Abstract
This chapter reviews the main topics that should be covered in a pre-travel medical consultation, noting that what the traveller might think is important may not necessarily correspond to what is needed for the best protection of their health and wellbeing during the journey. Pre-departure travel medicine excellence is not just knowing which vaccine is required, but also planning how best they can be administered and recorded, how to encourage safer health behaviours, advising on medical supplies, and gathering the evidence for constant improvement in outcomes for all types of travellers. We also describe the main travel-related illnesses that a health provider may encounter during a post-travel consultation. The cessation of most international travel, resulting from worldwide measures to contain the COVID-19 pandemic, presents particular challenges to travel medicine providers, especially those more specialised. In this chapter, we also discuss how the requirements of the new normal may impact pre- and post-travel medical consultations.
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References
Adam, D. C., Bui, C. M., Heywood, A. E., Kunasekaran, M., Sheikh, M., Narasimhan, P., & MacIntyre, C. R. (2018). Adherence to anti-vectorial prevention measures among travellers with chikungunya and malaria returning to Australia: Comparative epidemiology. BMC Research Notes, 11(1), 590. https://doi.org/10.1186/s13104-018-3695-9
Alpern, J. D., Dunlop, S. J., Dolan, B. J., Stauffer, W. M., & Boulware, D. R. (2016). Personal protection measures against mosquitoes, ticks, and other arthropods. Medical Clinics of North America, 100(2), 303–316. https://doi.org/10.1016/j.mcna.2015.08.019
Andrews, G. J., & Shaw, D. (2010). “So we started talking about a beach in Barbados”: Visualization practices and needle phobia. Social Science & Medicine, 71(10), 1804–1810. https://doi.org/10.1016/j.socscimed.2010.08.010
Arcilla, M. S., van Hattem, J. M., Haverkate, M. R., Bootsma, M. C. J., van Genderen, P. J. J., Goorhuis, A., Grobusch, M. P., Lashof, A. M. O., Molhoek, N., Schultsz, C., Stobberingh, E. E., Verbrugh, H. A., de Jong, M. D., Melles, D. C., & Penders, J. (2017). Import and spread of extended-spectrum β-lactamase-producing Enterobacteriaceae by international travellers (COMBAT study): A prospective, multicentre cohort study. Lancet Infectious Diseases, 17(1), 78–85. https://doi.org/10.1016/S1473-3099(16)30319-X
Australian Government. (2019). Australian immunisation register. https://www.servicesaustralia.gov.au/individuals/services/medicare/australian-immunisation-register
Berthod, D., Rochat, J., Voumard, R., Rochat, L., Genton, B., & D’Acremont, V. (2017). Self-diagnosis of malaria by travellers: A cohort study on the use of malaria rapid diagnostic tests provided by a Swiss travel clinic. Malaria Journal, 16(1), 436. https://doi.org/10.1186/s12936-017-2079-2
Bocci, G., Troiano, G., Golinelli, D., Verzuri, A., Rossi, S., & Nante, N. (2016). Compliance with malaria chemoprophylaxis in travelers: A systematic review. European Journal of Public Health, 26(suppl_1), ckw174.229. https://doi.org/10.1093/eurpub/ckw174.229
Centers for Disease Control and Prevention. (2004). Notice to readers: Manufacturer’s recall of human rabies vaccine—April 2, 2004. Morbidity and Mortality Weekly Report, 53(13), 287–289. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5313a3.htm
Centers for Disease Control and Prevention. (2020). CDC Yellow Book 2020: Health information for international travel. Oxford University Press. https://wwwnc.cdc.gov/travel/page/yellowbook-home
Chen, L. H., & Hochberg, N. S. (2020). The pretravel consultation. In CDC (Ed.), CDC Yellow Book 2020: Health information for international travel. Oxford University Press. https://wwwnc.cdc.gov/travel/yellowbook/2020/preparing-international-travelers/the-pretravel-consultation
Chen, L. H., Leder, K., Barbre, K. A., Schlagenhauf, P., Libman, M., Keystone, J., Mendelson, M., Gautret, P., Schwartz, E., Shaw, M., MacDonald, S., McCarthy, A., Connor, B. A., Esposito, D. H., Hamer, D., & Wilson, M. (2018). Business travel-associated illness: A GeoSentinel analysis. Journal of Travel Medicine, 25(1), tax097. https://doi.org/10.1093/jtm/tax097
