Chapter 1
Introduction

• Introduction to Travel Health and the Yellow Book
• Planning for Healthy Travel: Responsibilities of the
  Traveler, Clinician, and Travel Industry
• Travel Epidemiology
• Perspectives: Risks Travelers Face
• Perspectives: Why Guidelines Differ

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Chapter 2
The Pre-Travel Consultation

• The Pre-Travel Consultation
• General Recommendations for Vaccination and Immunoprophylaxis

Travel-Related Vaccine-Preventable Diseases

• Hepatitis A
• Hepatitis B
• Typhoid and Paratyphoid Fever
• Yellow Fever
• Yellow Fever Vaccine Requirements and Recommendations, by Country
  Display only: AfghanistanAlbaniaAlgeriaAndorraAngolaAnguilla (U.K.)AntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanAzores (Portugal)The BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermuda (U.K.)BhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean Territory (U.K.)BruneiBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroonCanadaCanary Islands (Spain)Cape VerdeCayman Islands (U.K.)Central African RepublicChadChileChinaChristmas Island (Australia)Cocos (Keeling) Islands (Australia)ColombiaComorosRepublic of the Congo Cook Islands (New Zealand)Costa RicaCôte d'Ivoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEaster Island (Chile)Ecuador, including the Galápagos IslandsEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (U.K.)Faroe Islands (Denmark)FijiFinlandFranceFrench Guiana (France)French Polynesia, including the island groups of Society Islands (Tahiti, Moorea, and Bora-Bora), Marquesas Islands (Hiva Oa and Ua Huka), and Austral Islands (Tubuai and Rurutu)GabonThe GambiaGeorgiaGermanyGhanaGibraltar (U.K.)GreeceGreenland (Denmark)GrenadaGuadeloupe, including St. Barthelemy and Saint Martin (France)Guam (U.S.)GuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong Kong SAR (China)HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItaly, including Holy See and Vatican CityJamaicaJapanJordanKazakhstanKenyaKiribati (formerly Gilbert Islands), includes Tarawa, Tabuaeran (Fanning Island), and Banaba (Ocean Island)North KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau SAR (China)MacedoniaMadagascarMadeira Islands (Portugal)MalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartinique (France)MauritaniaMauritiusMayotte (France)MexicoThe Federated States of Micronesia (Including Yap Islands, Pohnpei, Chuuk, and Kosrae)MoldovaMonacoMongoliaMontenegroMontserrat (U.K.)MoroccoMozambiqueNamibiaNauruNepalThe NetherlandsNetherlands Antilles, including Bonaire, Curaçao, Saba, St. Eustasius, and St. MaartenNew Caledonia (France)New ZealandNicaraguaNigerNigeriaNiue (New Zealand)Norfolk Island (Australia)Northern Mariana Islands (U.S.), including Saipan, Tinian, and Rota IslandNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn Islands (U.K.)PolandPortugalPuerto Rico (U.S.)QatarRéunion (France)RomaniaRussiaRwandaSaint Helena (U.K.)Saint Kitts and NevisSaint LuciaSaint Pierre and Miquelon (France)Saint Vincent and the GrenadinesSamoaAmerican SamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich Islands (U.K.)SpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzania, including ZanzibarThailandTimor-Leste (East Timor)TogoTokelau (New Zealand)TongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos Islands (U.K.)TuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom, including England, Scotland, Wales, and Northern IrelandUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamBritish Virgin IslandsU.S. Virgin IslandsWake Island, U.S.Western SaharaYemenZambiaZimbabwe 
• Japanese Encephalitis (JE)
• Meningococcal Disease
• Rabies

Routine Vaccine-Preventable Diseases

• Diphtheria
• Human Papillomavirus (HPV)
• Influenza (Seasonal, Avian, and Pandemic)
• Measles (Rubeola)
• Mumps
• Pertussis
• Pneumococcal Disease (Streptococcus pneumoniae)
• Poliomyelitis
• Rubella
• Tetanus
• Varicella (Chickenpox)

