Summary
  About the authors
  Brief table of contents
  Full table of contents
  Reviews of the second edition
  Correction to published text
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   

 

 

  contents

Vaccine terms and abbreviations

Preface

About the authors

Chapter 1    Principles of pre-travel health care                                               
Understand the epidemiology of travel and travel-related conditions
                                   
      Provide up-to-date information and advice

      Start early

      Allow sufficient time for the consultation

      Individualise the advice

      Identify high-risk travelers

      Travellers with chronic conditions

      Encourage personal responsibility for safe behaviour
        Food and drink
        Insects
        Environmental exposures
        Animal bits
        Substance abuse
        Sex
        Oral contraceptive pill
        Injury
        Blood-borne infections

      Consider costs

      Provide written information

      Recommend a medical kit

      Recommend health insurance

      Key readings

Chapter 2    Immunisation
Introduction to pre-travel vaccination                       
      Categories of vaccines
      Delay in vaccine doses
      Simultaneous administration of different vaccines
      Interaction between vaccines and tuberculin skin test
      Interaction between vaccines and antimalarials
      Interaction between vaccines and blood products
      Interchangeability of vaccine products
      Practical aspects of immunisation

Cholera                                                           
      Disease
      Epidemiology
      Vaccine
      Recommendations
      Key readings

Diphtheria and tetanus                                   
      Background and epidemiology: diphtheria
      Background and epidemiology: tetanus
      Diphtheria- and tetanus-containing vaccines
      Key readings

Hepatitis A                                                           
      Disease
      Epidemiology
      Hepatitis A immunization
      Recommendations
      Combined hepatitis A and B immunization
      Combined hepatitis A and typhoid immunization
      Choice of hepatitis A vaccine
      Immunoglobulin
      Key readings

Hepatitis B                                                           
      Epidemiology
      Vaccines
      Recommendations
      Testing for immunity after immunisation
      Management of non-responders
      Key readings

Influenza                                                           
      Epidemiology
      Vaccine
      Recommendations
      Key readings

Japanese encephalitis                                               
      Disease
      Epidemiology
      Vaccines
      Recommendations
      Key readings

Measles, mumps and rubella                                   
      Background and epidemiology
      Vaccine
      Recommendations
      Immune response and efficacy
      Key readings

Meningococcal infection                                   
      Disease
      Epidemiology
      Vaccines
      Recommendations
      Key readings

Pertussis                                                           
      Background and epidemiology
      Vaccines
      Recommendations
      Immune response and efficacy
      Key readings

Pneumococcal infection                                   
      Background and epidemiology
      Vaccines
      Key readings

Poliomyelitis                                                           
      Epidemiology
      Inactivated poliomyelitis vaccine (Salk-type or IPV)
      Live oral poliomyelitis vaccine (Sabin-type or OPV)
      Recommendations for travellers
      Key readings           

Rabies                                                                       
      Disease
      Epidemiology
      Vaccine
      Pre-exposure vaccination
      Recommendations
      Post-exposure treatment
      Key readings

Rotavirus infection                                               
      Background and epidemiology
      Vaccines
      Recommendations
      Key readings

Tick-borne encephalitis                                   
      Disease
      Epidemiology
      Austrian and German vaccines
      Russian and Chinese vaccines
      Recommendations
      Key readings

Tuberculosis                                                           
      Disease
      Epidemiology
      Vaccine: BCG
      Recommendations for BCG for travellers
      Role of chest X-ray as a screening test
      Summary
      Key readings

Typhoid                                                           
      Disease
      Epidemiology
      Vaccines
      Recommendations for use of typhoid vaccines
      Key readings

Varicella                                                           
      Background and epidemiology
      Vaccines
      Recommendations
      Immune response and efficacy
      Key readings

Yellow fever                                                           
      Disease
      Epidemiology
      Yellow fever vaccine (Stamaril)
      Inactivated yellow fever vaccine
      Recommendations
      Key readings

Chapter 3    Malaria prevention                                                                       
Introduction
                                   
Preventive measures
      Awareness of risks
      Early diagnosis and treatment
      Minimising exposure to mosquitoes
                                               
Prophylactic drugs
      General considerations
      Drugs
      How to choose malaria prophylaxis
      Special situations
      Recommendations

Standby emergency self-treatment
      Drugs used for standby emergency self-treatment
      Steps to take when prescribing SBET

Summary
      Key readings

Chapter 4    Travellers’ diarrhoea                                                                       
Incidence

Aetiology

Prevention
      General measures
      Water treatment
      Vaccination           

Management
      Fluids
      Food
      Self-treatment
      Treatment for prolonged diarrhoea

Chemoprophylaxis
      Key readings

Chapter 5    Non-vaccine-preventable infectious problems                       
Destination

Types of activities
      Infections acquired via ingestion
      Vector-borne diseases
Diseases transmitted via recreational and occupational activities
      Diseases transmitted via sexual or parenteral exposure

Specific infections
      African trypanosomiasis (‘sleeping sickness’)
      American trypanosomiasis (Chagas’ disease)
      Amoebiasis
      Brucellosis
      Chikungunya virus
      Ciguatera
      Cutaneous larva migrans (CLM)
      Dengue fever
      Hepatitis E
      Legionellosis (Legionnaires’ disease)
      Leishmaniasis (cutaneous and visceral)
      Leptospirosis
      Lyme disease
      Lymphatic filariasis, loiasis and onchocerciasis
      Melioidosis
      Myiasis (cutaneous)
      Q fever
      Rickettsial infections
      SARS (severe acute respiratory syndrome)
      Schistosomiasis (‘bilharzia’)
      Strongyloidiasis
      Viral haemorrhagic fevers
      West Nile fever
      Key readings

