ifabiyi travel clinic

Why you should always visit a travel health clinic before heading abroad

Travelers across the country are stocking up on sanitary wipes and face masks amid concerns surrounding the new coronavirus from China . But there's an often untapped resource that can help you stay healthy while on the road, especially if your journey takes you to an international destination.

Many university hospitals and other healthcare providers operate what are commonly known as travel clinics. These niche facilities are equipped with specialists who can advise you on everything from vaccinations to risks facing travelers in specific countries.

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"You're going to have a much more detailed level of knowledge that can be tailored to your itinerary and your underlying health issues," said Dr. David Hamer, a professor of infectious diseases at Boston University School of Medicine. As a result, he said, "you're more likely to have fewer complications during your trip, potentially."

Hamer said the information provided at a travel clinic is often more in-depth compared to what you'd receive from a traditional internal medicine visit or data gathered from an online source.

Most of these clinics are open to the public, including Boston University's clinic , which is open to anyone. Special arrangements can be made for large groups such as volunteers and missionaries.

Visit TPG's guide to all coronavirus news and updates

While there's a strong focus on immunizations to combat potentially infectious diseases, patients at travel clinics are given advice to help them during every step of their journey, including how best to prevent diarrhea, mosquito bites and blood clots on long distance flights, said Dr. Andrés Henao, travel clinic director at the University of Colorado Anschutz Medical Campus .

Patients are typically asked to provide any immunization records, as well as an itinerary of their trip, including the length. They may be asked about where they'll stay and sleep, as well as any planned activities, to help providers make an assessment of particular risks, Dr. Henao said.

"Then, we decide what immunizations might be given depending on the trip and its characteristics, such as immunizations for food-borne illnesses such as typhoid or Hepatitis A; or vector-borne or mosquito-borne illnesses , such as dengue fever, chikungunya or yellow fever and counseling in regards to repellants or how you cover your skin with outdoor activities," said Dr. Henao.

Such visits should be scheduled well before the start of your trip.

"It's good to allow more than two weeks before visiting the travel medicine specialist — vaccines take 10 to 14 days to take effect or require two doses a week or more apart," said Dr. Hamer.

In addition to medical information, patients are often given specific advice when it comes to food and water consumption . Patients are also briefed on other risks such as traffic safety and accident prevention.

While the focus is on preventive care, providers may know of physicians abroad, in case you need medical assistance abroad. Doctors also recommend checking with the U.S. embassy at your international destination for a list of medical options. Clinicians can also provide information for pre-travel health insurance . Some providers may offer screening of COVID-19 and other viral infections, however tests are in short supply.

In some cases, follow-up visits are scheduled for when a patient returns from their trip.

While many clinic visits are covered by insurance, coverage can vary by state and provider. The cost can fluctuate depending on the extent of treatment and vaccines administered, but the total could add up to several hundred dollars, if not more.

In addition to the clinics in Boston and Denver, travelers will find clinics in most metropolitan areas, including Weill Cornell in New York City; the University of Michigan in Ann Arbor (near Detroit); Nashville's Vanderbilt Health travel clinic; UCLA Health in Los Angeles; and the University of Miami Health clinic.

To find a travel clinic in your area, contact your primary care physician for a recommendation; the infectious disease department at your local hospital; or your area university. You might also have some luck with a simple Google search.

Check ahead to determine if you're eligible for treatment.

Liberal, Kan. outpatient VA clinic closing

WICHITA, Kan. (KWCH) - The Robert. J. Dole VA Medical Center on Monday (Nov. 23) announced that the Community-Based Outpatient Clinic (CBOC) in Liberal will close in mid-January. The clinic, which opened in 2018, will no longer be open after Jan. 14, 2021, the Dole VA said.

“We are disappointed to have to make this decision,” said Candace Ifabiyi, Medical Center Director for Dole VA.

Despite this disappointment, Ifabiyi said there is “a range of options to meet the healthcare needs of veterans in southwest Kansas.” Among those options is the Dodge City VA Clinic the organization says is “well-staffed and a great option for many.” There are also virtual care options with VA Video Connect and telehealth capabilities.

“These virtual programs let Veterans connect by video with their VA care teams from the comfort of their home. For eligible Veterans who may not have the necessary internet service or technology to connect with the VA, we can provide them with VA-issued tablets or smartphones to provide easier access to health care,” the Dole VA said.

Through the MISSON Act, the Dole VA pointed out that enrolled veterans can use private urgent care facilities in the VA newtork, including at the clinics in Wichita and Dodge City.

“We want Veterans who prefer to remain in the VA system to know that the providers and staff at the Wichita VA and Dodge City VA Clinic are anxious to welcome them to either of those locations,” said Ifabiyi.

Veterans currently receiving care at the Liberal CBOC can call toll free 1-888-878-6881, extension 57450, or (620) 225-7146 to discuss your health care options. Veterans who would like to enroll with the Dole VA healthcare system may call toll free 1-888-878-6881, extension 54737.