Davlantes, E. A., Tan, K. R., & Arguin, P. M. (2017). Quantifying malaria risk in travellers: A quixotic pursuit. Journal of Travel Medicine, 24(6), tax066. https://doi.org/10.1093/jtm/tax066
Dr Deb The Travel Doctor. (2017). Travel Health Guide app. Dr Deb The Travel Doctor Pty Ltd. https://apps.apple.com/au/app/travel-health-english/id355832434 or https://play.google.com/store/apps/details?id=com.thg.app.travelhealth
Farnham, A., Ziegler, S., Blanke, U., Stone, E., Hatz, C., & Puhan, M. A. (2018). Does the DOSPERT scale predict risk-taking behaviour during travel? A study using smartphones. Journal of Travel Medicine, 25(1), tay064. https://doi.org/10.1093/jtm/tay064
Flaherty, G. T., Chen, B., & Avalos, G. (2017). Individual traveller health priorities and the pre-travel health consultation. Journal of Travel Medicine, 24(6), tax059. https://doi.org/10.1093/jtm/tax059
Furuya-Kanamori, L., Lau, C. L., Banks, S., & Mills, D. J. (2020a). Impact of pre-departure preparation on the health and wellbeing of Australian gap year travellers. Travel Medicine and Infectious Disease, 37, 101682. https://doi.org/10.1016/j.tmaid.2020.101682
Furuya-Kanamori, L., Stone, J., Yakob, L., Kirk, M., Collignon, P., Mills, D. J., & Lau, C. L. (2020b). Risk factors for acquisition of multidrug-resistant Enterobacterales among international travellers: A synthesis of cumulative evidence. Journal of Travel Medicine, 27(1), taz083. https://doi.org/10.1093/jtm/taz083
Goodyer, L., & Gibbs, J. (2006). Medical supplies for travelers to developing countries. Journal of Travel Medicine, 11(4), 208–212.
Gryseels, C., Uk, S., Sluydts, V., Durnez, L., Phoeuk, P., Suon, S., Set, S., Heng, S., Siv, S., Gerrets, R., Tho, S., Coosemans, M., & Peeters Grietens, K. (2015). Factors influencing the use of topical repellents: Implications for the effectiveness of malaria elimination strategies. Scientific Reports, 5, 16847. https://doi.org/10.2310/7060.2004.19003
Haigh, C., & Hardy, P. (2011). Tell me a story—A conceptual exploration of storytelling in healthcare education. Nurse Education Today, 31(4), 408–411. https://doi.org/10.1016/j.nedt.2010.08.001
Hashemi, F., Taheri, L., Ghodsbin, F., Pishva, N., & Vossoughi, M. (2016). Comparing the effect of swaddling and breastfeeding and their combined effect on the pain induced by BCG vaccination in infants referring to Motahari Hospital, Jahrom, 2010–2011. Applied Nursing Research, 29, 217–221. https://doi.org/10.1016/j.apnr.2015.05.013
Healthy Sail Panel. (2020). Recommendations from the Healthy Sail Panel. https://nclhltdcorp.gcs-web.com/static-files/5492d5db-6745-4b21-b952-49d3639f6e79
Heywood, A. E., Watkins, R. E., Iamsirithaworn, S., Nilvarangkul, K., & MacIntyre, C. R. (2012). A cross-sectional study of pre-travel health-seeking practices among travelers departing Sydney and Bangkok airports. BMC Public Health, 12, 321. https://doi.org/10.1186/1471-2458-12-321
Holubar, M. (2019). Antimicrobial resistance: A global public health emergency further exacerbated by international travel. Journal of Travel Medicine, 27(1), taz095. https://doi.org/10.1093/jtm/taz095
International Society of Travel Medicine—COVID-19 Task Force. (2020). Initial impact of COVID-19 on travel health/medicine providers—Pilot survey report (Executive summary, version 2).
Jenkins, K. (2014). II. Needle phobia: A psychological perspective. British Journal of Anaesthesia, 113(1), 4–6. https://doi.org/10.1093/bja/aeu013
Kain, D., Findlater, A., Lightfoot, D., Maxim, T., Kraemer, M. U. G., Brady, O. J., Watts, A., Khan, K., & Bogoch, I. I. (2019). Factors affecting pre-travel health seeking behaviour and adherence to pre-travel health advice: A systematic review. Journal of Travel Medicine, 26(6), taz059. https://doi.org/10.1093/jtm/taz059
Knope, K., Doggett, S. L., Jansen, C. C., Johansen, C. A., Kurucz, N., Feldman, R., Lynch, S. E., Hobby, M. P., Sly, A., Jardine, A., Bennett, S., Currie, B. J., & the National Arbpvirus and Malaria Advisory Committee. (2019). Arboviral diseases and malaria in Australia, 2014–15: Annual report of the National Arbovirus and Malaria Advisory Committee. Communicable Diseases Intelligence 43, 1–69. https://doi.org/10.33321/cdi.2019.43.14.
