Travel Health
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Travel Health
General Information
NEWS:
African tick bite fever reported in travelers "Investigators report three cases of African tick bite fever, endemic in sub-Saharan Africa, among international travelers -- two from Germany and one from Kentucky -- in the Archives of Dermatology."
Airline Cabin Conditions Not Linked to Blood Clots
Cabin air linked to DVT, says study "Low cabin air pressure and poor oxygenation enhance the risk of deep-vein thrombosis (DVT) in susceptible passengers ."
Coagulation May Be Activated by Prolonged Air Travel
Cramped planes not only culprit in blood clots
Dehydration a Worry for Some Travelers "Air travelers with medical conditions may suffer dehydration or other risks because of new air travel restrictions that prohibit people from bringing drinks onto the plane, some doctors say."
Long-term Travelers at Much Higher Risk for Malaria Than Short-term Travelers " … immunization recommendations for those traveling to endemic areas for longer than 6 months should be individualized and provided by travel medicine specialists."
Nearly 400 ill on world's largest cruise ship "A guest previously exposed to norovirus likely brought it on board Nov. 26, the company said. Noroviruses, characterized by stomach flu-like symptoms, affect about 23 million Americans annually, according to the U.S. Centers for Disease Control.."
Sticker shock in sick bay "What many people don’t realize is that all cruise ships of foreign registry are considered to be entities operating outside the United States. And, as the Gardners discovered, domestic medical insurance coverage doesn’t travel the same way aboard ship as it does within the United States. Sometimes, coverage doesn’t extend to foreign travel at all; other times it just works differently."
Traveling Abroad? Plan Ahead to Stay Healthy
ARTICLES:
Getting There: Dealing With Jet Lag, Blood Clots, Motion Sickness And Altitude Sickness
Information from your family doctor. Health tips for air travel.
JOURNAL ARTICLES:
Adverse outcome of pregnancy following air travel: A myth or a concern? (Aust N Z J Obstet Gynaecol. 2006)
Awareness of rabies risks and knowledge about preventive measures among experienced german travel health advisors. (J Travel Med. 2006)
Cerebral mass in a 13-year-old girl following long-term sojourn in the Tropics. (J Med Microbiol. 2006)
Chikungunya fever diagnosed among international travelers--United States, 2005-2006. (MMWR Morb Mortal Wkly Rep. 2006)
Compression stockings for preventing deep vein thrombosis in airline passengers. (Cochrane Database Syst Rev. 2006) "AUTHORS' CONCLUSIONS: Airline passengers similar to those in this review can expect a substantial reduction in the incidence of symptomless DVT and leg oedema if they wear compression stockings. We cannot assess the effect of wearing stockings on death, pulmonary embolus or symptomatic DVT because no such events occurred in these trials. Randomized trials to assess these outcomes would need to include a very large number of people."
[Deep-vein thrombosis and pulmonary embolism due to air travel] (Ned Tijdschr Geneeskd. 2006)
[Diarrhoea in the traveller.] (An Sist Sanit Navar. 2006)
Epidemiological and clinical features of travel-associated cryptosporidiosis. (Clin Microbiol Infect. 2006)
Epidemiology of Gastroenteritis on Cruise Ships, 2001-2004 (American Journal of Preventive Medicine 2006)
Etiology and Outcome of Fever After a Stay in the Tropics (Arch Intern Med. 2006)
Exposure to mumps during air travel--United States, April 2006. (MMWR Morb Mortal Wkly Rep. 2006)
Family travel: An overview. (Travel Med Infect Dis. 2006) "Paediatric travel medicine involves the education of parents about the numerous health and safety issues related to traveling with infants and young children-whether overseas or a weekend at a local lake. It includes providing children with vaccines and medications, giving telephone advice to parents while they are traveling, and treating children should they come home ill. Practitioners must be knowledgeable about such varied topics like avoiding diarrhoea, infant safety seats for air travel, altitude sickness, sun exposure, waterfront safety, insect protection, dealing with hot and cold environments, and at what age it is safe to begin scuba diving, to name just a very few."
Health information given by swiss travel agencies. ( Travel Med. 2006)
Hepatitis B risks and immunization coverage among american travelers. ( Travel Med. 2006) "Background. Hepatitis B is endemic in much of Asia, Africa, and parts of South America, regions that are increasingly popular destinations for American travelers. The frequency of hepatitis B risks during travel has been examined for Europeans but not Americans. … Conclusions. Most US travelers to hepatitis B endemic regions do not secure pretravel health advice, and most have not received three doses of hepatitis B vaccine. A substantial share are candidates for hepatitis B vaccination based on their domestic activities and/or face hepatitis B risks during travel."
