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Chapter 13 : Infectious Risks of Traveling Abroad

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Infectious Risks of Traveling Abroad, Page 1 of 2

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Abstract:

International tourist arrivals surpassed 1 billion by 2012 and continue to increase. In 2013, nearly 24 million U.S. residents traveled abroad for leisure or to visit friends and relatives (http://travel.trade.gov/outreachpages/outbound.general_information.outbound_overview.html). Of these travelers, 35% went to Europe, 27% to the Caribbean, 17% to Asia, 7% each to South America and Central America, 6% to the Middle East, and under 3% to Africa.

Citation: Chen L, Blair B. 2016. Infectious Risks of Traveling Abroad, p 267-288. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0005-2015
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Figures

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Figure 1

Map with geographic illustration of most common diagnoses. Data from Leder et al. 2013.

Citation: Chen L, Blair B. 2016. Infectious Risks of Traveling Abroad, p 267-288. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0005-2015
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References

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1. Centers for Disease Control and Prevention . 2014. CDC Health Information for International Travel 2014. Oxford University Press, New York.
2. Hill DR . 2000. Health problems in a large cohort of Americans travelling to developing countries. J Travel Med 7 : 259266.[PubMed] [CrossRef]
3. Hill DR,, Ericsson CD,, Pearson RD,, Keystone JS,, Freedman DO,, Kozarsky PE,, DuPont HL,, Bia FJ,, Fischer PR,, Ryan ET , Infectious Diseases Society of America . 2006. The practice of travel medicine: guidelines by the Infectious Diseases Society of America. Clin Infect Dis 43 : 14991539.[PubMed] [CrossRef]
4. Leder K,, Torresi J,, Libman MD,, Cramer JP,, Castelli F,, Schlagenhauf P,, Wilder-Smith A,, Wilson ME,, Keystone JS,, Schwartz E,, Barnett ED,, von Sonnenburg F,, Brownstein JS,, Cheng AC,, Sotir MJ,, Esposito DH,, Freedman DO , GeoSentinel Surveillance Network . 2013. GeoSentinel surveillance of illness in returned travelers, 2007-2011. Ann Intern Med 158 : 456468.[PubMed] [CrossRef]
5. Lederman ER,, Weld LH,, Elyazer IRF,, von Sonnenberg F,, Loutan L,, Schwartz E,, Keystone JS . 2008. Dermatologic conditions of the ill returned traveler: an analysis from the GeoSentinel Surveillance Network. Int J Infect Dis 12 : 593601.[PubMed] [CrossRef]
6. National Center for Immunization and Respiratory Diseases . 2011. General recommendations on immunization: recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep 60 : 164.[PubMed]
7. Petersen EK,, Chen LH,, Schlagenhauf P (ed). 2011. Infectious Diseases: A Geographic Guide. Wiley-Blackwell, Chichester, UK. [CrossRef]
8. Ross AGP,, Olds GR,, Cripps AW,, Farrar JJ,, McManus DP . 2013. Enteropathogens and chronic illness in returning travelers. N Engl J Med 368 : 18171825.[PubMed] [CrossRef]
9. Rubin LG,, Levin MJ,, Ljungman P,, Davies EG,, Avery R,, Tomblyn M,, Bousvaros A,, Dhanireddy S,, Sung L,, Keyserling H,, Kang I , Infectious Diseases Society of America . 2014. 2013 IDSA clinical practice guideline for vaccination of the immunocompromised host. Clin Infect Dis 58 : 309318.[PubMed] [CrossRef]
10. Ryan ET,, Wilson ME,, Kain KC . 2002. Illness after international travel. N Engl J Med 347 : 505516.[PubMed] [CrossRef]
11. Steffen R,, Hill DR,, DuPont HL . 2015. Traveler’s diarrhea. JAMA 313 : 7180.[PubMed] [CrossRef]

Tables

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TABLE 1

Resources for the practice of travel medicine, including some international and national authorities, online links, and reference books

Citation: Chen L, Blair B. 2016. Infectious Risks of Traveling Abroad, p 267-288. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0005-2015
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TABLE 2

Immunizations commonly considered in pretravel consultation (for a comprehensive list of routine vaccines, see routine immunization schedules published by the Advisory Committee on Immunization Practices and updated annually)

Citation: Chen L, Blair B. 2016. Infectious Risks of Traveling Abroad, p 267-288. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0005-2015
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TABLE 3

Malaria chemoprophylaxis drugs

Citation: Chen L, Blair B. 2016. Infectious Risks of Traveling Abroad, p 267-288. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0005-2015
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TABLE 4

Key exposures to ask about when evaluating ill returned travelers

Citation: Chen L, Blair B. 2016. Infectious Risks of Traveling Abroad, p 267-288. In Schlossberg D (ed), Infections of Leisure, Fifth Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.IOL5-0005-2015

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