Health Hazards of International Travel

808 million people traveled internationally in 2005.protection against them.
Americans made almost 62 million trips abroad inConsistent with that approach, the Center of
2004, which translate to about 1 in every 5 U.S.Disease Control in Atlanta also recommends that
residents."international travelers contact a healthcare
With the increasing number of people travelingprovider for pre-travel advice at least 4 to 6
internationally, the risk of diseases carried acrossweeks before travel in order to obtain current
national boundaries also increases. The globalhealth information, vaccinations, and prophylactic
society brings with itself global health risks as well.medications ( e.g., for malaria, traveler's diarrhea)."
Among the travel-related diseases mostHere are the NPFH recommendations to all the
frequently mentioned in the press stories arenurses and healthcare professionals:
malaria, travelers' diarrhea, hepatitis A, HIV,"Raise awareness of the need for the health care
various STDs, typhoid, and meningitis.(of travelers) before, during, and after travel.
That issue was addressed in a new white paperInitiate a comprehensive, multi-tiered approach to
released by Nurse Practitioner Healthcare(travelers') health education, targeting consumers,
Foundation (NPHF), written by Nancy Rudner Lugo,healthcare professionals, health information
DrPH, NP. The NPHF paper warned that mostsystems, and policy formulation.
travelers do not know anything about such risksIncorporate ... health education and assessment
and when they do become aware of the danger,into routine primary care . Encourage patients to
it usually proves to be too late.self-identify their travel needs. Create an
Only a handful of travelers made sure theyenvironment of travel health reminders in the
received any shots before they flew abroad: 11%practice.
for tetanus, 14% for hepatitis A, 13% forIncrease primary care providers' knowledge of
hepatitis B, and 5% for yellow fever. 58.4% and(travelers') health and safety. Include travel
68.7% of travelers reported that they did notimmunization content, use of over-the-counter
receive protection against hepatitis A or hepatitisproducts, and resources for travel health and
B, respectively.safety in core curricula for primary care
This is where NPFH says the nurses have anprofessionals.
important role to play both in terms of makingIncrease access to travel health services.
the American public aware of the various healthEncourage primary care practices to offer travel
dangers lurking out there and also in terms ofhealth services.
providing practical and effective means ofEngage in research on travel health.