julia brooks travel doctor

Julia Brooks, DDS

Gleicher/chen health center, baldwin hills.

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Find a Clinic

There are several places you can get vaccines and medicine before you travel.

Call your doctor or local health department to see if they can provide pre-travel advice, vaccines, and medicines.

List of health departments

If you want to see a travel medicine specialist, the International Society of Travel Medicine (ISTM) can help you find a clinic.

Directory of travel clinics

If you need yellow fever vaccine you must get vaccinated at an authorized yellow fever vaccine clinic. Many of these clinics also give other shots and medicines.

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Find where you can get a COVID-19 vaccine in your area.

Need to get tested? Find a COVID-19 testing clinic .

• Find out what vaccines you need for your destination
• Frequently Asked Questions
• Traveler Advice
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CDC provides these links as a convenience to international travelers. CDC does not endorse, recommend, or favor any clinics on these lists, nor does the appearance of a clinic on these lists imply a guarantee of service quality.

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Travel Medicine

The hospitals and clinics of Hawaii Pacific Health are in a unique position to deliver world-class travel medicine, as our islands serve as a gateway to so many countries around the world.

Our experts are up-to-date on current health risks around the globe to make sure that all travelers are well prepared for a safe and healthy trip. For those who come home sick, we are here with expert diagnosis and treatment.

Travel Medicine at Straub

Travel Medicine on Oahu

Straub has physicians who are members of the International Society of Travel Medicine and available to discuss travel concerns with patients. There are well-established preventive measures for almost every health issue that falls under the scope of Travel Medicine. Vaccinations, for example, can help to immunize a traveler against certain common diseases in the country of destination.

Our travel medicine physicians offer a variety of immunizations, including: 

• Hepatitis A
• Hepatitis B
• Yellow Fever
• Meningococcal
• Japanese Encephalitis
• Chicken Pox
• Hemophitus B Influenza

It is recommended patients receive their necessary travel vaccinations as soon as their itinerary is planned in order to provide the greatest number of vaccination options as well as allowing time for any series of vaccinations issued. Children under 18 should be seen by their pediatrician for any travel immunizations.

Insurance coverage varies according to each patient's plan. We recommend that you check with your insurance carrier.

Straub Travel Clinic: 1-808-529-4949

This service is available at:   Straub Wilcox

Visitors to Hawaii Hawaii is a paradise known for the sun, the sea, and all things natural. To make sure your stay goes well, be respectful of the power of these natural forces to avoid injury and illness.

Helpful Tips:

• In Hawaii, ocean safety is very important. If advised not to swim — don't. Heed the international signage at local beaches alerting you to rough sea conditions, rip currents, jellyfish and high surf.
• When hiking the wilderness, be sure to check in with park rangers first. It's not uncommon to get lost in an unfamiliar environment. And make sure to wear appropriate footwear at all times.
• A word of caution about the sunshine: it is much stronger than many visitors are accustomed to on the mainland. Use sunscreen and reapply liberally all day long. Protect children with sunblock containing zinc oxide or the latest in "sun suits" that block harmful rays. Hats and sunglasses are also a must.

Hawaii Residents Planning to Travel Overseas Planning a trip overseas? Travelers need to be aware of the health risks unique to their destination. Some countries have problems maintaining a sanitary water supply. Other countries have diseases that Americans may not normally be exposed to. You should plan ahead before international travel to prevent health problems before they occur, so you can have a fun and safe trip.

Here are some steps you can take to prepare for your trip:

• Educate yourself about the health risks in the country you are visiting. What are common diseases? How can you protect yourself from insect bites? Your travel medicine doctor will have educational material that will prepare you for your trip and your destination.
• Immunize yourself to those diseases found in that country. Your travel medicine doctor will have access to all the current diseases and outbreaks in various areas of the world and will advise you accordingly. Plan to seek advice four to six weeks before you depart on your trip to allow adequate time for immunization. This immunization process may take a few weeks, so it is important to allow your body time to adjust before you travel.
• Have fun while visiting your destination, but be cautious. Unlike the U.S., many foreign governments do not regulate the safety of boats, equipment and vehicles. In addition, travelers are advised to check with their Personal Care Physician (PCP) if they have health problems prior to traveling. It is recommended that travelers carry a note stating any significant medical condition, list of medications currently being taken, any allergies, and the name and phone number of an emergency contact person and their treating physician. Also, carry sufficient quantities of your prescription medication and a first aid kit. The first aid kit should include over-the-counter medication such as Aspirin or Tylenol, sun block, antihistamine, antibiotic ointment, Band-Aids, anti-diarrhea and calamine lotion.

