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Correspondence
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Volume 347:1984 December 12, 2002 Number 24
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Illness after International Travel

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 by Ryan, E. T.
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To the Editor: The review by Ryan and colleagues (Aug. 15 issue)1 about illness after international travel focuses mainly on tropical diseases, but common bacterial infections are a leading cause of illness in travelers.

Of 779 American travelers in one study, 202 (26 percent) reported 235 illnesses.2 Diarrhea was the leading health problem (affecting 13 percent), followed by respiratory tract symptoms (in 10 percent) and skin problems (in 3 percent). The incidence of malaria was low (3.8 cases per 1000 travelers). In a retrospective Australian study of 232 consecutive patients, malaria was the most common diagnosis (incidence, 27 percent), followed . . . [Full Text of this Article]




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