1. 1 Introduction to Travel Medicine - p. 1 2. 2 Epidemiology - p. 3 3. 3 Starting, Organizing, and Marketing a Travel Clinic - p. 15 4. 4 Pretravel Consultation - p. 25 5. Section 2 The Pretravel Consultation - p. 30 6. 5 Water Disinfection for International Travelers - p. 31 7. 6 Insect Protection - p. 43 8. 7 Pretravel Considerations for Non-vaccine-Preventable Travel Infections - p. 53 9. 8 Travel Medical Kits - p. 61 10. Section 3 Immunization - p. 64 11. 9 Principles of Immunization - p. 65 12. 10 Routine Adult Vaccines - p. 75 13. 11 Routine Travel Vaccines - p. 89 14. 12 Recommended/Required Travel Vaccines - p. 101 15. 13 Pediatric Travel Vaccinations - p. 125 16. Section 4 Malaria - p. 136 17. 14 Malaria - p. 137 18. 15 Malaria Chemoprophylaxis - p. 145 19. 16 Self-Diagnosis and Self-Treatment of Malaria by the Traveler - p. 169 20. 17 Approach to the Patient With Malaria - p. 179 21. Section 5 Travelers' Diarrhea - p. 186 22. 18 Epidemiology of Travelers' Diarrhea - p. 187 23. 19 Prevention of Travelers' Diarrhea - p. 199 24. 20 Clinical Presentation and Management of Travelers' Diarrhea - p. 205 25. 21 Persistent Gastrointestinal Symptoms in the Ill-Returning Traveler - p. 213 26. Section 6 Travelers With Special Needs - p. 224 27. 22 The Pregnant and Breastfeeding Traveler - p. 225 28. 23 The Pediatric and Adolescent Traveler - p. 237 29. 24 The Older Traveler - p. 247 30. 25 The Physically Challenged Traveler - p. 255 31. 26 The Traveler With Preexisting Disease - p. 261 32. 27 The Immunocompromised Traveler - p. 269 33. 28 The Traveler With HIV - p. 279 34. 29 The Business Traveler - p. 287 35. 30 VIP Traveler - p. 295 36. 31 Health Aspects of International Adoption - p. 303 37. 32 Visiting Friends and Relatives - p. 311 38. Section 7 Travelers With Special Itineraries - p. 319 39. 33 Expatriates - p. 321 40. 34 The Migrant Traveler - p. 331 41. 35 Humanitarian Aid Workers - p. 335 42. 36 The Deployed Military - p. 341 43. 37 Expedition Medicine - p. 347 44. 38 Ecotourism - p. 363 45. 39 Medical Tourism - p. 371 46. 40 Cruise Ship Travel - p. 377 47. 41 Mass Gatherings - p. 383 48. Section 8 Environmental Aspects of Travel Medicine - p. 386 49. 42 High-Altitude Medicine - p. 387 50. 43 Diving Medicine - p. 401 51. 44 Extremes of Temperature and Hydration - p. 407 52. 45 Jet Lag - p. 417 53. 46 Motion Sickness - p. 423 54. 47 The Aircraft Cabin Environment - p. 429 55. Section 9 Health Problems While Traveling - p. 436 56. 48 Bites, Stings, and Envenoming Injuries - p. 437 57. 49 Seafood Poisoning - p. 449 58. 50 Injuries and Injury Prevention - p. 457 59. 51 Mental Health Issues of Travelers - p. 463 60. 52 Travelers' Thrombosis - p. 469 61. 53 Health Care Abroad - p. 475 62. 54 Personal Security and Crime Avoidance - p. 483 63. Section 10 Posttravel - p. 486 64. 55 Posttravel Screening - p. 487 65. 56 Fever in Returned Travelers - p. 495 66. 57 Skin Diseases - p. 505 67. 58 Eosinophilia - p. 519 68. 59 Respiratory Infections - p. 527 69. Appendix Sources of Travel Medicine Information - p. 539 70. Index - p. 545