Kumar, M., Upadhyay, A., Singh, J., Chhabra, M., Singh, A., Gupta, N. K., Bhat, A., & Yadav, C. P. (2016). Effect of change in sequence of administration of DTwP and Hepatitis B vaccines on perception of pain in infants: A randomized control trial. Vaccine, 34(15), 1816–1822. https://doi.org/10.1016/j.vaccine.2016.02.031
Lammert, S. M., Rao, S. R., Jentes, E. S., Fairley, J. K., Erskine, S., Walker, A. T., Hagmann, S. H., Sotir, M. J., Ryan, E. T., & LaRocque, R. C. (2016). Refusal of recommended travel-related vaccines among U.S. international travellers in Global TravEpiNet. Journal of Travel Medicine, 24(1), taw075. https://doi.org/10.1093/jtm/taw075
Lau, C. L., Ramsey, L., Mills, L. C., Furuya-Kanamori, L., & Mills, D. J. (2019). Drug-free holidays: Compliance, tolerability, and acceptability of a 3-Day Atovaquone/Proguanil schedule for pretravel malaria chemoprophylaxis in Australian travelers. Clinical Infectious Diseases, 69(1), 137–143. https://doi.org/10.1093/cid/ciy854
Leder, K., Chen, L. H., & Wilson, M. E. (2012). Aggregate travel vs. single trip assessment: Arguments for cumulative risk analysis. Vaccine, 30(15), 2600–2604. https://doi.org/10.1016/j.vaccine.2011.12.133
Leder, K., Torresi, J., Libman, M. D., Cramer, J. P., Castelli, F., Schlagenhauf, P., Wilder-Smith, A., Wilson, M. E., Keystone, J. S., Schwartz, E., Barnett, E. D., von Sonnenburg, F., Brownstein, J. S., Cheng, A. C., Sotir, M. J., Esposito, D. H., Freedman, D. O., & GeoSentinel Surveillance Network. (2013). GeoSentinel surveillance of illness in returned travelers, 2007–2011. Annals of Internal Medicine, 158(6), 456–468. https://doi.org/10.7326/0003-4819-158-6-201303190-00005
Looke, D., Mills, D., Kass, R., & Grove, D. (1992). The “welcome home” letter and questionnaire as a valuable quality assurance tool for an Australian traveller’s medical clinic. In H. Lobel, R. Steffen, & E. Kozarsky (Eds.), Travel medicine 2: Proceedings of the 2nd conference on international travel medicine (pp. 287–289). International Society of Travel Medicine.
McLenon, J., & Rogers, M. A. M. (2019). The fear of needles: A systematic review and meta-analysis. Journal of Advanced Nursing, 75(1), 30–42. https://doi.org/10.1111/jan.13818
Mills, D. (2019). Travelling well: The ‘must have’ guide to a safe and healthy journey (21st ed.). https://www.travellingwell.com.au/
Packham, C. J. (1995). A survey of notified travel-associated infections: Implications for travel health advice. Journal of Public Health, 17(2), 217–222. https://doi.org/10.1093/oxfordjournals.pubmed.a043096
Prociv, P. (1995). Deaths of Australian travellers overseas. Medical Journal of Australia, 163(1), 27–30. https://doi.org/10.5694/j.1326-5377.1995.tb126084.x
Ravikiran, S. R., Kumar, P. M., & Meundi, A. D. (2011). Pain response in newborns to the order of injecting BCG and Hepatitis-B vaccines: A randomized trial. Indian Journal of Pediatrics, 78(6), 693–697. https://doi.org/10.1007/s12098-010-0327-3
Ropers, G., Du Ry van Beest Holle, M., Wichmann, O., Kappelmayer, L., Stüben, U., Schönfeld, C., & Stark, K. (2008). Determinants of malaria prophylaxis among German travelers to Kenya, Senegal, and Thailand. Journal of Travel Medicine, 15(3), 162–171. https://doi.org/10.1111/j.1708-8305.2008.00188.x
Schlagenhauf, P., Weld, L., Goorhuis, A., Gautret, P., Weber, R., von Sonnenburg, F., Lopez-Vélez, R., Jensenius, M., Cramer, J. P., Field, V. K., Odolini, S., Gkrania-Klotsas, E., Chappuis, F., Malvy, D., van Genderen, P. J., Mockenhaupt, F., Jauréguiberry, S., Smith, C., Beeching, N. J., et al. (2015). Travel-associated infection presenting in Europe (2008-12): An analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation. Lancet Infectious Diseases, 15(1), 55–64. https://doi.org/10.1016/S1473-3099(14)71000-X
Shlim, D. R., Connor, B. A., & Taylor, D. N. (2020). What will travel medicine look like in the COVID-19 pandemic era? Journal of Travel Medicine, 28(2), taaa148. https://doi.org/10.1093/jtm/taaa148
Stoney, R. J., Chen, L. H., Jentes, E. S., Wilson, M. E., Han, P. V., Benoit, C. M., MacLeod, W. B., Hamer, D. H., Barnett, E. D., & Boston Area Travel Medicine Network. (2016a). Malaria prevention strategies: Adherence among Boston area travelers visiting malaria-endemic countries. The American Journal of Tropical Medicine and Hygiene, 94(1), 136–142. https://doi.org/10.4269/ajtmh.15-0565.
