15. Returned Travellers

  1. Jane N. Zuckerman MD, FRCP, FRCPath, FFPH, FFPM, FFTM, FIBiol, FHEA3,4,5,6,7
  1. Nicholas J. Beeching1,
  2. Tom E. Fletcher1 and
  3. Limin Wijaya2

Published Online: 11 FEB 2013

DOI: 10.1002/9781118392058.ch15

Principles and Practice of Travel Medicine, Second Edition

Principles and Practice of Travel Medicine, Second Edition

How to Cite

Beeching, N. J., Fletcher, T. E. and Wijaya, L. (2013) Returned Travellers, in Principles and Practice of Travel Medicine, Second Edition (ed J. N. Zuckerman), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118392058.ch15

Editor Information

  1. 3

    UCL Medical School, London, UK

  2. 4

    Royal Free NHS Foundation Trust and Great Ormond Street Hospital for Sick Children, London, UK

  3. 5

    Royal Free Travel Health Centre, London, UK

  4. 6

    WHO Collaborating Centre for Reference, Research and Training in Travel Medicine, London, UK

  5. 7

    University College London Medical School, London, UK

Author Information

  1. 1

    Liverpool School of Tropical Medicine, Liverpool, UK

  2. 2

    Department of Infectious Disease, Singapore General Hospital, Singapore

Publication History

  1. Published Online: 11 FEB 2013
  2. Published Print: 16 FEB 2013

ISBN Information

Print ISBN: 9781405197632

Online ISBN: 9781118392058



  • health care;
  • HIV infection;
  • malaria;
  • parasitosis;
  • returned traveller


This chapter outlines an approach to the diagnosis and management of travel-related disease for returned travellers, concentrating on infections imported from less economically advantaged areas of the world to the more affluent nations. It highlights key decision points in these steps, using worked examples and illustrative tables and algorithms. Patients who are suspected in community practice of having a specific illness, such as malaria, HIV infection or imported parasitosis, will usually need to be referred to hospital or clinic-based specialists for further investigation and management. In these cases the priorities are to prevent immediate morbidity and mortality and to minimise any public health risks to the general population or to healthcare workers. In some groups of travellers, post-travel health screening may be appropriate in either a general practice setting or in specialist clinics. The chapter concludes with a discussion on issues related to screening.