Publications by authors named "Nigel Dowdall"

There is a common perception that peanut/tree nut particles can be transmitted through aircraft ventilation systems and pose a significant risk to passengers with food allergies. In fact, food-induced allergic reactions are around 10-100 times less common during flights than 'on the ground', perhaps because of the multiple precautions food-allergic passengers take when flying. We review the evidence for strategies to help prevent accidental allergic reactions while travelling on commercial flights (review registered at PROSPERO, ref CRD42022384341).

View Article and Find Full Text PDF

Medical Guidelines for Airline Travel provide information that enables healthcare providers to properly advise patients who plan to travel by air. Not everyone is fit to travel by air and physicians should advise their patients accordingly. They should review the passenger's medical condition, giving special consideration to the dosage and timing of any medications, contagiousness, and the need for special assistance during travel.

View Article and Find Full Text PDF

Recent laboratory experiments on rodents have increased our understanding of circadian rhythm mechanisms. Typically, circadian biologists attempt to translate their laboratory-based findings to treatment of jet lag symptoms in humans. We aimed to scrutinise the strength of the various links in the translational pathway from animal model to human traveller.

View Article and Find Full Text PDF

The commercial airline industry in the 21st century is a global business, able to transport large numbers of people to almost any part of the world within a few hours. There has long been concern in public health circles about the potential for transmission of communicable diseases, such as TB, on board aircraft. The recent threats from novel and emerging infectious diseases including SARS and pandemic flu has facilitated unprecedented levels of cooperation between international industry representatives, regulators and public health authorities in addressing the issues of air travel and communicable disease.

View Article and Find Full Text PDF

Background: Many employees are required to travel by air as part of their work, and occupational physicians may be asked to give travel health advice and to carry out risk assessments.

Aims: This review examines the stresses of air travel, including those due to travel to and transit through the airport, as well as those arising from the aircraft cabin environment. Guidance is given on the potential effects of these stressors, particularly on those with certain underlying medical conditions, and advice given on how to mitigate some of the effects.

View Article and Find Full Text PDF