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Harrison's Principles of Internal Medicine, 18e
| Part 8. Infectious Diseases > Section 1. Basic Considerations in Infectious Diseases > |
Chapter 123. Health Recommendations for International Travel
Sections: Health Recommendations for International Travel: Introduction, General Advice, Travel and Special Hosts, Medical Tourism, Problems after Return, Further Readings, Websites.
Topics Discussed: foreign travel; foreign travel problem; travel; travel medicine; traveler.
Excerpt:"According to the World Tourism Organization, international tourist arrivals grew exponentially from 25 million in 1950 to >900 million in 2008. Not only are more people traveling; travelers are seeking more exotic and remote destinations. Travel from industrialized to developing regions has been increasing, with Asia and the Pacific, Africa, and the Middle East now emerging destinations. Figure 123-1 summarizes the monthly incidence of health problems during travel in developing countries. Studies show that 50–75% of short-term travelers to the tropics or subtropics report some health impairment. Most of these health problems are minor: only 5% require medical attention, and <1% require hospitalization. Although infectious agents contribute substantially to morbidity among travelers, these pathogens account for only  1% of deaths in this population. Cardiovascular disease and injuries are the most frequent causes of death among travelers from the United States, accounting for 49% and 22% of deaths, respectively. Age-specific rates of death due to cardiovascular disease are similar among travelers and nontravelers. In contrast, rates of death due to injury (the majority from motor vehicle, drowning, or aircraft accidents) are several times..."
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