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Editorial boardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - August 31, 2009 Category: Infectious Diseases Source Type: journals

Bacteriological profile and antimicrobial resistance patterns of clinical bacterial isolates in a University HospitalEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 3...
Source: Travel Medicine and Infectious Disease - August 24, 2009 Category: Infectious Diseases Authors: Maimoonaa Mushtaq Ahmed, Sami Bahlas Tags: Invited Submissions - The Hajj Source Type: journals

Common ailments observed among students and their parents during travelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 anonym...
Source: Travel Medicine and Infectious Disease - August 16, 2009 Category: Infectious Diseases Authors: Shah Sweni, Arunachalam Muthusundari, Ramachandran Meenakshisundaram, Ponniah Thirumalaikolundusubramanian Tags: First look-student research Source Type: journals

Serogroup B meningococcal disease during Hajj: Preparing for the worst scenarioEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 pr...
Source: Travel Medicine and Infectious Disease - August 11, 2009 Category: Infectious Diseases Authors: Mohamed K.M. Khalil, Ray Borrow Tags: Invited Submissions - The Hajj Source Type: journals

Pre-travel counselling in Greece for travellers visiting friends and relativesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 versu...
Source: Travel Medicine and Infectious Disease - August 5, 2009 Category: Infectious Diseases Authors: Androula Pavli, Panagiotis Katerelos, Ioannis N. Pierroutsakos, Helen C. Maltezou Tags: Original articles Source Type: journals

A travel medicine view of dengue and dengue hemorrhagic feverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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,...
Source: Travel Medicine and Infectious Disease - July 22, 2009 Category: Infectious Diseases Authors: Eyal Meltzer, Eli Schwartz Tags: Original articles Source Type: journals

Trends in the publication of scientific research in travel medicine from Latin AmericaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Travel Medicine and Infectious Disease - July 20, 2009 Category: Infectious Diseases Authors: Alfonso J. Rodriguez-Morales, Hilda Palacios Tags: Correspondence Source Type: journals

Malaria zoonosesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 a...
Source: Travel Medicine and Infectious Disease - July 14, 2009 Category: Infectious Diseases Authors: J. Kevin Baird Tags: Original articles Source Type: journals

A new inactivated Japanese encephalitis vaccine for adult travelersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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: Tra...
Source: Travel Medicine and Infectious Disease - July 13, 2009 Category: Infectious Diseases Authors: Stephen Toovey Tags: Original articles Source Type: journals

Early small bowel perforation and cochleovestibular impairment as rare complications of typhoid feverEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 completel...
Source: Travel Medicine and Infectious Disease - July 13, 2009 Category: Infectious Diseases Authors: Marlies E. van Wolfswinkel, Hakima Lahri, Pieter J. Wismans, Pieter L.C. Petit, Perry J.J. van Genderen Tags: Original articles Source Type: journals

Manson's Tropical DiseasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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, Ro...
Source: Travel Medicine and Infectious Disease - July 12, 2009 Category: Infectious Diseases Authors: Stephen Toovey Tags: Book review Source Type: journals

Geotourism and volcanoes: Health hazards facing tourists at volcanic and geothermal destinationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 fl...
Source: Travel Medicine and Infectious Disease - July 7, 2009 Category: Infectious Diseases Authors: Travis W. Heggie Tags: Review Source Type: journals

Acinetobacter lwoffii: Bacteremia associated with acute gastroenteritisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Travel Medicine and Infectious Disease - July 1, 2009 Category: Infectious Diseases Authors: Nora G. Regalado, Greg Martin, Suresh J. Antony Tags: Original articles Source Type: journals

Travel medicine has come of age and a new examination marks the 21st birthdayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 primar...
Source: Travel Medicine and Infectious Disease - June 30, 2009 Category: Infectious Diseases Authors: Michael E. Jones, Eric Walker, Peter L. Chiodini, Brian Angus, Lorna Boyne, Alexander Grieve Tags: Editorial Source Type: journals

Editorial boardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - June 30, 2009 Category: Infectious Diseases Source Type: journals

