Abstract
Travel from the developed world to developing countries is increasing, placing travelers at risk for both vaccine-preventable and non-vaccine-preventable diseases. Between 2007 and 2011, the GeoSentinel network reported 737 returning travelers with a vaccine-preventable disease. While the use of vaccines is essential in preventing travel-related disease, clinicians should also be aware that the vast majority of travel-acquired diseases are non-vaccine-preventable. Immunizations for vaccine-preventable diseases can be divided into three groups: routine travel vaccines, special travel vaccines, and routine vaccines in the context of travel. Routine travel vaccines include hepatitis A and B, and typhoid; special travel vaccines include yellow fever, meningococcal disease, rabies, polio, and Japanese encephalitis; and routine vaccines include influenza and tetanus-diphtheria-pertussis. Providers should employ a patient- and itinerary-specific approach when recommending vaccines for travel.
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