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10 Trips Around the World With Google Maps Street View

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10 Trips Around the World With Google Maps Street View  <br />
The easiest way to see the wonders of the world? Google Maps. You might use the technology more for directions from Point A to Point B, but you can also go into Street View to tour through some of the Earth's most spectacular sites. And this digital form of armchair travel's latest addition? The Liwa desert via, of all things, camel. <br />
To minimize disruptions to the delicate Arabian landscape, Google recruited a camel to carry its Street View camera to capture 360-degree imagery of the desert. The unexpected is seeing what you don't usually witness in history books and on travel shows, the real-life surroundings of these attractions. See tourists clamoring for the perfect photograph, while apartment buildings and housing complexes are speckled across the skyline.<br />
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10 Trips Around the World With Google Maps Street View

10 Trips Around the World With Google Maps Street View The easiest way to see the wonders of the world? Google Maps. You might use the t...

12 Southwest Hacks For Cheap and Cheerful Flights

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12 Southwest Hacks For Cheap and Cheerful Flights </div>
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In the world of air travel, Southwest Airlines is the best option for vacationing on a budget. Offering low ticket fares, free choice seating, and friendly air crews, the Texas-based airline has found its way into the hearts of frequent flyers nationwide. While the airline's prices are already low, there are still additional ways to save money while traveling Southwest . . . and we've done all the digging for you. When it comes to air travel hacks, look no further. </div>
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<a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><b>Buy online:</b> The airline offers its lowest fares online, through the company website.<b>Click to save:</b> Southwest's Click 'N Save program allows you to customize your home airports, then receive notifications whenever a new deal is available based on those preferences. This will help you determine the absolute best time to book your flights.<b>Get rewarded:</b> The Rapid Rewards program allows you to accumulate points with every flight, hotel stay, and travel experience; the points can then be exchanged for more flights or other prizes.<b>Compare airports:</b> If you're able to fly out of multiple airports (SFO or OAK, LAX or BUR, etc.) when traveling, don't forget to price-check each applicable location.<b>Collect while you eat:</b> The Rapid Rewards Dining program allows you to earn points by eating at your favorite restaurants, so it could benefit you if you're a big fan of dining out.<b>Check for special offers:</b> On the Southwest webpage, there is a page labeled "Special Offers." Within this area, you can find cheap flights and discounted airfare.<b>Use your right to refunds:</b> Southwest policy helps prevent early bookers from being punished, thanks to its flight credit allowances. If you book a trip only for the ticket prices to drop a few weeks later, you can rebook your reservation and receive a refund in the form of flight credit.<b>Save extra with plastic:</b> Some credit cards offer incentives to travelers, so be sure to check with your bank before booking your trip. The Chase Rapid Rewards card will also ensure you free drink tickets on occasion!<b>Drink on the holidays:</b> According to one Quora user, there is a list of holidays on your seat-back card that notes when alcoholic drinks are free to flyers. Father's Day, Southwest's birthday, and other holidays are included!<b>Know your airport:</b> At some airports, Southwest flights will de-board from the front and back. Research ahead of time, because you might want to sit closer to the tail of the aircraft!<b>Do in-flight reading:</b> Southwest's publication, <b>Spirit Magazine</b>, often includes coupons for restaurants and local parking garages.<b>Check your baggage:</b> One of the few airlines that still allows free baggage checking, Southwest grants two checked luggage items per customer. Try to limit yourself to two checked bags and two carry-ons, though, because additional baggage costs $75 per item.What’s Your Reaction? Thanks for your reaction Don’t forget to share this with your friends! 0 0 0 0 0 0 0Reactions </div>
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12 Southwest Hacks For Cheap and Cheerful Flights

12 Southwest Hacks For Cheap and Cheerful Flights In the world of air travel, Southwest Airlines is the best option for vacationing ...