Meningococcal disease and prevention at the HajjEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 2...
Source: Travel Medicine and Infectious Disease - June 24, 2009 Category: Infectious Diseases Authors: Ray Borrow Tags: Guest Editorial - The Hajj Source Type: journals

Exotic human myiasisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of imported human myiasis and present a literature review of human myiasis. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - June 16, 2009 Category: Infectious Diseases Authors: M.J.M.L. Hakeem, D.N. Bhattacharyya Tags: Original Articles Source Type: journals

A traveler with neurobrucellosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: Travel Medicine and Infectious Disease - June 14, 2009 Category: Infectious Diseases Authors: E. Van den Enden, E. Vlieghe, R. Demeester, G. Ieven, H. Jansens, L. Van den Hauwe Tags: Commentaries Source Type: journals

Acute acalculous cholecystitis complicating typhoid fever in an adult patient: A case report and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this report the literature is reviewed and the pathogenesis of the disease is discussed. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - June 14, 2009 Category: Infectious Diseases Authors: Fahmi Yousef khan, Elhadi B. Elouzi, Mohamed Asif Tags: Original Articles Source Type: journals

Fibrous subcutaneous nodule caused by Dirofilaria repensEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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. Bloo...
Source: Travel Medicine and Infectious Disease - June 7, 2009 Category: Infectious Diseases Authors: Konstantina Tzanetou, Charalampos Gogou, Athanassios Giannoulopoulos, Charalampos Patralexis, Konstantina Fragia Tags: Brief report Source Type: journals

Tattoos and paucibacillary leprosyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tattooing is an age-old custom in India. Although transmission of infectious diseases through tattooing is well known, there have been occasional reports of the association of leprosy and tattooing. However, disease, localized to tattoos, goes unrecognized or misdiagnosed as another tubercular disease such as lupus vulgaris or non-tubercular disease. An unusual case of leprotic plaque over tattoos is discussed below. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - May 24, 2009 Category: Infectious Diseases Authors: Ranjan Kumar Singh Tags: Correspondence Source Type: journals

Cost concern on hepatitis B virus screening for workers pursuing work aboardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Hepatitis B virus (HBV) infection is a disease prevalent in tropical Asia and elsewhere. Screening for HBV infection in workers pursuing work abroad is a basic practice, and is useful for preventing infected migrating workers from being sent home to their original countries. The cost of a screening programme for HBV infection among workers who wish to work abroad with emphasis on Thailand. The method for screening is based on tests for hepatitis B surface antigen (HBsAg) test. Although expensive to run, the cost is acceptance because of the saving by preventing infected workers from being sent home. A published paper on sc...
Source: Travel Medicine and Infectious Disease - May 21, 2009 Category: Infectious Diseases Authors: Viroj Wiwanitkit Tags: Correspondence Source Type: journals

Travel patterns and health risks for patients infected with HIVEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: International travelers are at increased risk of acquiring infectious diseases. These risks are even greater for individuals visiting resource-poor tropical regions and for immunocompromised travelers, including those with HIV infection. We reviewed ten years of consultative charts from the International Health Clinic at the Ottawa Hospital General Campus to describe travel risks and preventative measures for international travelers infected with HIV. A total of 100 patients infected with HIV (63 male, 37 female; mean age 42.2 years) were referred to the clinic prior to international travel. More than half (57%) w...
Source: Travel Medicine and Infectious Disease - May 7, 2009 Category: Infectious Diseases Authors: Adam W. Sherrard, Anne E. McCarthy Tags: Original articles Source Type: journals

Health and safety aspects of deployment of Australian Disaster Medical Assistance Team members: Results of a national surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study of Australian DMAT members suggests that, in the field, attention should be given to basics, such as adequate food, water, shelter and personal hygiene as well as appropriate clothing, sunscreen and vector protection. The inclusion of appropriate personal items can be assisted by provision of a minimum suggested personal equipment list, with local conditions and the nature of the deployment being taken into account. A personal survival kit should also be recommended. There should be medical and psychological support for team members themselves, including the provision of a dedicated team member medi...
Source: Travel Medicine and Infectious Disease - May 7, 2009 Category: Infectious Diseases Authors: Peter Aitken, Peter Leggat, Andrew Robertson, Hazel Harley, Richard Speare, Muriel Leclercq Tags: Original articles Source Type: journals

