Principles and Practice of Travel Medicine 2nd Edition
Travel medicine: where have we been, where are we now and where are we going are the intriguing and pertinent issues to consider. Where have we been? We have come a long way since the age of Galileo: ‘ Yet I do seriously and on good grounds affi rm it possible to make a flying chariot in which a man may sit and give such a motion unto it as shall convey him through the air ’ (John Wilkins, 1640), through to the Wright brothers inventing and building the fi rst successful aeroplane in 1903. Where are we now? With the Airbus A380, the largest passenger airliner in the world, taking travellers with increasing speed to numerous destinations around the globe. And where are we going? With 430 travellers signed up to fl y with Virgin Galactic, travel to space may yet prove to be the ultimate tourist destination. We really have travelled a long, long way . . . and we will continue to do so. The ever – increasing need for travel medicine specialists to meet the travel health needs of travellers could not be more evident.
This second edition of the Principles and Practice of Travel Medicine aims to provide practitioners with a reference re – source to support the clinical practice of travel medicine. Several chapters have been updated: the new chapter dedicated to malaria includes recommendations for prophylaxis and strategies for stand – by self – treatment, while the chapter on vaccine – preventable diseases includes new developments in licensed vaccines as well as continent – based recommendations for their administration. Other important topics of clinical practice include the travel health management of high – risk travellers, who should always be evaluated with care and advised accordingly. They include the diabetic traveller, the immunocompromised, those with cardiovascular,renal, neurological, gastrointestinal, malignant and other disorders, psychological and psychiatric illnesses, pregnant women, children and the elderly. New chapters address other emerging clinical travel medicine issues such as health tourism and considerations on meeting the travel health needs of those visiting friends and relatives, alongside the updated chapter on the important topic of migrant health. With increasing numbers of more adventurous travellers tackling travel at altitude for example, the chapter on travel medicine and extreme environments will be of particular interest to those whose practice involves meeting the travel health needs of such intrepid travellers. Of course the most intrepid will be those travellers whose adventurous streak may well be considered as the future in travel health. Knowledge of all the above and other aspects of travel health and medicine are, therefore, an essential requirement for the many healthcare professionals providing advice and clinical care of the traveller. This is, however, dependent on understanding the science, which defi nes the practice, and the chapter on epidemiology and surveillance and the epidemiology of health risks and travel should be useful in underpinning best clinical practice in travel medicine. The recent European outbreak of measles is a case in point, which then informed the appropriate travel health vaccine recommendations. The desire to travel will undoubtedly continue unabated and will expand the minds of ever – increasing numbers of travellers. Lest we forget, the new chapter ‘ Tourism, aviation and its impact on travel medicine ’ acts as a timely reminder of how travel and tourism of whatever sort, are ever closely intertwined with health.
I am grateful to many friends and colleagues, who have contributed so willingly and enthusiastically to this book, through which we hope to stimulate healthcare professionals to consider issues in travel medicine as part of their clinical practice. I also hope that this reference book will enhance the profile of travel medicine and contribute to its continuing development as a distinct specialty.
I would also like to express my sincere gratitude to the editorial and production staff of Wiley – Blackwell, in particular Kate Newell and Maria Khan, for their patience and unwavering support.
Finally, this book is dedicated to my mother, who still speaks through me, and without whom I would not be the person I am today, and my father, who inspired me to complete the two editions of the Principles and Practice of Travel Medicine , and who is stalwart in his support. I am particularly indebted to my husband for always being there for me as well as always encouraging me, and to Iris, who has been more than a cousin and is like a sister to me. This second edition of the book would never have been realised without you all. ‘ Like all great travellers, I have seen more than I remember, and remember more than I have seen. ’ Benjamin Disraeli
Jane N. Zuckerman
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