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Debora Rocha Regional Security Manager Brazil Travel Security Services International SOS

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Business Travelers and Expats

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Lessons Learnedfrom 2011 24 January -14 February 17 February 22 February 19 February - 5 March TunisiaEgypt 13 January - 20 February 17 March 19 March BahrainLibyaJapan 11 March - 4 April Christchurch 22 February 8 May Germany

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Travel Threats for the Business Traveler and the Expatriate (Dependants) Medical Security

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Standards of International Medical Care High Low Lower

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Trends in Travel DecliningStatic Source: International SOS Research Data 2013 AEA International Holdings Pte. Ltd. For permission to reprint contact International SOS.

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Increasing Source: International SOS Research Data 2013 AEA International Holdings Pte. Ltd. For permission to reprint contact International SOS. Trends in Travel

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Source: International SOS Research Data 2013 AEA International Holdings Pte. Ltd. For permission to reprint contact International SOS. Trends in Travel: Africa Booming

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Terrorism Hijacking Lawlessness Piracy Travel-related infections Threats Imprisonment Opportunistic Crime War Natural Disasters Typhoid Fever Dengue Air Quality Rural Isolation Language and cultural barriers Airline Catastrophes Immigration & Visas Medical Illness Security Issues Facing the Traveler 2013 Worldwide ERC

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Personal Security | Six Principles Preparation Awareness Low Profile Unpredictable Routine Communications Layered Protection 2013 Worldwide ERC

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Preparation Research your destination Identify known threats Pack a Go bag Medical issues Legal / Financial affairs in order 2013 Worldwide ERC

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Awareness Try to establish what is normal Beware of distractions Move with purpose, even if lost Avoid confrontation Understand key cultural and societal issues 2013 Worldwide ERC

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Low Profile Try not to attract unnecessary attention Make an effort to fit in Dress appropriately Refrain from talking about company business 2013 Worldwide ERC

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Unpredictable Routine Vary routes on foot and in vehicles Vary timings for routine trips Avoid risk areas Be aware of possible surveillance Where are you most vulnerable? 2013 Worldwide ERC

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Communications Keep regular communication with family, people back home, local office and headquarters Ensure redundancy in communications Know who to call in an emergency 2013 Worldwide ERC

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Layered Protection Conduct your own personal vulnerability assessment: What kind of traveller am I? Where am I most exposed? What threats are most likely to affect me? Take basic common sense measures to protect yourself 2013 Worldwide ERC

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Traveler Best Practice Apply the Six Principles in all your daily activities to protect against threats: Preparation Awareness Low Profile Varied Routine Communications Layered Protection Perform a mental review before you start your daily activities. Think through your responses to anticipated threats. In emergency situations, try and stay calm, go to a safe location and report the incident HR best practice Travel security training (compliments cross cultural and language training) 2013 Worldwide ERC

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Steffen, R. et al.: "Health Problems After Travel to Developing Countries", Journal of Infectious Disease (1987) 156, 84 Out of 100,000 individuals traveling to Asia for one month, the following could be expected to occur: 50,000 will develop some health problem 8,000 will see a doctor 5,000 will be confined to bed 1,100 will be incapacitated in their work 50 will be admitted to a hospital 30 will be evacuated 1 will die

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Travel Disruptions Injury / Illness Disasters NaturalMan-made

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Disaster: Natural

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Disaster: Man-made

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Disaster: Natural & Man-made Japan

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Company expatriate disrupting local Chinese Parade with inappropriate behavior Just a Disaster

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Expatriates

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Air Ambulance Evacuation Study 2010-12 Top 10 Medical Categories of Cause for Evacuation from B.R.I.C.

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Trauma Worldwide 1.2 million people are killed each year in road traffic accidents and as many as 50 million are injured. According to the WHO, injuries are the leading cause of preventable deaths in travelers. Contributors: Lack of familiarity with the roads. Driving on the opposite side of the road. Lack of universal safety standards in vehicles. Poor road surfaces without shoulders. Unprotected curves and cliffs. Lack of adequate lighting. Inadequate infrastructure and road hazards. Travel fatigue.

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Traffic

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Circulatory System Conditions Worldwide, coronary heart disease kills more than 7 million people each year; Coronary heart disease is the leading cause of death in the United States and accounts for 35% of all deaths in the UK; Risk significantly increases with age; Cardiovascular mortality can be reduced with proactive screening and treatment; Rapid access to acute specialist cardiac care facilities has an impact on survival; This risk is real and prevalent while travelling, and may be magnified as a consequence of the travel environment needs to be proactively accounted for in higher risk groups.

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Infectious Diseases Malaria Dengue Fever Rabies

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Source: Journal of Occupational and Environmental Medicine. Volume 54. Issue 9. September 2012.

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Source: 2013 AEA International Holdings Pte. Ltd. For permission to reprint contact International SOS.

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Know Your Industry Health Risk Profile Expatriate Country Risk Profile for 50 corporations in 2009 Source: International SOS Research Data 2013 AEA International Holdings Pte. Ltd. For permission to reprint contact International SOS.

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Evacuation Risk for Hospitalized Patients (Expatriates) Source: International SOS Research Data 2013 AEA International Holdings Pte. Ltd. For permission to reprint contact International SOS.

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LOW RISK HIGH RISK International Medical Cases 1 in 68 1 in 21 International Hospitalizations 1 in 824 1 in 137 International Medical Evacuations 1 in 6,325 1 in 268 Where is Important

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Corporate Health Programs Tools to Support your International Travelers, Expatriates and Emerging Market Personnel Prepare Assessment Planning Training Prevent Screening Staff & Clinics Wellness Respond Assistance Tracking Workplace Health Opportunities for Prevention

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Screening Pre-Assignment Exams (MedFit) Pre-Assignment / Pre-travel Questionnaire (MedFit) Prevent Screening Staff & Clinics Wellness Pre-Travel Screening Saves Costs, Liability and Lives Opportunities for Prevention

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Results from Exam Program 950 exams performed 33% of assignees going to high or extreme risk 12% required additional investigation for newly identified medical problems 7 employees not fit for assignment 17 had life threatening and urgent health issues identified during exam SAVES Source : 2013 AEA International Holdings Pte. Ltd. For permission to reprint contact International SOS. Source: International SOS data.

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Save An evacuation and/or failed assignment would very likely have resulted if not for the existence of the program ROI: The Value of a SAVE Cost of a Failed Assignment: $500,000+ This sample program identified 17 Saves / year SAVED cost: $8.5million $1 invested returns $5+ 2013 Worldwide ERC

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Your Exposure Media attention/Brand reputation Lawsuit from family Lack of access and action by local authorities Family concerned Local office employees worried and distressed Risk of proper medical care and RMR Financial exposure

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Did You Consider? Policies Rental car vs. hiring a driver Security Awareness Training for travelers and expatriates (dependents) Travel Risk Management Is there an established protocol or management structure to handle 24/7? Who is speaking with the family or co-workers? Do you have K&R insurance? Insurance Policies Tracking and Communication Itinerary, Date(s) for hotels, airline & flights Medical Response Any assistance provider? Is your employee in a vetted/approved facility? RMR

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