For Hard-Core Fans Only: The Extreme Disney Bucket List

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For Hard-Core Fans Only: The Extreme Disney Bucket List  Source: Flickr user christiantlambert</div>
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If you've already checked every item off our normal Disney bucket list, you're definitely a die-hard Disney fan. You need something more suited to your hard-core Disney hankerings, and have no fear: we've got a list just for Disneyphiles like yourself. Get ready to dive headfirst into the world of intense park-hopping, globe-trotting, and mouse-seeking, because this is the ultimate Disney bucket list. <b>Visit every Disney park:</b> You had to know this was coming! There are six Disney parks worldwide — California, Florida, Tokyo, Paris, Hong Kong, and another under construction in Shanghai, China. The most intense Disney fans visit each park, often more than once!<b>Shoot hoops in the Matterhorn basketball court:</b> Within the large Matterhorn mountain at Disneyland, there is a staff basketball court. If you can manage to visit the secret court, you can definitely call yourself a megafan!<b>Ride in the tender seat:</b> If you time it right and ask nicely, you can ride with the conductor of the Disneyland Railroad locomotive. The small tender seat sits only two people, but you can learn a lot from the knowledgeable conductor!Source: Instagram user iwags <b>Earn a Disney Coast to Coast medal:</b> This medal is earned through a lot of hard work and dedication, so it's a true sign of your Disney devotion. Run a marathon at Walt Disney World and a half marathon at Disneyland in the same year to collect this prestigious prize.<b>Fly on a Disney airplane:</b> Just like Hello Kitty fans make their Sanrio pilgrimage on a themed plane, Disney fans also have a couple of planes to call their own. Alaska Airlines' Magic of Disneyland and Spirit of Disneyland aircrafts are the perfect way to arrive in style for your next Disney vacation!<b>Become an annual passholder:</b> How do you expect to do all this Disney resort adventuring without an annual pass?Source: Flickr user irulan_amy <b>Dine at Club 33:</b> Most Disney fans know about this not-so-secret secret club, located in New Orleans Square at the Anaheim Disneyland Resort. Access to Club 33 is extremely restricted, with membership boasting a $10,000 annual price tag and $25,000 initiation fee — so it takes a seriously dedicated Disney fan to enter the club. If you can enjoy a meal at this establishment (or its Tokyo Disney equivalent), you'll have achieved a very serious bucket list endeavor.<b>Relax in the 1901 Lounge:</b> Because of its California Adventure location and relatively recent unveiling, the ultraexclusive 1901 Lounge is definitely the classiest way to relax in any Disney resort. Named after Walt Disney's birth year and boasting real Disney family paraphernalia throughout the lounge, 1901 is arguably more elite than Club 33.<b>Take a Disney cruise:</b> While the Disney resorts are obviously incredible, there's nothing quite like sailing the seven seas alongside your most beloved characters.<b>Spend a night in the Dream Suite or Cinderella's Castle Suite:</b> If you are ever able to land a night in either of these incredibly special Disney accommodations, you'll be the ultimate fan. The Disney Dream Suite, located above Pirates of the Caribbean in Disneyland, is 2,500-plus square feet of magic that comes with a special after-hours tour of the park. Within Walt Disney World's Cinderella Castle is a special suite fit for royalty (but has historically been reserved for celebrities) that rivals that magic, so either of these insane overnight stays would be a once-in-a-lifetime experience.<b>Watch a Disney on Ice show:</b> What better way to watch <b>Frozen</b> than surrounded by ice?<b>See every Star Tours adventure:</b> The 3D simulator attraction in Tomorrowland, Star Tours, offers more than 50 possible story combinations. Make it your goal to see every one!