Travellers often smile, listen with disbelief, or feel that their moral integrity has been impugned when clinicians offer advice on sexual risks (especially the recommendation to carry condoms). However, a review1 of travel and sexually transmitted infections (STIs) showed that 20% of travellers have casual sex, and half of these travellers had unsafe sex. In The Lancet Infectious Diseases, Alberto Matteelli and colleagues2 report that 974 of 112180 (0-9%) ill travellers who consulted a GeoSentinel travel or tropical centre had an STI diagnosed.
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