Table of Contents

Contributor list, vii Preface, xii Section I Travel medicine 1 Trends in travel, 3 Thomas L. Treadwell 2 Tourism, aviation and the impact on travel medicine, 9 Anne Graham 3 Epidemiology of health risks and travel, 19 Hans D. Nothdurft and Eric Caumes 4 Fitness to travel, 27 Dominique Tessier 5 Management of a travel clinic, 37 Abinash Virk and Elaine C. Jong Section II Infectious diseases and travel 6 Epidemiology and surveillance of travel-related diseases, 47 Tomas Jelinek 7 Virus infections in travellers, 55 Arie J. Zuckerman 8 Bacterial infections in travellers, 99 Ann L.N. Chapman and Christopher J. Ellis 9 Vector-borne parasitic diseases, 112 Emma C. Wall and Peter L. Chiodini 10 Malaria and travellers, 126 Malaria, 126 David J. Bell and David G. Lalloo Malaria chemoprophylaxis, 133 Patricia Schlagenhauf, Catherine Jeppesen, Laura K. Erdman, Melanie Newport, and Kevin C. Kain The strategy of standby emergency self-treatment, 143 Patricia Schlagenhauf 11 Emerging and re-emerging infectious diseases, 146 Francisco G. Santos O'Connor Section III Prevention and management of travel-related diseases 12 Skin tropical infections and dermatology in travellers, 167 Francisco Vega-Lopez and Sara Ritchie 13 Travellers' diarrhoea, 197 Charles D. Ericsson 14 Vaccine-preventable disease, 209 Jay Halbert, Phyllis Kozarsky, Jane Chiodini, Nicholas Zwar, Gary Brunette and Jane N. Zuckerman 15 Returned travellers, 260 Nicholas J. Beeching, Tom E. Fletcher and Limin Wijaya Section IV Hazards of air and sea travel 16 Aviation medicine, 289 Michael Bagshaw 17 Aviation psychology, 315 Robert Bor, Carina Eriksen, Margaret Oakes and Philip Baum 18 Expedition and extreme environmental medicine, 328 Sean Hudson, Andrew Luks, Piers Carter, Luanne Freer, Caroline Knox, Chris Imray and Lesley Thomson 19 Travel health at sea: cruise ship medicine, 380 Robert E. Wheeler Section V Environmental hazards of travel 20 Travel-related injury, 397 Robert Grenfell 21 International assistance and repatriation, 403 Alex T. Dewhurst and John C. Goldstone 22 Venomous bites and stings, 415 R. David G. Theakston and David G. Lalloo 23 Ophthalmic conditions in travellers, 434 Clare Davey and James Tee Section VI Practical issues for travellers 24 Travelling with children (including international adoption issues), 447 Philip R. Fischer and Andrea P. Summer 25 Women's health and travel, 463 I. Dale Carroll and Susan Anderson 26 The immunocompromised traveller, 503 Robert J. Ligthelm and Pieter-Paul A.M. van Thiel 27 High-risk travellers, 515 Kathryn N. Suh, Anne E. McCarthy, Maria D. Mileno and Jay S. Keystone 28 Aid workers, expatriates and travel, 531 Kenneth L. Gamble, Deborah M. Hawker, Ted Lankester and Jay S. Keystone 29 The health of migrants and refugees, 556 Louis Loutan, Sophie Durieux-Paillard and Ariel Eytan 30 Visiting friends and relatives, 566 Delane Shingadia 31 Travel medicine, ethics and health tourism, 571 Deborah Bowman and Richard Dawood 32 Medico-legal issues in travel medicine, 579 Jennifer G. Baine and Paul S. Auerbach 33 Travellers' safety and security, 588 Peter A. Leggat and Jeff Wilks 34 The international athlete: travelling healthy to global sporting events, 601 Travis W. Heggie, Sarah Borwein and Marc T.M. Shaw 35 Space tourism - the future in travel health?, 612 Kevin J. Fong and Mark H. Wilson Index, 623

About the Author

Jane Zuckerman Director WHO Collaborating Centre for Travel Medicine Director UCL Medical Student Occupational & Royal Free Travel Health Centre Academic Centre for Travel Medicine & Vaccines Sub-Dean Electives Vice-President, Faculty of Pharmaceutical Medicine University College London Medical School London

Reviews

Having reviewed the first edition in 2001, I welcome the opportunity to review this new one. The format is similar with the content delivered in six sections, but with more chapters in each and information expanded to include new developments and advances in the field. Expert contributors now number an impressive 80, lending a truly international perspective to the content. Travel to international sporting events and a favourite of mine – space tourism – are welcome and timely additions. Although travel abroad for healthcare is not new, the global economic downturn has created a boom in so-called health tourism. The discussion on the reasons, benefits and pitfalls is well covered including the ethical perspective and dilemmas practitioners may face– with case studies to give food for thought. In the preface, the editor asks: “Where have we been, where are we now and where are we going?” - a good indication of what we can expect to find in the book. The majority of people who travel are ‘well’ and the art of practising travel medicine lies mainly in keeping them that way. However, it is becoming more complex for travel health advisers as increasingly those with pre-existing medical conditions are travelling to destinations which may pose a risk to their condition or where the lack of healthcare resources put them at risk if a medical problem arises and they need care. The management of these high risk travellers is covered in Chapter 27 and includes both general and disease specific advice. Good emphasis is given to the fact that there is no age limit for travelling and no one size fits all scenarios. Individuals deserve the best advice for their trip and the list of additional resources for specific reference is most useful. Once again case histories throughout the text helpto illuminate the subjects. Chapter Six looks at the epidemiology and surveillance of travel-related disease and emphasises the benefits of international collaboration in detecting infectious diseases and sharing the information to alert and protect other travellers. Malaria prevention and treatment information is welcome. Chapter 11 (‘The Interconnecting World’) looks at transport, migrants, and emerging and re-emerging infectious diseases, and also considers the role of mobile populations and mass gatherings in this. Numerous excellent tables relating to the importance of travel health support the information. I loved the quote at the beginning, credited to Harvey Cushing: “A physician is obligated toconsider more than a diseased organ, more even than the whole man – he must view the man in his world.” Never was a truer word spoken. I recommend this textbook as a valuable resource for study and reference, and it will be a welcome addition to any library supporting education in travel medicine. (Sandra Grieve FFTM RCPS(Glasg), Emporiatrics Autumn/Winter 2013)