The recommendations and preparation for each of these travelers will vary, even though the destination country is the same. For example, three travelers may be going to the same country: one for a week-long, urban-based, business visit the next on an adventure-seeking, backpack trip to rural areas over several months and the third is a pregnant VFR traveler. Risk communication depends heavily upon the risk assessment for the individual traveler, as well as that traveler's perception of risk.
Time should be allocated for discussion of the risks with the traveler to promote informed decision making about risk avoidance and prevention measures, such as vaccinations and malaria chemoprophylaxis. The next phase of the consultation process is focused on risk communication and includes the presentation of reliable, evidence-based information in a context appropriate for the individual traveler. The following travelers may be considered high risk: These factors may greatly affect the traveler's ability and willingness to accept and adhere to the recommendations, and therefore affect the pre-travel consultation.Īnticipating the unique needs of high-risk travelers and preparing them for healthy travel will help prevent illness and injury. Such factors include the traveler's previous travel experience, perception of risk, cultural background, peer group(s), and possible barriers to care, such as economic issues, attitudes regarding vaccine safety, and fear of vaccines. Will the traveler be going to a region endemic for malaria, and what are the appropriate measures to help prevent malaria based on the details of the itinerary and traveler's medical history?ĭuring the risk assessment, the provider must remain alert to other factors about “who” will be traveling.
Malaria risk is another important consideration. Pregnancy and breastfeeding status (current status and plans)Ī basic example of using the itinerary and traveler data includes determining if there will be a risk of yellow fever disease or a requirement for yellow fever vaccination based on the itinerary, and if there is a contraindication (e.g., egg allergy) or a precaution (e.g., >60 years of age) to the traveler's receiving the vaccine.
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