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Although travel abroad for healthcare is not new, the globaleconomic downturn has created a boom in so-called health tourism.The discussion on the reasons, benefits and pitfalls is wellcovered including the ethical perspective and dilemmaspractitioners may face– with case studies to give food forthought.
In the preface, the editor asks: “Where have we been,where are we now and where are we going?” - a good indicationof what we can expect to find in the book. The majority of peoplewho travel are ‘well’ and the art of practising travelmedicine lies mainly in keeping them that way.
However, it is becoming more complex for travel health advisersas increasingly those with pre-existing medical conditions aretravelling to destinations which may pose a risk to their conditionor where the lack of healthcare resources put them at risk if amedical problem arises and they need care. The management of thesehigh risk travellers is covered in Chapter 27 and includes bothgeneral and disease specific advice.
Good emphasis is given to the fact that there is no age limitfor travelling and no one size fits all scenarios. Individualsdeserve the best advice for their trip and the list of additionalresources for specific reference is most useful. Once again casehistories throughout the text helpto illuminate the subjects.
Chapter Six looks at the epidemiology and surveillance oftravel-related disease and emphasises the benefits of internationalcollaboration in detecting infectious diseases and sharing theinformation to alert and protect other travellers.
Malaria prevention and treatment information is welcome. Chapter11 (‘The Interconnecting World’) looks at transport,migrants, and emerging and re-emerging infectious diseases, andalso considers the role of mobile populations and mass gatheringsin this. Numerous excellent tables relating to the importance oftravel health support the information.
I loved the quote at the beginning, credited to Harvey Cushing:“A physician is obligated toconsider more than a diseasedorgan, more even than the whole man – he must view the man inhis world.” Never was a truer word spoken.
I recommend this textbook as a valuable resource for study andreference, and it will be a welcome addition to any librarysupporting education in travel medicine. (Sandra Grieve FFTMRCPS(Glasg), Emporiatrics Autumn/Winter 2013)
|List of Contributors|
|Sect. I||Travel Medicine||1|
|1||Trends in Travel||3|
|2||Epidemiology of Health Risks and Travel||7|
|3||Fitness to Travel||15|
|4||Management of a Travel Clinic||23|
|Sect. II||Infectious Diseases and Travel||29|
|5||Epidemiology and Surveillance of Travel-related Diseases||31|
|7||Bacterial Infections in Travellers||81|
|8||Vector-borne Parasitic Diseases||91|
|Sect. III||Prevention and Management of Travel-Related Disease||125|
|9||Tropical Skin Infections||127|
|Sect. IV||Hazards of Air and Sea Travel||211|
|15||Altitude and Expedition Medicine||247|
|17||Travel Health at Sea: Cruise Ship Medicine||275|
|Sect. V||Environmental Hazards of Travel||289|
|20||Poisons and Travel||311|
|21||Venomous Bites and Stings||321|
|22||Ophthalmic Conditions in Travellers||343|
|Sect. VI||Practical Issues for Travellers||365|
|23||Traveling with Children||367|
|24||Women's Health and Travel||381|
|25||The Immunocompromised Traveller||423|
|26||Special High-risk Travel Groups: Immunocompromised, Older, Disabled and Chronically Ill Travelers||431|
|27||Aid Workers, Expatriates and Travel||447|
|28||The Health of Migrants and Refugees||467|