Long- and short-haul travel by air: issues for people with diabetes on insulin. ( Travel Med. 2006)
[Malaria.] (Internist (Berl). 2006) "Imported malaria is an important problem in non-endemic areas because of increasing numbers of travelers, overseas workers and immigrants. Since the presentation of malaria is vague and nonspecific, the diagnosis should be considered in any appropriately symptomatic patient with a history of travel to a malaria-endemic area. If the diagnosis is not made in about one day, the disease can have a fatal outcome. . Management of severe and complicated malaria requires special attention: patients have to be admitted to an intensive care unit, supportive measures must be initiated, and parenteral treatment with quinine should be started as quickly as possible."
[Malaria protection for short-term travelers.] (Internist (Berl). 2006)
Malaria: diagnosis and treatment of falciparum malaria in travelers during and after travel. (Curr Infect Dis Rep. 2006)
Malaria--Great Exuma, Bahamas, May-June 2006. (MMWR Morb Mortal Wkly Rep. 2006)
Prevalence study of Legionella spp. contamination in ferries and cruise ships. (BMC Public Health. 2006) "ABSTRACT: BACKGROUND: In the last years, international traffic volume is significantly increased, raising the risk for acquisition of infectious diseases. Among travel-associated infections, increased incidence of legionellosis has been reported among travellers. Aim of our study was: to describe the frequency and severity of Legionella spp. contamination in ferries and cruise ships; to compare the levels of contamination with those indicated by the Italian ministerial guidelines for control and prevention of legionellosis, in order to assess health risks and to adopt control measures."
Prevention of malaria in long-term travelers. (JAMA. 2006)
Problem pathogens: prevention of malaria in travellers. (Lancet Infect Dis. 2006)
[Prophylactic immunization against enterotoxin-forming Escherichia coli strains as cause of travellers' diarrhea: does it make sense and for whom?] (Dtsch Med Wochenschr. 2006)
Risk of malaria among French adult travellers. (Travel Med Infect Dis. 2006) "CONCLUSION: Appropriate chemoprophylaxis and physical protection measures against malaria infection are used by less than one-quarter of a sample of predominantly middle-class travellers from France to endemic areas. More intense education measures need to be implemented to reduce the risk of imported malaria."
Sexually transmitted infections and HIV among travellers: A review. (Travel Med Infect Dis. 2006)
Spectrum of disease and relation to place of exposure among ill returned travelers. (N Engl J Med. 2006)
The comparative burden of salmonellosis in the European Union member states, associated and candidate countries. (BMC Public Health. 2006)
The impact of new guidelines in Europe for the control and prevention of travel-associated Legionnaires' disease. (Int J Hyg Environ Health. 2006)
The pregnant traveller. (Travel Med Infect Dis. 2006)
The Malaria Atlas Project: Developing Global Maps of Malaria Risk
[Travel medicine and vaccination as a task of infection prevention.] (Gesundheitswesen. 2006) "CONCLUSION: According to many studies, only one-third of the travellers going abroad, especially to developing countries, obtain travel health information. Hence, the clients of our consultation hours are a positive selection. Nevertheless, great need for improvement could be seen as well. In many of the clients the time from getting health information and vaccination was too short for obtaining complete vaccination protection. People travelling to countries where most hepatitis A infections are obtained and re-imported home, such as Turkey and Tunisia and other Mediterranean countries almost never came for health advice and vaccination."
[The risk of yellow fever in travellers] (Ned Tijdschr Geneeskd. 2006)
Travelers' diarrhea: modern concepts and new developments. (Curr Treat Options Gastroenterol. 2006)
Travellers' Diarrhoea: Contemporary Approaches to Therapy and Prevention. (Drugs. 2006) "The material reviewed deals with the high frequency of acquiring diarrhoea during international travel to high-risk areas, seen in approximately 40%, and the expected bacterial causes of illness, of which diarrhoeagenic Escherichia coli is the most important. The host risk factors associated with increased susceptibility to diarrhoea include young age, lack of previous travel to high-risk regions in the past 6 months, indiscriminate food and beverage selection patterns, and host genetics. It appears feasible to decrease the rate of illness among the travelling public by careful food and beverage selection or through chemoprophylaxis with nonabsorbed rifaximin. Chemoprophylaxis with rifaximin should help to reduce the occurrence of travellers' diarrhoea and hopefully prevent post-diarrhoea complications, including irritable bowel syndrome. Early empirical therapy with antibacterial drugs, including rifaximin, a fluoroquinolone or azithromycin, will decrease the duration of illness and return travellers more quickly to their planned activities."
Travel-associated dengue--United States, 2005. (MMWR Morb Mortal Wkly Rep. 2006) "Dengue is a mosquito-transmitted, acute viral disease caused by any of four dengue virus serotypes (DEN-1, DEN-2, DEN-3, or DEN-4). Dengue is endemic in most tropical and subtropical areas of the world and has occurred among U.S. residents returning from travel to such areas (1,2)."
Travel-Related Venous Thrombosis: Results from a Large Population-Based Case Control Study (MEGA Study (PLoS Med. 2006) " … long-distance traveling increased the risk of venous thrombosis 2-fold. Travel by air increased the risk to the same extent as travel by car, bus, or train. The risk was highest in the first week after traveling."
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