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Health Risks for Short-Term Travelers

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Travel Medicine

Summary

Epidemiologic data show that relatively minor ailments affect more than half of the travelers during a brief stay in the tropics. Diarrhea and upper respiratory tract infections are the most frequent problems. In contrast, infectious hepatitis affects only 1 in 500, typhoid fever 1 in 30000, cholera 1 in 500000 travelers to the tropics. The risk of malaria and of poliomyelitis is usually underestimated.

When tourists and foreign aid volunteers started to travel in greater number to developing countries, hardly any data were available about their health risks. Consequently, medical recommendations were vague and even more contradictory than nowadays. This prompted us among many others to conduct initially retrospective [1–4], later follow-up studies [5, 6]. Additionally, various case history studies were conducted, primarily to find the attack rates in illlnesses and accidents which rarely affect travelers.

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References

  1. Steffen R, Van der Linde F (1981) Intercontinental travel and its effect on pre-exist­ing illnesses. Aviat Space Environ Med 52(1):57–58

    PubMed  CAS  Google Scholar 

  2. Steffen R, Van der Linde F, Gyr K, Schar M (1983) Epidemiology of diarrhea in travelers. JAMA 249:1176–1180

    Article  PubMed  CAS  Google Scholar 

  3. Steffen R (1985) Epidemiology of health impairments during intercontinental travel. Travel Med Int 3:76–79

    Google Scholar 

  4. Kendrick MA (1972) Study of illness among Americans returning from interna­tional travel, Mi 11 – August 24, 1971 (preliminary data). J Infect Dis 126:684–685

    Article  PubMed  CAS  Google Scholar 

  5. Steffen R, Heusser R (1986) Zuverlassigkeit und Nebenwirkungen der Malariache–moprophylaxe. Schweiz Rundsch Med Prax 16:446–448

    Google Scholar 

  6. Steffen R, Rickenbach M, Wilhelm U, Helminger A, Schar M (1987) Health prob­lems after travel to developing countries. J Infect Dis 156:84–91

    Article  PubMed  CAS  Google Scholar 

  7. Reid D, Dewar RD, Fallon RJ, Cossar JH, Grist NR (1980) Infection and travel: the experience of package tourists and other travellers. J Infect Dis 2:365–370

    CAS  Google Scholar 

  8. Peltola H, Kyronseppa H, Holsa P (1983) Trips to the South – a health hazard. Scand J Infect Dis 15:375–381

    PubMed  CAS  Google Scholar 

  9. Steffen R, Boppart I (1987) Travellers’ diarrhoea. Bailliere’s Clin Gastroenterol 2:361–376

    Article  Google Scholar 

  10. DuPont HL, Haynes GA, Pickering LK, Tjoa W, Sullivan P, Olarte J (1977) Diar­rhea of travelers to Mexico: relative susceptibility of United States’and Latin American students attending a Mexican university. Am J Epidemiol 105:37–41

    PubMed  CAS  Google Scholar 

  11. Kozicki M, Steffen R, Schar M (1985) “Boil it, cook it, peel it, or forget it”: does this rule prevent travelers’ diarrhoea? Int J Epidemiol 14:169–172

    Article  PubMed  CAS  Google Scholar 

  12. Black RE (1986) Pathogens that cause travelers’ diarrhea in Latin America and Africa. Rev Infect Dis 8:S131–S135

    Article  PubMed  Google Scholar 

  13. Taylor DN, Echeverria P (1986) Etiology and epidemiology of travelers’ diarrhea in Asia. Rev Infect Dis 8:S136–S141

    Article  PubMed  Google Scholar 

  14. Steffen R, Mathewson JJ, Ericsson CD, DuPont HL, Helminger A, Balm TK, Wolff K, Witassek F (1988) Travelers’ diarrhea in West Africa and in Mexico: fecal transport systems and liquid bismuth subsalicylate for self–therapy. J Infect Dis 157:1008–1013

    Article  PubMed  CAS  Google Scholar 

  15. Steffen R (1982) Typhoid vaccine, for whom? Lancet 11:615–616

    Article  Google Scholar 

  16. Taylor DN, Pollard RA, Blake PA (1983) Typhoid in the United States and the risk to international traveler. J Infect Dis 148:599–602

    Google Scholar 

  17. Anonymous (1984) Communicable disease report. Community Med 6:72–75

    Google Scholar 

  18. Wuthrich RP, Somaini B, Steffen R, Hirschel B (1985) Typhusepidemiologie in der Schweiz 1980–1983. Schweiz Med Wochenschr 115:1714–1720

    PubMed  CAS  Google Scholar 

  19. Morger H, Steffen R, Schar M (1983) Epidemiology of cholera in travellers, and conclusions for vaccination recommendations. Br Med J 286:184–186

    Article  CAS  Google Scholar 

  20. Snyder JD, Blake PA (1982) Is cholera a problem for US travelers? JAMA:2268–2269

    Google Scholar 

  21. Steffen R, Regli P, Grob PJ (1977) Wie groß ist das Risiko einer Reisehepatitis? Schweiz Med Wochenschr 107:1300–1307

    PubMed  CAS  Google Scholar 

  22. Skinhoj P, Gluud C, Ramsoe K (1981) Traveller’s hepatitis. Origin and characteri­stics of cases in Copenhagen 1976–1978. Scand J Infect Dis 13:1–4

    PubMed  CAS  Google Scholar 

  23. Apotheloz M, Grob PJ, Steffen R, Schar M (1982) Welchen Auslandsreisenden ist ein Impfschutz gegen Heptatitis zu empfehlen? Soz Praventivmed 27:264–265

    Article  PubMed  CAS  Google Scholar 

  24. Iwarson S, Wahl M (1983) Hepatitis A in Swedish foreign travellers. Dev Biol Stand 54:419–422

    PubMed  CAS  Google Scholar 

  25. Holdener F, Grob PJ, Joller-Jemelka HI (1982) Hepatitis virus infection in flying airline personnel. Aviat Space Environ Med 53(6):587–590

    PubMed  CAS  Google Scholar 

  26. Kubli D, Steffen R, Schar M (1987) Importation of poliomyelitis to industrialised nations between 1975 and 1984: evaluation and conclusions for vaccination recom­mendations. Br Med J 295:169–171

    Article  CAS  Google Scholar 

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© 1989 Springer-Verlag Berlin Heidelberg

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Steffen, R. (1989). Health Risks for Short-Term Travelers. In: Steffen, R., Lobel, H., Haworth, J., Bradley, D.J. (eds) Travel Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73772-5_5

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  • DOI: https://doi.org/10.1007/978-3-642-73772-5_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-73774-9

  • Online ISBN: 978-3-642-73772-5

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