Table of Contents

List of Boxes, Figures, Maps, and Tables, by Topic

List of Maps
Editorial Staff
CDC Contributors
External Contributors
Acknowledgments
In Memoriam: Dedication to Alan J. Magill

Preface

1. Introduction
Introduction to Travel Health & the Yellow Book
Planning for Healthy Travel: CDC Travelers' Health Website and Mobile Applications
Travel Epidemiology
Perspectives: The Role of the Traveler in Translocation of Disease
Perspectives: Why Guidelines Differ
Air Travel Trends

2. The Pre-Travel Consultation
The Pre-travel Consultation
Perspectives: Travelers' Perception of Risk
Perspectives: Prioritizing Care for the Resource-Limited Traveler
Perspectives: The Need for a Cost Analysis of to Justify the Travel MedicineConsult
General Recommendations for Vaccination & Immunoprophylaxis
Interactions among Travel Vaccines & Drugs
Perspectives: Fear of Vaccines
Self-Treatable Conditions
Travelers' Diarrhea
Perspectives: Antibiotics in Travelers' Diarrhea -- Balancing the Risks & Benefits
For the Record: A History of the Definition & Management of Travelers' Diarrhea
Altitude Illness
For the Record: A History of the Definition & Management of Altitude Illness
Jet Lag
Motion Sickness
Respiratory Infections
Counseling & Advice for Travelers
Food & Water Precautions
Perspectives: Prevention of Travelers' Diarrhea-It's Not Only WHAT You Eat & Drink
Water Disinfection for Travelers
Food Poisoning from Marine Toxins
Protection against Mosquitoes, Ticks, & Other Arthropods
Sun Exposure
Problems with Heat & Cold
Injury Prevention
Safety & Security
Animal-Associated Hazards
Natural Disasters
Environmental Hazards
Scuba Diving
Medical Tourism
Discussing Complementary and/or Alternative Integrative Health Approaches with Travelers
Deep Vein Thrombosis & Pulmonary Embolism
Mental Health
Travel Health Kits
Perspectives: Pharmaceutical Quality & Counterfeit Falsified Drugs
Obtaining Health Care Abroad for the Ill Traveler
Travel Insurance, Travel Health Insurance, & Medical Evacuation Insurance

3. Infectious Diseases Related to Travel
Amebiasis
Angiostrongyliasis, Neurologic
Anthrax
B virus
Bartonella Infections
Brucellosis
Campylobacteriosis
Chikungunya
Cholera
Coccidioidomycosis
Cryptosporidiosis
Cutaneous Larva Migrans
Cyclosporiasis
Cysticercosis
Dengue
Diphtheria
Ebola Virus Disease and Marburg Virus Disease
Echinococcosis
Escherichia coli, Diarrheagenic
Fascioliasis
Filariasis, Lymphatic
Giardiasis
Hand, Foot, & Mouth Disease
Helicobacter pylori
Helminths, Soil-Transmitted
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis E
Histoplasmosis
HIV Infection
Influenza
Japanese Encephalitis
Legionellosis (Legionnaires' Disease & Pontiac Fever)
Leishmaniasis, Cutaneous
Leishmaniasis, Visceral
Leptospirosis
Lyme Disease
Malaria
For the Record: A History of Malaria Chemoprophylaxis
Measles (Rubeola)
Melioidosis
Meningococcal Disease
Middle East Respiratory Syndrome (MERS)
Mumps
Norovirus
Onchocerciasis (River Blindness)
Pertussis
Pinworm (Enterobiasis, Oxyuriasis, Threadworm)
Plague (Bubonic, Pneumonic, Septicemic)
Pneumococcal Disease
Poliomyelitis
For the Record: A History of Polio Eradication Efforts
Q Fever
Rabies
Perspectives: Intradermal Rabies Preexposure Immunization
Rickettsial (Spotted & Typhus Fevers) & Related Infections, including Anaplasmosis & Ehrlichiosis
Rubella
Salmonellosis (Nontyphoidal)
Sarcocystosis
Scabies
Schistosomiasis
Sexually Transmitted Diseases
Perspectives: Sex & Tourism
Shigellosis
Smallpox & Other Orthopoxvirus-Associated Infections
Strongyloidiasis
Taeniasis
Tetanus
Tickborne Encephalitis
Toxoplasmosis
Trypanosomiasis, African (Sleeping Sickness)
Trypanosomiasis, American (Chagas Disease)
Tuberculosis
Perspectives: Tuberculin Skin Testing of Travelers
Typhoid & Paratyphoid Fever
Varicella (Chickenpox)
Viral Hemorrhagic Fevers
Yellow Fever
For the Record: A History of Yellow Fever Vaccine Requirements
Yersiniosis
Zika Virus
Yellow Fever & Malaria Information, by Country

4. Select Destinations
Rationale for Select Destinations
Africa & The Middle East
East Africa: Safaris
Saudi Arabia: Hajj/Umrah Pilgrimage
South Africa
Tanzania: Kilimanjaro
The Americas & The Caribbean
Brazil
Cuba
Dominican Republic
Haiti
Mexico
Peru: Cusco-, Machu Picchu, and Other Regions
Asia
Burma (Myanmar)
Cambodia
China
India
Nepal
Thailand
Vietnam
The Middle East & North Africa
Egypt & Nile River Cruises
Saudi Arabia: Hajj Pilgrimage

5. Post-Travel Evaluation
General Approach to the Returned Traveler
Fever in Returned Travelers
Persistent Travelers' Diarrhea
Skin & Soft Tissue Infections in Returned Travelers
Screening Asymptomatic Returned Travelers

6. Conveyance & Transportation Issues
Air Travel
Cruise Ship Travel
Perspectives: What to Expect when Traveling during an International Outbreak
Death during Travel
Taking Animals & Animal Products across International Borders

7. International Travel with Infants & Children
Traveling Safely with Infants & Children
Vaccine Recommendations for Infants & Children
Travel & Breastfeeding
International Adoption

8. Advising Travelers with Specific Needs
Immunocompromised Travelers
Travelers with Chronic Illnesses
Pregnant Travelers
Travelers with Disabilities
Immigrants Returning Home to Visit Friends & Relatives (VFRs)
Health Care Workers
Advice for Air Crews
Humanitarian Aid Workers
Long-Term Travelers & Expatriates
Perspectives: Malaria in Long-Term Travelers & Expatriates
Last-Minute Travelers
Special Considerations for US Military Deployments
Study Abroad & Other International Student Travel
Travel to Mass Gatherings
Newly Arrived Immigrants & Refugees
Wilderness and Expedition Medicine
Work-Related Travel
Immunocompromised Travelers

Appendices
Appendix A: Promoting Quality in the Practice of Travel Medicine
Appendix B: Travel Vaccine Summary Table
Appendix C: Migrant Health Resources

Index

Photo credits

About the Author

About the Editor-in-Chief

Gary W. Brunette, MD, MS, is Chief of the Travelers' Health Branch, Centers for Disease Control and Prevention.

About the Centers for Disease Control and Prevention

The Centers for Disease Control and Prevention (CDC) is a United States federal agency under the Department of Health and Human Services headquartered in Atlanta, Georgia.

Reviews

"[The CDC Yellow BooK 2018] is a truly excellent and comprehensive resource" -- Andrew Berrington, Journal of Hospital Infection