Travel Medicine and Infectious Disease via MedWorm.com MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Travel Medicine and Infectious Disease' source. Thu, 26 Jan 2012 18:33:11 +0100 Salmonella infections: An update on epidemiology, management, and prevention http://www.medworm.com/index.php?rid=5477508&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911001207%2Fabstract%3Frss%3Dyes We describe the epidemiology of this pathogen with emphasis on the most recent non-typhoidal Salmonella outbreaks in industrialized countries and continued outbreaks of typhoid Salmonella in underserved countries. An overview of clinical aspects of typhoid and non-typhoid infections in developing and industrialized countries, respectively, is provided, followed by a description on current treatment concepts and challenges treating multidrug-resistant Salmonella infections. We conclude with prevention recommendations, and recent research studies on vaccine prevention. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5477508 Mon, 28 Nov 2011 05:00:00 +0100 5477508 Imported malaria in Scotland – An overview of surveillance, reporting and trends http://www.medworm.com/index.php?rid=5477511&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911001074%2Fabstract%3Frss%3Dyes Conclusions: Reporting of malaria in Scotland can be improved. There is a continued need to optimise preventive measures and adherence to chemoprophylaxis amongst business travellers, those visiting friends and relatives, and holiday makers in endemic countries in order to reduce imported malaria cases. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5477511 Mon, 07 Nov 2011 05:00:00 +0100 5477511 Plasmodium species co-infection as a cause of treatment failure http://www.medworm.com/index.php?rid=5477514&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000937%2Fabstract%3Frss%3Dyes We report a case of Plasmodium falciparum and Plasmodium malariae coinfection with associated failure of clinical response to artemether + lumefantrine therapy. This case highlights the need to consider co-infection in the setting of apparent treatment failure and the impact of mixed species infection upon host dynamics and clinical presentation. Recognition of malarial co-infection is clinically important for determining appropriate therapy and preventing disease sequelae. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5477514 Tue, 01 Nov 2011 04:00:00 +0100 5477514 Descriptive analysis of malaria prophylaxis for travellers from Greece visiting malaria-endemic countries http://www.medworm.com/index.php?rid=5477510&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000925%2Fabstract%3Frss%3Dyes Summary: International travel is changing the epidemiology of imported malaria. Our aim was to study malaria prophylaxis administered to travellers from Greece. The study was conducted during 2008–2009. Data were collected using a standardized form. A total of 2337 travellers were studied; prophylaxis was recommended to 60.2% of them. Of the 2337 travellers, 32.6% travelled to sub-Saharan Africa, 25.5% to South America, 11.8% to Indian subcontinent, 11.7% to Middle East, and 4.4% to Southeast Asia; prophylaxis was recommended to 77.4%, 64%, 80.6%, 4.8% and 73.5% of them, respectively. According to the purpose of travel, prophylaxis was recommended to 85.4% of those travelling for work, 75.2% of those visiting friends and relatives, and 62% of those travelling for recreation. Prophylaxis ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5477510 Tue, 01 Nov 2011 04:00:00 +0100 5477510 Editorial board http://www.medworm.com/index.php?rid=5477507&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911001116%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5477507 Tue, 01 Nov 2011 04:00:00 +0100 5477507 Eritrean and Sudanese migrants presenting with malaria in Israel http://www.medworm.com/index.php?rid=5477513&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000901%2Fabstract%3Frss%3Dyes Summary: In Israel, a malaria-free country, we have noticed lately an increase of hospital admissions with malaria, parallel to the rise in the number of Eritrean and Sudanese migrants. Eritrea and Sudan are malaria-endemic countries; Plasmodium falciparum accounts for 85–90% and Plasmodium vivax accounts for 10–15% of malaria species in these areas. We aimed to describe the features of malaria in this migrant population by conducting a retrospective descriptive study of Eritrean and Sudanese migrants admitted with malaria during 1/2009–4/2010. Patient files were reviewed for demographics, clinical data, laboratory tests, treatment and outcome. 101 patients (mean age 24.9 (SD 5.6) years; 86.1% males) with malaria were identified. 87.1% were infected with P. vivax, 6% with P. falcipar... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5477513 Mon, 31 Oct 2011 04:00:00 +0100 5477513 Travel clinic communication and non-adherence to malaria chemoprophylaxis http://www.medworm.com/index.php?rid=5477509&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000913%2Fabstract%3Frss%3Dyes This study examined whether non-adherence could be predicted from verbal communication in the pre-travel consultation, and whether non-adherence was related to the quality of clinician–traveller communication.The consultations of one hundred and thirty consecutive travellers at a UK travel clinic were audiotaped and a follow-up telephone interview was used to assess adherence to malaria chemoprophylaxis. Experienced travel clinic staff were asked to predict adherence and rate the quality of communication from eighteen transcripts of consultations (nine good and nine poor adherence).Clinic staff predicted adherence to malaria chemoprophylaxis significantly better than chance. Poor adherence was related to poor quality communication. Clinic staff provided criteria for good quality clinicia... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5477509 Mon, 31 Oct 2011 04:00:00 +0100 5477509 Vaccination in patients on anticoagulants http://www.medworm.com/index.php?rid=5477515&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000883%2Fabstract%3Frss%3Dyes Preparing patients on oral anticoagulants for travel is a challenge for physicians. For example, they are at risk of spontaneous bleeding and control of coagulation time during their trip can be compromised by concurrent illnesses, dietary changes and tropical temperatures. Furthermore, when immunizing patients on anticoagulant therapy against travel-related infections, there is the potential risk of bleedings related to intramuscular injection. According to our Dutch guidelines for travel health advice, the subcutaneous route for administering vaccines is preferred under these circumstances. However, the subcutaneous route of vaccination may be associated with more local reactogenity to the vaccine and a diminished immune response. As a consequence, post-vaccination antibody titre should ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5477515 Mon, 24 Oct 2011 04:00:00 +0100 5477515 A decade of vaccinating allergic travellers: A clinical audit http://www.medworm.com/index.php?rid=5337416&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000871%2Fabstract%3Frss%3Dyes Summary: Adverse reactions following vaccination are rare but may include potentially fatal anaphylaxis. This audit is a retrospective review of 38 patients with a history, or potential risk, of ‘vaccine allergy’ referred to an Infectious Diseases Unit for vaccination over a 10 year period. A total of 59 patient encounters were recorded, of which 89.8% were uneventful. Of the 6 adverse events, 3 patients had a local reaction, 1 patient developed urticaria and 1 patient had a vasovagal episode. Only 1 patient developed anaphylaxis secondary to vaccination, and she had no prior history of vaccine allergy. Of these patients 17 had a history suggesting the need for immunological investigation but only 7 had laboratory evidence of allergy.The differential diagnosis of anaphylaxis includes v... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337416 Fri, 14 Oct 2011 04:00:00 +0100 5337416 Innovative community-based initiatives to engage VFR travelers http://www.medworm.com/index.php?rid=5337423&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000895%2Fabstract%3Frss%3Dyes This report describes novel initiatives to inform ethnic groups contributing high numbers of VFRs about potential travel risks. Multilingual and culturally appropriate information was distributed to the media (newspaper, radio, web-based, and television), via printed materials (posters, tear sheets and z-cards) and at community festivals to convey simple travel health messages. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337423 Tue, 04 Oct 2011 04:00:00 +0100 5337423 Fever and rash in an adult traveler: The many masquerades of measles http://www.medworm.com/index.php?rid=5337422&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391100086X%2Fabstract%3Frss%3Dyes Adult measles has the same clinical manifestations as in children and may present diagnostic difficulties in non-endemic areas, particularly when occurring in adults with no/inadequate immunizations. The differential diagnosis of measles may be particularly problematic in overseas adult travelers especially when presenting with atypical findings. Other infectious diseases from measles endemic areas may mimic measles, e.g., Mediterranean spotted fever, scarlet fever, Coxsackie, or adenovirus infection. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337422 Mon, 19 Sep 2011 04:00:00 +0100 5337422 Self-reported incidence of skin and soft tissue infections among deployed US military http://www.medworm.com/index.php?rid=5316493&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000640%2Fabstract%3Frss%3Dyes Summary: The incidence of skin and soft tissue infections has steadily increased over the past decade, and military populations, particularly recruits, have been affected. However, the epidemiology of skin and soft tissue infections in deployed personnel has not previously been described.We conducted a cross-sectional study of United States military personnel in mid-deployment using self-reported questionnaire data containing 11 demographic questions and 20 questions related to skin and soft tissue infections. The primary outcome was self-reported incident SSTI. Descriptive analyses were conducted and incidence estimates calculated. Multivariable regression models were developed to evaluate the association between SSTI and important covariates. Self-reported treatment modalities and effect... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5316493 Thu, 15 Sep 2011 04:00:00 +0100 5316493 Toxicology Handbook http://www.medworm.com/index.php?rid=5337414&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000858%2Fabstract%3Frss%3Dyes The Hazardous Substance Data Bank of the National Library of Medicine in the United States contains information on more than 5000 hazardous chemicals. In Australia alone, there were over 799 deaths due to accidental poisoning in 2009. Clinicians are confronted with a formidable task in evaluating and resuscitating poisoned patients daily, sometimes under life-threatening circumstances. The availability today of a number of toxicology reference publications has assisted greatly; including a book published by Australian physicians. The Toxicology Handbook, now in its 2nd edition, is establishing itself as one of the leading reference manuals in the field of toxicology. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337414 Fri, 02 Sep 2011 04:00:00 +0100 5337414 Editorial board http://www.medworm.com/index.php?rid=5337413&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000962%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337413 Thu, 01 Sep 2011 04:00:00 +0100 5337413 Babesiosis: An emerging infectious disease that can affect those who travel to the northeastern United States http://www.medworm.com/index.php?rid=5337417&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000676%2Fabstract%3Frss%3Dyes In conclusion, obtaining a domestic, as well as international, travel history is important for identifying diseases, such as babesiosis, endemic to other areas. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337417 Mon, 22 Aug 2011 04:00:00 +0100 5337417 Cutaneous leishmaniasis in British troops following jungle training in Belize http://www.medworm.com/index.php?rid=5337421&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000718%2Fabstract%3Frss%3Dyes Summary: British military personnel account for 45% of cutaneous leishmaniasis (CL) cases seen in the UK and 103 cases from Belize were seen in 1998–2009. Systemic treatment of CL from Belize should not be considered essential in immunocompetent patients because mucosal leishmaniasis very rarely occurs. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337421 Fri, 19 Aug 2011 04:00:00 +0100 5337421 Neurocysticercosis in Qatari patients: Case reports http://www.medworm.com/index.php?rid=5477512&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391100072X%2Fabstract%3Frss%3Dyes We describe one prospective case report of a Qatari male who presented with seizures and was found to have neurocysticercosis, and three retrospective cases of this infection among Qatari Muslims, who were admitted to a tertiary care hospital over the past 10 years. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5477512 Thu, 04 Aug 2011 04:00:00 +0100 5477512 Oxygen therapy for cerebral malaria http://www.medworm.com/index.php?rid=5337415&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000731%2Fabstract%3Frss%3Dyes This article examines the current understanding of CM, and the possible benefits provided by HBO therapy. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337415 Tue, 02 Aug 2011 04:00:00 +0100 5337415 Disaster response from Australia: What is the role of Forward Teams? http://www.medworm.com/index.php?rid=5337420&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000688%2Fabstract%3Frss%3Dyes Summary: (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337420 Wed, 27 Jul 2011 04:00:00 +0100 5337420 The seroprevalence and seroincidence of dengue virus infection in western Kenya http://www.medworm.com/index.php?rid=5337419&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391100069X%2Fabstract%3Frss%3Dyes This study describes the seroincidence and seroprevalence of dengue infection in western Kenya. Banked sera obtained from 354 healthy, afebrile children ages 12–47 months from Kisumu District, Kenya, were analyzed for antibodies to dengue virus using an IgG indirect ELISA. We found a seroprevalence of 1.1% (4 of 354 samples) and incidence of 8.5 seroconversions per 1000 persons per year in this study population. This appears to be similar to that previously reported in coastal regions of the country outside of known epidemic periods. Since there has never been a reported dengue epidemic in western Kenya, continued investigation and evaluation in a patient population presenting with fever is necessary to further confirm this finding. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337419 Thu, 21 Jul 2011 04:00:00 +0100 5337419 Clostridium difficile infection after malaria chemoprophylaxis with doxycycline: Is there an association? http://www.medworm.com/index.php?rid=5337418&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000706%2Fabstract%3Frss%3Dyes We describe a case of diarrhea and a positive stool assay for C. difficile in a returning traveler, and review available literature. The commonly held concept of an association between doxycycline chemoprophylaxis and CDAD is not supported by available data. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5337418 Mon, 18 Jul 2011 04:00:00 +0100 5337418 Editorial board http://www.medworm.com/index.php?rid=5316486&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000767%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5316486 Fri, 01 Jul 2011 04:00:00 +0100 5316486 Travel medicine http://www.medworm.com/index.php?rid=5316491&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000664%2Fabstract%3Frss%3Dyes The continuing importance of travel medicine in general practice has been recognised by The Royal Australian College of General Practitioners (RACGP) with the periodic dedication of one unit of its long-running Check Independent Learning Program (formerly Check Program of Self-Assessment) to the subject of travel medicine. The Check Independent Learning Program for General Practitioners (GPs) is a continuing medical education (CME) aid using evolving clinical cases. The last unit dedicated to travel medicine was in 2004 and has been reviewed elsewhere. The 2011 Travel Medicine Check Unit covers eight topical cases, which will be of interest to general practitioners and travel health advisers. The 2011 Travel Medicine Check Unit has a table of contents, a “from the editor” written by th... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5316491 Wed, 29 Jun 2011 04:00:00 +0100 5316491 Epidemiology, antibiotic resistance trends and the cost of enteric fever in East London, 2005–2010 http://www.medworm.com/index.php?rid=5316492&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000391%2Fabstract%3Frss%3Dyes Conclusions: There is a significant direct cost of treating enteric fever cases on the NHS. Cost reduction measures are confined due to the lack of effective oral antibiotics following the emergence of high level resistance to ciprofloxacin and azithromycin. Outpatient parenteral antibiotic therapy service and improved preventative public health measures aimed at VFR travellers in particular may be helpful in reducing costs. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5316492 Thu, 02 Jun 2011 04:00:00 +0100 5316492 The travel and tropical medicine manual http://www.medworm.com/index.php?rid=4939002&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000561%2Fabstract%3Frss%3Dyes Travel medicine is a discipline that is constantly evolving, as the patterns of disease and injury change; however the synergy between travel and tropical medicine has existed throughout the age of travel and throughout the development of the discipline. The Fourth Edition of The Travel and Tropical Medicine Manual satisfies the need for a ready reference source of information on major travel-related and tropical disease and injury issues. It has a table of Contents, a Preface, a list of Contributors, seven main Sections, 45 chapters, an Appendix, and a comprehensive Index. There are also numerous Tables, a few Figures and a small number of colour photographs. The textbook is presented as a compact 11.5 × 19.5 × 3.0 cm paperback reference book, which would easily fit into the coat p... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4939002 Thu, 26 May 2011 23:00:00 +0100 4939002 Heart rate variability during two sequential mountaineering expeditions http://www.medworm.com/index.php?rid=4939007&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000573%2Fabstract%3Frss%3Dyes This study was undertaken to assess the duration of altitude acclimatization retention in individuals after initial exposure to a maximum altitude of 5360 m during a mountaineering expedition.Spectral heart rate variability analysis accompanied by an assessment of acute mountain sickness using the Lake Louise Scoring System was performed during two sequential mountaineering expeditions to altitudes of 5360 m and 5642 m, with a period of 30 days between each expedition.Subjects displayed varying degrees of alterations in heart rate variability during the initial expedition, which indicated differing degrees of dysadaptation and stress development. Their Lake Louise Scores accounted for the presence of acute mountain sickness throughout the trip. During the subsequent expedition, the subj... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4939007 Tue, 24 May 2011 23:00:00 +0100 4939007 Travelling to Greece for the summer 2011 Special Olympics http://www.medworm.com/index.php?rid=4939001&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000445%2Fabstract%3Frss%3Dyes Summary: The Special Olympics is a non-profit organization that was officially founded in 1968. Nowadays, the Special Olympics have evolved to a Global Movement that offers the opportunity to more than 3 million athletes with mental or physical disabilities from 185 countries to participate. The Special Olympics will take place in Greece from June 25 until July 4, 2011, where 7500 athletes from 185 countries will participate in 22 Olympic-type games. Mass gatherings such as Olympic Games represent a significant challenge for public health. This paper focuses on relevant health and safety issues for all travellers travelling to Greece for the summer 2011 Special Olympic Games. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4939001 Sun, 15 May 2011 23:00:00 +0100 4939001 Pacemaker failure caused by traveller’s diarrhoea http://www.medworm.com/index.php?rid=4939004&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000421%2Fabstract%3Frss%3Dyes Summary: A female patient with a VVI pacemaker suffered from traveller’s diarrhoea which she treated with tea and water. After the onset of arrhythmia a pacemaker failure and a sodium concentration of 117mmol/l was found. After substitution of sodium chloride, there was a remission of symptoms, the pacemaker ECG was normal. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4939004 Sun, 01 May 2011 23:00:00 +0100 4939004 Infections exotic and ectopic, and everyday practice http://www.medworm.com/index.php?rid=4938995&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000457%2Fabstract%3Frss%3Dyes This special edition of Travel Medicine and Infectious Disease takes a look at ‘exotic’ infections from a travel medicine perspective, from the development of vaccines against one of the world’s most feared viruses, to a very moving personal account of just what it feels like to be a patient struck down with a ‘new’ viral disease. These infections are considered ‘exotic’ when seen outside their home ranges, usually generating excitement when diagnosed in a developed country with temperate climate i.e. when they become ‘ectopic’, defined as “occurring in an abnormal position or place; displaced”. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4938995 Sat, 30 Apr 2011 23:00:00 +0100 4938995 Editorial board http://www.medworm.com/index.php?rid=4938994&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000482%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4938994 Sat, 30 Apr 2011 23:00:00 +0100 4938994 Four imported cases of tungiasis in Mallorca http://www.medworm.com/index.php?rid=4939006&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000433%2Fabstract%3Frss%3Dyes We report the first four cases identified of imported tungiasis in Mallorca. All four patients visited beaches in Brazil and presented the classical black lesions after their return. Two of the patients were diagnosed at primary care level and all were treated by dermatologists with surgical techniques. Dermoscopy was used for the initial approach to the injuries.Tungiasis can be suspected easily by examining carefully the black lesions and asking about previous travel. It can be treated readily by minor surgical techniques. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4939006 Thu, 28 Apr 2011 23:00:00 +0100 4939006 Plasmodium knowlesi in a traveller returning to New Zealand http://www.medworm.com/index.php?rid=4939003&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391100038X%2Fabstract%3Frss%3Dyes Summary: The recent discovery that Plasmodium knowlesi causes malaria in human populations, established it as the fifth species of plasmodium that may do so. A case of P. knowlesi malaria is described in a helicopter pilot from New Zealand, who became ill after returning from recurring visits to Malaysian Borneo in June 2010. His P. knowlesi infection was not detected using microscopic examination and a rapid diagnostic test for malaria, but was confirmed by both PCR (polymerase chain reaction) and sequence analysis showing homology with the ribosomal RNA gene for P. knowlesi. He responded rapidly to treatment with artemether & lumefantrine combination. The evolution of a rapid diagnostic kit to diagnose P. knowlesi is needed, for early identification and appropriate anti-malarial therapy... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4939003 Sun, 10 Apr 2011 23:00:00 +0100 4939003 Cutaneous leishmaniasis in three Dutch military cohorts following jungle training in Belize http://www.medworm.com/index.php?rid=4939005&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000275%2Fabstract%3Frss%3Dyes Summary: Skin lesions occur frequently in travelers to tropical countries. Military personnel acquire skin lesions regularly during jungle training as did Dutch troops who trained in the jungle of Belize in 1998, 2004 and 2009, in an area endemic for cutaneous leishmaniasis.Demographic and clinical data were collected retrospectively. Diagnostic investigations for cutaneous leishmaniasis included Giemsa stain, culture, PCR and NASBA and histopathology of biopsies. Treatment of leishmaniasis was with sodium stibogluconate, given intravenously or intralesionally, the latter with cryotherapy.In 1998 and 2004 cutaneous leishmaniasis due to Leishmania braziliensis and Leishmania mexicana infection was diagnosed in 25 persons out of 99 (attack rate 25.2%) and 14 persons out of 80 (attack rate 17... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4939005 Wed, 30 Mar 2011 23:00:00 +0100 4939005 A novel pneumococcus with a new association http://www.medworm.com/index.php?rid=4749403&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000251%2Fabstract%3Frss%3Dyes Summary: A case of severe invasive pneumococcal disease in a 68 year old female is described. She presented following a holiday in Turkey with an uncommon but well documented complication of Streptococcus pneumoniae bacteraemia; Austrian’s triad of meningitis, pneumonia and endocarditis. She then progressed to develop an atypical variant of Guillain Barre syndrome, never previously documented in association with pneumococcal disease. The pneumococcus was identified as serotype 6A and genetic typing by multi-locus sequence typing showed it to be a unique genetic profile (ST4533). We hypothesise that ST4533 may have resulted from genetic re-assortment from streptococci which had colonised the patient in the United Kingdom and bacteria encountered in Turkey. The ability to associate uncommo... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749403 Mon, 21 Mar 2011 00:00:00 +0100 4749403 Excessive alcohol consumption increases risk taking behaviour in travellers to Cusco, Peru http://www.medworm.com/index.php?rid=4749400&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000226%2Fabstract%3Frss%3Dyes Summary: The risks associated with alcohol intoxication are rarely discussed during pre-travel counselling. However, alcohol immoderation abroad may increase the exposure to health risks. Few studies have addressed alcohol consumption and risk taking behaviour in travellers to South America.From October to December of 2004, travellers leaving the city of Cusco in Peru were asked to fill out anonymous questionnaires regarding demographics, self-reported alcohol consumption, illness and risk behaviour for sexually-transmitted infection (STI) and travellers diarrhoea.Most travellers (87.2%) consumed alcohol and 20.4% reported inebriation in Cusco. Those admitting inebriation were more likely to be male, single, (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749400 Mon, 21 Mar 2011 00:00:00 +0100 4749400 An observational study on the current distribution of visceral leishmaniasis in different geographical zones of Iran and implication to health policy http://www.medworm.com/index.php?rid=4749399&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000238%2Fabstract%3Frss%3Dyes This study aimed to determine current distribution of visceral leishmaniasis in four distinct geographical zones of Iran.A cross-sectional study was conducted using direct agglutination test (DAT) on 9396 and 2559 serum samples collected from humans and domestic dogs, respectively during the period of 2007 through 2009.Altogether, 403 (4.3%) out of 9396 human serum samples collected from 4 distinct geographical locations showed anti-Leishmania antibodies with titers ≥1:3200. Physical examinations performed on 142 sero-positive cases with anti-Leishmania antibodies at titers of 1: 3200 to 1:102400 among whom fever (94.4%), paleness (67.6%) and hepato-splenomegaly (42.2%) were the predominant clinical signs and symptoms.The highest sero-prevalence rate (1.55%) was found in children ≤5 ye... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749399 Fri, 18 Mar 2011 00:00:00 +0100 4749399 Working overseas, weakness, anaemia, and nematodes http://www.medworm.com/index.php?rid=4749405&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000263%2Fabstract%3Frss%3Dyes We report the case of a 51-year-old female who went overseas for six-months to teach English and upon her return to Australia developed severe anaemia and weakness. She was admitted to hospital, and had subsequent blood transfusions and a colonscopy which revealed nematodes. She was treated and made a full recovery. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749405 Mon, 14 Mar 2011 00:00:00 +0100 4749405 Hepatic and pulmonary cystic echinococcosis in a patient from the Central African Republic http://www.medworm.com/index.php?rid=4749404&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391100024X%2Fabstract%3Frss%3Dyes Summary: Apical lung opacity was diagnosed in an asymptomatic 30 year-old woman native of Central African Republic by routine chest X-ray. CT scan demonstrated an excavated pulmonary mass and revealed a simple hepatic cyst. Tuberculosis was suspected but mycobacterial cultures remained negative. Three months later, ultrasonography showed septations within the hepatic lesion suggestive of cystic echinococcosis. The detection of seric anti-Echinococcus antibodies was positive. Hepatic and pulmonary cysts were removed surgically and association with three-month course of albendazole resulted in a favorable outcome. Cystic echinococcosis is exceptional in Central Africa and to our knowledge never reported from the Central African Republic. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749404 Mon, 14 Mar 2011 00:00:00 +0100 4749404 Exotic imported travel-related infections in Japan http://www.medworm.com/index.php?rid=4938997&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000214%2Fabstract%3Frss%3Dyes Summary: Human social and economic activities as well as changes in the global environment are responsible for outbreaks of emerging and re-emerging infectious diseases. We have encountered 5 cases of asymptomatic schistosomiasis in Japanese travelers who were exposed to cercariae-contaminated freshwater in east Africa. Because all 5 travelers showed normal results upon their return medical examination, Schistosoma, which is not indigenous to Japan, was unfortunately not suspected as the causative agent of this chronic and silent infection. In addition, in 2008, we experienced 2 Japanese cases in an exotic and local pandemic of human trichinellosis which was associated with eating raw soft-shelled turtles in Taiwan. The cause of this emerging pandemic can be attributed to the traditional c... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4938997 Fri, 11 Mar 2011 00:00:00 +0100 4938997 Editorial board http://www.medworm.com/index.php?rid=4749396&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000305%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749396 Tue, 01 Mar 2011 00:00:00 +0100 4749396 Travel and disease vector ticks http://www.medworm.com/index.php?rid=4749397&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000184%2Fabstract%3Frss%3Dyes Summary: There are approximately twenty species of hard (ixodid) ticks worldwide that frequently affect human populations, many of which are associated with serious, sometimes fatal disease(s). When a tick travel souvenir is presented in the clinic, the risk must be immediately assessed by identifying the tick in question, ascertaining its disease vector status and determining if there has been the opportunity for the transfer of potential pathogens. This short review on identification of disease vector ticks and aspects of blood feeding and disease transmission includes the results of an examination of 59 specimens removed from UK domestic travellers and international travellers between 2002 and 2010. Sixteen tick species belonging to six genera were recorded and almost all showed evidenc... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749397 Thu, 24 Feb 2011 00:00:00 +0100 4749397 Consensus building and recommendations based on the available epidemiology of meningococcal disease in Gulf Cooperation Council States http://www.medworm.com/index.php?rid=4749398&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000202%2Fabstract%3Frss%3Dyes We report findings from a meeting of the GCC States Meningitis Study Group, which comprised experts from the Kingdom of Saudi Arabia, the Kingdom of Bahrain, Kuwait, Qatar, the Sultanate of Oman, and the United Arab Emirates. These experts provided an update on epidemiology and current vaccination practices in the GCC States, and discussed new approaches to more effective disease prevention. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749398 Wed, 23 Feb 2011 00:00:00 +0100 4749398 Letter to the editor of travel medicine and infectious disease http://www.medworm.com/index.php?rid=4749402&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000196%2Fabstract%3Frss%3Dyes We note the paper by Petri and colleagues describing the epidemiology of tick-borne encephalitis (TBE), vaccination policies and the two TBE vaccines licensed in Europe FSME-IMMUN (Baxter) and Encepur (Novartis). In general, this review contains substantive information on most topics discussed, however unfortunately some inaccurate information about FSME-IMMUN is provided to the reader. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749402 Mon, 21 Feb 2011 00:00:00 +0100 4749402 Cured of fear of flying http://www.medworm.com/index.php?rid=4749401&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000172%2Fabstract%3Frss%3Dyes Abstract: A woman is described who developed fear of flying because she took mefloquine as malaria prophylaxis prior to the flight. Mefloquine, because of its potential neurotoxicity, should not be used for persons with fear of flying. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4749401 Thu, 10 Feb 2011 00:00:00 +0100 4749401 International travel with acquisition of multi-drug resistant Gram negative bacteria containing the New Delhi metallo-beta-lactamase gene, blaNDM-1 http://www.medworm.com/index.php?rid=4596688&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001985%2Fabstract%3Frss%3Dyes Elective surgical procedures and emergency therapeutic interventions among travelers to the Indian subcontinent could pose the danger of infection with metallo-beta-lactamase carrying Enterobacteriaceae harboring the so-called New Delhi metallo-beta-lactamase (NDM-1) gene. In recent times, travel to countries in the Indian subcontinent has become popular for elective surgical procedures like organ transplants, cosmetic and cataract surgery and other procedures, because of much lower costs as compared to the United States and European countries. In addition, overseas travelers whose number is growing might have to seek medical aid for care in an emergency requiring hospital admission. It is possible that in some medical centers the standard of hygiene and infection control may not be follow... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4596688 Thu, 27 Jan 2011 00:00:00 +0100 4596688 Destination Space: how space tourism is making science fiction a reality http://www.medworm.com/index.php?rid=4596684&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001973%2Fabstract%3Frss%3Dyes The arrival of commercial space travel and space tourism presents some unique challenges for travel medicine. While Accredited Space Agents are signing up travelers for the ultimate adventure on a Virgin Galactic Space ship for a mere USD 200,000, this has not been the first foray into space tourism. Destination Space: How Space Tourism is making Science Fiction a Reality provides a unique insight into space tourism and how advances in technology will ensure that expeditions into space become a genuine option for travelers. Destination Space contains an About the Author, a table of Contents, a Foreword by Sir Richard Branson, a Prologue, 22 Chapters, an Acknowledgments section, a Bibliography, and a comprehensive Index. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4596684 Mon, 10 Jan 2011 00:00:00 +0100 4596684 Schistosomiasis in travellers and migrants http://www.medworm.com/index.php?rid=4596682&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001894%2Fabstract%3Frss%3Dyes Summary: Schistosomiasis is a tropical parasitic disease caused by blood-dwelling fluke worms of the genus Schistosoma whose infective stages, the cercariae, are amplified through mollusks acting as intermediate hosts. People are infected when exposed to fresh water containing cercariae that penetrate the skin. There are however considerable differences in intensity of infection and morbidity, depending on the pattern of exposure and the infective species. In travellers, schistosomiasis differs substantially from infection in endemic populations in many aspects: geography, morbidity, treatment and prevention. In migrants, schistosomiasis manifests itself in a way more akin to what is seen in endemic populations. In this paper we will review the specific issues associated with schistosomias... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4596682 Mon, 10 Jan 2011 00:00:00 +0100 4596682 Manifestations of paediatric Leishmania infantum infections in Malta http://www.medworm.com/index.php?rid=4596687&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001961%2Fabstract%3Frss%3Dyes We describe systematically the manifestations, diagnosis and management of leishmaniasis in children (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4596687 Thu, 06 Jan 2011 00:00:00 +0100 4596687 Knowledge and practices about rabies among travel medicine consultants in Greece http://www.medworm.com/index.php?rid=4596686&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391000195X%2Fabstract%3Frss%3Dyes Summary: The number of travellers returning with animal bites from rabies enzootic areas has increased in Greece. The aim of this study was to assess the knowledge of travel-associated risk and preventive measures for rabies.A questionnaire was sent to Travel Medicine consultants in all prefectures. Of 100 Travel Medicine consultants, advice about rabies was given to long-term travellers, business travellers, travellers to rural areas, and travellers engaged in animal activities in rabies enzootic countries by 44%, 22%, 58%, and 75% of them respectively. Avoidance of animals, post-exposure medical assistance, return back to their country, and special caution about children was recommended by 89%, 95%, 8%, and 65% of them, respectively. Rabies pre-exposure vaccination was recommended for tr... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4596686 Mon, 03 Jan 2011 00:00:00 +0100 4596686 Editorial board http://www.medworm.com/index.php?rid=4596680&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893911000044%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4596680 Sat, 01 Jan 2011 00:00:00 +0100 4596680 TB transmission on public transportation: A review of published studies and recommendations for contact tracing http://www.medworm.com/index.php?rid=4596685&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001882%2Fabstract%3Frss%3Dyes Conclusions: These reports support the need to be alert to the possibility of tuberculosis transmission on buses or trains. However, they do not offer the quantitative estimate of risk needed for defining policy regarding contact tracing for persons exposed on buses or trains. Decisions to carry out contact investigations should take into account the proximity to the index case, duration of exposure, and other risk factors that may affect the infectiousness of the case or the susceptibility of the contact. Additional reports taking these factors into consideration would help clarify the risk of tuberculosis transmission on public transport. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4596685 Mon, 20 Dec 2010 00:00:00 +0100 4596685 Travel medicine guide http://www.medworm.com/index.php?rid=4596683&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001948%2Fabstract%3Frss%3Dyes Many health professionals will be aware of the major travel health guidelines published by the World Health Organization (WHO), the Centers for Disease Control and Prevention (CDC) and the National Travel Health Network and Centre. The Travel Medicine Guide is the fifth edition of New Zealand’s national guidelines, which are potentially of interest for those who advise travelers to the Australasian or Oceania regions. This edition of the Travel Medicine Guide is a major update of a regular supplement to MIMS New Ethicals, a major pharmaceutical compendium in New Zealand. It has a table of contents, nine main chapters, an A to Z Vaccination Guide, and a Resources section. There is no foreword, preface, glossary or index. The textbook contains a number of tables. The book is usefully com... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4596683 Mon, 13 Dec 2010 00:00:00 +0100 4596683 Disaster relief in post-earthquake Haiti: Unintended consequences of humanitarian volunteerism http://www.medworm.com/index.php?rid=4596681&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001687%2Fabstract%3Frss%3Dyes This article provides an overview of US humanitarian relief efforts in Haiti following the earthquake on January 12, 2010. Humanitarian aid arrived rapidly from many sources and was largely provided by organized and skilled humanitarian volunteers. There are however multiple impacts on the existing health care systems, as well as the pharmaceutical and medical supply chain created by massive relief efforts involving personnel, medicines, supplies and equipment that should be considered even in the immediate post-disaster period. Additionally the consequences of short-term medical missions by secular and non-secular NGOs should be considered carefully both in the post-disaster period and as ongoing support to underserved populations. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4596681 Fri, 03 Dec 2010 00:00:00 +0100 4596681 SARS – My personal battle http://www.medworm.com/index.php?rid=4938998&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001699%2Fabstract%3Frss%3Dyes Summary: It isn’t every day that a doctor becomes a patient. It is more peculiar when it occurs with an unknown mysterious epidemic respiratory illness that kills. Severe acute respiratory syndrome (SARS) gripped the world in 2003, spreading via air-links and throwing the global economy into disarray. As a practicing physician in Singapore, one of the first countries affected, I describe my first-hand account of my battle with this illness, how I acquired this illness in Singapore, and eventually quarantine in Frankfurt am Main, Germany. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4938998 Mon, 22 Nov 2010 00:00:00 +0100 4938998 Emergency medical kits on board commercial aircraft: A comparative study http://www.medworm.com/index.php?rid=4215866&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001705%2Fabstract%3Frss%3Dyes Conclusions: This study demonstrates the high degree of variability in the contents of emergency medical kits. Additionally, some airlines were equipped insufficiently for a critical medical situation on board their aircraft. Frequent checks of national authorities and further evaluation of acute care equipment are required to prepare for potentially life-threatening critical conditions occurring in special environments, such as in airplane during flight. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4215866 Mon, 15 Nov 2010 00:00:00 +0100 4215866 Pediatric travelers visiting friends and relatives (VFR) abroad: Illnesses, barriers and pre-travel recommendations http://www.medworm.com/index.php?rid=5316490&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001626%2Fabstract%3Frss%3Dyes Summary: Global mobility has shown a steady rise in recent years, with increased immigration and international travel. The VFR traveler is a traveler whose primary purpose of travel is to visit friends and relatives (VFR), where there is a gradient of risk between home and destination. Children are more likely to be VFR travelers than adults. Pediatric VFR travelers have higher risks for certain infectious travel-related illnesses and face multiple barriers in receiving comprehensive pre-travel care. This review focuses on the current state of knowledge of the pediatric VFR traveler, including epidemiological risks, barriers to adequate pre-travel services, and specific recommendations for disease prevention. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5316490 Fri, 12 Nov 2010 05:00:00 +0100 5316490 Epidemiology of bacteraemia in Hamad general hospital, Qatar: A one year hospital-based study http://www.medworm.com/index.php?rid=4215865&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001663%2Fabstract%3Frss%3Dyes Summary: We conducted a one-year observational study from July 2007 to June 2008 to describe the epidemiology of bacteraemia at Hamad general hospital. During this period, a total of 452 episodes of bacteraemia occurred, which corresponds to a rate of 19/1000 hospital admissions. Most patients 58.8% (266/452) had community acquired bacteraemia, and primary bacteraemia accounted for 62.2% (281/452) of the cases. The most common source of bacteraemia was intravenous catheterization in 19.2% (87/452) but no source was identified in 42.9% (194/452) of the episodes. Gram-negative organisms were isolated in 63.1% (285/452) episodes with Escherichia coli being the most frequent 21.5% (97/452). Multidrug resistance was observed in 33.3% (7/21) of all Pseudomonas aeruginosa isolates, 50% (6/12) of ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4215865 Fri, 12 Nov 2010 00:00:00 +0100 4215865 The psychology of fear of flying (part II): A critical evaluation of current perspectives on approaches to treatment http://www.medworm.com/index.php?rid=4215862&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391000164X%2Fabstract%3Frss%3Dyes Summary: This is the second of a two part review which critically evaluates research published in disparate sources into the psychological treatment of fear of flying. Part I established fear of flying as a complex heterogeneous clinical phenomenon. This paper discusses the way in which evidence from clinical trials translates to best practice in treating fear of flying. Published research on psychological interventions uses terminology which bears a close resemblance to cognitive behavioural therapy. It is, however, questionable whether some treatment approaches reflect the implementation of the cognitive behavioural model as it is described in the wider literature on the treatment of anxiety disorders. This review evaluates a synthesis of published research which considers fear of flying... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4215862 Fri, 12 Nov 2010 00:00:00 +0100 4215862 The road to free health advertising? http://www.medworm.com/index.php?rid=4215868&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001675%2Fabstract%3Frss%3Dyes At a time when the United Kingdom (UK) Government is slashing its advertising budget, including reducing the amount of money that it spends on public health marketing campaigns such as ‘Change4Life’, we should perhaps consider free sources of advertising that the Government has at its disposal. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4215868 Mon, 08 Nov 2010 00:00:00 +0100 4215868 The psychology of fear of flying (part I): A critical evaluation of current perspectives on the nature, prevalence and etiology of fear of flying http://www.medworm.com/index.php?rid=4215861&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001638%2Fabstract%3Frss%3Dyes Summary: Fear of flying, its nature, prevalence, etiology and treatment, has been the subject of a substantial quantity of research over the past 30 years. With the exception of a dated review of treatment methods however, there has been no evaluation of this expanding body of evidence, its contribution to theory and influence on clinical practice. Published research has also generally failed to apply developments in the understanding and treatment of anxiety disorders generally to fear of flying. This review provides a critical evaluation of the existing literature and what it reveals about theory and practice. It does this from the perspective of Cognitive Behavioural Therapy. The evidence reviewed demonstrates that fear of flying is a heterogeneous phenomenon which is acquired under the... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4215861 Mon, 08 Nov 2010 00:00:00 +0100 4215861 Editorial board http://www.medworm.com/index.php?rid=4215860&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001912%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4215860 Mon, 01 Nov 2010 00:00:00 +0100 4215860 Clostridium difficile-associated disease among patients in Dhahran, Saudi Arabia http://www.medworm.com/index.php?rid=4215864&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001651%2Fabstract%3Frss%3Dyes Summary: Clostridium difficile-associated diarrhea (CDAD) is an important healthcare-associated infection. However, there are no data from Saudi Arabia on this disease. A two-year prospective, observational study on the incidence of CDAD in a hospital in Saudi Arabia was carried out. Stool analysis for C. difficile toxins A and B was carried out by an enzyme-linked immunosorbent assay. Medical and laboratory records were reviewed. Of the total number of patients, there were 53.3% male and the mean age was 44.6 ± 27.2 years. Of the 913 specimens, only 42 (4.6%) were positive for C. difficile toxins. The annual incidence rates of C. difficile were 1.2 and 0.9 per 1000 discharges, and 2.4 and 1.7 per 10,000 patient days in 2007 and 2008, respectively. Of the total number of cases, 52.4% we... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4215864 Fri, 29 Oct 2010 00:00:00 +0100 4215864 Comparison of knowledge on travel related health risks and their prevention among humanitarian aid workers and other travellers consulting at the Institut Pasteur travel clinic in Paris, France http://www.medworm.com/index.php?rid=4215863&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001419%2Fabstract%3Frss%3Dyes Conclusions: Even though the knowledge was slightly better in the NGO group, there are still important gaps and a combined effort of all actors is needed to improve the security of expatriated humanitarian aid workers, in particular for the non-medical staff. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4215863 Thu, 28 Oct 2010 00:00:00 +0100 4215863 Past, present and future of travel medicine in Japan http://www.medworm.com/index.php?rid=5316489&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001420%2Fabstract%3Frss%3Dyes Summary: At present, more than 17 million Japanese travel overseas annually, and one out of seven Japanese now travel abroad. Accordingly, an increasing number of these travelers contract diseases, but the practice of travel medicine is not common in Japan yet. However, travel medicine societies and the like have been established in Japan since the late 1990s, and Japanese medical professionals are becoming increasingly interested in this field of medicine. In this paper, the past, present and future of travel medicine in Japan is reviewed. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5316489 Fri, 15 Oct 2010 04:00:00 +0100 5316489 Acute mountain sickness prophylaxis: Knowledge, attitudes, & behaviours in the Everest region of Nepal http://www.medworm.com/index.php?rid=4215867&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001407%2Fabstract%3Frss%3Dyes Conclusions: Poor knowledge amongst trekkers and guides determined poor uptake, and inappropriate prophylaxis usage amongst trekkers. We believe that to improve prophylaxis uptake and use, and hence reduce trekkers’ morbidity and mortality, policy makers must deliver trekker-targeted educational interventions in Nepal. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4215867 Thu, 14 Oct 2010 00:00:00 +0100 4215867 Rapid detection of human Leishmania infantum infection: A comparative field study using the fast agglutination screening test and the direct agglutination test http://www.medworm.com/index.php?rid=4102029&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001377%2Fabstract%3Frss%3Dyes This study aimed to evaluate the performance of a fast agglutination screening test (FAST) for serodiagnosis of human Leishmania infantum infection in Iran. FAST is based on the direct agglutination test (DAT) but combines with a higher parasite concentration and is performed with only one serum dilution.The validity of FAST for the detection of L. infantum infection in the field was compared with the direct agglutination test on 110 confirmed or patients suspected of infection with leishmaniasis, 177 healthy individuals and 41 patients with other infectious diseases who were from northwestern and southern parts of Iran. In this study, we found a 1:1600 cut-off point empirically by seeking the best correlation (90.8) between sera confirmed with visceral leishmaniasis and healthy control se... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102029 Tue, 12 Oct 2010 23:00:00 +0100 4102029 Provision of healthcare in a remote base of operations in southern Chad http://www.medworm.com/index.php?rid=4102027&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001341%2Fabstract%3Frss%3Dyes Summary: The Irish Defence Forces maintained a presence in south eastern Chad under the authority of the United Nations Security Council from January 2008 until May 2010, operating in a peace support role as the lead contingent in a multinational battalion. In September 2009 the task of establishing a forward operating base in a remote location within the area of operations was ordered by mission headquarters.Irish and Finnish troops duly deployed and began the task of establishing a safe and secure base from which to operate. This involved securing the location, installing accommodation, electricity, lighting and facilities for ablutions, removing natural hazards, establishing secure communications and ensuring rapid access and egress in the event of hostile contact or emergency.The incid... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102027 Sun, 10 Oct 2010 23:00:00 +0100 4102027 Cryptococcal retropharyngeal abscess http://www.medworm.com/index.php?rid=4102032&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001353%2Fabstract%3Frss%3Dyes We describe a patient with sarcoidosis and odynophagia admitted with a large retropharyngeal abscess. Aspiration showed budding yeast and culture identified C. neoformans, confirmed by D2 large subunit rRNA gene sequencing. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102032 Sun, 03 Oct 2010 23:00:00 +0100 4102032 Prevalence of Toscana virus antibodies in residents of two Ionian islands, Greece http://www.medworm.com/index.php?rid=4102028&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001389%2Fabstract%3Frss%3Dyes Summary: The prevalence of Toscana virus (TOSV) IgG antibodies was determined among 128 residents of two Greek islands in the Ionian Sea, Corfu and Cephalonia. In total, 47.7% of tested persons had TOSV IgG antibodies; 51.7% among residents of Corfu and 39% among residents of Cephalonia. The prevalence was higher among persons older than 60 years, who were living in the coastal areas, while no relation with occupation was observed. The high seroprevalence, combined with the high antibody titers observed, suggest that TOSV, or an antigenically-related virus, circulates or has been circulating extensively in the region. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102028 Thu, 30 Sep 2010 23:00:00 +0100 4102028 Looking the other way: Preventing vector-borne disease among travelers to the United States http://www.medworm.com/index.php?rid=4102025&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001079%2Fabstract%3Frss%3Dyes Summary: Millions of travelers visit the United States every year during warm months when risk of vector-borne disease is highest. The epidemiology and geographic distribution of the principal vector-borne diseases in the United States are reviewed and recommendations for visitors to reduce their risk of disease are described. Travel advice should focus on preventing Lyme disease, anaplasmosis and babesiosis in the northeast and north central States, West Nile virus disease in western plains States, and Rocky Mountain spotted fever and tularemia in the southeast; other diseases and itineraries requiring particular attention are described. All travelers to the United States should be advised to practice personal protection against arthropod bites, including appropriate use of insect repelle... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102025 Wed, 08 Sep 2010 23:00:00 +0100 4102025 Quality of malaria information provided on Internet travel operator websites http://www.medworm.com/index.php?rid=4102026&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001067%2Fabstract%3Frss%3Dyes Conclusions: Malaria prevention information on online travel operator websites is most often absent or inadequate. Even on websites where such information is of good quality, it can be difficult to access. The travel industry should introduce and enforce guidelines for the malaria information provided by online travel operators. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102026 Thu, 02 Sep 2010 23:00:00 +0100 4102026 Editorial board http://www.medworm.com/index.php?rid=4102024&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001456%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102024 Tue, 31 Aug 2010 23:00:00 +0100 4102024 Principles and practice of infectious diseases http://www.medworm.com/index.php?rid=4102033&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001055%2Fabstract%3Frss%3Dyes This is the 7th edition in two volumes of an established authoritative text on the practice of infectious diseases. Few areas in medical science have advanced as rapidly as infectious diseases, often consigned to medical history by many general physicians in the era following the introduction of antibiotics into clinical practice. Infectious diseases remain a challenge, and knowledge on the etiology of infections, molecular biology of infectious agents, epidemiology, pathology, clinical features, treatment and prevention of infection increases at an ever increasing pace, while not overlooking emerging new infections, which are too many to list. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102033 Wed, 18 Aug 2010 23:00:00 +0100 4102033 Mefloquine adverse effects with atypical facial lesions in an overweight patient http://www.medworm.com/index.php?rid=4102031&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910001006%2Fabstract%3Frss%3Dyes Conclusions: The causal relationship between mefloquine and the occurrence of these adverse effects is probable. However, as no viral or bacteriological investigations were performed, the drug responsibility remains uncertain. Mefloquine-induced bullous and facial lesions reversible upon drug withdrawal have already been described. The associated neuropsychiatric symptoms were strongly suggestive of mefloquine adverse effects, as such events are more frequently observed in cases of overdosage. Our case emphasizes the difficulties of dosage adaptation in overweight patients. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102031 Sun, 08 Aug 2010 23:00:00 +0100 4102031 First aid kits for recreational dive boats, what should they contain? http://www.medworm.com/index.php?rid=4102030&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391000102X%2Fabstract%3Frss%3Dyes Conclusions: The study highlights the diversity of medical problems encountered on recreational dive boats. We offer preliminary guidance on the content of suitable first-aid kits and suggest areas for further research. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4102030 Sun, 01 Aug 2010 23:00:00 +0100 4102030 Filovirus emergence and vaccine development: A perspective for health care practitioners in travel medicine http://www.medworm.com/index.php?rid=4939000&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000682%2Fabstract%3Frss%3Dyes This article focuses on information relevant for health care practitioners in travel medicine to include, the epidemiology and clinical features of filovirus infection and efforts toward development of a filovirus vaccine. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4939000 Sun, 27 Jun 2010 23:00:00 +0100 4939000 Legionella infections and travel associated legionellosis http://www.medworm.com/index.php?rid=5316488&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000712%2Fabstract%3Frss%3Dyes Summary: Travel associated Legionnaires’ disease represents a significant cause of travel associated respiratory tract infections and impacts disproportionately on otherwise healthy individuals as a consequence of their travel abroad or within their own country. Because of the propensity of these bacteria to colonize man-made water systems, legionellosis are frequently reported in travelers who stayed in accommodations sites such as hotels or cruise ships. Since the discovery of this new pathogen and the creation of surveillance networks, the number of reported travel associated legionellosis cases have increased regularly. Education of physicians about the association of Legionnaires’ disease with travel and the use of appropriate diagnostic tests and therapy can result in a reduction... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5316488 Thu, 17 Jun 2010 04:00:00 +0100 5316488 The viruses of Australia and the risk to tourists http://www.medworm.com/index.php?rid=4938999&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000700%2Fabstract%3Frss%3Dyes Summary: Australia is a climatically diverse country varying from a tropical climate in the north to arid central desert and grassland regions, and to temperate climates in the south. There are many viral infections found in Australia that are common to developed countries worldwide, but this article will focus on those that pose a special risk for travellers to Australia, especially the mosquito-borne viruses. The commonest are the members of the alphavirus genus, particularly Ross River virus and Barmah Forest virus, which cause predominantly arthralgia with or without fever or rash. Less frequent but more serious illness is seen with the encephalitic flaviviruses, Murray Valley encephalitis virus, and the Kunjin strain of West Nile virus. In addition dengue occurs intermittently on the ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4938999 Sun, 13 Jun 2010 23:00:00 +0100 4938999 Review of vector-borne diseases in Hong Kong http://www.medworm.com/index.php?rid=4938996&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000736%2Fabstract%3Frss%3Dyes Summary: The epidemiology of vector-borne diseases in Hong Kong has changed over the past decade but still poses a significant public health risk. We provided a comprehensive review of the epidemiological information and analysed the trends of major vector-borne diseases, including the vector situation in Hong Kong. The incidence of malaria has dropped dramatically in the past few decades and is now mainly an imported disease acquired from malaria endemic countries. Locally acquired dengue fever occurred in 2002 and 2003, and thereafter all cases were imported, mainly from Southeast Asia areas. Only a few local cases of Japanese encephalitis were reported in the past decade. In contrast, there is a notable increase in scrub typhus and spotted fever cases. The emergence of chikungunya fever... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=4938996 Sun, 13 Jun 2010 23:00:00 +0100 4938996 Japanese vaccinations and practices, with particular attention to polio and pertussis http://www.medworm.com/index.php?rid=5316487&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000694%2Fabstract%3Frss%3Dyes This article introduces Japanese vaccinations and practices, focusing on polio and pertussis.Japan is one of the few industrialized countries still using live attenuated oral poliovirus vaccine (OPV). Current status of vaccine-associated paralytic poliomyelitis in Japan is discussed. This review is intended to encourage early conversion of OPV to inactivated poliovirus vaccine (IPV) for the routine vaccination as soon as possible.The other topic pertains to the results of a study designed to evaluate the safety and immunogenicity of the Japanese DPT vaccine in adults when administered at the dose of 0.2ml (2/5th of the ordinary dose). In Japan, there is no system for providing advice to adults on vaccination once the childhood schedule is completed. The author, however, wishes to propose h... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=5316487 Fri, 04 Jun 2010 04:00:00 +0100 5316487 Travelling to India for the Delhi XIX Commonwealth Games 2010 http://www.medworm.com/index.php?rid=3650355&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000451%2Fabstract%3Frss%3Dyes Summary: The 19th Commonwealth Games, conducted once in every four years since 1930, will be held in New Delhi from the 3rd through until the 14th of October, 2010. There will be approximately 17 sports on display and there will also be 15 para-sporting events. This paper focuses on health and safety issues for travellers to India in general, although it provides specific references to advice for visiting Commonwealth Games athletes and team staff, who will be travelling to the games. Whilst it needs be remembered that travel health advice can change, travellers are advised to seek up-to-date travel health advice for India, from their professional providers, closer to their departure. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650355 Tue, 01 Jun 2010 23:00:00 +0100 3650355 Crimean–Congo hemorrhagic fever: Risk for emergence of new endemic foci in Europe? http://www.medworm.com/index.php?rid=3650356&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000608%2Fabstract%3Frss%3Dyes Summary: During recent years, new foci of Crimean–Congo hemorrhagic fever (CCHF) have emerged in several Balkan countries, southwest Russia, and Turkey. Starting in 2002, Turkey experiences the largest ever recorded outbreak with more than 2500 cases. Potential reasons for the emergence or re-emergence of CCHF include climate changes which may have a significant impact on the reproduction rate of the vector Hyalomma ticks, as well as anthropogenic factors (e.g. changes in agricultural and hunting activities). Given the abundance of its vector, the numerous animals that can serve as hosts, and the favorable climate and ecologic parameters in other southern Europe Mediterranean countries, CCHF is an example of a vector-borne disease which may be knocking the door in this area. There are mo... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650356 Sun, 30 May 2010 23:00:00 +0100 3650356 Prevention and control of tuberculosis during air travel http://www.medworm.com/index.php?rid=3571328&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000438%2Fabstract%3Frss%3Dyes The potential transmission of tuberculosis infection on board aircraft reported first in the 1990s, the emergence of multidrug-resistant tuberculosis (MDR-TB) and extensively drug-resistant tuberculosis (XDR-TB) as serious public health problems, and the outbreak of severe acute respiratory syndrome (SARS) in 2003 have raised considerable anxiety among travellers, public health authorities, airline companies and the media. A number of contact investigations has shown that transmission of Mycobacterium tuberculosis may occur, although rarely, during long (more than 8h) flights from an infectious source (a traveller with infectious pulmonary tuberculosis) to other passengers sitting in proximity. However, as yet, no cases of active tuberculosis disease following exposure on board aircraft ha... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571328 Thu, 06 May 2010 23:00:00 +0100 3571328 Intestinal schistosomiasis caused by both Schistosoma intercalatum and Schistosoma mansoni http://www.medworm.com/index.php?rid=3650363&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000414%2Fabstract%3Frss%3Dyes In conclusion, the examination of multiple crush biopsy specimens is a very sensitive and specific technique for species identification of Schistosoma, especially in mixed infections, and for defining the location and extent of the granulomas evoked by each species. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650363 Wed, 05 May 2010 23:00:00 +0100 3650363 2010 FIFA World Cup South Africa: Travel health issues and new options for protection against meningococcal disease http://www.medworm.com/index.php?rid=3571326&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000426%2Fabstract%3Frss%3Dyes Summary: The public health implications of large crowds gathering at a range of key global events should never be underestimated. This is especially the case with the upcoming 2010 FIFA World Cup South Africa programme where thousands of local and travelling spectators, players and officials from all over the world will be present. Although meningococcal disease contracted whilst actually travelling is relatively rare, any travel health risk assessment should involve consideration of potential exposure to and transmission of this disease where crowding occurs. In South Africa, for reasons not completely understood, the incidence of meningococcal disease is higher than in most European countries. Whilst the currently available polysaccharide vaccines can help protect travellers against meni... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571326 Sun, 02 May 2010 23:00:00 +0100 3571326 Editorial board http://www.medworm.com/index.php?rid=3650354&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000761%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650354 Fri, 30 Apr 2010 23:00:00 +0100 3650354 Creating the future for travel medicine http://www.medworm.com/index.php?rid=3571325&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000402%2Fabstract%3Frss%3Dyes On behalf of Elsevier, the Faculty of Travel Medicine of the Royal College of Physicians and Surgeons of Glasgow (RCPSG) and Travel Medicine and Infectious Disease, we are delighted to announce that Travel Medicine and Infectious Disease has been adopted as the official journal of the Faculty of Travel Medicine, RCPSG. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571325 Thu, 29 Apr 2010 23:00:00 +0100 3571325 Response to “letter to the editor” submitted by Dr Martin Tepper and Dr Steven Schofield – Effectiveness of malaria chemoprophylaxis against Plasmodium falciparum infection in UK travellers: Retrospective observational data. Travel Medicine and Infectious Disease 2009;7:329–336 http://www.medworm.com/index.php?rid=3650366&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000359%2Fabstract%3Frss%3Dyes EDITOR – The approach used in our retrospective observational study provides an estimate on the use effectiveness of malaria chemoprophylaxis against infection with Plasmodium falciparum outside of a controlled clinical trial setting. Tepper and Schofield rightly point out – as we have done in our article – certain limitations regarding some of the inputs into this analysis. However, we believe that this study does in many ways mimic the nature of travel, with varying levels of risk, real world variance and substantial heterogeneity in the population. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650366 Thu, 22 Apr 2010 23:00:00 +0100 3650366 TB or not TB – Air travel and tuberculosis http://www.medworm.com/index.php?rid=3571329&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000396%2Fabstract%3Frss%3Dyes Travel is increasingly implicated in the transmission of infectious disease and as travel continues to increase, with 924 million international tourist arrivals recorded in 2008 (decreasing as expected by 4% 880 million in 2009) there are several pertinent travel health issues which require consideration to protect the travelling public, those who work in the travel industry and the public health implications that may ensue with the importation of infectious diseases. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571329 Wed, 21 Apr 2010 23:00:00 +0100 3571329 Unhealthy travelers present challenges to sustainable primate ecotourism http://www.medworm.com/index.php?rid=3650360&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000372%2Fabstract%3Frss%3Dyes Conclusions: Despite being ill and potentially infectious, these tourists were visiting a wildlife sanctuary to view endangered species. Many of these visitors had animal contact immediately prior to arriving, and many had at least some basic knowledge about infection transmission. While participants in nature-based tourism are generally concerned about environmental protection, present analyses suggest that a significant proportion of ecotourists are uninformed of the risks they may pose to non-human animal health. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650360 Mon, 19 Apr 2010 23:00:00 +0100 3650360 Travelling to South Africa for the 2010 FIFA World Cup http://www.medworm.com/index.php?rid=3571327&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000384%2Fabstract%3Frss%3Dyes The Fédération Internationale de Football Association (FIFA) World Cup, conducted once every four years since the first championship in Uruguay in 1930, will be held in South Africa from the 11th June through until the 11th of July, 2010. The 2010 FIFA World Cup will be the culmination of a qualification process that began in August 2007 and involved 204 of the 208 FIFA national teams. As such, it matches the 2008 Summer Olympics as the sports event with the most competing nations. An added honour for South Africa is that this will be the first time that the tournament has been hosted by an African nation. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571327 Sun, 11 Apr 2010 23:00:00 +0100 3571327 Letter to the editor of Travel Medicine and Infectious Disease http://www.medworm.com/index.php?rid=3650365&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000360%2Fabstract%3Frss%3Dyes We note the paper by Zuckerman et al indicating that, in preventing malaria in UK travellers, the estimated effectiveness of atovaquone/proguanil (A/P) substantially exceeded that of doxycyline (DOX) and of mefloquine (MEF). While the conclusion might (or might not) be valid, we are vexed by several issues, some of which are mentioned in the limitations section of the article; these concerns lead us to seriously question the conclusion. The data used in the article may not be representative of the “real world”: data about prophylaxis are only available for 55% of all the cases of malaria; data about prescriptions are only from 121 general practitioners, which is an unstated fraction of all the GPs in the CSD UK database; as mentioned in the article, prescribing data are only from the G... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650365 Sun, 04 Apr 2010 23:00:00 +0100 3650365 Notes on medical microbiology http://www.medworm.com/index.php?rid=3650367&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000347%2Fabstract%3Frss%3Dyes The second edition of Notes on Medical Microbiology is a concise comprehensive account of disease of human caused by bacteria, viruses, prions, fungi and parasites, including description of the causal organism, epidemiology, pathology, diagnosis, clinical features and prevention and treatment. This updated volume, which has been revised extensively and meticulously, is the successor of the highly successful Notes on Medical Virology (first published in 1967 and which I still possess) written by Professor Morag Timbury, and Notes on Medical Microbiology (first published in 1981) written by Morag Timbury together with Professor J D Sleigh. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650367 Thu, 01 Apr 2010 23:00:00 +0100 3650367 Air Travel and TB: An airline perspective http://www.medworm.com/index.php?rid=3571332&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000323%2Fabstract%3Frss%3Dyes Summary: The commercial airline industry in the 21st century is a global business, able to transport large numbers of people to almost any part of the world within a few hours. There has long been concern in public health circles about the potential for transmission of communicable diseases, such as TB, on board aircraft. The recent threats from novel and emerging infectious diseases including SARS and pandemic flu has facilitated unprecedented levels of cooperation between international industry representatives, regulators and public health authorities in addressing the issues of air travel and communicable disease. This paper reviews the regulatory environment, ways in which the risks are mitigated through aspects of aircraft design, opportunities for prevention by identifying individual... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571332 Thu, 01 Apr 2010 23:00:00 +0100 3571332 Developing an understanding between people: The key to global health http://www.medworm.com/index.php?rid=3650362&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000311%2Fabstract%3Frss%3Dyes Summary: Global health and international health are prominent concepts within development issues today. Health is at the heart of many of the Millennium Development Goals, and the idea of a human right to health and health care has taken more hold in the forefronts of our minds.In acknowledgement of the globalised and interdependent society in which we live, this reflective piece uses personal experiences of anthropology and travel throughout the author's medical education to illustrate the pressing need for a better understanding between health workers and local populations. Experiences in Ecuador, Peru, India and Nepal, highlight the plurality of medicine. They show how medical education in the UK forms only one part of medical knowledge, and in particular how clinical practice requires ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650362 Wed, 24 Mar 2010 00:00:00 +0100 3650362 Vaccination against tetanus, diphtheria, pertussis and poliomyelitis in adult travellers http://www.medworm.com/index.php?rid=3650358&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000335%2Fabstract%3Frss%3Dyes Summary: This paper reviews the risk and vaccine recommendations for tetanus, diphtheria, pertussis and poliomyelitis for adult travellers. The travel clinic presents a unique opportunity to evaluate whether routine vaccinations are up-to-date. Tetanus, diphtheria and pertussis occur worldwide but are more common in low resource countries due to incomplete childhood vaccination coverage, environmental and socio-economic factors. Diphtheria has been reported in travellers without adequate protection. A booster against tetanus and diphtheria is recommended for all adult travellers, regardless of travel destination and duration. The incidence of pertussis in general adult travellers has been poorly studied. Extrapolating from the reported high incidence in travellers to the Hajj, the risk may... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650358 Mon, 22 Mar 2010 00:00:00 +0100 3650358 Seroepidemiology of hepatitis A virus in children of different age groups in Tehran, Iran: Implications for health policy http://www.medworm.com/index.php?rid=3650361&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391000030X%2Fabstract%3Frss%3Dyes Conclusion: The study findings indicate that hepatitis A is prevalent in children in Tehran, Iran and HAV infection is an important public health problem in this region. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650361 Fri, 12 Mar 2010 00:00:00 +0100 3650361 Tuberculosis investigations associated with air travel: U. S. Centers for Disease Control and Prevention, January 2007–June 2008 http://www.medworm.com/index.php?rid=3571333&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000293%2Fabstract%3Frss%3Dyes Summary: Introduction: Contact investigations conducted in the United States of persons with tuberculosis (TB) who traveled by air while infectious have increased. However, data about transmission risks of Mycobacterium tuberculosis on aircraft are limited.Methods: We analyzed data on index TB cases and passenger contacts from contact investigations initiated by the U.S. Centers for Disease Control and Prevention from January 2007 through June 2008.Results: Contact investigations for 131 index cases met study inclusion criteria, including 4550 passenger contacts. U.S. health departments reported TB screening test results for 758 (22%) of assigned contacts; 182 (24%) had positive results. Of the 142 passenger contacts with positive TB test results with information about risk factors for pri... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571333 Fri, 12 Mar 2010 00:00:00 +0100 3571333 Professional organisation profile: A Sub-Faculty of expedition medicine for Australasia http://www.medworm.com/index.php?rid=3650364&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000037%2Fabstract%3Frss%3Dyes Summary: A review of the recent foundation by The Australasian College of Tropical Medicine of the Sub-Faculty of Expedition Medicine is presented. Information is given on aims, professional grades of membership, and the various activities of the Sub-Faculty, including publications and scientific meetings. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650364 Mon, 08 Mar 2010 00:00:00 +0100 3650364 Incidence of malaria and risk factors in Italian travelers to malaria endemic countries http://www.medworm.com/index.php?rid=3650357&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789391000027X%2Fabstract%3Frss%3Dyes Discussion: The different factors which may influence the risk of contracting malaria for travelers visiting endemic countries and the strategy to reduce completely the number of fatal cases were considered and discussed. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650357 Mon, 08 Mar 2010 00:00:00 +0100 3650357 Air travel by individuals with active tuberculosis: Reporting patterns and epidemiologic characteristics, Canada 2006–2008 http://www.medworm.com/index.php?rid=3571334&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000281%2Fabstract%3Frss%3Dyes Conclusions: Reports of air travel by individuals with active TB have been increasing annually in Canada in recent years. Outcomes of the subsequent contact investigations, including passenger follow-up results and evidence of TB transmission, is necessary to further evaluate the effectiveness of the Canadian guidelines. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571334 Mon, 08 Mar 2010 00:00:00 +0100 3571334 Editorial board http://www.medworm.com/index.php?rid=3571324&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000487%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571324 Mon, 01 Mar 2010 00:00:00 +0100 3571324 Malaria and travellers visiting friends and relatives http://www.medworm.com/index.php?rid=3650359&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000049%2Fabstract%3Frss%3Dyes Summary: Among all travel-acquired illnesses, malaria carries the greatest burden not only considering the number of imported cases but also the potential of a fatal outcome. The increased number of imported malaria cases in developed countries in the last decades has been attributed to the increasing number of travel to tropical destinations in combination with the enormous influx of immigrants. At present, immigrants visiting friends and relatives (VFRs) constitute the most significant group of travellers for malaria importation in developed countries, with sub-Saharan Africa destinations carrying the highest risk. VFRs typically demonstrate travel and behavioural patterns which render them at high risk for acquisition of this largely preventable infection. Pre-travel services are rarely... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3650359 Mon, 22 Feb 2010 00:00:00 +0100 3650359 Summaries http://www.medworm.com/index.php?rid=3308776&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000025%2Fabstract%3Frss%3Dyes Norovirus outbreaks (NVOs) are the curse of the cruise industry and many lines make major efforts to prevent them. My personal experience varies at one level from one line where you have to cleanse your hands every time you enter a food area or board the ship after being ashore to another line on which we recently travelled where there were no precautions whatsoever. Carling et al. covertly sent trained health care professionals on 56 cruise ships (approximately 30% of 180 vessels operated by 9 large cruise lines) during the period July 2005 through August 2008. They were tasked to evaluate the thoroughness of disinfection cleaning (TDC) of 6 places in the public lavatories where there was a high potential for faecal contamination. These were the toilet seat, flush handle or button, toilet... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308776 Thu, 18 Feb 2010 00:00:00 +0100 3308776 Attitude and practice of medical students studying in Hungary and India toward health during overseas and domestic travel http://www.medworm.com/index.php?rid=3308774&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001811%2Fabstract%3Frss%3Dyes Summary: Background: It is presumed that medical students are travelers who can take care of their health, and thus the present study was conducted to elicit the attitude and practice [AP] of medical students from two different countries toward travel health issues.Objectives: To elicit the attitude and practice of medical students from two different countries toward travel health issues and identify the reasons for any variations.Material and methods: An anonymous pre-tested structured questionnaire consisting of socio-demographic details, travel aspects, travel health issues, and precautions [medicines carried, vaccination history, and pre-travel consultation] adopted was distributed to 250 foreign medical students studying at the University of Debrecen, Hungary [Group I] and another 250... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308774 Thu, 14 Jan 2010 00:00:00 +0100 3308774 Quadrivalent meningococcal vaccines: Hyporesponsiveness as an important consideration when choosing between the use of conjugate vaccine or polysaccharide vaccine http://www.medworm.com/index.php?rid=3308773&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001793%2Fabstract%3Frss%3Dyes Summary: Regional variations in the incidence and the distribution of serogroups which are responsible of meningococcal disease necessitate multivalent vaccines to ensure broad coverage for travelers. For almost 30years, this has been provided by quadrivalent polysaccharide vaccine to protect against serogroups A, C, W-135 and Y, but with the advent of quadrivalent conjugate vaccines is there still a case to use the polysaccharide? The well documented hyporesponsiveness induced by polysaccharide vaccines after repeated administration, most clearly observed against serogroup C, suggest that, where available, conjugate vaccines should always be considered ahead of polysaccharide vaccine. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308773 Mon, 11 Jan 2010 00:00:00 +0100 3308773 Leptospirosis: An emerging disease in travellers http://www.medworm.com/index.php?rid=3308770&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900180X%2Fabstract%3Frss%3Dyes Summary: A recent upsurge in leptospirosis in travellers has prompted the following review of the epidemiology of this infection in humans. The available data from the published literature as well as laboratory surveillance were examined to determine the possible causes of the apparent change in epidemiology. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308770 Wed, 06 Jan 2010 00:00:00 +0100 3308770 Editorial board http://www.medworm.com/index.php?rid=3308765&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893910000074%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308765 Fri, 01 Jan 2010 00:00:00 +0100 3308765 The international health regulations (2005), tuberculosis and air travel http://www.medworm.com/index.php?rid=3571331&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001598%2Fabstract%3Frss%3Dyes This article describes the relevant provisions in the IHR, and their applicability in this context. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571331 Mon, 28 Dec 2009 00:00:00 +0100 3571331 Gideon database http://www.medworm.com/index.php?rid=3308771&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001616%2Fabstract%3Frss%3Dyes Available at www.gideononline.com. Last accessed 5th November 2009. It is not up for debate whether travel medicine practitioners should have access to a travel health database. What is up for discussion though, is ‘which one’? The answer to this will obviously depend upon one's needs, but there is no doubt that travel medicine practitioners, infectious disease physicians and microbiologists in need of a serious database will have to consider Gideon. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308771 Fri, 25 Dec 2009 00:00:00 +0100 3308771 Cough and dyspnoea of an asthmatic patient at Mt. Kilimanjaro: A difficult differential diagnosis http://www.medworm.com/index.php?rid=3308768&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001574%2Fabstract%3Frss%3Dyes Summary: This case highlights the difficulties associated with the differential diagnosis of pulmonary symptoms in patients with pre-existing diseases in extreme environmental conditions. A 58-year-old man with child-onset allergic asthma developed dyspnoea and an acute non-productive cough during a trekking expedition on Mt. Kilimanjaro (5895m) in Tanzania. The symptoms were believed initially to be linked to the high altitude exposure (high altitude pulmonary oedema (HAPE) or high altitude cough) or his pre-existing asthma. However, he was later diagnosed correctly with a reinfection of Bordetella pertussis. Pertussis is a highly communicable disease with potentially serious medical consequences that could have affected all of the expedition members. The effectiveness of a pertussis vacc... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308768 Mon, 14 Dec 2009 00:00:00 +0100 3308768 Avian influenza – A review for doctors in travel medicine http://www.medworm.com/index.php?rid=3308766&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001628%2Fabstract%3Frss%3Dyes Summary: First identified in humans in Hong Kong, influenza A/H5N1, known commonly as avian influenza, has caused human disease in 15 countries around the world. Although the current number of confirmed patients is tiny compared to seasonal and the recently emerged H1N1 ‘swine’ influenza, H5N1 remains a candidate for the next highly pathogenic influenza pandemic. Currently, H5N1 has very limited ability to spread from person-to-person but this may change because of mutation or reassortment with other influenza viruses leading to an influenza pandemic with high mortality. If this occurs travellers are likely to be affected and travel medicine doctors will need to consider avian influenza in returning febrile travellers. The early clinical features may be dismissed easily as ‘the flu... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308766 Wed, 02 Dec 2009 00:00:00 +0100 3308766 Malaria prevention behaviour and risk awareness in French adult travellers http://www.medworm.com/index.php?rid=3308767&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001562%2Fabstract%3Frss%3Dyes The objective of this study was to assess malaria protection measures in European travellers as a function of the risk of infection with malaria.This questionnaire-based, retrospective study evaluated 13,017 French adults. 3066 travellers to malaria-endemic countries were identified and data collected on duration and purpose of stay, knowledge of malaria, use of mechanical protection measures and chemoprophylaxis.Complete data on protection measures were available for 2225 travellers to malaria risk countries. Mechanical protection was used by 1735/2225 of travellers (94.9% of travellers to high-risk areas and 80.4% of travellers to low-risk areas). Appropriate chemoprophylaxis use rates were 47.6% for high-risk areas versus 9.5% for low-risk areas. Chemoprophylaxis compliance was low, eve... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308767 Fri, 27 Nov 2009 00:00:00 +0100 3308767 Diseases and injuries associated with travel among students, employees and teachers of the Central University of Venezuela during the national summer vacations http://www.medworm.com/index.php?rid=3308772&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001550%2Fabstract%3Frss%3Dyes The objective of this study was to describe the incidence of disease and injuries associated with travel, etiology, risk factors and medical management in a cross-sectional evaluation of university students, employees and teachers of the Central University of Venezuela, Caracas, Venezuela, who returned from domestic travel. A questionnaire completed by 500 individuals was used to evaluate the incidence of disease and injuries associated with travel, the etiology, risk factors and medical management in university students, employees and teachers of Caracas, Venezuela. From the total who accepted and responded to the interview (460, 92%), 50.8% were females. Almost half of them had some vaccination before travel for: measles 78%, rubella 73.6%, hepatitis B 57%, Yellow fever 53.7%. After trav... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308772 Mon, 23 Nov 2009 00:00:00 +0100 3308772 Tungiasis – A cause of painful feet in a tropical traveller http://www.medworm.com/index.php?rid=3308769&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001604%2Fabstract%3Frss%3Dyes We describe a case of tungiasis where a traveller presented with painful foot lesions. The patient had returned to the United Kingdom 4 days previously after spending 4 weeks in the Pantanal region in Brazil. A literature review on this subject was undertaken in this article. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308769 Fri, 20 Nov 2009 00:00:00 +0100 3308769 An imported case of P. falciparum malaria presenting as black water fever with acute renal failure http://www.medworm.com/index.php?rid=3041549&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001586%2Fabstract%3Frss%3Dyes Summary: This is a report of a case of blackwater fever in a 28-year-old Nigerian man who was admitted to hospital with fever, jaundice and passing dark urine. Abdominal examination revealed splenomegaly and an examination of the peripheral smear of the patient showed the ring form of the trophozoites of Plasmodium falciparum (P. falciparum). Serum creatinine was 200μmol/L. Treatment with quinine and doxycycline was started and intravenous fluids were administered with close monitoring of the urine output and serum electrolytes. Due to the alarming amount of fluid accumulation and his exacerbated azotaemia the decision was made to haemodialyse the patient; the patient required five haemodialysis sessions during his stay in the hospital. He was discharged on the sixteenth day after admissi... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041549 Wed, 18 Nov 2009 00:00:00 +0100 3041549 Sex education for local tourism/hospitality employees: Addressing a local health need http://www.medworm.com/index.php?rid=3041547&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001549%2Fabstract%3Frss%3Dyes Summary: Health concerns arising from sexual relationships between tourists and locals usually focus on the travelling public. The local sex partners' health, and their impact on their communities' health, seem far less acknowledged. This paper describes a local health education session which implemented recommendations based on a study in Cuzco/Peru on tourists' and locals' views, knowledge, attitudes and experiences relating to sexual relationships between them. On location, fifteen discotheque employees received a health education session at the establishment's owner's request. Concluding from the positive experience, it is argued that researchers should, where possible, respond to requests to deliver ad hoc health education sessions while on location to address an identified local heal... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041547 Wed, 18 Nov 2009 00:00:00 +0100 3041547 Tunga penetrans as a traveler's disease http://www.medworm.com/index.php?rid=3041550&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000891%2Fabstract%3Frss%3Dyes Summary: Tunga penetrans are ectoparasites distributed widely. The infestations are endemic in some areas. People both from and visiting this region are susceptible to these infestations. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041550 Fri, 06 Nov 2009 00:00:00 +0100 3041550 Effectiveness of malaria chemoprophylaxis against Plasmodium falciparum infection in UK travellers: Retrospective observational data http://www.medworm.com/index.php?rid=3041541&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001537%2Fabstract%3Frss%3Dyes Summary: What is already known on this topicWhat this study adds (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041541 Thu, 05 Nov 2009 00:00:00 +0100 3041541 Editorial board http://www.medworm.com/index.php?rid=3041540&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001653%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041540 Sun, 01 Nov 2009 00:00:00 +0100 3041540 Diagnostic importance of headache as a key symptom in suspecting malaria in adult returning travelers http://www.medworm.com/index.php?rid=3041551&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001495%2Fabstract%3Frss%3Dyes We read with interest the article by Rodriguez-Morales, et al., describing the signs/symptoms of malaria. However, our malaria experience differs from theirs in several respects. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041551 Mon, 26 Oct 2009 00:00:00 +0100 3041551 Imported human tungiasis in Greece http://www.medworm.com/index.php?rid=3041548&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001513%2Fabstract%3Frss%3Dyes Conclusions: Tungiasis should be considered in the differential diagnosis of parasitic infections in travelers returning from endemic geographical areas. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041548 Thu, 15 Oct 2009 00:00:00 +0100 3041548 Update in Infectious Diseases http://www.medworm.com/index.php?rid=3308778&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001483%2Fabstract%3Frss%3Dyes In the context of human history, the global conquest of infectious and parasitic diseases has only just begun. Much of the world's population remains at risk of these diseases and millions die each year. Health professionals, who find themselves on the front line of the fight against infectious and parasitic diseases, need ready access to reliable updates. Preferably, these updates should be published on a regional basis, particularly for those working in travel medicine. The first edition of Update in Infectious Diseases is one example of a new era of e-Textbooks designed to help meet this challenge. This first edition of Update in Infectious Diseases contains a Foreword and a Preface by the series editor, a list of Contributors, 12 chapters, and a scant Index. There is no Table of Conten... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308778 Mon, 12 Oct 2009 00:00:00 +0100 3308778 Lecture notes on tropical medicine http://www.medworm.com/index.php?rid=3308777&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001501%2Fabstract%3Frss%3Dyes Much of the world's population remains at risk of tropical diseases and millions die each year. For those undertaking tropical medicine courses or travelling to developing countries, Lecture Notes on Tropical Medicine is likely to be one of the first choices for a ready reference textbook. This Sixth Edition of the Lecture Notes on Tropical Medicine contains a table of Contents, a list of 21 Contributors, a Preface, a comprehensive List of Abbreviations, New Drug Names, three Parts, 61 chapters, an Index and an abundant use of tables and figures. There is no foreword, bibliography or glossary, although it may be useful for a book of this maturity to incorporate a foreword by an eminent tropical medicine specialist. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308777 Mon, 12 Oct 2009 00:00:00 +0100 3308777 Outcomes of diarrhea management in operations Iraqi Freedom and Enduring Freedom http://www.medworm.com/index.php?rid=3041542&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001446%2Fabstract%3Frss%3Dyes Conclusion: While current standard of care is self-treatment of diarrhea in civilian travelers, the U.S. military lacks standards outlining self-treatment of personnel at the individual level. Further research is needed to develop treatment guidelines on diarrhea management during military deployment. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041542 Mon, 05 Oct 2009 00:00:00 +0100 3041542 Three air travel-related contact investigations associated with infectious tuberculosis, 2007–2008 http://www.medworm.com/index.php?rid=3571335&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001264%2Fabstract%3Frss%3Dyes Conclusions: Passenger contacts’ positive test results may represent prior TB infection acquired in their countries of residence or may be a result of new TB infection resulting from exposure during air travel. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3571335 Sun, 04 Oct 2009 23:00:00 +0100 3571335 Relationships between female tourists and male locals in Cuzco/Peru: Implications for travel health education http://www.medworm.com/index.php?rid=3041544&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001458%2Fabstract%3Frss%3Dyes Conclusions: The findings support calls for more emphasis on sexual health in travel health education. Three aspects should be included: 1) an awareness that unfamiliar environment can cause ‘out of character’ behaviour, 2) an emphasis on not only to use but to not stop using condoms, and 3) the need to acquire negotiation skills. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041544 Wed, 23 Sep 2009 00:00:00 +0100 3041544 Editorial board http://www.medworm.com/index.php?rid=2780152&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900129X%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780152 Mon, 31 Aug 2009 23:00:00 +0100 2780152 Trends in the publication of scientific research in travel medicine from Latin America http://www.medworm.com/index.php?rid=3308775&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001252%2Fabstract%3Frss%3Dyes We read with interest the recent Letter by Rodriguez-Morales and Palacios describing trends in the publication of scientific research in travel medicine from Latin America. In their Letter, the authors point out that travel medicine has emerged as an important scientific discipline in many parts of the world, including very recently, in Latin America. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3308775 Tue, 25 Aug 2009 00:00:00 +0100 3308775 Bacteriological profile and antimicrobial resistance patterns of clinical bacterial isolates in a University Hospital http://www.medworm.com/index.php?rid=2754526&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001239%2Fabstract%3Frss%3Dyes The objective of this study was to determine the patterns of bacterial isolates found in blood culture of patients with bactermia in King Abdul Aziz University Hospital in addition to determination of antibiotic resistance. A retrospective analysis of the 672 positive samples collected over the period of December 2006–December 2008. The observed mean age was 40 years with comparable distribution in both genders. 65.2% of the population were Non-Saudi. 65.5% of isolates were Gram positive, mainly Staphylococcus epidermidis, on the other hand Klebsiella was the common Gram negative bacteria. Diabetes has been observed in 38.5%. Mortality was 32.4 (P-value 0.001) in diabetic patients versus non-diabetics. Benzyl penicillin, clindamycin, erythromycin, tetracycline, ciprofloxacin, oxacillin c... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754526 Mon, 24 Aug 2009 23:00:00 +0100 2754526 Pathogenic Escherichia coli and food handlers in luxury hotels in Nairobi, Kenya http://www.medworm.com/index.php?rid=3041545&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001240%2Fabstract%3Frss%3Dyes Conclusion: The carriage of multi-drug resistant, toxin expressing pathogenic Escherichia coli by this population is of public health concern because exposure to low doses can result in infection. Screening food handlers and implementing public awareness programs is recommended as an intervention to control transmission of enteric pathogens. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041545 Mon, 17 Aug 2009 00:00:00 +0100 3041545 Common ailments observed among students and their parents during travel http://www.medworm.com/index.php?rid=2780154&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001227%2Fabstract%3Frss%3Dyes Summary: Background: Vast majority of Indians travel for religious, cultural and socio-economic purposes either alone or with families.Objectives: The present study attempts to elicit the travel related health issues experienced by college students (youth) and their parents (elderly) during travel, to identify the variations between youth and elderly, and to suggest remedial measures.Material and methods: A total of 400 college students (age range 17–25; mean age 21) and 330 of their parents (age range 39–64; mean age 49) were included in the study. After a brief introduction to the study, a pretested structured anonymous questionnaire was distributed and completed. The data was analyzed statistically.Results: Ailments were significantly (p (Source: Travel Medicine and Infectious Disea... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780154 Sun, 16 Aug 2009 23:00:00 +0100 2780154 Serogroup B meningococcal disease during Hajj: Preparing for the worst scenario http://www.medworm.com/index.php?rid=2754525&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001203%2Fabstract%3Frss%3Dyes Summary: The Islamic Hajj pilgrimage to Mecca, Saudi Arabia has historically been associated with outbreaks of serogroup A and W135 meningococcal disease. Prevention against meningococcal disease has principally been vaccination with meningococcal polysaccharide vaccines, either in a bivalent serogroup A/C or quadrivalent A/C/Y/W135 form. These interventions have suppressed meningococcal disease since 2002. Countries with large Muslim populations have now started to show a trend of increased serogroup B meningococcal disease, a serogroup for which there is no universal vaccine available. These trends should increase our preparedness to expect a sudden change in the etiology of meningococcal disease during the Hajj. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754525 Tue, 11 Aug 2009 23:00:00 +0100 2754525 Pre-travel counselling in Greece for travellers visiting friends and relatives http://www.medworm.com/index.php?rid=2780163&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909001215%2Fabstract%3Frss%3Dyes The objective of this study was to define the proportion and the profile of VFRs who seek pre-travel counselling in Greece. The study was conducted prospectively, from July, 2005 to December, 2007, in seven Health Departments of the Prefectures in Athens and Attica, where 35.6% of the Greek population resides; migrants account for 17% and 8% of the population in these areas, respectively. 2548 travellers seeking pre-travel advice were studied; 23 (0.9%) were identified as VFRs. Children younger than 15 years accounted for 30.4% of VFRs, compared to 2.3% among non-VFRs. VFRs were younger than non-VFRs (mean ages: 29.9 versus 40.4 years, respectively). A comparison of VFRs with non-VFRs revealed that VFRs travelled for longer periods of time, stayed at local people's home more frequently (87... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780163 Wed, 05 Aug 2009 23:00:00 +0100 2780163 A travel medicine view of dengue and dengue hemorrhagic fever http://www.medworm.com/index.php?rid=2780157&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000842%2Fabstract%3Frss%3Dyes Summary: Dengue fever is the most prevalent arboviral infection worldwide, with up to 40% of the world population living in endemic regions. Among travelers to tropical countries, dengue infection is increasingly reported, and it is now a leading cause of post-travel fever. Outbreaks of dengue-like illness were already described since the 18th century, but it is only in the last half century that a severe form of the disease – dengue hemorrhagic fever (DHF) has been described. Although the cause of DHF is not established, the prevailing theory attributes the disease to antibody-dependent enhancement of viral replication, in the presence of a secondary dengue infection. Comparative studies of primary vs. secondary infection are difficult to perform in endemic countries because of the rari... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780157 Wed, 22 Jul 2009 23:00:00 +0100 2780157 Trends in the publication of scientific research in travel medicine from Latin America http://www.medworm.com/index.php?rid=2780166&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000921%2Fabstract%3Frss%3Dyes Scientific development in any biomedical discipline, particularly in developing countries relies on many factors and could be evaluated by different ways and instruments. Bibliometry, the metrics of publications, allow us to estimate not just the number of available publications and published papers, but also its usefulness for other researchers globally or regionally in any given specialty. In this sense, it is interesting to review under this approach, the trends in the publication of scientific research in Travel Medicine from Latin America in the last 25 years (1984–2008). (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780166 Mon, 20 Jul 2009 23:00:00 +0100 2780166 Malaria zoonoses http://www.medworm.com/index.php?rid=2780156&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000969%2Fabstract%3Frss%3Dyes Summary: The genus Plasmodium includes many species that naturally cause malaria among apes and monkeys. The 2004 discovery of people infected by Plasmodium knowlesi in Malaysian Borneo alerted to the potential for non-human species of plasmodia to cause human morbidity and mortality. Subsequent work revealed what appears to be a surprisingly high risk of infection and relatively severe disease, including among travelers to Southeast Asia. The biology and medicine of this zoonosis is reviewed here, along with an examination of the spectrum of Plasmodium species that may cause infection of humans. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780156 Tue, 14 Jul 2009 23:00:00 +0100 2780156 A new inactivated Japanese encephalitis vaccine for adult travelers http://www.medworm.com/index.php?rid=2780161&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900060X%2Fabstract%3Frss%3Dyes Summary: Current guidelines for Japanese encephalitis (JE) vaccine relate to an older mouse brain derived vaccine with an uncertain history of adverse events including delayed anaphylaxis. JE is widely distributed, including in urban areas. Underreporting is likely in many endemic countries, and atypical clinical forms exist. A new JE vaccine produced in Vero cells has become available, which appears equi-efficacious to the mouse brain derived vaccine. In development trials the new JE vaccine was as well tolerated as placebo. A review of existing guidelines for JE vaccine use in travelers should be considered. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780161 Mon, 13 Jul 2009 23:00:00 +0100 2780161 Early small bowel perforation and cochleovestibular impairment as rare complications of typhoid fever http://www.medworm.com/index.php?rid=2780155&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000957%2Fabstract%3Frss%3Dyes Summary: Two Indian migrant workers suffering from fever and malaise were admitted to the hospital directly after arrival in the Netherlands. The first patient was 25-year-old man who had fever and rigors on admission. The patient was treated for presumptive typhoid fever with ciprofloxacin. Cefotaxime was added the following day because of the possibility of a nalidixic-acid resistant strain of S. typhi. The clinical course was complicated by a small bowel perforation on the third day of the disease. Blood cultures grew a nalidixic acid resistant strain of Salmonella enterica serovar typhi. The patient recovered completely. The second patient, a 22-year-old man, suffered from fever, malaise and hearing loss. A sensorineural hearing loss with vestibular dysfunction was diagnosed. Cultures ... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780155 Mon, 13 Jul 2009 23:00:00 +0100 2780155 Manson's Tropical Diseases http://www.medworm.com/index.php?rid=2780169&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000593%2Fabstract%3Frss%3Dyes First published in 1898 and now into a freshly minted twenty-second edition, Manson's “manual on diseases of warm climates” retains its position as the classic text of tropical medicine. Travel medicine practitioners should note that the publishers, quite rightly in my opinion, have described the book as travel medicine text. This is not only a recognition that travel medicine has come of age, but also that exotic diseases may emerge from the obscurest tropical location to present themselves anywhere, at any time. Underlining this, there are chapters contributed by recognized travel medicine experts: Robert Steffen, Ron Behrens and Jane Zuckerman. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780169 Sun, 12 Jul 2009 23:00:00 +0100 2780169 Geotourism and volcanoes: Health hazards facing tourists at volcanic and geothermal destinations http://www.medworm.com/index.php?rid=2780153&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000945%2Fabstract%3Frss%3Dyes Summary: Volcano tourism and tourism to geothermal destinations is increasingly popular. If such endeavors are to be a sustainable sector of the tourism industry, tourists must be made aware of the potential health hazards facing them in volcanic environments. With the aim of creating awareness amongst the tourism industry and practitioners of travel medicine, this paper reviews the potential influences and effects of volcanic gases such as carbon dioxide (CO2), hydrogen sulfide (H2S), sulfur dioxide (SO2), and hydrogen chloride/hydrochloric acid (HCl). It also reviews the negative health impacts of tephra and ash, lava flows, landslides, and mudflows. Finally, future research striving to quantify the health risks facing volcano tourists is recommended. (Source: Travel Medicine and Infecti... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780153 Tue, 07 Jul 2009 23:00:00 +0100 2780153 Acinetobacter lwoffii: Bacteremia associated with acute gastroenteritis http://www.medworm.com/index.php?rid=2780164&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000933%2Fabstract%3Frss%3Dyes Summary: Acinetobacter lwoffii is a non-fermentative aerobic gram-negative bacillus that is seen as a normal flora of the oropharynx and skin in approximately 25% of the healthy individuals. Due to its ubiquitous nature, it is a potential opportunistic pathogen in patients with impaired immune systems, and it has been identified as a cause of nosocomial infections like septicemia, pneumonia, meningitis, urinary tract infections, skin and wound infections. To our knowledge, this is the first case reported of a community acquired A. lwoffii bacteremia associated with gastroenteritis. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780164 Wed, 01 Jul 2009 23:00:00 +0100 2780164 Travel medicine has come of age and a new examination marks the 21st birthday http://www.medworm.com/index.php?rid=2754515&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000866%2Fabstract%3Frss%3Dyes We live in a far more mobile world than past generations. In the last 200 years the world population has increased from less than 1 billion to over 6 billion and there has been a 100-fold increase in population mobility since 1960. Combining the expansion of population, and population mobility, population flux has increased 3000–7000 times in just two centuries. Jet aircraft have been around for little more than 50 years and now travellers arrive back in their home countries from the most distant locations on earth within 2 days, greatly increasing the potential for the symptoms of imported infection to present to primary health care after returning home. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754515 Tue, 30 Jun 2009 23:00:00 +0100 2754515 Editorial board http://www.medworm.com/index.php?rid=2754514&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000994%2Fabstract%3Frss%3Dyes (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754514 Tue, 30 Jun 2009 23:00:00 +0100 2754514 Meningococcal disease and prevention at the Hajj http://www.medworm.com/index.php?rid=2754523&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000830%2Fabstract%3Frss%3Dyes Summary: The Islamic Hajj pilgrimage to Mecca, Kingdom of Saudi Arabia (KSA) has historically been associated with outbreaks of Neisseria meningitidis serogroup A. The main means of prevention against meningococcal disease was the bivalent serogroup A/C polysaccharide vaccine. During the Hajj pilgrimages of 2000 and 2001, there was an epidemiological shift from serogroup A disease to serogroup W135 disease together with an increase in incidence in younger age groups. This prompted the Ministry of Health to introduce quadrivalent ACYW135 polysaccharide vaccines. These interventions have quelled meningococcal disease since 2002. Trials on meningococcal quadrivalent conjugate vaccines are now underway in the KSA. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754523 Wed, 24 Jun 2009 23:00:00 +0100 2754523 Exotic human myiasis http://www.medworm.com/index.php?rid=2754518&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900091X%2Fabstract%3Frss%3Dyes We report a case of imported human myiasis and present a literature review of human myiasis. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754518 Tue, 16 Jun 2009 23:00:00 +0100 2754518 A traveler with neurobrucellosis http://www.medworm.com/index.php?rid=2754522&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS147789390900088X%2Fabstract%3Frss%3Dyes Summary: An Indian traveler developed fever and neurological symptoms after a visit to East Africa. He was treated with suramin, melarsoprol and prednisolone for presumed East African trypanosomiasis. His condition deteriorated and cerebral lesions developed. Neurobrucellosis was diagnosed. Combination antibiotic therapy led to gradual clinical improvement and regression of the brain lesions. Misdiagnosis of East African trypanosomiasis followed by treatment with potentially lethal medication should be avoided by not relying on insufficient evidence during the diagnostic process. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754522 Sun, 14 Jun 2009 23:00:00 +0100 2754522 Acute acalculous cholecystitis complicating typhoid fever in an adult patient: A case report and review of the literature http://www.medworm.com/index.php?rid=2754519&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000908%2Fabstract%3Frss%3Dyes In this report the literature is reviewed and the pathogenesis of the disease is discussed. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2754519 Sun, 14 Jun 2009 23:00:00 +0100 2754519 Fibrous subcutaneous nodule caused by Dirofilaria repens http://www.medworm.com/index.php?rid=2780165&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000829%2Fabstract%3Frss%3Dyes Summary: A case is described of subcutaneous dirofilariasis in a Greek woman who had visited many countries around the world, including areas of sub-Saharan Africa. The patient presented with a single hard subcutaneous nodule on the right cheek, with no cutaneous manifestations of early or long-standing onchocercal dermatitis or eye lesions. The nodule was removed surgically and the filarial adult worm Onchocerca volvulus was initially diagnosed, based on the history, the hardness and large size of the fibrous nodule and the absence of cuticular longitudinal ridges of the parasite in the initial histological sections. Bloodless skin snips taken from the regions of the scapula, iliac crest and lateral calf were negative for O. volvulus microfilariae. Serial cross-sections of the fibrous no... Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=2780165 Sun, 07 Jun 2009 23:00:00 +0100 2780165 Illness and injury to travellers on a premium seniors' tour to Indochina http://www.medworm.com/index.php?rid=3041546&cid=s_36132_20_f&fid=36132&url=http%3A%2F%2Fwww.travelmedicinejournal.com%2Farticle%2FPIIS1477893909000817%2Fabstract%3Frss%3Dyes Conclusions: On this premium seniors' tour, the health problems encountered were largely similar to those reported for other specialised tours, including premium expeditions. The most common medical problems included gastrointestinal, respiratory, dermatological, cardiovascular and musculoskeletal conditions in descending order. One aspect requiring further study is the psychological adjustments made by travellers on group tours and expeditions. As well as being part of the service provided to travellers, the inclusion of an expedition physician on this premium seniors' tour increased the independence of the travel group on this journey. (Source: Travel Medicine and Infectious Disease) Travel Medicine and Infectious Disease journals http://www.medworm.com/rss/comments.php?id=3041546 Mon, 01 Jun 2009 00:00:00 +0100 3041546