TAILIEUCHUNG - Chapter 117. Health Advice for International Travel

According to the World Tourism Organization, the number of international tourist arrivals in 2004 reached an all-time record of 763 million. This number represents an increase over the 2003 figure of almost 11%—the highest and the only double-digit percentage increase since 1980, when these statistics were first collected. Not only are more people traveling; travelers are seeking more exotic and remote destinations. 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 . | Chapter 117. Health Advice for International Travel According to the World Tourism Organization the number of international tourist arrivals in 2004 reached an all-time record of 763 million. This number represents an increase over the 2003 figure of almost 11 the highest and the only double-digit percentage increase since 1980 when these statistics were first collected. Not only are more people traveling travelers are seeking more exotic and remote destinations. 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 higher among travelers. Figure 117-1 summarizes the monthly incidence of health problems during travel in developing countries. Figure 117-1 100 . ---- Any health pfobtem Triers diarrhea -------------------- ----------- 11 10 y Consulted M o. abroad . I Or back home __ LU. . i -------------Stayed in bed no chemoprophylaxis. West Alnca --- _inc MKSty to v. nrk Acute labrite respiratory------p-_ attar return tract mlecfiein Hspaliis A -------------------------------------Hospiializecf abroad Gwiorrn a -------------------------- I Animal hires Wilf rabies risk -_ . 01 r HtrpatiliS G -------------------- T _ _ 9---------- Air evacuation Typhoid India M NW Ulrica ------3 Legionetlosis -------------------1J-------------dted abroad PCV Typhord Other areas

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