IAMAT |International Association of Medical Assistance to Travellers| IAMAT |International Association of Medical Assistance to Travellers|

Travel Health Journal

Travel Health Risks

5 Must-Read Articles on Climate Change and Infectious Diseases

Ever wonder how climate change impacts you as a traveller? Delays and unexpected costs related to extreme weather events, loss of biodiversity, and elevated air pollution levels are some of the things you may experience during your travels. The impact of climate change on our health extends beyond respiratory illnesses, increased heat strokes, and water shortages. Epidemiologists and evolutionary biologists have been sounding the alarm on the rise of infectious diseases for a long time.  In recent years we’ve seen a spike in vector-borne diseases which are also spreading to new regions. Here are a few that we’ve been tracking: Appearance of Chikungunya in the Caribbean Locally acquired Dengue in southern Florida, southern France, Italy, Portugal, and Japan West ...

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Are you savvy about counterfeit medications?

If you’re travelling on a shoestring budget, one cost-saving tip you’ll hear from other travellers is to buy cheaper vaccines and medications once you reach your destination. Not only is this a bad idea, it can be very dangerous due to the vast amount of counterfeit medications on the global market. Medications are closely regulated in Canada, the United States, Japan, Australia, New Zealand, and the European Union and are unlikely to be counterfeit. In other countries, however, counterfeit medications may represent up to 30% of the total medications available in the country. What are counterfeit medications? Counterfeit (or falsified) medications are those which are deliberately and fraudulently mislabelled. This includes products that contain toxic chemicals, the wrong ingredients, ...

Everything you need to know about Schistosomiasis

If your next adventure will take you rafting or swimming in fresh water, you should know about Schistosomiasis. What do snails have to do with travel health? You’re familiar with Yellow Fever, Malaria, and Traveller’s Diarrhea, but here’s one travel health risk you may not have heard of: Schistosomiasis. Also known as Bilharzia, Schistosomiasis is a parasitic infection transmitted by freshwater snails present in Africa and parts of Southeast Asia, South America, the Middle East, and some Caribbean islands. The culprit is the trematode flatworm parasite that is transmitted by small snails which are difficult to spot on the shores of lakes, rivers, streams and ponds. Coming into brief contact with fresh water contaminated with one of the eight ...

Malaria in Returning Travellers

Do you know if your travel destination country has malaria? If so, would you take medication to prevent a malaria infection? As we pause to take stock of anti-malaria efforts on World Malaria Day, much progress has been made to prevent and control malaria since 2000, mainly a 25% reduction of mortality rates worldwide. Much remains to be done to successfully eradicate infections including direct community involvement, improved housing, access to healthcare, eliminating corruption, and addressing climate change. From a travel perspective, regional and international mobility, counterfeit malaria medications, growing mosquito resistance to some antimalarial medications – particularly in border areas of Vietnam, Myanmar, Cambodia, and Laos – and the presence of malaria in new or previously eradicated areas ...

IAMAT - The International Association for Medical Assistance to Travellers

Come back with memories, not TB

Guest post by IAMAT Board member Shirley Cheng, MPH. Shirley has over 20 years of public health experience in both Canada and China. She holds a Master of Public Health from the University of Waterloo and a Bachelor of Medical Sciences from West China University of Medical Sciences. Chest x-rays courtesy of Stock.XCHNG. Today is World Tuberculosis Day. One hundred and thirty years ago, the German doctor Robert Koch discovered the bacteria Mycobacterium tuberculosis which causes tuberculosis (TB). TB continues to be a global health concern: In 2010, 9 million people suffered from TB, 1.4 million people died from this infection, and one-third of the world’s population is at risk. The World Health Organization (WHO) has designated March 24 ...

How Travellers Can Help End 7 Neglected Tropical Diseases

Photo – Children getting medication to prevent NTDs in India. Photo by Esther Havens. Guest post by Caitlin Garlow, Communications Associate, Sabin Vaccine Institute. Sabin is a non-profit organization working to eliminate neglected tropical diseases through innovative vaccine research and development, and advocating for improved access to vaccines and essential medicines for citizens around the globe. For health-conscious individuals planning to visit other countries, there’s a pre-travel checklist: Visit the travel clinic, check Catch up on necessary immunizations, check Research medical insurance, check But even the savviest travellers may not know about all the diseases that are native to the countries they visit, how to avoid them or how they can help those affected by particularly devastating diseases that most people have ...

IAMAT - The International Association for Medical Assistance to Travellers

Travel and Rabies: An Ongoing Concern

When rabies comes up in conversations, it’s often in veterinary clinics where our pets are vaccinated against infection. Rabies however, is also a major concern for travellers. More than 150 countries report rabies in their animal population putting humans at risk. The majority of human rabies cases are reported from Asia and Africa and 99% of cases are from dog bites. The World Health Organization estimates that 55,000 people die annually, although the illness is often misdiagnosed or under-reported. On a positive note though, the WHO states that 15 million people worldwide receive the post-exposure vaccinations, preventing an estimated 327 000 deaths annually. It’s not only travellers going on eco-tourism or adventure expeditions that are at risk. In many ...

IAMAT - The International Association for Medical Assistance to Travellers

Thinking About the Spread of Dengue and its Prevention

The recent dengue outbreaks, notably in the Philippines, USA (Key West), India (Delhi), and China (Guangdong province) got us thinking about why infection rates are on the increase and how the disease is spreading to areas previously believed safe from the virus. The dengue virus is primarily spread by infected female Aëdes aegypti (urban domestic) mosquitoes that bite during the day (dawn to dusk) both indoors and outdoors. The disease has become a major economic burden and serious public health concern in tropical and sub-tropical areas. According to the World Health Organization, there are approximately 50 million infections worldwide each year and 2.5 billion people are at risk of contracting dengue. However, under-reporting (because the patient did not receive ...

IAMAT - The International Association for Medical Assistance to Travellers

Polio No Longer A Real Threat? Think Again

The recent polio (poliomyelitis) outbreaks in Central Asia (Tajikistan, Uzbekistan, Russia) are reminders of how travel and migration can contribute to the re-emergence of a disease in a region previously declared free of infection. In Tajikistan, for example, the country was declared polio free in 2002, but this year alone 239 children became paralyzed and 15 patients have died of the disease imported from India. The disturbing news is that since 2003 there have been 25 countries – originally declared polio free – that have been re-infected. (Kenya, Uganda, Burkina Faso, Benin, Togo, Cameroon, Burundi, Central African Republic, Cote d’Ivoire, and Guinea are some of the countries that have since taken steps to control the reappearance of polio.) Travellers ...

IAMAT - The International Association for Medical Assistance to Travellers

Reflections on World Malaria Day

Malaria infection continues to be the biggest health threat to travellers going to malaria endemic countries. As travellers, we are equipped with knowledge about prevention methods, the geographic distribution of malaria, and we also have access to prophylactic medication and bed net protection. But what about people living in malaria areas? As we take a moment to consider World Malaria Day on April 25, there are mixed reviews regarding the state of malaria control and eradication initiati Decade to Roll Back Malaria This year marks the end of the ‘Decade to Roll Back Malaria’ declared by the United Nations. While progress has been made, this preventable disease continues to infect between 250 – 350 million people every year where ...