Copyright 2020 KWCH. All rights reserved.

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Travel Medicine Clinic

• Call to Schedule 1-319-356-4252

How to prepare for your Travel Clinic visit

Schedule your visit six to eight weeks before your travel departure to allow enough time to receive any needed vaccines and allow for immunity to develop before your trip begins. 

Please arrive 15 minutes in advance of your appointment time to allow for check-in. 

Bring your travel itinerary, including dates of travel, regions of the countries you plan to visit, expected accommodations, and scheduled airport layovers.

Bring your current medication list and vaccination records that are not already part of your medical record. If you are a UI Health Care employee, please print your vaccine/immunization record from ReadySet and bring it with you. 

The clinic provider will not be able to determine insurance coverage for your visit, vaccinations, or prescribed medications. We recommend you review the Centers for Disease Control and Prevention (CDC) Travelers’ Health webpage in advance to learn what are likely vaccines and medications recommended for your destination. Use the drop-down menu under the “Destinations” heading to select the country you’ll be visiting and click “go.” You will need the CPT (Current Procedural Terminology) codes listed in the tables below for vaccine information and some other fees when you contact your health insurance carrier to inquire about coverage. Medications commonly recommended for travel are also found in the tables.  

A cost estimator tool for a travel clinic visit can be found within MyChart . However, the tool allows you to only inquire about one vaccine per inquiry. The CPT codes listed below are needed to use the tool.  Note that the estimator automatically includes a flat physician fee for a new patient visit and a hospital fee when a vaccine CPT code is entered. However, the provider charge submitted varies with the complexity/duration of the travel assessment/counseling.

To access the estimator from MyChart, click “Menu” in top left corner, scroll down to “Billing,” and then click “Estimates.” Click “Create A New Estimate,” then type in the desired vaccine or its associated CPT code into the search bar. If you have not signed up for a MyChart account, you can use the estimator as a guest. 

Vaccines that may be recommended and provided during Travel Medicine Clinic visits

Medications that may be recommended/prescribed during travel medicine clinic visits, what to expect during your travel clinic visit.

• Your provider will review your travel itinerary, planned activities, medical history, medication list, and prior vaccinations. They will also discuss precautions to help you stay well, including recommended vaccines and prescription medications to prevent or treat common or important travel-related illnesses. The vaccines that you want or are required then will be administered, and medications will be prescribed.
• The visit may last up to 75 minutes, including the travel assessment and counseling and administration of vaccines. If more than one person is sharing an appointment, the total visit may require 90 minutes. If a yellow fever vaccine is administered, 15 minutes of monitoring in the clinic is required.
• We see adults and children who are age 15 and older. We also see 14-year-old patients who weigh more than 100 pounds.  

Note: Children who do not meet age/weight criteria to be seen in our adult Travel Clinic can be seen in the Pediatric Infectious Diseases Clinic . To schedule an appointment, call 1-888-573-5437 . Please inform the scheduler it is for a pre-travel visit. 

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Troy Smith PA-C

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Laura Stulken PA-C, MPH

Locations and offices, medicine specialty clinics.

AITC Immunization & Travel Clinic

We provide travel health visits, vaccinations, TB testing, and blood tests. Appointment only.

Attention!  starting April 15, 2024

Our new website address is   SF.GOV/AITC

AITC Services, Price, and Forms

Book an appointment on line and get clinic forms

See our services and prices

Donate to AITC

Welcome to AITC

AITC is a non-profit clinic that is part of the San Francisco Department of Public Health (SFDPH). As public health providers, our mission is to prevent disease and protect the health of all.

We are open to the public, and serve all members of the community, including:

• Teens and adults seeking recommended vaccinations
• School age children needing vaccines required for school
• Adults who need vaccines for work or school
• Immigrants to the US requiring vaccines for Change of Status
• Individuals and families planning international travel

Our services are by appointment only.

AITC is unable to accept insurance.  Fees must be paid at the time of service.   Low-cost or free services are available to those who qualify.

Message about our MPOX vaccine (JYNNEOS) supply

Mpox vaccine at AITC is still supplied free of charge by the government.  Later in 2024 we may need to purchase the vaccine and charge a fee for it.  We will post more information when it becomes available. 

Getting here

Metered street parking or  Civic Center Garage

Public transportation

Southwest corner, Civic Center Plaza Across from City Hall BART  /  MUNI : Civic Center Station

Make an appointment online by clicking the left link. It is highly recommended; it is simpler and faster.

If you need assistance, please call us.

AITC Immunization & Travel Clinic

Mon to Fri, 9:00 am to 4:00 pm Closed for lunch 12 pm - 1pm

We are closed weekends and holidays .

Find more information about how to get to our clinic .