<b>Unlock all the secret achievements in Toy Story Midway Mania:</b> You can unlock extra points in Midway Mania by focusing on certain achievements in the game, so get the highest possible score with the secret guide.Source: Instagram user buddydrummer <b>Dress up for Dapper Day:</b> While this event remains an "unofficial" Disney affair, Dapper Day occurs biannually at multiple Disney parks worldwide. The event encourages participants to dress to the nines for a day of classy fun in the parks, so you'll never see a better-looking bunch of resort guests.<b>Complete an Epcot World Showcase Passport:</b> When going "around the world" at Epcot, you can get a stamp from every country in a passport booklet. It's extremely satisfying to complete the journey!<b>Attend the park opening for Shanghai:</b> The Shanghai Disney Resort opens in 2015, which gives you just enough time to plan your trip to the unveiling.Source: Instagram user issahomes <b>Live at Disney World (Golden Oak):</b> Since you're so in love with Disney, why not make it official by moving in? Starting at $1.8 million, the Golden Oak community sits on Walt Disney World property, letting you live right in the middle of the magic.<b>See every Disney Broadway show:</b> With top-notch productions of <b>The Lion King</b>, <b>Beauty and the Beast</b>, <b>The Little Mermaid</b>, and more out there, it'd be a shame not to support the arts with your Disney enthusiasm.<b>Eat at every Disneyland restaurant:</b> Eating at every Disney restaurant would be a stretch even for a megafan, so try noshing at every eatery in a single park instead.<b>Meet a celebrity at Disneyland:</b> If you spend enough time at the California parks, you're bound to run into a celebrity or two. There are even social media channels devoted to Disneyland celebs, so this task should be easy!Source: Instagram user j_manju <b>Attend a wedding at Disney World's wedding pavilion:</b> After seeing this incredible wedding venue, you might want to tie the knot there yourself. After all, you can arrive to your nuptials in a Cinderella-style carriage!<b>Collect every Disney pressed penny:</b> In our Disneyland tips post, we pointed out that pressed pennies are the most affordable Disney souvenir. Try to collect every penny option from every park!<b>Join the official D23 fan club:</b> Most Disney fans already know about the official Disney fan club, D23, but in case you're unaware, it's an absolute necessity for any enthusiast.Source: Instagram user kylegranola <b>Finish the Kitchen Sink:</b> There is a $29 sundae aptly named "The Kitchen Sink," available at WDW's Beaches and Cream Soda Shop, and it serves enough ice cream to fill up four adults. Bring a few partners, and power through the legendary treat!<b>Attend Mickey's "Not So Scary" Halloween party:</b> Trick-or-treating is way better when it's done Disney style, so be sure to dress up and head to your closest Disney park's Halloween celebration.<b>Go to Mickey's "Very Merry Christmas" party:</b> All your favorite characters don their holiday best for this cheerful celebration, and there's nothing quite like a Disney Christmas.<b>Experience Independence Day fireworks at the park:</b> Disney is known for incredible fireworks displays, but the Independence Day show every July 4 is an absolute spectacle. It's a must see at least once in your lifetime!<b>Become a true mountaineer:</b> To claim the title of Disney mountaineer, you have to conquer the Disneyland mountain range — Space Mountain, the Matterhorn, Big Thunder Mountain, and Splash Mountain — in a single day.<b>Try the "Rinse & Dry Cycle":</b> The Rinse & Dry Cycle is a California Adventure must. Simply get soaking wet on the Grizzly River Rapids, then dry off on the Radiator Springs Racers in Cars Land!<b>Watch every Disney film in order of release date:</b> While most of these challenges have related to the Disney parks, don't forget where the magic comes from . . . the beloved movies created by Walt Disney. Watch every one of the company's films in order of release to truly experience Disney fandom.</div>
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For Hard-Core Fans Only: The Extreme Disney Bucket List

