International travel is rapidly growing worldwide. It has been estimated that international travels will reach nearly 1 billion by 2 010 and 1.6 billion by 2020, with the highest increase concerning tropical and subtropical areas. Furthermore, a rapidly increasing number of travelers are engaged in adventure travel. Travelers participating in athletic and adventure activities may be exposed to various infectious agents often unfamiliar to physicians in their homeland that may demand immediate attention due to the potential of causing severe morbidity and fatal outcome.
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