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Department of Medicine

• Travel Clinic

Division of Infectious Diseases Travel Clinic

The Division of Infectious Diseases Travel Clinic is here to help you have a safer, healthier trip abroad. Our team offers pre-travel immunizations, vaccines and medications to prevent disease. We also consult on:

• Precautions to take when visiting certain countries
• Healthcare access abroad, medication schedule and other common travel-related issues
• The concerns of travelers who are pregnant, immunocompromised or have an underlying medical condition
• Managing environmental risks, including high-altitude travel
• COVID-related concerns

Information for Travelers

The following immunizations and vaccines are available at our clinic:

• COVID-19, primary and booster doses
• Hepatitis A
• Hepatitis B
• Japanese encephalitis
• Measles/mumps/rubella (MMR)
• Pneumococcus 
• Tetanus/diphtheria/pertussis (Tdap)
• Tick-borne encephalitis
• Varicella (chickenpox)
• Yellow Fever

We prescribe any medications needed for travel, including for the prevention of:

• Traveler's diarrhea
• Altitude sickness

Appointment charges include professional fees (for physician consultation) and may include immunization charges. Insurance typically covers 100% of the cost of immunizations, with some exceptions. 

Since these are preventive services, some health insurance plans do not cover the costs. We provide receipts to support claim reimbursement from a third party such as your insurance company. However, we strongly recommend checking with your insurance company prior to your appointment to confirm your plan covers travel medicine.

Please see the links below for information about international travel. Note: The Brigham does not maintain these websites and is not responsible for their content.

• Centers for Disease Control and Prevention (CDC) Travelers' Health : This is a comprehensive guide on infectious diseases you may encounter while traveling, including COVID-19.
• Travel.State.gov : Hosted by the U.S. Department of State, this website includes travel advisories, details on getting a U.S. passport or visa and much more.
• International Society of Travel Medicine : Search for travel clinics in countries around the world.
• What Can I Bring? : Find out what items you can and cannot pack in your carry-on and checked baggage, according to the U.S. Transportation Security Administration.
• CDC Yellow Book : Learn about or purchase this book, which compiles the U.S. government's latest travel health guidelines.

Our staff includes doctors and nurse practitioners with expertise in infectious disease and travel medicine.

Jacob Johnson, MD

Travel Clinic Physician, Brigham and Women's Faulkner Hospital

Catherine Franklin, NP

Travel Clinic Nurse Practitioner, Brigham and Women's Hospital

Mary W. Montgomery, MD

Travel Clinic Physician, Brigham and Women's Hospital

We offer all our services at our three locations:

Brigham and Women's Hospital 45 Francis St., 2nd Floor – Lung Center C Boston, MA 02115 (Monday afternoons)

Brigham and Women’s Health Care Center, Chestnut Hill 850 Boylston St, Suite 130 Chestnut Hill, MA 02467 (Wednesday afternoons)

Brigham and Women's Faulkner Hospital 1153 Centre St., Suite 4F Jamaica Plain, MA 02130 (Thursday afternoons)

Appointments

To schedule an appointment at either location, please call 617-732-8881. We prefer to see travelers four to six weeks before departure when possible.

Learn more about Brigham and Women's Hospital

For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery.

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Routine Vaccines

It’s important to be up to date on recommended routine vaccines prior to travel, including Flu, RSV and COVID-19.

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Learn about CDC’s Traveler Genomic Surveillance Program that detects new COVID-19 variants entering the country.  

Sign up to get travel notices, clinical updates, & healthy travel tips.

See the full list of  Travel Health Notices , including:

Level 2 - Practice Enhanced Precautions

• Updated   Chikungunya in Timor-Leste April 05, 2024
• Yellow Fever in Nigeria March 28, 2024
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Travel medicine

What to expect at your clinic visit.

Protect against travel related infections with vaccines recommended by the Centers for Disease Control and Prevention (CDC), the World Health Organization and other international travel authorities. We are a designated yellow fever center and provide prescriptions for travel-related conditions as appropriate.

Consultation includes: 

• Common health hazards at your destination, including prevention of insect- and water-borne illnesses and other transmittable infections 
• Air-travel-related conditions 
• Recent infectious outbreaks, health care standards and availability of health care at your destination 
• Safety and security alerts, safe and unsafe areas, political updates and emergency information 
• Personalized advice for those traveling with special needs, and children

Travelers receive an International Certificate of Vaccination or Prophylaxis (ICVP) card with documentation of all vaccinations you receive in our clinic.

Preparing for your appointment

Appointments should be scheduled well in advance. Some immunizations are given in a series over a period of time and may take up to six months to complete. We review records of previous immunizations, and detailed travel itinerary.

Payment and insurance considerations

We accept cash, check or credit card. We provide travelers with a statement which may be submitted for insurance reimbursement. Payment is due at the time of service. For more information or to schedule an appointment, call 616.391.2778 .

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Mayo Clinic School of Continuous Professional Development

You are here, 45th annual practice of internal medicine.

• Accreditation

This course offers Live (in-person) and Livestream (virtual) attendance options

Course Director:  Brandon P. Verdoorn, M.D.