For Hard-Core Fans Only: The Extreme Disney Bucket List Source: Flickr user christiantlambert If you've already checked every it...

Turn a Mint Tin Into a Scented Travel Candle

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<b>What You'll Need:</b></div>
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Ends of candlesSmall metal bowl or empty tin canSmall saucepanEmpty mint tinCandle wickHot glue gunEssential oil, grated citrus rind, vanilla, or cinnamonPaper towelNewspaperSpray paintCardstock (optional)Crayons (optional)</div>
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<b>Directions:</b></div>
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Start by melting the ends of candles using a double boiler. You can also put the candle wax in a clean tin can and place it a small saucepan filled halfway with water. Simmer until the wax has melted. Now place a wick in the center of the tin, and hold it in place with the help of some hot glue. You can find candle wicks at your local craft store for a few dollars. Once the wax has melted, remove from heat, and add your favorite scents. Drip in essential oil, add a sprinkle of cinnamon or freshly grated citrus rind, or dribble in some vanilla. You can also give the wax a new color by adding a few crayon shavings. Place the tins on a folded paper towel, carefully pour the wax, and let cool for at least three hours. Now close the tins, and get ready to add a pop of color. You can cover the raised lettering by measuring and cutting out a small section of cardstock, and then hot gluing it to the top of the tin. Take outdoors or to a well ventilated area, and place over a layer of newspaper. Coat the top and sides of the tin with spray paint, avoiding the bottom. The spray paint may melt away from the tin when it warms while the candle is burning.Once the spray paint is dry, your travel candle is ready to make any room smell better. </div>
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Turn a Mint Tin Into a Scented Travel Candle

Turn a Mint Tin Into a Scented Travel Candle The next time you're traveling, tuck a cute DIY scented candle in your bag to freshen a...

Couple Takes Epic Kissing Photos Around the World

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It all started in March 2010, when a friend of Kendrick Brinson and David Walter Banks snapped a cute photo of the now-married photographers of Brinson + Banks at Valley of Fire State Park in Nevada. In the picture, David is holding Kendrick midkiss as she kicks up her legs in the air — literally getting swept off her feet. They loved the photo so much they decided to re-create it a couple months later in Lebanon, KS, in front of a field of vibrant green wheat, and thus began a photo series of epic proportions. The pose even has a hashtag on Instagram, #BrinsonBanksing, that couples around the globe have taken part in. <br />
Kendrick and David have now documented milestones in their life — like their eighth wedding anniversary and their move from Atlanta to Los Angeles — as well as their international travels to everywhere from Puerto Rico to Colorado with their creative photos (which they often take using a self-timer). And for the husband-wife photography team, it's more than just a silly pose. The project has had a deeper effect. David tells us:<br />
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"For us, our relationship and photography is inescapably intertwined. When your passions in life blend with your work, and your work blends with the love of your life, it's hard to see boundaries. That said, we end up with a lot of photos of each other alone and documentation of our travels without ever capturing the two of us together in the same photo. This pose has been a way to remind ourselves that our own family album is just as important as our career."</blockquote>
Follow Kendrick and David on Instagram to take part in their romantic photography adventure, and see 33 photos from the series now!<br />
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Couple Takes Epic Kissing Photos Around the World

It all started in March 2010, when a friend of Kendrick Brinson and David Walter Banks snapped a cute photo of the now-married photograph...

The Most Popular Honeymoon Destinations of 2014

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Just because the wedding is over doesn't mean all the celebratory fun has to end. Some might say the honeymoon is the best part of tying the knot, and that's why couples plan some of the best trips ever for their postnuptial bliss. Facebook analyzed their users' data to find out which destinations both in the country and around the world are most popular as honeymoon spots. Guess what came in as most popular? Yep, Las Vegas is the most visited honeymoon spot on the globe — we guess Sin City's many temptations are exactly what newlyweds call for. Locations with beaches are also extremely popular. The majority of these places are set by the ocean. Check out all of the most in-demand locations.<br />
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The Most Popular Honeymoon Destinations of 2014

Just because the wedding is over doesn't mean all the celebratory fun has to end. Some might say the honeymoon is the best part of ty...