1. 1 Introduction to Travel Medicine - p. 1 2. 2 Epidemiology - p. 3 3. 3 Starting, Organizing, and Marketing a Travel Clinic - p. 15 4. 4 Pretravel Consultation - p. 25 5. Section 2 The Pretravel Consultation - p. 30 6. 5 Water Disinfection for International Travelers - p. 31 7. 6 Insect Protection - p. 43 8. 7 Pretravel Considerations for Non-vaccine-Preventable Travel Infections - p. 53 9. 8 Travel Medical Kits - p. 61 10. Section 3 Immunization - p. 64 11. 9 Principles of Immunization - p. 65 12. 10 Routine Adult Vaccines - p. 75 13. 11 Routine Travel Vaccines - p. 89 14. 12 Recommended/Required Travel Vaccines - p. 101 15. 13 Pediatric Travel Vaccinations - p. 125 16. Section 4 Malaria - p. 136 17. 14 Malaria - p. 137 18. 15 Malaria Chemoprophylaxis - p. 145 19. 16 Self-Diagnosis and Self-Treatment of Malaria by the Traveler - p. 169 20. 17 Approach to the Patient With Malaria - p. 179 21. Section 5 Travelers' Diarrhea - p. 186 22. 18 Epidemiology of Travelers' Diarrhea - p. 187 23. 19 Prevention of Travelers' Diarrhea - p. 199 24. 20 Clinical Presentation and Management of Travelers' Diarrhea - p. 205 25. 21 Persistent Gastrointestinal Symptoms in the Ill-Returning Traveler - p. 213 26. Section 6 Travelers With Special Needs - p. 224 27. 22 The Pregnant and Breastfeeding Traveler - p. 225 28. 23 The Pediatric and Adolescent Traveler - p. 237 29. 24 The Older Traveler - p. 247 30. 25 The Physically Challenged Traveler - p. 255 31. 26 The Traveler With Preexisting Disease - p. 261 32. 27 The Immunocompromised Traveler - p. 269 33. 28 The Traveler With HIV - p. 279 34. 29 The Business Traveler - p. 287 35. 30 VIP Traveler - p. 295 36. 31 Health Aspects of International Adoption - p. 303 37. 32 Visiting Friends and Relatives - p. 311 38. Section 7 Travelers With Special Itineraries - p. 319 39. 33 Expatriates - p. 321 40. 34 The Migrant Traveler - p. 331 41. 35 Humanitarian Aid Workers - p. 335 42. 36 The Deployed Military - p. 341 43. 37 Expedition Medicine - p. 347 44. 38 Ecotourism - p. 363 45. 39 Medical Tourism - p. 371 46. 40 Cruise Ship Travel - p. 377 47. 41 Mass Gatherings - p. 383 48. Section 8 Environmental Aspects of Travel Medicine - p. 386 49. 42 High-Altitude Medicine - p. 387 50. 43 Diving Medicine - p. 401 51. 44 Extremes of Temperature and Hydration - p. 407 52. 45 Jet Lag - p. 417 53. 46 Motion Sickness - p. 423 54. 47 The Aircraft Cabin Environment - p. 429 55. Section 9 Health Problems While Traveling - p. 436 56. 48 Bites, Stings, and Envenoming Injuries - p. 437 57. 49 Seafood Poisoning - p. 449 58. 50 Injuries and Injury Prevention - p. 457 59. 51 Mental Health Issues of Travelers - p. 463 60. 52 Travelers' Thrombosis - p. 469 61. 53 Health Care Abroad - p. 475 62. 54 Personal Security and Crime Avoidance - p. 483 63. Section 10 Posttravel - p. 486 64. 55 Posttravel Screening - p. 487 65. 56 Fever in Returned Travelers - p. 495 66. 57 Skin Diseases - p. 505 67. 58 Eosinophilia - p. 519 68. 59 Respiratory Infections - p. 527 69. Appendix Sources of Travel Medicine Information - p. 539 70. Index - p. 545