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Travel and expedition medicine 

Travel and expedition medicine
Chapter:
Travel and expedition medicine
Author(s):

C.P. Conlon

and David A. Warrell

DOI:
10.1093/med/9780199204854.003.0704_update_001

Update:

Yellow fever—reduced geographical area in which vaccination is recommended by WHO.

Meningococcal disease—Conjugate (ACYW135—Menactra) vaccine recommended.

Japanese encephalitis—new Vero cell vaccine available.

Travellers’ diarrhoea—possible new vaccine, rifaximin and loperamide for treatment.

Malaria prophylaxis—standby treatment rather than chemoprophylaxis for areas of relatively low risk.

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date: 26 November 2020

Tourists, business people, pilgrims, and visitors to friends and relatives are making increasing numbers of trips to tropical and developing parts of the world, where the risk and range of infectious and environmental diseases and injuries may be much higher than in Western countries. The aim of travel and expedition medicine is to reduce risk through education, appropriate immunizations and other medical advice, hence enhancing the enjoyment and achievements of travelling abroad. Explorers, expeditioners, and wilderness travellers face the greatest health challenges, but risk can be minimized by technical competence, careful planning, training in practical medical skills, and rehearsing emergency evacuation....

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