Editorial boardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - May 1, 2009 Category: Infectious Diseases Source Type: journals

Dengue in northern Queensland, Australia: Risk from travellers or risk to travellers?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The resurgence of dengue, a potentially severe and fatal viral illness transmitted by certain Aedes spp. of mosquitoes, has been described as a significant international public health problem. The World Health Organization (WHO) estimates that 2.5 billion people or two-fifths of the world's population live in areas where dengue can be transmitted and that there may be up to 50 million cases of dengue infection worldwide every year. Travel has probably had the single most important impact on the spread of dengue globally. Reflecting this situation is the emergence of dengue as a problem of returning travellers. (Source: Tra...
Source: Travel Medicine and Infectious Disease - April 19, 2009 Category: Infectious Diseases Authors: Peter A. Leggat Tags: Commentaries Source Type: journals

Traveling to Canada for the Vancouver 2010 Winter Olympic and Paralympic GamesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: The 21st Winter Olympic Games will be held in Vancouver, British Columbia, Canada from February 12 to 28, 2010. Following the Winter Olympic Games, the Winter Paralympic Games will be held from March 12 to 21, 2010. There will be 86 winter sporting events hosted in Vancouver with 5500 athletes staying in two Olympic Villages. Another 2800 members of the media, 25,000 volunteers, and 1 million spectators are expected in attendance. This paper reviews health and safety issues for all travelers to Canada for the 2010 Vancouver Winter Olympic Games with a specific focus on pre-travel planning, road and transportation ...
Source: Travel Medicine and Infectious Disease - April 19, 2009 Category: Infectious Diseases Authors: Travis W. Heggie Tags: Review Source Type: journals

Travel-related health problems in Japanese travelersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Although the profile of travel-related health problems in Japanese travelers is similar to that of Western travelers, the characteristics of travel were quite different. Therefore Japanese travel advice should be tailored to suit the Japanese traveler. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 16, 2009 Category: Infectious Diseases Authors: Yasutaka Mizuno, Koichiro Kudo Tags: Original articles Source Type: journals

U.S. airport entry screening in response to pandemic influenza: Modeling and analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Foreign shore exit screening greatly reduces numbers of PI infected passengers. U.S. airport screening identifies 50% infected individuals; efficacy is limited by the asymptomatic PI infected. Screening will not significantly delay arrival of PI via international air transport, but will reduce the rate of new US cases and subsequent deaths. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 15, 2009 Category: Infectious Diseases Authors: John D. Malone, Robert Brigantic, George A. Muller, Ashok Gadgil, Woody Delp, Benjamin H. McMahon, Russell Lee, Jim Kulesz, F. Matthew Mihelic Tags: Original Articles Source Type: journals

A practical approach to common skin problems in returning travellersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Skin diseases are the third most common cause of morbidity in returning travellers and may affect 8% of travellers during travel. Classic tropical diseases account for one quarter and the remainder are cosmopolitan diseases. The majority are of infectious origin, and of these bacterial infections are the most common and lead to the most hospitalisations. The ten most frequently encountered diagnoses comprise four classical tropical infections (cutaneous larva migrans, myiasis, tungiasis and cutaneous leishmaniasis) and six nontropical diseases (bacterial skin infections, arthropod bites, allergic reactions, scabie...
Source: Travel Medicine and Infectious Disease - April 13, 2009 Category: Infectious Diseases Authors: Brigid M. O'Brien Tags: Invited Submission Source Type: journals

Pre- and post-deployment health support provided to Australian Disaster Medical Assistance Team members: Results of a national surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This study of Australian DMAT members suggests that more emphasis should be placed on health of personnel prior to deployment with pre-deployment medical examinations and psychological assessment. Following the return home, and in addition to mission and psychological debriefing, there should be a post-deployment medical examination and ongoing support and follow-up of DMAT members. More research is needed to examine deployment health support issues. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - April 12, 2009 Category: Infectious Diseases Authors: Peter Aitken, Peter Leggat, Andrew Robertson, Hazel Harley, Richard Speare, Muriel Leclercq Tags: Original articles Source Type: journals

