Case report: bilateral calf (tibial) deep venous thrombosis following air travel.

Objectives: To describe an interesting case of bilateral calf (tibial) deep venous thrombosis (DVT) in a traveller.

Methods: Clinical case notes and reports of further investigations were analysed in the light of the existing literature concerning DVT and travellers.

Results: A 56-year-old university lecturer presented within 48 h of a return to New Zealand from international travel abroad.

Country profile: travelling to Australia.

Australia has a well-developed tourism industry and health care system. Despite the precautions recommended in this paper, Australia has been virtually free of local outbreaks of life threatening tropical diseases in recent decades. This paper focuses on health and safety issues for travellers to Australia, especially the special precautions for those travelling to more rural and remote areas in outback Australia.

Intradermal pre-exposure rabies immunisation in New Zealand.

Background: Rabies is a fatal infection and immunisation is important to consider in those travellers going to rabies endemic areas. In those at high risk, a course of three immunisations may be given by the intramuscular (IM) or intradermal (ID) route, both of which are approved by the World Health Organization (WHO) and the Centers for Disease Control (CDC). Little is known in the New Zealand context regarding the effectiveness of pre-exposure ID rabies immunisation.

Travel health advice for backpackers.

There has been an increasing trend for people to travel internationally, further afield, but fewer people are now going on programmed package tours. One of these groups of travelers comprises backpackers, who are distinct from endurance hikers or trekkers and longer-term and more remote expeditioners. Backpackers comprise individuals who travel alone or in a small group on a limited budget, and usually stay in hostels (hostelers), campsites, or similar low-cost accommodation, and carry their belongings in personal load-carrying equipment, most notably backpacks.