Textbook of Travel Medicine and HealthBMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7141.1396 (Published 02 May 1998) Cite this as: BMJ 1998;316:1396
- C J Ellis, consultant physician
- Department of Infection and Tropical Medicine, Birmingham Heartlands Hospital
Ed Herbert L Dupont, Robert Steffen B C Decker, £55, pp 600 ISBN
For millennia people have associated travel with illness. But only in this century has travel related illness become an issue for individuals rather than for masses travelling together for reasons of fight or flight and sharing in the resulting epidemics.
Mass individual travel really started in a big way in 1970 with the introduction of the Boeing 747 aircraft and has grown steadily ever since. At that time vaccination against typhoid and hepatitis A was already well established, and both diseases had been known since the first world war or earlier to be associated with foreign …