2015 Annual Convention

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1 2015 Annual Convention Date: Monday, October 12, 2015 Time: 8:00 am 9:30 am Location: Gaylord National Harbor Resort and Convention Center, National Harbor 10 Title: Activity Type: Speaker: Expanding Immunization Opportunities Travel Immunizations and the Complementary Products that Bring Greater Profits and Customer Satisfaction ACPE # L04-P 0.15 CEUs ACPE # L04-T Application-based Beverly Schaefer, RPh, Katterman s Sand Point Pharmacy Pharmacist and Pharmacy Technician Learning Objectives: Upon completion of this activity, participants will be able to: 1. Outline a travel vaccine niche from information on vaccines to traveler information. 2. Describe effective marketing techniques and how to convert these to your community. 3. Discuss product lines that complement the needs of the international traveler and how to promote these to your customers. Disclosures: Beverly Schaefer declares no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria. NCPA s education staff declares no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria. NCPA is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program is accredited by NCPA for 0.15 CEUs (1.5 contact hours) of continuing education credit.

2 Expanding Immunization Opportunities Travel Immunizations Disclosures Beverly Schaefer declares no conflicts of interest or financial interest in any product or service mentioned in this program, including grants, employment, gifts, stock holdings, and honoraria. Learning Objectives 1. Outline a travel vaccine niche from information on vaccines to traveler information. 2. Describe effective marketing techniques and how to convert these to your community. 3. Discuss product lines that complement the needs of the international traveler and how to promote these to your customers. 1

3 OR The Business of Keeping People Healthy While Traveling Learning Objectives 1. Outline a travel vaccine niche from information on vaccines to traveler information 2. Describe effective marketing techniques and how to convert these to your community 3. Discuss product lines that complement the needs of travelers and how to promote these to your customers 2

4 International Travel is Big Business 30,000,000 Americans travel internationally each year 1. Vacation and Holiday 51% 2. Visiting Friends/Relatives 27% 3. Business 11% 4. Education 5% 5. Convention/Conference/Trade Show - 3% 6. Religious Pilgrimages 2% Source: U.S> National Travel and Tourism Office What Brings Travelers to Your Pharmacy? 1. Immunizations What Brings Travelers to Your Pharmacy? 2. OTC travel recommendations 3

5 What Brings Travelers to Your Pharmacy? 3. Travel Consults What Brings Travelers to Your Pharmacy? 4. Travel Accessories Travel Immunizations 1. Hepatitis A and Hepatitis B 2. Typhoid Oral and Injectable 3. TDaP- Tetanus, Diphtheria and Pertussis 4. Current Flu 5. Yellow Fever 6. Meningitis 7. Polio 8. Rabies 9. Japanese Encephalitis 4

6 Hepatitis A Infection of the liver caused by a virus illness is usually mild, but can be severe recovery takes about 8 weeks Hand-fecal contamination route CDC recommends all people traveling out of the country get Hep A vaccine Two dose series can be combined with Hep B Lifetime immunity if series is completed Hepatitis B Serious liver infection that leads to permanent liver damage, liver cancer and death Blood-borne contamination route Recommended for needles sharers, risky sex practices, people getting tattoos or body piercing, travelers out of the country more than 6 months 3 dose series Younger population has had this series as part of routine childhood immunization series Typhoid Fever Infection caused by a bacteria that invades the digestive tract From contaminated food or water due to poor sanitation Highest risk Indian subcontinent and Central and South America, but present world wide Two forms of Typhoid Vaccine Oral and Injectable Oral lasts 5 years Injectable lasts 2 years 5

7 Yellow Fever Viral disease caused by the bite of a mosquito Occurs in sub-saharan Africa and tropical S. America One of two required travel vaccines for entry into certain countries Requires an official stamp issued by your state health department to provide this vaccine and issuing a yellow card (International Certificate of Immunization) Live vaccine administered subq Advise travelers about Personal Protective Measures (PPM) against insect bites Yellow Fever Entry Requirement Certain countries require an International Certificate of Vaccination for travelers coming directly from the US as well as those travelers coming from a country known to be infected with yellow fever. With no yellow card, travelers may be subject to local re-vaccination, medical follow-up or isolation, or denied entry Meningococcal Meningitis Bacterial disease spread through the air by coughing and sneezing, or person to person by kissing, shared drinking glasses, intimate contact Highest risk in sub-saharan Africa or Saudi Arabia Crowded living conditions religious pilgrimages, military institutions, students living in dormitories adds to risk Second vaccine mandatory for travel entry into Saudi Arabia 6

8 Polio Disease nearly eradicated but still exists in Africa, Asia and the middle east Recommended a one time adult booster Per the manufacturer, open vial is considered usable until the expiration date on the container Rabies Serious infection caused by a virus in the saliva of an infected animal. Virus attacks nerves and muscles no cure, usually fatal Not a common travel-acquired infection 3 dose pre-exposure vaccine series for high risk travelers Avoid any animals that could pass on rabies Japanese Encephalitis Viral infection caused by mosquito bite Found in parts of Asia and Indian subcontinent Uncommon travel acquired infection Increased risk associated with monsoons and irrigated rice paddys Increased risk if more than two weeks in an endemic area Two dose series 7

9 Seasonal Flu Shot Recommended for all travelers! Travel Medications Malaria Prevention Malaria is the most serious potential risk for travelers to the tropics Maps of malaria areas at Diarrhea treatment Altitude Sickness Motion Sickness Sleep aids Travel Consults Usually experienced travelers willing to pay consult fee Where are they traveling, how soon are they traveling, any concerns about chronic conditions Assess: Immunization needs Travel medicines needs 8

10 Travel Consults Discuss PPM (personal protective measures) Make travel recommendations Make the experience enjoyable and personal 9

11 Travel Recommendation$$ Travel shelf loperamide, silver solution, sleep-aid, melatonin, jet lag, rehydration packs, hand cleanser, personal wipes Travel Recommendation$$ Travel accessories sunhats, packing accessories, travel sizes, travel containers, sleep masks, travel pillows, compression hose, electronic adapters, great books to read, kids activities, travel journals, travelsized games 10

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14 How to Promote This Service Sign on the door Start yellow fever application Figure out how to access your state immunization registry Travel end cap Website, Facebook Message on hold Collaborative Drug Therapy Agreement for consults Fax MD for all travel immunizations 13

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16 Do Your Homework Research Call around and find out where you can get travel vaccines, how much it costs, whether or not there is a consultation fee and when is the soonest appt Educate yourself Travel medicine CE APhA, University of Southern California, Travelcare Educate yourself about costs of vaccines, how to bill third parties, and how to charge ca$h More Homework Access church groups, students, scouts Start talking about travel Set up travel displays old globes, old suitcases, travel posters from vaccine manufacturers Recommended resources Check with your drug wholesaler about any travel vaccine programs they may have Travel Goods Association trade show in Las Vegas every March Thank you for your interest Beverly Schaefer, RPh Katterman s Sand Point Pharmacy 5400 Sand Point Way NE Seattle, WA beverly@kattermans.com 15

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