Good Health and Well-Being

Living Edition
| Editors: Walter Leal Filho, Tony Wall, Anabela Marisa Azul, Luciana Brandli, Pinar Gökcin Özuyar

Tourism and Health, Risks, and Challenges

  • Ann HindleyEmail author
  • Maeve Marmion
Living reference work entry



While the entry “tourism, health, and well-being” articulates the consensus that tourism experiences can have health benefits for individuals and societies, there are also health risks involved when it comes to international travel. Tourists and tourism organizations need to be aware of and to manage such risks in order to mitigate the potentially far-reaching health consequences. By its nature, tourism involves the movement of people from place to place and as such increases the unplanned exposure of tourism stakeholders to a variety of health-related risks. This entry takes a tourism, tourist, and community perspective rather than a health or medical practitioner stance, in order to highlight some of the risks and challenges that may emerge in the context of tourism and health.

An Introduction to the Health Risks of Tourism

Communicable diseases, behavioral changes, differences in hygiene and...

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  1. Bang B, Baker PL, Carpinteri A, Van Hasselt VB (2014) Sex tourism. In: Commercial sexual exploitation of children. Springer, Cham, pp 35–40CrossRefGoogle Scholar
  2. Berdychevsky L (2017) Sexual health education for young tourists. Tour Manag 62:189–195CrossRefGoogle Scholar
  3. Berdychevsky L, Gibson HJ (2015) Phenomenology of young women’s sexual risk-taking in tourism. Tour Manag 46:299–310CrossRefGoogle Scholar
  4. Berry A, Iriart X, Wilhelm N et al (2011) Imported Plasmodium knowlesi malaria in a French tourist returning from Thailand. Am J Trop Med Hyg 84:535–538CrossRefGoogle Scholar
  5. Briggs D, Ellis A (2017) The last night of freedom: consumerism, deviance and the ‘stag party’. Deviant Behav 38:756–767CrossRefGoogle Scholar
  6. Bronner U, Divis PC, Färnert A, Singh B (2009) Swedish traveller with Plasmodium knowlesi malaria after visiting Malaysian Borneo. Malar J 8:15CrossRefGoogle Scholar
  7. Carr N (2016) Sex in tourism: reflections and potential future research directions. Tour Recreat Res 41: 188–198Google Scholar
  8. Choi J, Lee A, Ok C (2013) The effects of consumers’ perceived risk and benefit on attitude and behavioral intention: a study of street food. J Travel Tour Mark 30:222–237CrossRefGoogle Scholar
  9. Dabrera G, Brandsema P, Lofdahl M et al (2017) Increase in Legionnaires’ disease cases associated with travel to Dubai among travellers from the United Kingdom, Sweden and the Netherlands, October 2016 to end August 2017. Eur Secur 22:38Google Scholar
  10. De Albuquerque K (1998) Sex, beach boys, and female tourists in the Caribbean. Sex Cult 2:87–112Google Scholar
  11. Erdogan H, Arslan H (2015) Colonization of Legionella species in Turkish baths in hotels in Alanya, Turkey. Environ Monit Assess 187:235CrossRefGoogle Scholar
  12. Euser SM, Diederen BM, Bakker M et al (2016) Legionnaires’ disease after a campervan holiday: a case report. J Travel Med 23:1. Scholar
  13. Gezinski LB, Karandikar S, Levitt A, Ghaffarian R (2016) ‘Total girlfriend experience’: examining marketplace mythologies on sex tourism websites. Cult Health Sex 18:785–798CrossRefGoogle Scholar
  14. Gill R (2017) Gastric illness claims soar 520% in one year. In: Travel Trade Gazette. Accessed 21 May 2018
  15. Hampton LM, Garrison L, Kattan J et al (2016) Legionnaires’ disease outbreak at a resort in Cozumel, Mexico. Open Forum Infect Dis 3:ofw170. Oxford University Press, OxfordCrossRefGoogle Scholar
  16. Hawke A, Raphael A (2016) Offenders on the move: global study on sexual exploitation of children in travel and tourism 2016. ECPAT International and Defence for Children – ECPAT, BangkokGoogle Scholar
  17. Health Protection Agency (2007) Outbreak of gastrointestinal illness in tourists visiting the Dominican Republic. In: The National Archives. Accessed 31 Mar 2018
  18. Health Protection Agency (2009) Gastroenteritis associated with travel to Turkey. In: The National Archives. Accessed 31 Mar 2018
