scuba diver instructors may get decompression sickness, and hotel room cleaners work long hours, often with no benefits. These conditions may put their health at risk and we can look out for them by encouraging them to seek medical attention.

The International Society of Travel Medicine (ISTM) publishes 7 Tips For the Responsible Traveler. Below are other groups promoting responsible and sustainable tourism.