by clicking the arrows at the side of the page, or by using the toolbar.
by clicking anywhere on the page.
by dragging the page around when zoomed in.
by clicking anywhere on the page when zoomed in.
web sites or send emails by clicking on hyperlinks.
Email this page to a friend
Search this issue
Index - jump to page or section
Archive - view past issues
Expat Investor : July August 2008
Rheumatoid arthritis (RA) occurs as a result of the immune system causing inflammation of the lining of a joint and the tissues surrounding it. It affects more than 350,000 people in the UK and can occur at any age. RA may be very mild with few symptoms, but for about one in 20 patients it affects many joints and can be severe and disabling. Rheumatism is often confused with Rheumatoid Arthritis. Rheumatism is a phrase used when someone has aches and pains but no HEALTHCARE INSURANCE expatinvestor.com 18 EXPAT INVESTOR ? July/August 2008 causing it to become difficult to carry out daily activities. Rheumatoid nodules - fleshy lumps that usually appear on your hands, feet and elbows – may also develop. These aren't painful but may make hand movements difficult or restricted. RA affects everyone differently and the level of discomfort it causes can vary, with symptoms being worse on some occasions than at others. Women are nearly three times more likely to get RA than men. It's common for the symptoms of RA to improve during pregnancy - this suggests that hormones and the immune system may be involved in triggering the condition. There seem to be some genes that make it more likely for a person to have RA, and the disease runs in some families. If you suspect you have RA, even if your symptoms are mild, it's a good idea to see your GP. If you do have RA, it's important to start treatment soon because the earlier it's started, the more effective it will be. If not treated, the condition may lead to serious disability. Many people with RA find it upsetting and frustrating. It's important to tell your doctor about how it's affecting you so he or she can make sure you get the most suitable treatment. You may need to make changes to your daily life, but people such as physiotherapists and occupational therapists can help to make this easier. It is likely that you will be able to control the disease very well using rheumatoid arthritis medication. Health issues in Chile Causes and effects of arthritis Chile is a long and narrow country situated between the Andes Mountains in South America and the Pacific Ocean. It is 4,300 km Mediterranean climate in the centre and a snow-prone climate in the south. In the capital city of Santiago, the summers are long and dry and temperatures can usually rise to about 28 to 30 degrees centigrade (82 to 86 degrees Fahrenheit). Therefore it is worth taking precautions to protect you against the sun, by wearing a hat, using sunscreen and drinking plenty of fluids to keep yourself hydrated. The winter months in Chile bring a high level of rainfall between May and August, but temperatures during these months stay relatively mild. The country’s 15 million estimated residents (according to the Foreign and Commonwealth Office) enjoy one of the highest standards of living in South America. It is not surprising, then, that there is an adequate supply of fresh water in the central and southern regions, and water in most cities within these regions can be consumed direct from the tap. However, it is still advisable to check before drinking the tap water that it is potable and to consider the fact that it can upset your digestive system if you are not long and 175 km wide, giving it a varied climate from north to south. There is the world’s driest desert, the Atacama, in the north, a A country profile from AXA PPP Healthcare. In this regular column on medical conditions, Torben Staehr Johansen, Medical Director, BUPA Copenhagen, explains rheumatoid arthritis. Fast Facts 22014 Fast Facts 66012 Fast Facts 66011 International Private Healthcare Insurer of the Year | Private Healthcare News Awards 2007 Best International PMI Provider | Cover Excellence Awards 2007 InterGlobal is a trading name of InterGlobal Limited which is authorised and regulated by the Financial Services Authority in the United Kingdom IGAD04/0308 ...with InterGlobal’s wellness benefits. Get routine health checks on our UltraCare Comprehensive and Plus plans without affecting your no claims discount. T +44 (0)1252 745900 W www.interglobalpmi.com Innovations in International Private Medical Insurance Prevention not cure... used to it. To protect yourself completely you may wish to boil or filter the water before drinking it, or to purchase bottled water, which is readily available. It is worth noting that adequate healthcare facilities and medical services can be found in the major cities for expatriates and their families. The private hospitals and clinics tend to offer a higher level of care compared to the state system and also offer multilingual staff. However, treatment through the private system can be expensive if you are funding yourself. There is also no reciprocal health agreement in place between the UK and Chile, which means you will have to fund your own medical treatment and care. The Foreign and Commonwealth Office “strongly recommend that you obtain comprehensive travel and medical insurance before travelling”. Another key factor to consider is the vaccinations required before you travel to Chile. www.netdoctor.co.uk recommends that you receive the following inoculations: ? Typhoid – 10 days before. ? Hepatitis A – two weeks before. ? Diphtheria – three months before. ? Tuberculosis – three months before. ? Hepatitis B – two months before. ? Rabies – one month before. A certificate of vaccination against yellow fever might also be required if entering Chile from an infected area. It is also worth knowing that there is a risk of Dengue Fever in Latin America, so appropriate preventative medicines and mosquito repellent will need to be used. The Foreign and Commonwealth Office also warns that “there are sporadic cases of cholera outside Santiago. Typhoid and hepatitis are fairly common, especially during the warm season, which last from December to March in central Chile”. Finally, as with all countries that require you have vaccinations, requirements may vary from time to time. In light of this, you will need to check with your doctor well in advance of your departure date. exact cause can be found. It isn't a specific disease whereas rheumatoid arthritis is an actual autoimmune condition. Commonly RA develops quite slowly at first. Some people notice a level of discomfort in their hands and feet and their joints may be swollen. Other typical symptoms include feeling stiff in the morning when getting up, feeling tired and generally unwell. For a few people, the condition comes on quickly and painfully, Fast Facts 66411 Fast Facts 66414
May June 2008