Despite inadequacy in preventing vivax malaria after travel, suppressive chemoprophylaxis has dominated travel medicine strategy since the advent of chloroquine in 1946. The lethal threat of falciparum malaria versus the perceived benign consequence of vivax malaria underpins this strategic posture. Recent evidence demonstrating vivax malaria as often pernicious should prompt reconsideration of...

Introduction Increasingly, HIV-seropositive individuals cross international borders. HIV-related restrictions on entry, stay, and residence imposed by countries have important consequences for this mobile population. Our aim was to describe the geographical distribution of countries with travel restrictions and to examine the trends and characteristics of countries with such restrictions. Metho...

Chloroquine-resistant Plasmodium vivax (CRPV) infection is emerging as a clinically significant problem. Detailed travel history is crucial to the management of imported malarial cases. We report a 58-year-old business traveler who returned from Indonesia and experienced relapse due to CRPV. The epidemiology and diagnostic challenges of CRPV for travel medicine clinicians are reviewed.

Commercial air travel has increased dramatically in the last 25 years, which has resulted in an increased number of passengers travelling. In 1995, approximately 1.4 billion passengers flew. There are very few contra-indications to flying in commercial jet aircraft and even passengers with medical conditions travel regularly without incident. To avoid in-flight emergencies which potentially hav...

International travels for tourism and business purposes continue to increase annually, while the global terrorism and the risk of lethal viral infections are currently real concerns. It is important that primary care physicians assess travel risk and adequately prepare the prospective traveler for trips. Appropriate vaccines should be administered and an emergency self-kit recommended. Patient ...

Travel medicine is a field that requires in-depth knowledge about disease epidemiology. Whether providing pretravel evaluations or posttravel consultations, the travel medicine specialist must be up to date on disease epidemiology. Pretravel evaluations require counseling the traveler to avoid risks from diseases specific to the itinerary. Posttravel consultations demand recognition of possible...

Although the field of travel medicine is relatively young, the number of textbooks about the field is growing. This international trio of authors from Switzerland, the United States, and Singapore, recently published the second edition of their textbook, which adds new chapters and updates epidemiologic information. Because of the complexity of travel medicine, good resources for clinicians and...

This book is a compilation of 40 essays written by many of the most recognized names in the fi eld of travel medicine. It is divided into 9 sections with such topics as the history of travel medicine, vaccines, travel medicine research, pilgrimages, and even space travel. Photographs, tables, and charts enhance the reader’s interest, especially when one spots a familiar person or place. The sty...

Travel should be educational, fun, and safe if the appropriate care is rendered by counseling physicians and travelers take an active role in their health. In the second paper of the 2-part special articles, we provide a practical summary of up-to-date travel medicine about special situations for primary care physicians. We focus on in-flight emergencies, pregnancy, and specific precautions for...

A steadily increasing number of Western travellers are exposed to malaria. Also, numbers of migrants from malarious areas are increasing. Fast and effective treatment options are needed to ensure effective malaria treatment in these groups in the future. Artemisinin combinations are well tolerated and have shown high efficacy in malaria endemic areas. Since 2001, 42 malaria endemic countries, 2...