May 12 - 16, 2025 - Hilton Rochester Mayo Clinic Area Hotel - Rochester, Minnesota

Mayo Clinic's Practice of Internal Medicine postgraduate course, celebrating its forty-fifth year, is designed to provide general internists, internist-subspecialists, family medicine physicians, and other primary care professionals with a state-of-the-art update in internal medicine. Lectures are presented by specialists from Mayo Clinic. The topics represent some of the most common problems encountered in clinical practice including the management of a variety of medical issues seen in areas of gastroenterology, infectious diseases, general internal medicine, rheumatology, geriatrics, emergency medicine, pulmonology, endocrinology, cardiology, neurology, and women’s health.

Target Audience

This course is designed for general internists, internal medicine subspecialists, family medicine physicians, and other primary healthcare professionals.

Learning Objectives

Attendance at any Mayo Clinic course does not indicate or guarantee competence or proficiency in the skills, knowledge or performance of any care or procedure(s) which may be discussed or taught in this course.

All travel and lodging expenses are the sole responsibility of the individual registrant.

Hilton Rochester Mayo Clinic Area (conference location) Located just two blocks from the Mayo Clinic – connected via Skyway to the Clinic as well as the University of Minnesota, Methodist Hospital, and Shops at University Square. Fifth-floor rooftop terrace offers panoramic views of the city, there's also an indoor pool, fitness room, and two restaurants. *No room block at this location. Hilton Garden Inn Rochester Downtown (2 blocks from conference) 225 South Broadway Rochester, MN 55904 507-285-1234 The Hilton Garden Inn, Rochester Downtown is connected by skyway to Mayo Clinic, University of Minnesota shopping, and restaurants. Hilton Garden Inn, Rochester Downtown has a 24-hour business center, complimentary WiFi, indoor swimming pool, and fitness center. There is a freshly prepared breakfast at on-site restaurants, 24-hour convenience store and Pavilion Lounge. *No room block at this location. Mayo Clinic is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant. All travel and lodging expenses and arrangements are the sole responsibility of the individual registrant. You may wish to visit Experience Rochester website for additional travel information, accommodation options, and area information.  

Rochester, Minnesota is a friendly city that greets thousands of visitors from around the world each year. The city is serviced by a modern international airport with multiple flights daily via American, Sun Country and Delta Airlines. Access to and from the airport is provided by taxi, shuttle service, and rental car. The airport is located approximately 10 miles from the Hilton Rochester Mayo Clinic Area and the Mayo Clinic campus. Note to Travelers: Several cities in the United States are named Rochester. When you make airline reservations and check your baggage, be sure that your destination is Rochester, Minnesota (RST) and that your baggage has been properly tagged. Flying through the Minneapolis/St. Paul International Airport (MSP) is another option. The following shuttle services offer multiple trips daily. Travel time is approximately 75 minutes. Groome Transportation 507-280-9270 $47 per person* Rochester Shuttle Service 507-216-6354 $49 per person* *Rates are quoted for one-way fares to or from the Minneapolis Airport. Rates are subject to change and do not include taxes, fee, or gratuities. Travel arrangements and expenses are the sole responsibility of the individual registrant. Mayo Clinic’s appointed travel company, Ultramar Travel, is available to assist with travel arrangements. Call Ultramar Travel toll-free at 866-629-6885. You may wish to visit Experience Rochester website for additional travel information, accommodation options, and area information. PARKING Parking is available in hotel and city ramps. The cost for parking is not included in the registration fee; parking will not be validated.

For disclosure information regarding Mayo Clinic School of Continuous Professional Development accreditation review committee member(s) and staff, please go here to review disclosures .

Please  update your profile  to let us know if you have dietary restrictions or access requirements. 

To claim credit for livestream participation in this course, learners must view the content during the hours posted for the live activity.  This course is not approved for on-demand delivery.

Commitment to Equity, Diversity and Inclusion​ 

Mayo Clinic School of Continuous Professional Development (MCSCPD) strives to foster a learning environment in which individual differences are valued, allowing all to achieve their fullest potential.  ​ 

Cancellation and Refund Policy

View Cancellation and Refund Policy

All requests must be submitted in writing using the  Contact Us Form .

Any use of this site constitutes your agreement to the Terms and Conditions of Registration.

Get an appointment at AITC Immunization & Travel Clinic

We provide travel health visits, vaccinations, TB testing, and blood tests. Appointment only.

Make an appointment

You can make an appointment online or by calling (415) 554-2625.

We have 5 types of appointments.  

Before book online, we highly recommend you to read the information about " How to choose the correct appointment type to book ", further down this page.

Language Support

We want to help you communicate with our clinic team.  Select what language you prefer when you make an appointment- we have Chinese and Spanish speaking staff and can obtain translation support for other languages.  

If you have impaired vision or hearing or you use American Sign Language (ASL), please let us know in advance by calling 415-554-2625 or email us at [email protected]  before making an appointment.  We will make arrangements for your visit, and it will be no cost to you.