Chapter 6    Non-infectious problems
Fitness to fly                                                           
      Air travel
      Health effects of flying

Motion sickness                                               
      Incidence and risk factors
      Symptoms and progression
      Prevention
      Medications
      Recommendations
      Treatment of established symptoms

Jet lag                                                                       
      Preparation
      During the flight
      On arrival
      Melatonin
      Key readings

Venous thrombosis and travellers                       
      Background
      Possible predisposing problems
      What are the risks?
      Recommendations for prophylaxis
      Key readings

Altitude sickness                                               
      What is altitude sickness?
      Incidence of altitude sickness
      Normal symptoms at altitude
      Acute mountain sickness (AMS)
      Severe altitude sickness
      Warning signs for travellers
      Prevention
      Drugs
      Treatment
      Altitude sickness in children
      Key readings
      Useful sources on the web

Chapter 7    Travellers with special needs
The pregnant traveller
      Potential contraindications to travel
      General advice
      Air travel
      Activities
      Nausea and vomiting
      Immunisation
      Malaria
      Food- and water-borne illness
      Other infections
      Childbirth
      Breastfeeding
      After delivery
      Contraception
      Key readings
                                               
Children                                                           
      Immunisations
      Travellers’ diarrhoea
      Malaria
      Special considerations
      Key readings

Elderly travellers                                               
      Characteristics of elderly travellers
      Pre-travel advice to elderly travellers
      Key readings

Expatriates and long-term travellers                       
      Health risks of expatriates
      Preparation for the expatriate traveller
      The pre-travel assessment
      Immunisations
      Malaria prevention
      Diarrhoeal diseases
      Sexually transmitted infections
      Other infectious diseases
      Other health risks
      Conclusion
      Key readings

Visiting friends and relatives                                   
      Pre-travel advice
      Malaria
      Hepatitis A
      Other infections
      Key readings

Travellers with cardiovascular problems           
      Patients with coronary artery disease
      Severe angina or heart failure
      Pacemakers
      Key readings

Travellers with chronic lung disease                       
      Air travel
      Fitness to fly
      Before travel
      In-flight oxygen
      During air travel
      Key readings

Travellers with diabetes                                   
      General advice
      Insulin dosage
      Key readings

The HIV-infected traveller                                   
      General considerations
      International travel restrictions
      Immunisations
      Malaria
      Travellers’ diarrhea
      Other infections
      Preparation for possible illness
      Key readings

The immunocompromised traveller                       
      Forms of immune compromise
      Immunisation
      Malaria prevention
      Travellers’ diarrhoea
      Other health hazards
      Preparation for possible illness
      Key readings

The splenectomised traveller                                   
      Infections and asplenia
      Bacterial infections
      Antibiotic prophylaxis
      Immunisation
      Malaria
      Tick bites
      Key readings           

Chapter 8    Health issues in returned travellers                                               
Infections in travellers
      Frequency of illness among travellers
      History and physical examination
      Evaluation of infections in returned travellers

Clinical syndromes
      Fever
      Some important diagnoses in febrile returned travellers
      Diarrhoea
      Respiratory infections
      Skin problems
      Neurological infections
      Hepatitis

Screening the returned traveller who is well                       
      Initial laboratory tests to consider in the unwell/febrile
      Issues to consider in the unwell returned traveller
      Key readings

Chapter 9    Resources for travel health information                                    
Resources offering greater depth and detail

Resources offering more up-to-date information on changing risks
      Surveillance and outbreak information
      Medical journals
                                   
Resources for travellers themselves

Miscellaneous resources
      Medical director
                                   

Appendix 1    Common travel destinations
Appendix 2    Countries: vaccine recommendations and rabies status
Appendix 3    Malaria risk by country and recommendations for
                          chemoprophylaxis
Appendix 4    Vaccines: Route, schedule, lower age limit, accelerated                           regimen
Appendix 5    Vaccine introduction and use in Australia           

Maps

Global distribution of cholera

  • Global distribution of Japanese encephalitis
  • Global distribution of predominant meningococcal serogroups
  • High risk areas for meningococcal meningitis
  • Global distribution of hepatitis A
  • Global distribution of hepatitis B
  • Global distribution of poliomyelitis
  • Global distribution of rabies
  • Presence/absence of rabies as reported to WHO, 2007
  • Global distribution of tuberculosis
  • Yellow fever vaccine recommendations in Africa
  • Yellow fever vaccine recommendations in the Americas
  • Global distribution of malaria
  • Geographic distribution of mefloquine-resistant malaria
  • Relative rates of acquisition of gastrointestinal infection by destination
  • Rates of parasitic pathogens per 1000 returned unwell travellers from a single region
  • Rates of bacterial pathogens per 1000 returned unwell travellers from a single region
  • Global distribution of schistosomiasis
  • Estimated prevalence of HIV in people aged 15-49 years
  • Global distribution of Chikungunya
  • Global distribution of dengue

Index

 

 

 

 

 
     
 
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