Peter travels the world in his position on the advanced team for the secretary of state. He has likely visited as many as 20 different countries in 12 months' time and is frequently in areas where infectious diseases are far more common than in his home country, the United States. Using the CDC and the WHO as your resources, plan a strategy to keep Peter healthy. 1. What vaccinations are necessary for Peter?

2. Is there any prophylactic treatment or medications that might be identified prior to travel?

3. What other precautionary measures might be taken?

4. What economic and political factors are considered here?

A5-year-old boy suddenly begins coughing while eating peanuts. he is choking and gagging. when he is brought to the ed, but he is awake and is able to give his name. on physical examination, his vital signs are stable. on examination of the chest, inspiratory stridor and intercostal and suprasternal retractions are apparent. which of the following is the most appropriate initial step in management? - allow patient to clear foreign object by spontaneous coughing- clear oropharynx with multiple blind sweeps with finger- position patient and perform back blows- stand behind patient and perform abdominal thrusts- perform emergency tracheostomy and take to surgery