Malaria

• Malaria
• Malaria Risk Information and Prophylaxis, by Country
  Display only: AfghanistanAlbaniaAlgeriaAndorraAngolaAnguilla (U.K.)AntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanAzores (Portugal)The BahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermuda (U.K.)BhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBritish Indian Ocean Territory (U.K.)BruneiBulgariaBurkina FasoBurma (Myanmar)BurundiCambodiaCameroonCanadaCanary Islands (Spain)Cape VerdeCayman Islands (U.K.)Central African RepublicChadChileChinaChristmas Island (Australia)Cocos (Keeling) Islands (Australia)ColombiaComorosRepublic of the Congo Cook Islands (New Zealand)Costa RicaCôte d'Ivoire (Ivory Coast)CroatiaCubaCyprusCzech RepublicDemocratic Republic of the CongoDenmarkDjiboutiDominicaDominican RepublicEaster Island (Chile)Ecuador, including the Galápagos IslandsEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (U.K.)Faroe Islands (Denmark)FijiFinlandFranceFrench Guiana (France)French Polynesia, including the island groups of Society Islands (Tahiti, Moorea, and Bora-Bora), Marquesas Islands (Hiva Oa and Ua Huka), and Austral Islands (Tubuai and Rurutu)GabonThe GambiaGeorgiaGermanyGhanaGibraltar (U.K.)GreeceGreenland (Denmark)GrenadaGuadeloupe, including St. Barthelemy and Saint Martin (France)Guam (U.S.)GuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong Kong SAR (China)HungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItaly, including Holy See and Vatican CityJamaicaJapanJordanKazakhstanKenyaKiribati (formerly Gilbert Islands), includes Tarawa, Tabuaeran (Fanning Island), and Banaba (Ocean Island)North KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacau SAR (China)MacedoniaMadagascarMadeira Islands (Portugal)MalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartinique (France)MauritaniaMauritiusMayotte (France)MexicoThe Federated States of Micronesia (Including Yap Islands, Pohnpei, Chuuk, and Kosrae)MoldovaMonacoMongoliaMontenegroMontserrat (U.K.)MoroccoMozambiqueNamibiaNauruNepalThe NetherlandsNetherlands Antilles, including Bonaire, Curaçao, Saba, St. Eustasius, and St. MaartenNew Caledonia (France)New ZealandNicaraguaNigerNigeriaNiue (New Zealand)Norfolk Island (Australia)Northern Mariana Islands (U.S.), including Saipan, Tinian, and Rota IslandNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn Islands (U.K.)PolandPortugalPuerto Rico (U.S.)QatarRéunion (France)RomaniaRussiaRwandaSaint Helena (U.K.)Saint Kitts and NevisSaint LuciaSaint Pierre and Miquelon (France)Saint Vincent and the GrenadinesSamoaAmerican SamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich Islands (U.K.)SpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzania, including ZanzibarThailandTimor-Leste (East Timor)TogoTokelau (New Zealand)TongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos Islands (U.K.)TuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom, including England, Scotland, Wales, and Northern IrelandUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamBritish Virgin IslandsU.S. Virgin IslandsWestern SaharaYemenZambiaZimbabwe 

Self-Treatable Diseases

• Self-Treatable Diseases
• Travelers’ Diarrhea
• Perspectives: Global Impact of Diarrheal Disease
• Altitude Illness
• Jet Lag
• Motion Sickness
• Respiratory Infections
• Occupational Exposure to HIV

Counseling and Advice for Travelers

• Protection Against Mosquitoes, Ticks, and Other Insects and Arthropods
• Water Disinfection for Travelers
• Sunburn
• Problems with Heat and Cold
• Food Poisoning from Marine Toxins
• Animal-Associated Hazards
• Deep Vein Thrombosis and Pulmonary Embolism
• Injuries and Safety
• Natural Disasters and Environmental Hazards
• Scuba Diving
• Medical Tourism
• Perspectives: Counterfeit Drugs
• Drug–Vaccine and Drug–Drug Interactions
• Perspectives: PPD Testing of Travelers
• Travel Health Kits
• Obtaining Health Care Abroad for the Ill Traveler
• Travel Insurance and Evacuation Insurance
• Mental Health and Travel

