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The Pretravel Consultation: Recent Updates.

Henry W Murray¹

¹Department of Medicine, Division of Infectious Diseases, Weill Cornell Medical College, New York, NY.

The American Journal of Medicine

|March 18, 2020

Summary

International travelers face significant risks of illness, with pretravel consultations crucial for prevention. This review updates key recommendations on immunizations, malaria prevention, insect repellent, and traveler's diarrhea for adult travelers.

Keywords:

Immunizations Insect repellent Malaria chemoprophylaxis Pretravel consultation Travel-associated illness Travelers’ diarrhea

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Area of Science:

Travel Medicine
Infectious Diseases
Public Health

Background:

43%-79% of international travelers may develop travel-related illnesses, ranging from mild to life-threatening.
Pretravel consultations are essential for risk assessment, communication, and individualized recommendations.
Effective consultations require clinician preparedness and traveler engagement, focusing on itinerary-specific risks.

Purpose of the Study:

To update clinicians on recent information regarding key infectious disease risks for adult travelers.
To provide evidence-based recommendations for immunizations, malaria chemoprophylaxis, insect repellent use, and traveler's diarrhea management.

Main Methods:

Review of recently published information relevant to adult travelers.
Focus on infectious disease prevention strategies: immunizations, malaria chemoprophylaxis, insect repellent, and traveler's diarrhea.

Main Results:

Travel-related illnesses are common, necessitating proactive preventive measures.
Updated guidance on core preventive strategies is crucial for clinician preparedness.
Efficient access to country-specific travel health recommendations is now available.

Conclusions:

Optimizing pretravel consultations enhances traveler safety and reduces illness incidence.
Clinicians must stay updated on travel-related infectious disease risks and preventive measures.
Individualized recommendations based on itinerary and traveler risk tolerance are paramount.