Prepare for your appointment

•   Check our prices . We do not accept insurance.
• Arrive 15 minutes before your appointment time. Bring any immunization records that you have. Make sure you have eaten and are well hydrated. If this is a travel health visit, prepare your full itinerary including layovers, and be aware that late arrivals may have to reschedule. Expect to stay one hour with the nurse.
• Check in at the front desk. You will be asked to complete some forms. Fill them out before the visit to save time. Find the forms further down this page.
• After registering, you will see our clinician.
• The wait time is generally a few minutes, but can be shorter or longer. We do our best to keep the wait time as short as possible.
• When it is your turn, our clinician will see you for evaluation and recommendations, then will give you a total fee, give you the injections and ask you to pay at the front desk for service(s) you have received.
• Some services such as TB skin test may require you to return to our clinic a few days later for the result. Please check with our clinician for more details.

AITC Immunization and Travel Clinic Home Page

Fill out these forms before your visit to save time at the clinic.

• Form for flu vaccination only visit
• Form for TB testing only visit
• Registration form (used for the first visit in over 1 year, or ever)
• Medical history form (for all travel health visits, and any patient who has not come to AITC in the past year)

Policies and notices

Minor policy.

For minors who have not yet reached their 18th birthday, the parent or legal guardian is expected to accompany the minor to the AITC visit and sign consent for treatment in person.  There are limited exceptions:

• Minors age 12 years and up can consent to receive a hepatitis B or HPV vaccine as STD prevention ( CA Family Code 6926 )
• Minors age 15 years and up can consent to medical services if they meet the definition of a self-sufficient minor ( CA Family Code 6922 )
• Minors can consent to medical services as an Emancipated Minor if they can document marriage, service in the armed forces, or a court order
• Guidance on Administering Mpox Vaccines  to Minor Patients 12 years and older
• Guidance on Administering COVID-19 Vaccines  to Minor Patients 12 years and older

Open Payments Notice

Open payments is a publicly accessible database of payments to promote transparency by requiring applicable manufacturers of drugs, devices, and biological or medical supplies to annually report to CMS certain payments made to physicians, and certain advanced practice providers.

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided on this notice. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

The link to the Open Payments web page can be found here:  https://openpaymentsdata.cms.gov/

Special cases

How to choose the correct appointment type to book.

Note : We do not accept insurance, including Medicare or Medical

All below appointments are available

• This appointment is for ONE person who is planning international travel. The first part of the visit is a travel consultation by our travel nurse. Vaccine(s) will be given after consultation.
• For appointments for minors, please read our  minor policy.
• MPX1 PATIENT ONLINE for MPOX 1st DOSE Visit 
• For individuals who received the 1st dose at least 28 days ago
• Click  here  for blood test services and fees.
• Blood test visit can include routine vaccination(s).
• TB skin tests are placed on Mon, Tues, Weds, or Fri only.
• Required vaccines for SFUSD students (Age between 4 and 18 years old)
• Note : We do not offer TB skin tests on Thursdays, Fridays before long weekends, and on Tuesdays or Wednesdays before Thanksgiving Day.
• Completion of Hepatitis B, rabies, and other pre-approved vaccine series; the need for an HPV vaccine; obtaining a replacement card for your US or international vaccines.
• We only offer MODERNA Bivalent Booster for 5 years old and above. This vaccine is for individuals who have completed the primary series at least 2 months ago OR received their last booster of monovalent COVID vaccine at least 2 months ago. Please click  HERE  for our policy for minor visits.

If none of the above apply to your situation or you have any questions about the visit type, please call us at 415-554-2625.

Find out more about our travel health visits

We are experts in travel medicine. To prepare for your trip, we offer a travel health visit—your personal preventive health care session with an experienced AITC travel & immunization nurse. Your nurse will gather information and make recommendations, and you can ask questions and participate in decision-making.

We recommend making the appointment for 4-6 weeks prior to your departure in case several doses of a vaccine are required.

Travel vaccines and medications

• We stock all FDA-approved vaccines for international travel.
• We offer prescriptions for travel-related conditions: malaria, travelers’ diarrhea, high altitude illness, anaphylaxis. AITC will send a prescription to a pharmacy of your choice, where you can purchase the medication.

Additional travel-related services

• International Certificates of Vaccination
• Yellow Fever vaccine certification or medical waiver
• For travelers who suspect they have contracted a disease while traveling, we offer referral to a specialist in tropical medicine or infectious diseases

During the travel health visit, the nurse will:

• Review your travel plans closely, noting activities, places, and season of travel
• Point out disease risks specific to your trip, based on our comprehensive, up-to-date, global database
• Note your medications, allergies, medical conditions, and past vaccines
• Recommend vaccines & medications customized for your trip, and discuss the risks & benefits of each
• Assess your malaria risk, and recommend a malaria prevention drug if needed
• Tell you which vaccines you do not need
• If cost is an issue, help you prioritize decisions to achieve the most cost-effective plan
• Advise you how to stay healthy and avoid or manage common travel health problems
• Administer your vaccines comfortably
• Provide the AITC Handbook—24 pages of travel health advice you can fold up and take with you
• Ensure your medication prescriptions are transmitted to the pharmacy of your choice.
• Answer your questions

Get info for SFUSD students

SFUSD students who already have a regular pediatric doctor or clinic must contact their regular doctor or clinic. AITC is available for SFUSD K-12 students who do not have a regular doctor or clinic.

