The following list of health topics are of particular interest for travelers. Please check out the "health topics" tab at the top for more.
Available at Hall Health Center
UW Measles Requirement
All enrolled matriculated students, and all students living in University of Washington residence halls or single-student apartments, are required to provide proof of measles (rubeola) immunity.
Hall Health Center offers the following vaccines.
NOTE: The Centers for Disease Control and Prevention (CDC) provides thorough, up-to-date information on vaccines. The Immunization Action Coalition is also a reliable resource.
|Immunization||No. of injections||Protection period||Exposure||More information|
|Cholera (not recommended)||2 injections||Incomplete protection||Contaminated food and water||CDC information|
Hemophilus influenza type B (HIB)
|2 injections||20+ years||Contaminated food and water||CDC information|
|3 injections||Lifelong||Blood and bodily fluids||What You Need to Know About Hepatitis B (Hall Health Center)|
Hepatitis A/B combination
|3 injections||20+ years to lifelong||Blood and bodily fluids|
|Human Papillomavirus (HPV)||3 injections||Lifelong||Skin to skin||
HPV Vaccine FAQs (Hall Health Center)
All About HPV (Hall Health Center)
|Influenza||1 injection or nasal spray||1 year||Respiratory virus||CDC information|
|Japanese encephalitis||2 injections||1-2 years||Mosquito||CDC information|
|Meningococcal||1 injections||3-5 years||Respiratory||CDC information|
|Measles, Mumps, and Rubella (MMR) combination||2 injections||Lifelong||Respiratory|
|Polio (IPV)||Childhood series + 1 injection as an adult||Lifelong||Contaminated food and water||CDC information|
|Pneumococcal||1 injection or childhood series||10+ years||Respiratory||CDC information|
|Rabies||3 injections||Partial protection||Mammal exposure: bite, scratch||CDC information|
|Tetanus, Diphtheria, and Pertussus combination||
TD or TDaP
|Approximately 10 years||Infected wound, respiratory||CDC information|
|Typhoid||1 injection OR oral pills||
2 years for injection;
|Contaminated food and water||CDC information|
|Varicella (chicken pox)||2 injections||Lifelong||Respiratory||CDC information|
|Yellow Fever||1 injection||10 years||Mosquito||CDC information|
|Herpes Zoster (shingles)||1 injections||Lifelong||Previous chicken pox||CDC information|
Malaria is the most significant parasitic disease threat you will face in most tropical and subtropical countries. It is a microscopic blood- borne parasite transmitted to humans by the bites of infected mosquitoes. There are 300 to 500 million cases a year of malaria worldwide —approximately 1000 a year are reported in U.S. travelers.
Dengue fever and dengue hemorrhagic fever are viral illnesses transmitted by the bite/sting of a mosquito. The mosquito species that carries dengue virus is active, biting during daylight hours, with a peak of activity just after daybreak, and then again for several hours before dark. These insects are often present indoors, and are common in areas of human habitation, including urban and rural areas throughout the tropical areas of the world.
Symptoms of dengue fever include:
By avoiding insect bites during your travels to tropical and subtropical regions, you can prevent the following diseases:
Care should be taken to protect yourself and your family from most of the flying bugs you might encounter.
The following products are used to avoid bites and stings of insects, and thereby reduce the risk of contracting the diseases they carry. They can be purchased in many pharmacies and outdoor supply stores (e.g., REI), including at Hall Health Pharmacy. Some specific products are listed for your information.
NOTE: Please note that these repellents are to be used only on exposed skin and not under clothing.
DEET repellent – DEET (N, N-diethyl-m-toluamide) is the most effective repellent against mosquitoes, chiggers, ticks, fleas, and biting flies. Controlled release formulations have longer lasting effectiveness. Avoid contact with eyes, mouth, and synthetic materials. Toxic only if swallowed.
We strongly recommend DEET-containing repellents over all others, based on its proven safety, effectiveness, and ease of use. Look for a minimum concentration of 20% and a maximum concentration of 50%.
