Preparing the Traveler. Stephen Thomas, MD Director, Viral Diseases Branch Walter Reed Army Institute of Research August 2013 Paul Keiser, MD, Feb 2014. UNCLASSIFIED. Outline. Introduction: the dynamics of tropical disease Preparing the traveler Ask the right questions
Stephen Thomas, MD
Director, Viral Diseases Branch
Walter Reed Army Institute of Research
Paul Keiser, MD, Feb 2014
Demographics, special populations
Temperature, rainfall, cultural & agricultural practices, etc.
Circulating animal and human pathogens
Mosquitoes, ticks, bats, birds, dogs, cats, etc.
Ecology / Environment
Papua New Guinea
Egypt – MFO Sinai
United Arab Emirates
Italy - Sicily
Kelso JM, et al. Adverse reactions to vaccines practice parameter 2012 update.
J Allergy ClinImmunol. 2012 Jul;130(1):25-43.
“3. We advise recommendation of JE vaccine for the following Service members and beneficiaries:
1. spending substantial time outdoors in rural or agricultural areas, especially during the evening or night;
2. participating in extensive outdoor activities (e.g., camping, hiking, trekking, biking, fishing, hunting, or farming); and
3. staying in accommodations without A/C, screens, bed nets.
(Woodland) NSN 3740-01-516-4415 (Desert) NSN 3740-01-518-7310