Costs: SFUSD students who have Medi-Cal, or are uninsured, are eligible for free vaccines. Others may need to purchase vaccines at AITC on a sliding scale.

Parent(s)/Guardian(s) needs to bring (a) the SFUSD letter (b) the child’s Medi-Cal card (c) the child’s immunization records (issued from in the USA or from other countries) to the visit.

Get a copy of your AITC medical records

If your visit was after February 21, 2022, contact DPH Health Information Management at (628) 206-8622.

If your visit was before February 20, 2022, complete and sign this form and give it to AITC.

Get more info about immunizations and travel health

Immunizations

• Immunization Action Coalition Comprehensive vaccine information in a friendly, easy-to-read format. Don’t miss the IAC’s Vaccinations for Adults page.
• Centers for Disease Control Vaccines & Immunizations Home Page A wealth of information, including adult and child vaccination schedules, vaccine availability, vaccine information statements, vaccine safety

Travel Health

• Travel Health Preparation Online Health risks you may encounter during your trip, vaccine recommendations, and disease prevention information, organized by destination.  Easier to navigate and more detailed than the CDC Travelers’ Health site.  The service is free but you will be asked to register online to use the site.
• Centers for Disease Control – Travelers’ Health Information about vaccinations, diseases, and CDC’s vaccination recommendations for the countries you will be visiting.  Current disease outbreaks around the world, regulations for traveling with pets, suggestions for special needs travelers, and more.
• World Health Organization (WHO) Detailed country profiles and epidemiological information about diseases and outbreaks.
• International Association for Medical Assistance to Travelers (IAMAT) A network of physicians, hospitals, and clinics available to IAMAT members anywhere in the world.  Doctors who speak English and have had medical training in North America or Europe.  IAMAT inspects clinics to ensure standards of care.  Free membership.

More Travel Resources

• International Trade Administration The US Commercial Service is a federal agency that helps small- to medium-sized companies establish international markets for their products and services.  There’s an office in downtown San Francisco.
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How florida and arizona supreme court rulings change the abortion access map.

Selena Simmons-Duffin

Hilary Fung

In a few weeks, Florida and Arizona are set to join most states in the southern U.S. in banning abortion. It's a significant shake up to the abortion legal landscape, and data shared exclusively with NPR maps and quantifies what the changes will mean for millions of Americans.

On Tuesday, the Arizona Supreme Court cleared the way for an 1864 law to be enforced. That law completely bans abortion except when someone's life is in danger. Last week, the Florida Supreme Court made its decision to allow a ban on abortions after six weeks gestation to take effect on May 1.

Caitlin Myers , an economics professor at Middlebury College in Vermont, has been tracking abortion facilities and travel distances since 2009. She analyzed how these latest rulings will affect the access map.

"Because of these bans, it's about 6 million women of reproductive age who are experiencing an increase in distance of more than 200 miles," she says.

She points out that Floridians who are seeking abortions after six weeks will have to travel nearly 600 miles to North Carolina, which has a 72-hour waiting period. "So we're talking about a day's drive to a state that requires you to engage in this multi-day process," Myers says. "A lot of people might end up going several hundred miles further to Virginia."

For people in Arizona, after the 1864 law takes effect, "their nearest destinations are pretty long drives. They're going to be facing hundreds of miles to reach southern California, New Mexico, Colorado," Myers says. "I think Arizona spillover is likely to affect California in a way that California hasn't yet been affected by bans."

Myers helms the Myers Abortion Facility Database . She has gathered data about facilities – including clinics, doctors, and hospitals that publicly indicated that they provide abortions – going back more than a decade, using data licensure databases, directories, and Wayback Machine captures of websites from years past. She uses a team of undergraduate research assistants to periodically call facilities and make sure the information is up to date.

Numbers of abortions rise in Florida, decline in Arizona

Although Florida and Arizona have historically both been politically purple states and both have had 15-week abortion bans since 2022, the states have been on different trajectories when it comes to abortion and play very different roles in their regions.

There were about 12,000 abortions in Arizona in 2023, according to the Guttmacher Institute , a research organization that supports abortion rights. Out-of-state travel accounted for 3% of abortions in the state, and the overall number of abortions has been declining there in recent years, Guttmacher finds.

By contrast, there were nearly 85,000 abortions in Florida in 2023, according to state data , just a few thousand fewer than Illinois, which has positioned itself as a haven for people seeking abortions in the post- Roe era. And the number of abortions happening in the state has been on the rise. "The majority of the increase has been driven by out-of-state travel into Florida because of bans in surrounding states," explains Isaac Maddow-Zimet , a Guttmacher data scientist. "That really speaks to the role that Florida has played in the region where there really aren't many other options."