Picaridin – available for many years in Europe at 21% concentration. Higher concentrations provide longer duration of protection.
Higher concentrations provide longer lasting protection.
Permethrin is available in various formulations, as a spray for clothing, or as a liquid for soaking clothing or bed nets. It effectively repels and kills insects. See manufacturer's recommendations for application of and duration of effectiveness for the various formulations available.
Some manufacturers now offer clothing that is already impregnated with permethrin. Check outdoor clothing suppliers for more info.
Locally, REI sells mosquito nets. Various companies sell mosquito nets and netting on the web. Here is a sampling, in no particular order, and without endorsement.
Military surplus stores also may stock mosquito nets.
Talk to your travel consultant at Hall Health or your personal health care provider if you are allergic to bee stings. The products discussed above may not be effective against bee stings and you should be appropriately prepared to manage a bee sting reaction.
Check out the Environmental Protection Agency's online tool to find an insect repellent that's right for you.
Schedule an appointment with Hall Health at least 4 weeks prior to your departure date to discuss how to protect yourself from insects.
Dr. Haulman graduated from the University of California at San Diego School of Medicine in 1980 and completed her residency in pediatrics at the Children's Hospital Medical Center in Seattle in 1983. She is board certified in both Pediatrics and Emergency Medicine. She currently holds the faculty appointment of Clinical Assistant Professor of Pediatrics in the UW School of Medicine.
In 1996 she returned to the UW. Since that time she has been involved in travel vaccine research. She is currently the Medical Provider for the Travel Clinic and serves as the communicable disease liaison for the UW Campus. Her clinical practice is currently limited to counseling pre-travel patients.
1. Why is it important to maintain a medical record?
Each time you visit a Hall Health Center provider, a record of your visit is made. Typically this record contains your symptoms, examination and text results, diagnoses, treatment, and a plan for future care or treatment. This information, often called your health or medical record, serves as:
Britt Murphy is a Family Nurse Practitioner with an interest in college health and travel medicine. She has been a health care provider at the Hall Health Primary Care Center on the University of Washington campus for over 10 years.
Ms. Murphy earned her BSN from the University of Vermont in 1992. After working as an RN in oncology, she served as a Peace Corps Volunteer in Nepal from 1996 -1998. Following her service in Nepal, Ms. Murphy pursued her MSN from the University of Washington, graduating in 2000. She is a member of the International Society of Travel Medicine and is certified as a travel healthcare provider.
Patient Care Philosophy
I enjoy listening to my patients’ concerns and working together with them to maximize their health and wellbeing.
International travel, outdoor activities and spending time with family
Primary care, travel medicine, including pre-travel concerns and infectious disease. Has special interest in health care of the transgender community.
Primary Care, Travel Medicine
Ms. McCadden has been an Nurse Practitioner since 2006. Prior to graduate school she worked as RN within the University of Washington system for over 20 years in such diverse specialties as ICU, ER, Research, and Occupational Health. She currently works as a Nurse Practitioner at Hall Health in Employee Health, Primary Care, Travel Medicine, and the Health Science Immunization Program.
Anne C. Terry is a nurse practitioner who works in primary care and travel medicine at Hall Health Center at the University of Washington. Her special interests include pre- and post-travel assessments, infectious disease challenges and dermatology. Anne is currently the director of the UW Medicine Travel Clinic at Hall Health Center.
She obtained her Master of Science in nursing at the University of Tennessee, Knoxville in 1997. In addition, she has a Certificate in Infectious Disease and Infection Control from the UW School of Nursing and is certified as a travel provider by the International Society of Travel Medicine (ISTM).
Patient Care Philosophy
I strive to inspire patients to make good health decisions and to give them the tools to make things happen. Without patient input and effort, good health cannot be achieved.
International travel, hiking, cycling and knitting.
Travel medicine, including pre-travel consultations and figuring out complex post-travel issues; infectious disease; and dermatology, including the management of acne with Accutane.
Mentoring nurse practitioner students and UW residents in global health.
Primary Care, Travel Medicine