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
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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