Stoney, R. J., Kozarsky, P., Bostick, R. M., & Sotir, M. J. (2016b). International travellers from New Jersey: Piloting a travel health module in the 2011 Behavioral Risk Factor Surveillance System survey. Journal of Travel Medicine, 23(1), tav015. https://doi.org/10.1093/jtm/tav015
Svensson, P., Sundbeck, M., Persson, K. I., Stafström, M., Östergren, P. O., Mannheimer, L., & Agardh, A. (2018). A meta-analysis and systematic literature review of factors associated with sexual risk-taking during international travel. Travel Medicine and Infectious Disease, 24, 65–88. https://doi.org/10.1016/j.tmaid.2018.03.002
Taddio, A., Chambers, C. T., Halperin, S. A., Ipp, M., Lockett, D., Rieder, M. J., & Shah, V. (2009). Inadequate pain management during routine childhood immunizations: The nerve of it. Clinical Therapeutics, 31(Suppl 2), S152–S167. https://doi.org/10.1016/j.clinthera.2009.07.022
Tafuri, S., Guerra, R., Gallone, M. S., Cappelli, M. G., Lanotte, S., Quarto, M., & Germinario, C. (2014). Effectiveness of pre-travel consultation in the prevention of travel-related diseases: A retrospective cohort study. Travel Medicine and Infectious Diseases, 12(6 Pt B), 745–749. https://doi.org/10.1016/j.tmaid.2014.10.012
Thaikruea, L., Siriariyaporn, P., Wutthanarungsan, R., & Smithsuwan, P. (2015). Review of fatal and severe cases of box jellyfish envenomation in Thailand. Asia-Pacific Journal of Public Health, 27(2), 1639–1651. https://doi.org/10.1177/1010539512448210
Wang, J., Liu-Lastres, B., Ritchie, B. W., & Mills, D. J. (2019). Travellers’ self-protections against health risks: An application of the full Protection Motivation Theory. Annals of Tourism Research, 78, 102743. https://doi.org/10.1016/j.annals.2019.102743
Wieten, R. W., van der Schalie, M., Visser, B. J., Grobusch, M. P., & van Vugt, M. (2014). Risk factors and pre-travel healthcare of international travellers attending a Dutch travel clinic: A cross-sectional analysis. Travel Medicine and Infectious Diseases, 12(5), 511–524. https://doi.org/10.1016/j.tmaid.2014.05.004
Williamson, D. A., Masters, J., Freeman, J., & Roberts, S. (2012). Travel-associated extended-spectrum beta-lactamase-producing Escherichia coli bloodstream infection following transrectal ultrasound-guided prostate biopsy. BJU International, 109(7), E21–E22. https://doi.org/10.1111/j.1464-410X.2012.11001.x
Work Health and Safety Act. (2011). (Cth). Australian Government. https://www.legislation.gov.au/Details/C2018C00293
Yates, J. A., Rao, S. R., Walker, A. T., Esposito, D. H., Sotir, M., LaRocque, R. C., & Ryan, E. T. (2019). Characteristics and preparation of the last-minute traveler: Analysis of vaccine usage in the Global TravEpiNet Consortium. Journal of Travel Medicine, 26(6), taz031. https://doi.org/10.1093/jtm/taz031
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Mills, D.J., Ramsey, L., Furuya-Kanamori, L. (2021). Pre- and Post-Travel Medical Consultations. In: Wilks, J., Pendergast, D., Leggat, P.A., Morgan, D. (eds) Tourist Health, Safety and Wellbeing in the New Normal. Springer, Singapore. https://doi.org/10.1007/978-981-16-5415-2_3
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