The pre-travel consultation of a 69-year-old Cape Town man with metastatic pancreatic cancer with a six-month projected survival time is considered. He has a final wish to perform Hajj in Saudi Arabia, which is 6 weeks away. His fitness to travel, vaccine and medical considerations, religious and social issues present unique challenges. Medical complications during the journey are presented and addressed. At the end of the pilgrimage the airline considers him too ill to be transported back to South Africa and this has to be addressed sympathetically. 

Course Objectives:  By the end of this webinar, the attendee should be able to:
1. Identify older end of life travellers as a challenging but ultimately rewarding group.
2. Vaccination has age, destination, legal and at times non-medical nuances.
3. The Hajj has specific communicable and non-communicable considerations.
4. Air transport of terminally ill travellers may be complicated.