Principles and Practice of Travel Medicine

Edited by Jane N. ZuckermanAcademic Centre for Travel Medicine and Vaccines, WHO Collaborating Centre for Travel Medicine, University College London Medical School, London, UK.

Having reviewed the first edition in 2001, I welcome the opportunity to review this new one. The format is similar with the content delivered in six sections, but with more chapters in each and information expanded to include new developments and advances in the field. Expert contributors now number an impressive 80, lending a truly international perspective to the content. Travel to international sporting events and a favourite of mine – space tourism – are welcome and timely additions.Although travel abroad for healthcare is not new, the global economic downturn has created a boom in so-called health tourism. The discussion on the reasons, benefits and pitfalls is well covered including the ethical perspective and dilemmas practitioners may face– with case studies to give food for thought.In the preface, the editor asks: “Where have we been, where are we now and where are we going?” - a good indication of what we can expect to find in the book. The majority of people who travel are ‘well’ and the art of practising travel medicine lies mainly in keeping them that way.However, it is becoming more complex for travel health advisers as increasingly those with pre-existing medical conditions are travelling to destinations which may pose a risk to their condition or where the lack of healthcare resources put them at risk if a medical problem arises and they need care. The management of these high risk travellers is covered in Chapter 27 and includes both general and disease specific advice.Good emphasis is given to the fact that there is no age limit for travelling and no one size fits all scenarios. Individuals deserve the best advice for their trip and the list of additional resources for specific reference is most useful. Once again case histories throughout the text helpto illuminate the subjects.Chapter Six looks at the epidemiology and surveillance of travel-related disease and emphasises the benefits of international collaboration in detecting infectious diseases and sharing the information to alert and protect other travellers.Malaria prevention and treatment information is welcome. Chapter 11 (‘The Interconnecting World’) looks at transport, migrants, and emerging and re-emerging infectious diseases, and also considers the role of mobile populations and mass gatherings in this. Numerous excellent tables relating to the importance of travel health support the information.I loved the quote at the beginning, credited to Harvey Cushing: “A physician is obligated toconsider more than a diseased organ, more even than the whole man – he must view the man in his world.” Never was a truer word spoken.I recommend this textbook as a valuable resource for study and reference, and it will be a welcome addition to any library supporting education in travel medicine. (Sandra Grieve FFTM RCPS(Glasg), Emporiatrics Autumn/Winter 2013)

• Contributor list, viiPreface, xiiSection I Travel medicine1 Trends in travel, 3Thomas L. Treadwell2 Tourism, aviation and the impact on travel medicine, 9Anne Graham3 Epidemiology of health risks and travel, 19Hans D. Nothdurft and Eric Caumes4 Fitness to travel, 27Dominique Tessier5 Management of a travel clinic, 37Abinash Virk and Elaine C. JongSection II Infectious diseases and travel6 Epidemiology and surveillance of travel-related diseases, 47Tomas Jelinek7 Virus infections in travellers, 55Arie J. Zuckerman8 Bacterial infections in travellers, 99Ann L.N. Chapman and Christopher J. Ellis9 Vector-borne parasitic diseases, 112Emma C. Wall and Peter L. Chiodini10 Malaria and travellers, 126Malaria, 126David J. Bell and David G. LallooMalaria chemoprophylaxis, 133Patricia Schlagenhauf, Catherine Jeppesen, Laura K. Erdman, Melanie Newport, and Kevin C. KainThe strategy of standby emergency self-treatment, 143Patricia Schlagenhauf11 Emerging and re-emerging infectious diseases, 146Francisco G. Santos O’ConnorSection III Prevention and management of travel-related diseases12 Skin tropical infections and dermatology in travellers, 167Francisco Vega-López and Sara Ritchie13 Travellers’ diarrhoea, 197Charles D. Ericsson14 Vaccine-preventable disease, 209Jay Halbert, Phyllis Kozarsky, Jane Chiodini, Nicholas Zwar, Gary Brunette and Jane N. Zuckerman15 Returned travellers, 260Nicholas J. Beeching, Tom E. Fletcher and Limin WijayaSection IV Hazards of air and sea travel16 Aviation medicine, 289Michael Bagshaw17 Aviation psychology, 315Robert Bor, Carina Eriksen, Margaret Oakes and Philip Baum18 Expedition and extreme environmental medicine, 328Sean Hudson, Andrew Luks, Piers Carter, Luanne Freer, Caroline Knox, Chris Imray and Lesley Thomson19 Travel health at sea: cruise ship medicine, 380Robert E. WheelerSection V Environmental hazards of travel20 Travel-related injury, 397Robert Grenfell21 International assistance and repatriation, 403Alex T. Dewhurst and John C. Goldstone22 Venomous bites and stings, 415R. David G. Theakston and David G. Lalloo23 Ophthalmic conditions in travellers, 434Clare Davey and James TeeSection VI Practical issues for travellers24 Travelling with children (including international adoption issues), 447Philip R. Fischer and Andrea P. Summer25 Women’s health and travel, 463I. Dale Carroll and Susan Anderson26 The immunocompromised traveller, 503Robert J. Ligthelm and Pieter-Paul A.M. van Thiel27 High-risk travellers, 515Kathryn N. Suh, Anne E. McCarthy, Maria D. Mileno and Jay S. Keystone28 Aid workers, expatriates and travel, 531Kenneth L. Gamble, Deborah M. Hawker, Ted Lankester and Jay S. Keystone29 The health of migrants and refugees, 556Louis Loutan, Sophie Durieux-Paillard and Ariel Eytan30 Visiting friends and relatives, 566Delane Shingadia31 Travel medicine, ethics and health tourism, 571Deborah Bowman and Richard Dawood32 Medico-legal issues in travel medicine, 579Jennifer G. Baine and Paul S. Auerbach33 Travellers’ safety and security, 588Peter A. Leggat and Jeff Wilks34 The international athlete: travelling healthy to global sporting events, 601Travis W. Heggie, Sarah Borwein and Marc T.M. Shaw35 Space tourism – the future in travel health?, 612Kevin J. Fong and Mark H. WilsonIndex, 623