Every Disney Fan Should Complete This Incredible Bucket List

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Every Disney Fan Should Complete This Incredible Bucket List Source: Flickr user averain </div>
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Upon entering a Disney park, every visitor has their own personal to-do list: ride this attraction, meet that character, eat that treat. On top of everybody's list, however, is having fun! We put together a list of must-do Disney experiences that go beyond the ordinary agenda of theme park rides and cartoon films. And once you've completed them all, you can undoubtedly call yourself a Disney fan. Read on to see how many Disney undertakings you've got left to experience before you die. </div>
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margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=1210719471368779413" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><b>Meet Mickey and Minnie:</b> Getting a hug and an autograph from the mice who started it all is an absolute must.<b>Watch the Broadway-style Aladdin musical:</b> This incredible production happens multiple times per day at the California Adventure Park in Anaheim, CA, so there's no excuse to miss it!<b>Pilot the Mark Twain Riverboat:</b> If you ask the captain of this attraction to steer, you'll get the opportunity to man the ship and take home a special certificate. Source: Flickr user bartworldv6 <b>Stay at one of the Disney hotels:</b> From Walt Disney World's beautiful Grand Floridian Hotel to the Disneyland Hotel in Paris, staying at one of these themed resort accommodations is something you've absolutely got to try.<b>See the real skull in Pirates of the Caribbean:</b> The original Disneyland's buccaneer-themed attraction features a real skull . . . now go find it!<b>Get an autograph from every princess:</b> You're bound to come across at least one princess during your time at a Disney park, so make it your goal to meet every lovely lady during your lifetime of visits. Source: Flickr user irulan_amy <b>Eat a Dole Whip in the Enchanted Tiki Room:</b> While many Disneyland-goers pass by the Enchanted Tiki Room attraction, you should pay it some special attention. As one of the oldest attractions in the park, the Tiki Room offers a glimpse at Disney years gone by . . . which is why you need to experience it.<b>Sit on Walt Disney's bench:</b> To truly connect with the Disney experience, you have to take a walk in Walt Disney's shoes. Take a seat on the very bench where he first envisioned Disneyland, and you'll be one step closer to true Disney fandom.<b>Dine with the characters:</b> Another must-have experience for any fan is to share a meal with the beloved characters from their favorite films. There are many character dining options for Disney guests, from restaurants in the parks to Disney Cruise dinners, so be sure to make those special reservations during your lifetime.<b>Wear a pair of Disney ears during a park visit:</b> Bonus points if they've got your name stitched into the back!<b>Experience a Disney holiday:</b> Disney never does anything halfway, so you can rest assured that any holiday spent on Disney property will be a magical experience. Make sure to spend a holiday at one of the resorts for an incredible Independence Day, Halloween, Thanksgiving, Christmas, or New Year!<b>Finish an entire turkey leg:</b> The legendary turkey legs sold at Disney parks are massive, usually weighing in at over one pound, so it's no wonder that completing one is on this list!<b>Take a funny photo on Splash Mountain:</b> From celebrities to normal park guests, many people have staged hilarious photos for the Splash Mountain cameras. Join their ranks by coordinating your own! Source: Flickr user justzanna <b>Go "around the world" at Epcot:</b> You won't regret taking a day to explore Epcot's World Showcase, where you can learn more about the represented cultures in a fun, immersive way.<b>Try Disneybounding:</b> Not sure what Disneybounding is? It can be loosely described as character-influenced dressing. Check out these Disneybounding secrets from an unofficial Disney princess, who shares her favorite aspects of the hobby.<b>Attend the Flag Retreat ceremony:</b> This daily ceremony takes place during the afternoon in Main Street USA's Town Square and is an absolute pleasure to watch.<b>View the World of Color, Fantasmic!, fireworks, and Disney parade shows all in one day:</b> It's totally possible! Experiencing all of the shows at the California resort in one go is a worthwhile endeavor for any Disney fan.<b>Grab a slice at Pizza Planet:</b> Walt Disney World Orlando features a movie replica of the famous pizzeria in <b>Toy Story</b>, so any Disney Pixar enthusiast has to chow down at Pizza Planet at least once! Source: Flickr user lorenjavier <b>Get serenaded by the Dapper Dans:</b> If you've never taken the time to listen to Disney's famous a capella troupe, you're majorly missing out on the park experience.<b>Spin in the fastest teacup:</b> On Disneyland's Mad Tea Party ride, the plain purple teacup in the center of the attraction reportedly spins faster than all the others. Evaluate the validity of this legend for yourself by giving it a spin!<b>Ride the Main Street Trolley:</b> While the Main Street Trolley is a musical show, guests can also hitch a ride on the historic transit system. Try it out for yourself, and you'll have completed the Disney bucket list!What’s Your Reaction? Thanks for your reaction Don’t forget to share this with your friends! 0 0 0 0 0 0 0Reactions </div>
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Every Disney Fan Should Complete This Incredible Bucket List

Every Disney Fan Should Complete This Incredible Bucket List Source: Flickr user averain Upon entering a Disney park, every visito...