The Alliance Defending Freedom, which brought the case in Arizona, frames those affected by the new laws in a different way. "We celebrate the Arizona Supreme Court's decision that allows the state's pro-life law to again protect the lives of countless, innocent unborn children," the organization wrote in a statement this week .

Even with new bans in place, there are a few ways residents of Florida and Arizona will be able to access abortion without driving hundreds of miles. People with means will be able to fly to states where abortion access is protected. Others will be able to use telehealth to connect with providers in those states and receive abortion medication in the mail – a practice that has been growing in popularity in recent months. Telehealth medication abortions, though, could be curtailed by a pending case before the U.S. Supreme Court. (A decision in that case is expected this summer.)

In Florida, some will be able to get abortions before the six-week gestational limit, which is about two weeks after a missed period. "Folks have a really narrow window in order to meet that gestational duration limit if they even know about their pregnancy in time," Maddow-Zimet of Guttmacher explains. "And that's something that's particularly difficult in Florida because Florida requires an in-person counseling visit 24 hours before the abortion."

'A substantial barrier'

Many thousands of people in Florida and Arizona will be unable to navigate those options and will carry their pregnancies instead, Myers says.

"It's easy to think – if an abortion is so important to somebody, they will find a way, they will figure it out," she says, but research on people seeking abortions illustrates why that's not always possible. "[Many] are low income. They're in very difficult life circumstances. They're experiencing disruptive life events like the loss of a job or breaking up with a partner or threatened eviction. Many of them are parenting and have difficulty obtaining child care." One large study showed about 80% of people seeking abortions had subprime credit scores.

"If you think about all that, it is perhaps not so surprising that the results of my research and other people's research shows very strongly and unequivocally that distance is a substantial barrier to people who are seeking abortions," Myers says.

Mary Ziegler , a law professor and historian of reproductive rights at the University of California - Davis, says it's worth noting how these states both came to have new bans. "The common denominator is conservative state supreme courts reaching decisions contrary to what voters would want, interestingly, in an election year when those judges are facing retention elections," she says.

Voters in Florida will have a chance to weigh in on abortion access in November, when an amendment to their state constitution will be on the ballot. An effort to put an abortion amendment on the ballot in Arizona is also underway. Abortions rights opponents in both states have pledged to fight the measures.

• abortion access
• Abortion rights

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Hospitals in Russia for Foreigners and Visitors

Hospitals in Russia for Visitors and Expats

Considering making a move to Russia? Whether you’re interested in a long stay or one of short duration, it’s important to consider access to healthcare. Most often that means being able to access the  hospitals in Russia . Here’s a guide for what you need to know as an expat to navigate Russia’s hospital system.

Read:  Health Insurance in Russia for Expats

List of Hospitals in Russia for Expatriates and Travelers

Best hospitals in moscow.

• Adventist Health Center (Adventistsky Tsentr Zdorov’ya) Prospect 60 Letiya Oktyabrya 21-A Moscow 117036 Russia Tel : + 7 95 126 7906 Fax: + 7 95 126 8767
• American Hospital of Moscow 26/6 pr. Mira (1, Grokholsky Pereulok) Moscow 129090 Russia Tel: + 7 95 933 7700 Fax: + 7 95 933 7701
• European Dental Center Moscow, Bolshaya Ochakovskaya street, 5 Tel: +7 (499) 283-99-60
• European Medical Center Spiridonevsky Per. 5 Moscow 103104 Russia Tel: + 7 95 933 6655 Fax: + 7 95 933 6650
• Medincentre 4-th Dobrininsky Lane House 4 Moscow 117049 Russia Tel: + 7 95 236 3116/237 3964 Fax: + 7 95 237 8475
• ZAO International Medical Clinic Polyclinic No. 1 10th Floor 31 Grokholsky Pereulok Moscow 129010 Russia Tel: + 7 95 937 5760 Fax: + 7 95 280 8677

Hospitals in St. Petersburg

• American Medical Clinic 78 Moika Embankment St. Petersburg 190000 Russia Tel: + 7 812 140 2090 Fax: + 7 812 310 4664
• Andros Clinic 36A Lenin Street, 1st floor St. Petersburg 197136 Russia Tel: + 7 812 235 1487 Fax: + 7 812 235 6988
• Euromed Clinic Suvorovskiy prospekt 60 St. Petersburg 193124 Russia Tel: + 7 812 327 0301 Fax: + 7 812 274 9320
• Hospital #122 4 Prospekt Kultury St. Petersburg 194291 Russia Tel: + 7 812 558 0508 Fax: + 7 812 559 8993
• Nevamed 14 Ismailovsky Prospekt St. Petersburg 198058 Russia Tel: + 7 812 110 1882 Fax: + 7 812 110 1092
• The International Clinic Griffin House 19/21 Dostoevskogo Street St. Petersburg 121014 Russia Tel: + 7 812 320 3870 Fax: + 7 812 320 3871