Public health agencies, such as the Centers for Disease Control (CDC) and the World Health Organization (WHO), have set up guidelines and health information for the international traveler and can provide general health information about your destination.

Helpful Links: 

• Center for Disease Control (CDC)
• Hawaii Convention and Visitor’s Bureau
• Kauai Visitors Bureau

Find a Physician

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or call 1 808-643-4DOC (4362)

For General Information

Oahu 1 808 949 WELL (9355)

Toll-free 1 877 709 WELL (9355)

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Click here to see up-to-date Straub Walk-In Clinic hours for locations near you.

Doctors Say This 1 Surprising Habit Can Save Your Life On A Road Trip

I f you have a road trip planned this summer, you may be focused on the places you’ll visit, determining the route you’ll take, and prepping your car for the long journey. 

These are a ll crucial steps for planning an unforgettable road trip , but there’s one very important task that can’t be overlooked. According to cardiologists, the single most important thing to do during lengthy car rides is to take breaks — lots of them. 

It doesn’t matter who you are or what your overall health is like. Young or old, healthy or dealing with a chronic health condition, anybody and everybody should plan to get out of the car and move around every one to two hours if your trip will last at least four hours .

Sitting in the car for hours on end can disrupt blood flow in the body, lead to dehydration, and contribute to clots. Left untreated, those clots can spread and quickly become life-threatening. 

“ Riding in the car for a prolonged uninterrupted period of time in a seated position increases the risk of developing deep vein thrombosis (DVT) — a kind of blood clot that forms in the deep veins of the legs,” Dr.  Vladimir Lakhter , an assistant professor of medicine at the Lewis Katz School of Medicine at Temple University and an interventional cardiologist at Temple University Hospital, told HuffPost.

Here’s what happens to blood flow in your body during car rides.

Typically, when you’re moving around, your calf and thigh muscles push blood from the deep veins in your body up toward your heart. After a few hours in the car, as the lower half of your body hangs down, blood starts to pool in the veins of your lower legs and calves, explained Dr.  Britt H. Tonnessen , a Yale Medicine vascular surgeon and associate professor of surgery at Yale School of Medicine. Your muscles aren’t contracting — and circulating blood — as they normally do, Lakhter said.

As blood pools in your lower legs, platelets (tiny blood cells that help your body form clots to stop bleeding) begin to adhere to each other, forming a soft jelly-like mass. A coagulation cascade kicks in, where a series of physiological processes that are involved in blood clotting activate.

“Once this system is triggered, the clot can propagate much like knocking over a row of dominoes,” Tonnessen said.

Deep vein thrombosis  occurs when a clot forms in a vein deep inside your body, such as in the lower leg or thigh. The clot can cause pain and swelling in the leg. When you start to walk around after being sedentary for several hours, the muscles will squeeze again and cause the clot to break loose, Lakhter said. 

The clot will then flow with the natural direction of the body’s blood flow — upward. “A DVT can migrate and move to the main arteries in the lungs,” Tonnessen said, and cause a pulmonary embolism , or a sudden blockage in the arteries that pump blood to your lungs, that can be fatal. The main symptoms of pulmonary embolism include shortness of breath, chest pain, lightheadedness and dizziness, cough and pain in your back.  

Who is at risk for a travel-induced blood clot?

Everyone. “Anyone can get a blood clot,” Tonnessen said. They can occur at any age and in people who are otherwise healthy, which is why it’s crucial to take breaks during your road trip and pay attention to the signs and symptoms of a clot, no matter what your overall health is like. 

