Briefly noted: An highly detailed but concise review of “Medical Considerations before International Travel” DO Freedman et al. NEJM 2016; 375: 247-60.

Figure 1:

• Risk assessment: medical history, prior travel experience, specific itinerary (region, season), type of accommodations, risk tolerance, financial challenges
• Standard Interventions: Immunizations, Malaria prophylaxis (if risk), Traveler’s diarrhea strategy
• Focused education: vectorborne diseases, altitude illness, thrombosis risk, STDs/bloodborne infections, transportation risks (eg no car seats), respiratory infections, medical kit, medical insurance

Tables:

• Table 1: Practices for reducing disease risk (too many to summarize)
• Table 2: Vaccine Recommendations
• Table 3: Malaria Prophylaxis
• Table 4: Recommendations based on location

Short Take Video Link (2 min): Travel Health and Safety

CDC: Traveler’s Health Website

Travel Resource: GeoSentinel Website

My take: This is a handy updated reference for international medical travel

Related blog posts:

• Guidelines for Traveler’s Diarrhea in Adults | gutsandgrowth
• Apple Juice for Gastroenteritis | gutsandgrowth