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Travel related infections and other stories . . .

BMJ 2014; 349 doi: https://doi.org/10.1136/bmj.g7633 (Published 31 December 2014) Cite this as: BMJ 2014;349:g7633

Europeans today travel as never before and sometimes return with infections acquired from outside Europe or from within. EuroTravNet, a company that facilitates these movements, provided data on travel associated morbidity between 2008 and 2012 for a study in the Lancet Infectious Diseases (2014, doi:10.1016/S1473-3099(14)71000-X). Malaria and acute diarrhoea continue to top the charts, with a scattering of dengue fever, giardiasis, and insect bites, and the odd case of chikungunya fever over an increasing geographical range. Health advice before travel seems to decrease the risk of malaria but has no effect on the acquisition of travellers’ diarrhoea.

Look at the drug list of almost any elderly patient and you are likely to find something that has an anticholinergic effect. This could be mild, as in the case of atenolol or furosemide, or marked, as in the case of tolterodine or amitriptyline. Investigators did a post hoc analysis of data from 21 636 participants in the EPIC-Norfolk study …

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