Rabies and Risk to Travelers

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<span style="font-size: small;"><span style="font-family: inherit;">Prevention of rabies in travelers is best accomplished by having a comprehensive strategy. Such a strategy consists of 1) avoiding animal bites; 2) knowing how to prevent rabies after a bite; and 3) being able to travel (even to another country) to wherever postexposure prophylaxis (PEP) is available. To our knowledge, no traveler has died while trying to obtain PEP. The few travelers who have died of rabies received either no or inadequate PEP.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">Travelers to rabies-enzootic countries should be warned about the risk of acquiring rabies and educated in animal bite-prevention strategies. Travelers should avoid feral animals, be aware of their surroundings so that they do not accidentally surprise a dog, and avoid contact with bats and other wildlife. A particular risk for a bite exposure is from monkeys who live near temples and other urban areas of Asia. Tourists to these sites should not carry any food on their person or in their backpack, purse, or other bag and should be careful not to approach or otherwise interact with monkeys. Casual exposure to cave air is not a concern, but visitors should be educated not to handle bats or other wildlife. Many bats have tiny teeth, and not all wounds may be apparent, compared with the lesions caused by carnivores. Any suspected or documented bite or scratch from a bat should be grounds for seeking PEP.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">Children are at higher risk for rabies exposures because of their smaller stature, which makes extensive bites more likely; their curiosity and attraction to animals; and the possibility that they may not report a possible exposure. Although licks to fresh wounds or mucus membranes are a theoretical risk of acquiring rabies and PEP should be considered, there are no documented examples of rabies in travelers who were exposed in this manner.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">For certain international travelers, preexposure rabies vaccine may be recommended, based on the prevalence of rabies in the country to be visited, the availability of appropriate antirabies biologics, intended activities, and duration of stay. A decision to receive preexposure rabies immunization may also be based on the likelihood of repeat travel to at-risk destinations or taking up residence in a high-risk destination. Preexposure vaccination may be recommended for veterinarians, animal handlers, field biologists, cavers, missionaries, and certain laboratory workers. Table 3-15 provides criteria for preexposure vaccination. Serology for rabies virus neutralizing antibodies is used as one gauge for revaccination considerations. Lists of US laboratories performing rabies serology may be found on the CDC website (www.cdc.gov/rabies).  Regardless of whether preexposure vaccine is administered, travelers going to areas with a high risk for rabies should be encouraged to purchase medical evacuation insurance (see Chapter 2, Travel Insurance, Travel Health Insurance, & Medical Evacuation Insurance).</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">In the United States, preexposure vaccination consists of a series of 3 injections with human diploid cell rabies vaccine (HDCV) or purified chick embryo cell (PCEC) vaccine. The schedule for this series is given in Table 3-16. Travelers should receive all 3 preexposure immunizations before travel. If 3 doses of rabies vaccine cannot be completed before travel, the traveler should not start the series, as it would be problematic to plan PEP after a partial immunization series.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">Preexposure vaccination does not eliminate the need for additional medical attention after a rabies exposure, but it simplifies PEP. Preexposure vaccination may also provide some degree of protection when there is an unrecognized exposure to rabies virus and when PEP might be delayed. Travelers who have completed a 3-dose preexposure rabies immunization series or have received full PEP are considered preimmunized and do not require routine boosters, except after a suspected rabies exposure. Periodic serum testing for rabies virus neutralizing antibody is not necessary in routine international travelers.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">Any animal bite or scratch should be thoroughly cleaned with copious amounts of soap and water. This local care will substantially reduce the risk for rabies. Wounds that might require suturing should have the suturing delayed for a few days. If suturing is necessary to control bleeding or for functional or cosmetic reasons, rabies immune globulin (RIG), if indicated, should be administered into the wound before closing. The use of local anesthetic is not contraindicated in wound management.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">In the event of a possible rabies exposure in someone who received preexposure rabies vaccination, 2 boosters of an acceptable rabies vaccine are given on days 0 and 3 after the exposure. The booster doses should be modern cell culture vaccines, but they do not have to be the same brand as the vaccine given in the original preexposure immunization series.