This second edition of Principles and Practice of Travel Medicine has been extensively updated to provide a comprehensive description of travel medicine and is an invaluable reference resource to support the clinical practice of travel medicine.
This new edition covers the many recent advances in the field, including the development of new and combined vaccines; malaria prophylaxis; emerging new infections; new hazards resulting from travel to long haul destinations; health tourism; and population movements. The chapter on vaccine-preventable diseases includes new developments in licensed vaccines, as well as continent-based recommendations for their administration.
There are chapters on the travel health management of high risk travellers, including the diabetic traveller, the immuno-compromised, those with cardiovascular, renal, neurological, gastrointestinal, malignant and other disorders, psychological and psychiatric illnesses, pregnant women, children and the elderly.
With increasing numbers of ever more adventurous travellers, there is discussion of travel medicine within extreme environments, whilst the chapter on space tourism may well be considered the future in travel medicine.
Principles and Practice of Travel Medicine is an invaluable resource for health care professionals providing advice and clinical care to the traveller.
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Having reviewed the first edition in 2001, I welcome theopportunity to review this new one. The format is similar with thecontent delivered in six sections, but with more chapters in eachand information expanded to include new developments and advancesin the field. Expert contributors now number an impressive 80,lending a truly international perspective to the content. Travel tointernational sporting events and a favourite of mine spacetourism are welcome and timely additions.
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)
Jane Zuckerman
Director WHO Collaborating Centre for Travel Medicine
Director UCL Medical Student Occupational & Royal Free Travel Health Centre
Academic Centre for Travel Medicine & Vaccines
Sub-Dean Electives
Vice-President, Faculty of Pharmaceutical Medicine
University College London Medical School
London
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