  19. Henderson JC (2007) Tourism crises: causes, consequences and management. Routledge, OxfordCrossRefGoogle Scholar
  20. Jelinec T (2015) Malaria. In: Zuckerman JN, Brunette G, Leggat P (eds) Essential travel medicine, 1st edn. Wiley, Chichester, pp 83–94CrossRefGoogle Scholar
  21. Kantele A, Marti H, Felger I et al (2008) Monkey malaria in a European traveler returning from Malaysia. Emerg Infect Dis 14:1434CrossRefGoogle Scholar
  22. Kelly U, Shankaran S (2016) Foodborne infectious disease in the international traveller. In: Food microbiology: in human health and disease. CRC Press, Boca Raton, pp 39–54Google Scholar
  23. Kroidl I, Seilmaier M, Berens-Riha N et al (2015) Monkey malaria (Plasmodium knowlesi infection) after travelling to Thailand. Dtsch Med Wochenschr (1946) 140: 815–817CrossRefGoogle Scholar
  24. Laganà P, Gambuzza ME, Delia S (2017) Legionella risk assessment in cruise ships and ferries. Ann Agric Environ Med 24:276–282CrossRefGoogle Scholar
  25. LaRoque R, Ryan ET (2015) Respiratory disease. In: Zuckerman JN, Brunette G, Leggat P (eds) Essential travel medicine, 1st edn. Wiley, Chichester, pp 95–101CrossRefGoogle Scholar
  26. Launders NJ, Nichols GL, Cartwright R et al (2014) Self-reported stomach upset in travellers on cruise-based and land-based package holidays. PLoS One 9:e83425CrossRefGoogle Scholar
  27. Lun JH, Ressler K-A, Ferson MJ, White PA (2017) Norovirus and cruise ships. Microbiol Aust 38: 187–190Google Scholar
  28. Matteelli A, Carvalho A, Cristina C, Schlagenhaul P (2015) Sexually transmitted infections. In: Zuckerman JN, Brunette G, Leggat P (eds) Essential travel medicine, 1st edn. Wiley, Chichester, pp 65–73Google Scholar
  29. Müller M, Schlagenhauf P (2014) Plasmodium knowlesi in travellers, update 2014. Int J Infect Dis 22:55–64CrossRefGoogle Scholar
  30. Myers GN (2014) Tourism vector: mosquitos and travelers spread viral infection. In: Travel Weekly. Accessed 19 May 2018
  31. Public Health England (2017) Travel-associated cryptosporidium infection in England, Wales and Northern Ireland: 2014. Public Health England, LondonGoogle Scholar
  32. Said MA, Perl TM, Sears CL (2008) Gastrointestinal flu: norovirus in health care and long-term care facilities. Clin Infect Dis 47:1202–1208CrossRefGoogle Scholar
  33. Sheen AJ, Zahid MSB, Fagbemi A et al (2016) ‘Holiday sickness’ – reported exploratory outcome of over 500 United Kingdom holidaymakers with travellers’ diarrhoea. J Travel Med 24:1. Scholar
  34. Svensson P, Sundbeck M, Persson KI et al (2018) A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel. Travel Med Infect Dis (in press). Scholar
  35. Thombley ML, Stier DD (2010) Menu of suggested provisions for state tuberculosis prevention and control laws. US Department of Health and Human Services. Centers for Disease Control and Prevention, AtlantaGoogle Scholar
  36. Thornton J (2017) Drones and phones: how mobile tech is fighting global diseases. In: London School of Hygiene and Tropical Medicine. Accessed 19 May 2018
  37. Weinstein RA, Said MA, Perl TM, Sears CL (2008) Gastrointestinal flu: norovirus in health care and long-term care facilities. Clin Infect Dis 47(9):1202–1208CrossRefGoogle Scholar
  38. Wilder-Smith A (2015) Vector-borne diseases. In: Zuckerman JN, Brunette G, Leggat P (eds) Essential travel medicine, 1st edn. Wiley, Chichester, pp 65–73CrossRefGoogle Scholar
  39. World Health Organization (2012) International tourism and health 2012. World Health Organisation, GenevaGoogle Scholar
  40. World Health Organization (2018a) Communicable diseases. Accessed 19 May 2018
  41. World Health Organization (2018b) Dengue and severe dengue. In: World Health Organization. Accessed 19 May 2018
  42. World Tourism Organization (UNWTO) (2017) UNWTO tourism highlights: 2017 edition. World Tourism Organization (UNWTO), MadridGoogle Scholar
  43. World Tourism Organization (WTO) (1995) WTO statement on the prevention of organized sex tourism. 11th session, Res. A/RES/338 (XI) (Oct 17–22)Google Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Faculty of Business and ManagementUniversity of ChesterChesterUK

Section editors and affiliations

  • Tony Wall
    • 1
  1. 1.International Centre for Thriving at WorkUniversity of ChesterChesterUK