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CDC Health Information for International Travel 2014
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Table of Contents

Chapter 1-Introduction
Introduction to Travel Health and the Yellow Book
Planning for Healthy Travel: Responsibilities and Resources
Travel Epidemiology
Travel Medicine Data Collection: GeoSentinel and TravEpiNet
Perspectives: The Role of the Traveler in Translocation of Disease
Perspectives: Why Guidelines Differ


Chapter 2-The Pre-Travel Consultation
The Pre-Travel Consultation
Perspectives: Risks Travelers Face
Perspectives: Prioritizing for the Resource-Limited Traveler
General Recommendations for Vaccination and Immunoprophylaxis
Drug-Vaccine and Drug-Drug Interactions
Perspectives: Fear of Vaccines

Self-Treatable Conditions
Self-Treatable Conditions
Travelers' Diarrhea
History of the Definition and Management of Travelers' Diarrhea
Altitude Illness
History of Recognition and Management of Altitude Illness
Jet Lag
Motion Sickness
Respiratory Infections
Occupational Exposure to HIV

Counseling and Advice for Travelers
Food and Water Precautions
Perspectives: Prevention of Travelers' Diarrhea-It's Not Only WHAT You Eat and Drink
Water Disinfection for Travelers
Food Poisoning from Marine Toxins
Protection against Mosquitoes, Ticks, and Other Insects and Arthropods
Sunburn
Problems with Heat and Cold
Injuries and Safety
Perspectives: Terrorism
Animal-Associated Hazards
Natural Disasters and Environmental Hazards
Scuba Diving
Medical Tourism
Deep Vein Thrombosis and Pulmonary Embolism
Mental Health and Travel
Travel Health Kits
Perspectives: Pharmaceutical Quality and Counterfeit Drugs
Obtaining Health Care Abroad for the Ill Traveler
Travel Health Insurance and Evacuation Insurance


Chapter 3-Infectious Diseases Related to Travel
Amebiasis
Angiostrongyliasis (Angiostrongylus cantonensis Infection, Neurologic Angiostrongyliasis)
Anthrax
Bartonella-Associated Infections
Brucellosis
Campylobacter Enteritis
Chikungunya
Cholera
Coccidioidomycosis
Cryptosporidiosis
Cutaneous Larva Migrans
Cyclosporiasis
Cysticercosis
Dengue Fever and Dengue Hemorrhagic Fever
Diphtheria
Echinococcosis
Escherichia coli
Fascioliasis
Filariasis, Lymphatic
Giardiasis
Hand, Foot, and Mouth Disease
Helicobacter pylori
Helminths, Intestinal
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis E
Histoplasmosis
HIV and AIDS
Human Papillomavirus
Influenza (Seasonal, Zoonotic, and Pandemic)
Japanese Encephalitis
Legionellosis (Legionnaires' Disease and Pontiac Fever)
Leishmaniasis, Cutaneous
Leishmaniasis, Visceral
Leptospirosis
Lyme Disease
Malaria
History of Malaria Chemoprophylaxis
Measles (Rubeola)
Melioidosis
Meningococcal Disease
Mumps
Norovirus
Onchocerciasis (River Blindness)
Pertussis
Pinworm (Enterobiasis, Oxyuriasis, Threadworm)
Plague (Bubonic, Pneumonic, Septicemic)
Pneumococcal Disease (Streptococcus pneumoniae)
Poliomyelitis
Q Fever
Rabies
Perspectives: Intradermal Rabies Vaccine
Rickettsial (Spotted and Typhus Fevers) and Related Infections (Anaplasmosis and Ehrlichiosis)
Rubella
Salmonella (Nontyphoidal)
Scabies (Sarcoptic Itch, Sarcoptic Acariasis)
Schistosomiasis
Sexually Transmitted Diseases
Perspectives: Sex Tourism
Shigellosis
Smallpox and Other Orthopoxvirus-Associated Infections
Strongyloidiasis
Taeniasis
Tetanus
Tickborne Encephalitis
Toxoplasmosis
Trypanosomiasis, African (Human African Trypanosomiasis, African Sleeping Sickness)
Trypanosomiasis, American (Chagas Disease)
Tuberculosis
Perspectives: Tuberculin Skin Testing of Travelers
Typhoid and Paratyphoid Fever
Varicella (Chickenpox)
Viral Hemorrhagic Fevers
Yellow Fever
History of Yellow Fever Vaccine Requirements
Yersiniosis
Travel Vaccines and Malaria Information, by Country