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Chapter 3
Select Destinations and Travel Itineraries

• Rationale for Select Destinations
• Cuzco–Machu Picchu, Peru
• Iguassu Falls, Brazil/Argentina
• Kilimanjaro, Tanzania
• Safaris in East and Southern Africa
• Angkor Wat, Cambodia
• India
• China
• Costa Rica
• Nepal

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Chapter 4
The Post-Travel Consultation

• General Approach to the Returned Traveler
• Asymptomatic Screening
• Skin and Soft Tissue Infections in Returned Travelers
• Persistent Travelers’ Diarrhea
• Fever in Returned Travelers

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Chapter 5
Other Infectious Diseases Related to Travel

• Amebiasis
• Angiostrongyliasis (Angiostrongylus cantonensis Infection, Neurologic Angiostrongyliasis)
• Anthrax
• Bartonella-Associated Infections
• Brucellosis
• Campylobacter Enteritis
• Chikungunya
• Cholera
• Coccidioidomycosis
• Cryptosporidiosis
• Cutaneous Larva Migrans (CLM)
• Cyclosporiasis
• Cysticercosis
• Dengue Fever (DF) and Dengue Hemorrhagic Fever (DHF)
• Echinococcosis (Hydatid Disease)
• Filariasis, Lymphatic
• Giardia
• Helicobacter pylori
• Helminths, Intestinal
• Hepatitis C
• Hepatitis E
• Histoplasmosis
• HIV Infection and Acquired Immunodeficiency Syndrome (AIDS)
• Legionellosis (Legionnaires’ Disease and Pontiac Fever)
• Leishmaniasis, Cutaneous (CL)
• Leishmaniasis, Visceral (VL)
• Leptospirosis
• Lyme Disease
• Melioidosis
• Norovirus
• Onchocerciasis (River Blindness)
• Pinworm (Enterobiasis, Oxyuriasis, Threadworm)
• Plague (Bubonic, Pneumonic, Septicemic)
• Q Fever
• Rickettsial (Spotted and Typhus Fevers) and Related Infections (Anaplasmosis and Ehrlichiosis)
• Scabies (Sarcoptic Itch, Sarcoptic Acariasis)
• Schistosomiasis
• Sexually Transmitted Diseases (STDs)
• Perspectives: Sexual Tourism
• Shigellosis
• Smallpox and Other Orthopoxvirus-Associated Infections
• Strongyloidiasis
• Taeniasis
• Tick-Borne Encephalitis (TBE)
• Toxoplasmosis
• Trypanosomiasis, Human African (HAT, African Sleeping Sickness)
• Trypanosomiasis, American (Chagas Disease)
• Tuberculosis (TB)
• Viral Hemorrhagic Fevers
• Yersinia

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Chapter 6
Conveyance and Transportation Issues

• Air Travel
• Cruise Ship Travel
• Death During Travel
• Taking Animals Across International Borders

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Chapter 7
International Travel with Infants and Children

• Traveling Safely with Infants and Children
• Vaccine Recommendations for Infants and Children
• Travel and Breastfeeding
• International Adoptions

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Chapter 8
Advising Travelers with Specific Needs

• The Immunocompromised Traveler
• Traveling while Pregnant
• Travelers with Disabilities
• VFRs: Immigrants Returning Home To Visit Friends and Relatives
• Humanitarian Aid Workers
• Advice for Air Crews
• Long-Term Travelers and Expatriates
• Traveling with Chronic Medical Illnesses

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Chapter 9
Health Considerations for Newly Arrived Immigrants and Refugees

• Introduction
• Before Arrival in the United States: Panel Physicians and the Overseas Medical Examination
• After Arrival in the United States: Recommendations for Screening and Immunizations of New Immigrants and Refugees
• Migrant Health Resources

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Appendices

• Appendix A: Promotion of Quality in the Practice of Travel Medicine
• Appendix B: Essential Electronic Resources for the Travel Medicine Practitioner
• Appendix C: Travel Vaccine Summary Table

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List of Tables

List of Maps

List of Boxes

List of Figures