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">If preexposure rabies vaccination has not been given, PEP consists of injections of RIG (20 IU/kg) and a series of 4 injections of rabies vaccine over 14 days (or 5 doses over a 1-month period in immunosuppressed patients, Table 3-17). After wound cleansing, as much of the calculated amount of RIG (Table 3-17) as is anatomically feasible should be infiltrated around the wound, striving to put the RIG in the areas where the animal’s teeth and saliva have come in contact with the wound. The dose injected around the wound may be as small as 0.5 mL if the wound is small or on a finger. If the wounds are extensive, the calculated dose of RIG must not be exceeded. If the calculated dose is inadequate to inject all the wounds, the RIG should be diluted with normal saline to extend the number of wounds that can be injected. This is a particular issue in children, whose body weight may be small in relation to the size and number of wounds.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">The remainder of the RIG dose, if any, should be injected intramuscularly. Care should be taken to guarantee that this remaining amount of RIG is deposited in a muscle and not injected subcutaneously, which may decrease its effectiveness. The remaining RIG can be given in the deltoid muscle, on the opposite side of the initial vaccine dose. The anterior thigh is an alternative site.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">RIG should not be given >7 days after the start of the PEP series. This 7-day period does not relate to the time of the bite exposure itself. Initiation of PEP, including RIG infiltration, should begin after a bite exposure, even if there has been a considerable delay between the exposure and the traveler presenting for evaluation.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">Human RIG is manufactured by plasmapheresis of blood from hyperimmunized volunteers. The manufactured quantity of human RIG falls short of worldwide requirements, and it is not available in many developing countries. Equine RIG or purified fractions of equine RIG have been used effectively in some developing countries where human RIG might not be available. If necessary, such heterologous products are preferable to no RIG.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">The incidence of adverse events after the use of modern equine-derived RIG is low (0.8%–6.0%), and most reactions are minor. However, such products are not evaluated by US standards or regulated by the Food and Drug Administration, and their use cannot be recommended unequivocally. In addition, unpurified antirabies serum of equine origin might still be used in some countries where neither human nor equine RIG is available. The use of this antirabies serum is associated with higher rates of serious adverse reactions, including anaphylaxis.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">Different PEP schedules, alternative routes of administration, and other rabies vaccines besides HDCV and PCEC may be used abroad. Although not approved for sale in the United States, purified Vero cell rabies vaccine and purified chick embryo cell vaccine (manufactured abroad) are acceptable alternatives if available in a destination country. Assistance in managing complicated PEP scenarios may be obtained from experienced travel medicine professionals, health departments, and CDC.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">Rabies vaccine was once manufactured from viruses grown in animal brains, and some of these vaccines are still in use in developing countries. Typically, the brain-derived vaccines can be identified if the traveler is offered a large injection (5 mL) daily for approximately 14–21 days. The traveler should not accept these vaccines, but rather travel to where acceptable vaccines and RIG are available.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">Travelers should be advised that they may experience local reactions after vaccination, such as pain, erythema, swelling, or itching at the injection site, or mild systemic reactions, such as headache, nausea, abdominal pain, muscle aches, and dizziness. Approximately 6% of people receiving booster vaccinations with HDCV may experience an immune complex–like reaction characterized by urticaria, pruritus, and malaise. The likelihood of these reactions may be less with PCEC. Once initiated, rabies PEP should not be interrupted or discontinued because of local or mild systemic reactions to rabies vaccine.</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;">Pregnancy is not a contraindication to PEP. In infants and children, the dose of HDCV or PCEC for preexposure or PEP is the same as that recommended for adults. The dose of RIG for PEP is based on body weight (Table 3-17).</span></span></div>
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<span style="font-size: small;"><span style="font-family: inherit;"><b>CDC website:</b> www.cdc.gov/rabies</span></span></div>
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Rabies and Risk to Travelers

Prevention of rabies in travelers is best accomplished by having a comprehensive strategy. Such a strategy consists of 1) avoiding animal b...