Dental health, ‘dental tourism’ and travellersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dental problems represent a significant health concern of travellers abroad. In terms of travel insurance claims, studies in Australia indicate that about 7–8% of claims made by Australians returning from abroad are for dental conditions. About three-quarters of these claims were for conservative (30%), endodontic (18%) or prosthodontic (26%) treatment overseas, primarily for problems such as lost fillings, dental caries, root canal treatment and repair of prosthetic devices. About one quarter of travel insurance claims for dental conditions were not accepted, primarily because the condition claimed was a pre-existing pr...
Source: Travel Medicine and Infectious Disease - March 31, 2009 Category: Infectious Diseases Authors: Peter Leggat, Ureporn Kedjarune Tags: Editorial Source Type: journals

Army women's evaluations of a self-administered intervention to prevent sexually transmitted diseases during travelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Minor changes have been made based upon these results. The intervention will be reviewed again and proceed to clinical trials with female military personnel and other travelers. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - March 27, 2009 Category: Infectious Diseases Authors: Victoria von Sadovszky, Nancy Ryan-Wenger, Dana Moore, Ashley Jones Tags: Original Articles Source Type: journals

The standard of malaria prevention advice in UK primary careEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Ethnic minority travellers visiting friends and relations have the greatest need for improved malaria prevention, yet appear to receive the worst prevention advice. Substantial improvement in delivery of advice is required. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - March 23, 2009 Category: Infectious Diseases Authors: Jane Chiodini Tags: Original Articles Source Type: journals

Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Travellers are increasingly taking the opportunity to explore more adventurous and wilderness destinations, sometimes as part of an expedition, which may have the additional benefit of medical cover that is often provided by an expedition physician, paramedic or nurse. Wilderness areas, although often unspoilt and spectacular, often harbour a multitude of biological and environmental hazards. Apart from major expeditionary organisations, such as the Royal Geographical Society, who have traditionally contributed guidelines in this area, often as part of broader publications, there have been few handbooks published specifica...
Source: Travel Medicine and Infectious Disease - March 9, 2009 Category: Infectious Diseases Authors: Peter A. Leggat Tags: Book reviews Source Type: journals

The epidemiology of tick-borne relapsing fever in Iran during 1997–2006Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Travelers to the rural areas with high prevalence of the disease should be made aware of the risk of tick-borne relapsing fever and use of appropriate control measures. Communicable disease surveillance including tick-borne relapsing fever should be pursued as well. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - March 2, 2009 Category: Infectious Diseases Authors: H. Masoumi Asl, M.M. Goya, H. Vatandoost, S.M. Zahraei, M. Mafi, M. Asmar, N. Piazak, Z. Aghighi Tags: Original Articles Source Type: journals

Dengue and aplastic anemia--a rare association.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aplastic anemia is a medullary insufficiency secondary to the complete or partial disappearance of hematopoietic tissue without abnormal cellular proliferation. This is a rare complication of infections, such as dengue hemorrhagic fever. A 15-year-old girl was admitted with anemia, bleeding from the gums, petechiae and fever. Laboratory tests at the time of admission showed: Hemoglobin 4.8 g/dl; Hematocrit 13.4%; white blood count 2240/microl and platelets 11,500/microl. Dengue virus IgM antibodies were found. A bone marrow aspirate and biopsy showed severe aplastic anemia. Treatment with intravenous immunoglobulin and...
Source: Travel Medicine and Infectious Disease - March 1, 2009 Category: Infectious Diseases Authors: Albuquerque PL, Silva Júnior GB, Diógenes SS, Silva HF Tags: Travel Med Infect Dis Source Type: journals

Intercontinental air travel: The cabin atmosphere and circadian realignment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19237138 [PubMed - in process] (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - February 26, 2009 Category: Infectious Diseases Authors: Nicholson AN Tags: Travel Med Infect Dis Source Type: journals