Hospitals in Other Parts of Russia

• Canadian Medical Centre Suite 402 Venetzia Hotel Nizhnevartovsk 626440 Tyumen Region Russia Tel: + 7 3466 65 39 86
• International SOS Clinic Yuuzhno Militseyskaya Ulitsa, 7/1 Yuzhno-Sakhalinsk, Sakhalin Oblast 693001Sakhalin Russia Tel: + 7 8 4242 727 550 Fax: + 7 8 4242 473 650

The Russian Healthcare System: A Quick Overview

Russia offers treatment options at different levels of government and region. Here’s a breakdown of how you can access medical treatment in Russia:

• At the municipal level are Health Posts that offer basic out-patient care for non-emergency situations, for example, vaccinations and routine check-ups.
• Also generally at the municipal level are Health Centers that are specialized for maternity care and also offer routine surgery.
• At the regional level are Urban Polyclinics which offer a wider array of services including follow-up care for complex conditions. Some of the larger polyclinics will have in-house specialists, for example, oncologists and cardiologists.
• Almost exclusively in large cities are Specialized Medical Hospitals which offer the full range of medical services and are also open 24 hours.

This last point about the 24-hour opening is quite important, as many healthcare facilities in Russia operate during normal business hours or are closed at night. Needing immediate medical care ‘off-hours’ can prove challenging or expensive. Many private facilities also observe closing hours or charge high premiums for after-hour care.

Read:  Understanding Russia’s Healthcare System

Is Healthcare in Russia Free?

Like so many countries, Russia’s healthcare system is based around insurance. And like many European countries, Russia offers its citizens what is meant to be universal healthcare. But in order to gain access to free public healthcare, Russian residents are required to pay in through their employment. The Russian Federation has guaranteed all of its citizens’ free healthcare since ratifying its Constitution in 1996. But in actuality, many people in the population are not covered. In some rural areas, the majority of people have no coverage or access to quality healthcare.

Russia’s Hospital System

How is russia’s public hospital and healthcare system.

Just as there are areas of the country where the population does not have access to quality healthcare, so is it within the public sector. And overall Western visitors are likely to find the Russian healthcare system, especially the public one, not up to standards. Challenges faced within the public hospital system, particularly for foreigners, include food shortages, a lack of English speakers, extremely long wait times, underfunding, basic equipment and facilities, or even a lack of equipment altogether. So if the question is, ‘Are hospitals in Russia good?’ for the average Western expat, if they are discussing the public hospital system, the answer is most likely going to be no.

Russia’s Private Hospitals

The popular choice for expats and visitors to Russia are private hospitals. These often offer English-speaking doctors and staff. The medical treatment available at some of Russia’s private hospitals is very much up to international standards. These hospitals can often be quite expensive. Treatment in Russia’s private hospitals can be costly by the standards of Western medicine. That is why it is so important to have the right insurance that will offer you coverage. Another important point about the private hospital system is that clinics and hospitals are the only options within the private system. There are not private surgeries or practices that offer complex procedures. Rather, doctors, even though is a private system, must operate within an accredited hospital or clinic.

Before traveling to Russia, it is vital to have quality health insurance.

Best Health Insurance Plan for Expats in Russia

Cigna Global Insurance Plan

• The flexibility to tailor a plan to suit your individual needs
• Access to Cigna Global’s trusted network of hospitals and doctors
• The convenience and confidence of 24/7/365 customer service

Best Health Insurance Plan for US Citizens Living in Russia

Xplorer Worldwide Medical Plan

• Premium Benefits, Coverage and Service
• Define your deductible and prescription benefits
• For Foreigners in the US or US citizens abroad

Read:  Expat Health Insurance

What You Need to Know About Accessing Russia’s Hospital System as an Expat

Once again, access is based on whether this is the public or private system. Those using the public hospital system will either have to show proof of coverage through employment or pay upfront. For those with state-sponsored insurance, there will be no costs. However, it is necessary to show proof of insurance from the start to avoid admitting fees. Public hospitals will treat emergency situations but then bill afterward, as well as for any follow-up treatment, both in-patient or outpatient. For this and all non-emergency services, payment is always expected upfront.

Those accessing the private hospital system should expect to pay upfront. Even with private insurance, many private facilities expect to be paid upfront. In order to avoid this, it is vital to choose both private insurance as well as a hospital that already has an arrangement with the insurance company to bill directly.

How Many Hospitals Are in Russia?

Russia is a country with many hospitals. In just Moscow, there are well over 100 hundred hospitals. As of 2018, there were 5.3 thousand hospitals in Russia. The numbers from 2010 until 2018 show a marked decrease during that timeframe. There was a total net loss of 1,000 hospitals in less than a decade.

Find more International Hospitals and healthcare options in popular Expat countries:  Hospitals in Portugal ,  Hospitals in Malaysia ,  Hospitals in Turkey ,  Hospitals in Germany ,  Hospitals in Brazil ,  Hospitals in Kenya ,  Hospitals in Cuba ,  Hospitals in China ,  Hospitals in Italy ,  Hospitals in Spain ,  Hospitals in New Zealand .

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