Deep Vein Thrombosis

Some long-distance travelers are at risk for deep vein thrombosis (DVT) and pulmonary embolism (PE). DVT occurs when a blood clot forms in a large vein. Part of a clot may break off and travel to the lungs, causing a PE, which can be fatal.<br />
<b>Protect yourself by knowing your risk and taking steps to prevent DVT.</b><br />
Almost anyone can have DVT. People traveling for extended periods of time may be at increased risk for DVT because they have limited movement. The increased risk is usually associated with air travel, but DVT can also form during travel by bus, train, or car.<br />
Most people who develop travel-associated DVT have additional risk factors, including:<br />
A previous blood clotFamily history of blood clotsKnown clotting disorderRecent surgery or injuryUse of estrogen-containing birth control or hormone replacement therapyOlder ageObesityActive cancer (or undergoing chemotherapy)Limited mobility<br />
You can take steps to help prevent DVT. For long distance travelers, these steps include<br />
Getting up occasionally and walking around.Exercising your calf muscles and stretching your legs while you're sitting. Try these exercises next time you travel: Raising and lowering your heels while keeping your toes on the floor.Raising and lowering your toes while keeping your heels on the floor.Tightening and releasing your leg muscles.Selecting an aisle seat when possible.<br />
For long-distance travelers with additional risk factors for DVT, talk to your doctor about taking extra precautions such as<br />
Wearing properly fitted medical compression stockings.Taking medication before departure to prevent DVT.<br />
It is helpful to know the signs and symptoms in the event that you develop DVT or PE. If you have symptoms of DVT call a doctor right away. If you have symptoms of PE you should seek immediate medical care from a doctor or the emergency department. Early detection and treatment can prevent death or complications.<br />
Swelling, pain, or tenderness in the affected limb (usually the leg)Redness and increased warmth of the skin in the affected limbUnexplained shortness of breathFaster than normal heartbeatChest painCough (which may be bloody)Lightheadedness or fainting<br />
It is not possible to diagnose either condition without special tests that can be performed only by a doctor, such as an ultrasound, a CT scan, or an MRI. That is why it is important for you to seek medical care if you experience any of the symptoms of DVT or PE.<br />
DVT and PE are treatable, although a large PE can result in sudden death. Sometimes medicines and devices are used to dissolve the clot. Typically, medicines are taken for several weeks to months after the clot to prevent more clots from forming and give the body a chance to dissolve or heal existing clots.<br />
CDC is conducting research to learn more about risk factors and improve the diagnosis and treatment of DVT/PE by funding the Thrombosis and Hemostasis Centers Research and Prevention Network. In addition, CDC funds health promotion and wellness initiatives to provide people with information about how to prevent DVT and its complications. For example, the Clot Connect<br />
education and support program (www.clotconnect.org) receives some funding from CDC for an education website (for information on travel-associated clots see http://patientblog.clotconnect.org/2010/11/22/long-distance-travel-and-blood-clots). In collaboration with the Venous Disease Coalition (VDC), CDC has launched This is Serious, a national campaign to increase awareness and action around the prevention of DVT and PE among women. The campaign encourages women to be aware of DVT/PE symptoms, and to talk to their doctors about their risks.<br />
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Deep Vein Thrombosis

Some long-distance travelers are at risk for deep vein thrombosis (DVT) and pulmonary embolism (PE). DVT occurs when a blood clot forms in a...

Equipment for Traveling, Vacation and Holiday