Jet lag and other sleep disorders relevant to the traveler.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sleep and wakefulness are governed by homeostatic and circadian regulatory processes, and perturbations therein are primarily responsible for the sleep disturbances associated with travel. Misalignment between endogenous rhythms and the light/dark cycle can result in circadian rhythm sleep disorders, including jet lag. This condition will be the primary focus of this review, with an emphasis on predisposing factors, preventative options, and treatment strategies. PMID: 19237139 [PubMed - in process] (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - February 26, 2009 Category: Infectious Diseases Authors: Auger RR, Morgenthaler TI Tags: Travel Med Infect Dis Source Type: journals

Melatonin and its relevance to jet lag.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Jet lag is a disorder in which body rhythms are out of phase with the environment because of rapid travel across time zones. Although it often produces minor symptoms it can cause serious problems in those who need to make rapid critical decisions including airline pilots and business travelers. In this article the authors review basic knowledge underlying the body clock, the suprachiasmatic nucleus (SCN) of the hypothalamus, and the manner in which it regulates the sleep/wake cycle. The regulation of melatonin by the SCN is described together with the role of the melatonin receptors which are integral to its function ...
Source: Travel Medicine and Infectious Disease - February 26, 2009 Category: Infectious Diseases Authors: Brown GM, Pandi-Perumal SR, Trakht I, Cardinali DP Tags: Travel Med Infect Dis Source Type: journals

Clinical management of jet lag: What can be proposed when performance is critical?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Jet lag, which appears after a long lasting transmeridian flight, is generally considered as a consequence of a desynchronization of circadian rhythms. After a recall of the circadian physiology, a modern view of the physiopathology is proposed. The major idea that emerges from these data is that only the wake-sleep rhythm may adapt itself quickly during jet lag and therefore it constitutes a good therapeutic target for physicians. We focus on the modalities of a light pharmacological aid to counteract jet lag. This punctual aid should help passengers to restore an adapted wake-sleep rhythm as quickly as possible. From...
Source: Travel Medicine and Infectious Disease - February 26, 2009 Category: Infectious Diseases Authors: Coste O, Lagarde D Tags: Travel Med Infect Dis Source Type: journals

Some chronobiological and physiological problems associated with long-distance journeys.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Long-distance travel is becoming increasingly common. Whatever the means of transport, any long journey will be associated with "travel fatigue". The symptoms associated with this phenomenon result from a changed routine (particularly sleep lost and meals) and the general disruption caused by travel. Planning any trip well in advance will minimise many of these problems, but some factors are less easy to guard against. These problems include sitting in cramped and uncomfortable conditions and, with flights, the hypoxic environment in the cabin. After arrival at the destination in another country, there can be problems ...
Source: Travel Medicine and Infectious Disease - February 26, 2009 Category: Infectious Diseases Authors: Reilly T, Waterhouse J, Edwards B Tags: Travel Med Infect Dis Source Type: journals

The pathophysiology of jet lag.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Jet Lag Disorder (JLD) is a recognized circadian rhythm sleep disorder characterized by insomnia or excessive daytime sleepiness (and sometimes general malaise and somatic symptoms) associated with transmeridian jet travel. It is a consequence of circadian misalignment that occurs after crossing time zones too rapidly for the circadian system to keep pace. The thesis of this review is that a rational treatment approach for jet lag can be grounded in an understanding of the biology of the human circadian timekeeping system. An overview of circadian rhythm physiology is presented with special emphasis on the role of ligh...
Source: Travel Medicine and Infectious Disease - February 26, 2009 Category: Infectious Diseases Authors: Sack RL Tags: Travel Med Infect Dis Source Type: journals

Imported malaria in Qatar: A one year hospital-based study in 2005.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, P. vivax is the most common cause of imported malaria, with the majority acquired from the Indian subcontinent. Only a few patients presented with severe malaria. Increased efforts are needed to educate travelers about the need for prophylaxis and other measures. PMID: 19237144 [PubMed - in process] (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - February 26, 2009 Category: Infectious Diseases Authors: Yousef Khan F, Lutof AK, Yassin MA, Khattab MA, Saleh M, Rezeq HY, Almaslamani M Tags: Travel Med Infect Dis Source Type: journals

