Each year, 1 billion passengers travel by air, and over 50 millionpeople from industrialized countries visit the developing world.1,2Travelers may be exposed to a variety of pathogens and risks,and 20 to 70 percent of people report some health problems whiletraveling.3,4 Overall, during international travel, 1 to 5 percentof travelers seek medical attention, 0.01 to 0.1 percent requireemergency medical evacuation, and 1 in 100,000 dies.3 Althoughinfectious diseases cause considerable morbidity among travelers,they account for only 1 to 4 percent of deaths that occur duringinternational travel.5 Cardiovascular disease is the most frequentcause . . . [Full Text of this Article]
Risk Assessment
Personal Precautions and Travel-Related Illnesses
Illnesses Associated with Travel
Traveler's Diarrhea
Respiratory Infections
Arthropod-Borne Illnesses
Malaria
Sexually Transmitted Diseases
Altitude Illness
Other Illnesses
Immunizations
Routine Immunizations
Required Immunizations
Recommended Immunizations According to Risk of Infection
Conclusions
Source Information
From the Tropical and Geographic Medicine Center and the Travelers' Advice and Immunization Center, Division of Infectious Diseases, Massachusetts General Hospital, and Harvard Medical School, Boston (E.T.R.); and the Centre for Travel and Tropical Medicine, Division of Infectious Diseases, Toronto General Hospital and the University of Toronto, Toronto (K.C.K.).
Address reprint requests to Dr. Ryan at the Division of Infectious Diseases, Jackson 504, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114, or at etryan@partners.org.
References
Related Letters:
Health Advice for Travelers
Abell L., Dumont L., Mardirosoff C., Tramer M. R., Ryan E. T., Kain K. C.
Extract |
Full Text
N Engl J Med 2000;
343:1045-1046, Oct 5, 2000.
Correspondence
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Abell, L., Dumont, L., Mardirosoff, C., Tramer, M. R., Ryan, E. T., Kain, K. C.
(2000). Health Advice for Travelers. NEJM
343: 1045-1046
[Full Text]