Essentials of Travel Medicine

Jane N Zuckerman (UK), Gary Brunette (USA) and Peter Leggat (Australia) Jane Zuckerman, Academic Centre for Travel Medicine and Vaccines, WHO Collaborating Centre for Reference, Research and Training in Travel Medicine, University College London Medical School, University College London, UK. Dr Jane Zuckerman has a long history working in the travel health field and holds a number of key positions. Dr Jane Zuckerman is Director of the Academic Centre for Travel Medicine and Vaccines, a WHO Collaborating Centre for Reference, Research and Training in Travel Medicine. She holds the positions of Sub-Dean and Senior Lecturer and Honorary Consultant at University College London Medical School and the Royal Free Hampstead NHS Trust, London. She is also the Medical Director of the Royal Free Travel Health Centre and the UCL Medical Student Occupational Health Centre. Dr Zuckerman is also a member of the World Health Organisation Advisory Panel for International Travel and Health, member of the World Health Organisation Guideline Committee for air-travel and tuberculosis and member of the World Health Organisation European Civil Aviation Review Group. She has published more than 200 publications including 100 peer-reviewed original research papers; invited reviews, editorials, books and chapters in books on all aspects of travel medicine; international health, hepatitis A and B vaccines, travel and other vaccines; immune responses and immunogenetics; epidemiology and the medical student elective period. She is Editor of two reference books: Principles & Practice of Travel Medicine, and Travellers' Vaccines - both published as 2nd Editions. She is the founder and Editor-in-Chief of the peer-reviewed journal The Journal of Travel Medicine & Infectious Disease. Dr Zuckerman received the award of UK Hospital Doctor of the Year 2001 and the UK Hospital Doctor Innovation Award for 2001. She was also listed in 2001 by the British Medical Association as one of the 82 "Pioneers in Patient Care: NHS Consultants leading change".

List of contributors vii Preface xv Acknowledgments xvii Section 1: Travel medicine 1 Basic epidemiology of infectious diseases 3 Mark J. Sotir and David O. Freedman 2 Basic epidemiology of non-infectious diseases 9 Richard C. Franklin and Peter A. Leggat 3 Pre-travel health risk assessment 23 Peter A. Leggat and Jane N. Zuckerman 4 Setting up a travel clinic 35 Marc T.M. Shaw and Claire S. Wong 5 Travel medicine resources 45 Peter A. Leggat, Gary W. Brunette, Gilles Poumerol, and Jane N. Zuckerman Section 2: Travel-related infectious diseases 6 Travelers diarrhea 57 Charles D. Ericsson 7 Vector-borne diseases 65 Annelies Wilder-Smith 8 Yellow fever 75 Mark D. Gershman and J. Erin Staples 9 Malaria 83 Tomas Jelinek 10 Respiratory disease 95 Regina LaRocque and Edward T. Ryan 11 Sexually transmitted infections 103 Alberto Matteelli, Anna Cristina C. Carvalho, and Patricia Schlagenhauf 12 Tropical skin infections 115 Francisco Vega-Lopez and Sara Ritchie 13 Rabies 121 Mary J. Warrell 14 Vaccine-preventable diseases 131 Joseph Torresi, Abinash Virk and Jane N Zuckerman Section 3: Travelers with underlying medical problems and special needs 15 Women s health and travel 167 I. Dale Carroll 16 Traveling with children 173 Karl Neumann, Andrea P. Summer, and Philip R. Fischer 17 Travelers with underlying medical conditions 187 Anne E. McCarthy and Kathryn N. Suh 18 The older traveler and traveling with disability 199 Kathryn N. Suh and Anne E. McCarthy 19 Visiting friends and relatives 209 Karin Leder and Sarah L. McGuinness 20 Migrants, refugees, and travel medicine 215 Louis Loutan 21 Study-abroad programs: student health and safety issues 221 Gary Rhodes and Gary W. Brunette 22 Humanitarian aid workers, disaster relief workers, and missionaries 227 Brian D. Gushulak and Douglas W. MacPherson 23 Long-term travelers 235 Claire Davies and Ted Lankester Section 4: Environmental travel health risks 24 Aviation and travel medicine 243 Michael Bagshaw, Ian C. Cheng and Robert Bor 25 Expedition and wilderness medicine 257 Sean T. Hudson, Will Smith, David R. Shlim, Caroline J. Knox and Karen J. Marienau 26 Venomous poisonous animals and toxins 279 Mark A. Read 27 Cruise ships and travel medicine 285 Sally S.J. Bell and Eilif Dahl 28 Mass gatherings and travel medicine 293 Joanna Gaines and Gary W. Brunette 29 Emergency care whilst abroad 301 Peter A. Leggat and Marc T.M. Shaw Section 5: Post-travel medicine 30 The returning traveler 313 Tamar Lachish, Alfons Van Gompel and Eli Schwartz Index 327