Dengue and aplastic anemia - A rare association.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aplastic anemia is a medullary insufficiency secondary to the complete or partial disappearance of hematopoietic tissue without abnormal cellular proliferation. This is a rare complication of infections, such as dengue hemorrhagic fever. A 15-year-old girl was admitted with anemia, bleeding from the gums, petechiae and fever. Laboratory tests at the time of admission showed: Hemoglobin 4.8g/dl; Hematocrit 13.4%; white blood count 2240/mul and platelets 11,500/mul. Dengue virus IgM antibodies were found. A bone marrow aspirate and biopsy showed severe aplastic anemia. Treatment with intravenous immunoglobulin and methyl...
Source: Travel Medicine and Infectious Disease - February 26, 2009 Category: Infectious Diseases Authors: Albuquerque PL, Silva Júnior GB, Diógenes SS, Silva HF Tags: Travel Med Infect Dis Source Type: journals

The quest for public health security at Hajj: The WHO guidelines on communicable disease alert and response during mass gatheringsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Public health security, the provision of safeguarding health and safety for a designated population during a specific event, is paramount to the success of all mass gatherings (MG). Hajj, the pilgrimage to Makkah, Saudi Arabia – one of the largest annual MG – this year hosted over 2.5 million. Hajj presents an annual public health security challenge of extraordinary dimensions, not only due to its scale but also due to Hajj-specific environmental and host factors. Opportunities for sharing public health security insights from Hajj are limited by the lack of standardized outcome measures. The June 2008 WHO Guid...
Source: Travel Medicine and Infectious Disease - February 23, 2009 Category: Infectious Diseases Authors: Qanta A. Ahmed, Maurizio Barbeschi, Ziad A. Memish Tags: Invited Submissions - The Hajj Source Type: journals

Epidemiology and clinical outcomes of hepatitis B virus infection among refugees seen at a U.S. travel medicine clinic: 2005–2008Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Earlier efforts are required to provide counseling for HBV chronic carriers, vaccinate the unexposed, and assure entry into medical care for those with chronic HBV infection among refugee communities resettled in the US. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - February 17, 2009 Category: Infectious Diseases Authors: Oidda Museru, Carlos Franco-Paredes Tags: Commentaries Source Type: journals

Screening for syphilis by serology of Thai workers going abroadEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Syphilis serology is a basic screening test for the manual workers who wish to go abroad. In this work, the authors summarize results and prevalence screening syphilis serology in Thai manual workers going aboard from a tertiary hospital in Thailand. Although these manual workers have healthy general appearance there are a considerable number of a rapid plasma regain (RPR) positive cases (0.83%). (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - February 17, 2009 Category: Infectious Diseases Authors: Mayuna Srisupanant, Viroj Wiwanitkit Tags: Original Articles Source Type: journals

Pathological rupture of the spleen in malaria: Analysis of 55 cases (1958–2008)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Abdominal pain, collapse, or fainting is warning symptoms. Fourteen published observations support conservative management in carefully selected patients. Spleen preservation likely reduces the risk of future severe malaria attacks in patients with potential further exposition to Plasmodium sp., and also that of overwhelming sepsis in all. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - February 9, 2009 Category: Infectious Diseases Authors: Patrick Imbert, Christophe Rapp, Pierre A. Buffet Tags: Invited Submission Source Type: journals

Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This work is a large volume suited really neither to a desktop nor a pocket, although it might find a home on the top shelf of a travel clinic library. The format of the volume suggests it to be a reference work, although the preface positions the book as a practical work, intended to assist the travel medicine practitioner as he busies himself about his daily travel clinic duties; the preface describes the volume as a “how to” manual, which may be read in its entirety, from cover to cover, although few would have time for that in today's world. (Source: Travel Medicine and Infectious Disease)
Source: Travel Medicine and Infectious Disease - January 7, 2009 Category: Infectious Diseases Authors: Stephen Toovey Tags: Book reviews Source Type: journals