Certain people are more at risk. Older adults, people with a personal or family history of blood clots, people undergoing cancer treatment, and those with an inherited or acquired clotting disorder all face a heightened risk of experiencing DVT during or after a long road trip, according to Tonnessen. Recent surgery , which can cause you to be immobile for an extended period of time, can also increase your risk for a clot. 

The more risk factors you have, the higher the chance you could get a clot while traveling. The risk of a clot doesn’t disappear the moment your journey ends. The risk is greatest in the week following your travels, but Lakhter says that heightened risk can linger for several weeks after a trip.

How to make the most of your breaks. 

Tonnessen recommended getting out of the car and taking a brief walk every hour or so. Lakhter echoed the advice.

“Doing so allows the leg muscles to contract and keep the venous blood circulation moving efficiently,” he said. 

It’s also important to stay hydrated (which, by the way, may force you to take more breaks since you may need to pee more). Dehydration is a known risk factor for clots.

“Maintaining adequate hydration also means minimizing the intake of beverages which can dehydrate our bodies — these include caffeine and alcohol,” Lakhter said. 

Wearing compression socks or stockings can reduce your risk of a clot, too, by supporting blood flow in your lower legs. Tonnessen’s recommendation: 20 to 30mmHg knee-high compression socks. Other than the compression socks, wear loose-fitting clothing, as tight apparel can further restrict blood flow throughout your body, according to Lakhter.

Those with an extremely high risk may need to take a blood thinner for travel, such as an injection of a low-molecular-weight heparin or a factor Xa inhibitor , Lakhter said. Talk to your health care provider to see if you may benefit from one of these preventive treatments. 

If you delay or skip those breaks, make a point to move your legs in the car. The Centers for Disease Control and Prevention recommends extending your legs straight out and flexing your ankles so your toes are pointed toward you. Hold this position for 15 seconds, then repeat the exercise 10 times.

You can also do knee lifts , where you bend your legs and lift your knees to your chest, and a forward flex, where you bend over and reach for your ankles in 15-second increments. Simply tightening and releasing your leg muscles can help too.

Remember: The risk for DVT or pulmonary embolism persists even after your trip is over. Listen to your body, and if anything feels amiss , contact a health care provider as soon as possible. When it comes to blood clots , intervening early can prevent serious complications, and, in certain cases, be the difference between life and death. 

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Dr. Julia H. Brooks DDS

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Travel Medicine Clinic

The mission of Stony Brook’s Travel Medicine Clinic is to keep you safe and healthy as you travel internationally for work, school, volunteering, or pleasure.

The Travel Medicine Clinic sees individuals prior to travel and provides health and safety counseling, preventive medications and immunizations customized to the traveler’s destination, itinerary, and medical status. 

Adult Vaccine Clinic

The Adult Vaccine Clinic provides vaccinations to patients referred by their healthcare providers as well as adults requiring vaccines for school or work purposes.

Clinical Services Include:

• Pre-travel counseling 
• Medication prescriptions for travel (malaria prevention, travelers diarrhea treatment, altitude illness prevention, etc.)
• Travel vaccines
• We are an authorized Yellow Fever vaccination center
• Our clinic offers vaccinations against Hepatitis A, Hepatitis B, Typhoid, Japanese Encephalitis, Rabies, Polio, and Meningitis in addition to routine adult vaccines
• Travelers are advised to make appointments for a travel medicine consult at least one to two months prior to departure. Please bring to your appointment a detailed itinerary and any prior vaccination records you may have.
• Adult Vaccines
• We can also draw labs to check immunity and provide tuberculosis screening tests
• Pre/post splenectomy vaccinations, post-stem-cell-transplant vaccinations
• Vaccines include COVID, RSV, MMR (mumps/measles/rubella), varicella (chicken pox), shingles, pneumonia, meningitis, tetanus-diphtheria-pertussis (Tdap), flu, Hepatitis B, Hepatitis A, Haemophilus influenzae B (Hib), and polio
• Please bring to the appointment any prior vaccine records you may have as well as paperwork from your school/employer/doctor indicating vaccine/immunity requirements 
• Farah Haq, MD, MPH

 Stony Brook Travel Medicine & Adult Vaccinations – 4 Smith Haven Mall Suite 202 Lake Grove, NY 11755

Julia Brooks (I)

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