Chapter 4-Select Destinations
Rationale for Select Destinations

Africa
East Africa: Safaris
Tanzania: Kilimanjaro
South Africa

Americas
Argentina/Brazil: Iguassu Falls
The Caribbean
Guatemala and Belize
Mexico
Peru: Cuzco-Machu Picchu

Asia
Cambodia: Angkor Wat
China
India
Nepal
Thailand
Vietnam

Middle East and North Africa
Saudi Arabia: Hajj Pilgrimage
Egypt and Nile River Cruises

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

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

Chapter 7-International Travel with Infants and Children
Traveling Safely with Infants and Children
Vaccine Recommendations for Infants and Children
Travel and Breastfeeding
International Adoption

Chapter 8-Advising Travelers with Specific Needs
Immunocompromised Travelers
Travelers with Chronic Illnesses
Pregnant Travelers
Travelers with Disabilities
Immigrants Returning Home To Visit Friends and Relatives (VFRs)
Advice for Air Crews
Humanitarian Aid Workers
Long-Term Travelers and Expatriates
Perspectives: Long-term Travel and Malaria Prophylaxis
Last-Minute Travelers
Special Considerations for US Military Deployments
Study Abroad
Travel to Mass Gatherings

Chapter 9-Health Considerations for Newly Arrived Immigrants and Refugees
Introduction
Before Arrival in the United States: Panel Physicians and the Overseas Medical Examination
Arrival in the United States: Process, Health Status, and Screening of Refugees and Immigrants
Migrant Health Resources

Appendices
Appendix A: Promoting Quality in the Practice of Travel Medicine
Appendix B: Essential Electronic Resources for the Travel Medicine Practitioner
Appendix C: Travel Vaccine Summary Table
Appendix D: The HealthMap System

About the Author

The Centers for Disease Control and Prevention (CDC) are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta.

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

Reviews

"a beloved travel must-have for the intrepid wanderer" --Publishers Weekly
"Picks for the best health books of 2009 [include] the Centers for Disease Control and Prevention's guide. Sections address the risks of going overseas for medical care, health concerns when traveling with infants and children, and medical issues to consider with international adoptions." --Wall Street Journal
"Every healthcare provider in the U.S. involved in travel medicine must have the
latest edition of this book or prompt access to the online version, which has
up-to-date recommendations and corrections on typographical errors in the print
version." -- Carlos E. Figueroa Castro, MD (Boone Hospital Center), Doody's
"This is an excellent review text for physicians and other health care professionals who see patients for pre-travel consultation."--Mayo Clinic Proceedings
"Travel medicine practitioners in the U.S. are expected to have this book on their bookshelf (or have it bookmarked in their Internet browser if using the online version). As with previous editions, the book is conceived as a guide, not as a comprehensive textbook of travel medicine. With the emergence of new infections and travel regulations, this is an invaluable rapid reference for busy clinicians.... 5 Stars!" DOODY'S
"There's a wealth of travel medical textbooks with overlapping content, but it's good to have one with the authority in the back when we give our recommendations. The Yellow Book from the Centers for Disease Control and Prevention (CDC) is one such. [...] The Yellow Book is recommended for anyone involved in travel medicine and vaccination." -- G Hasle, The Journal of the Norwegian Medical Association

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