title: Health advice obtained by tourists travelling to Magnetic Island: a risk area for 'Irukandji' jellyfish in North Queensland, Australia.
abstract: BACKGROUND
  Little is known about the travel health advice obtained by tourists travelling to Magnetic Island, which is a known risk area for the potentially fatal 'Irukandji' jellyfish on the Great Barrier Reef coast of north Queensland, Australia.
  
  
  METHODS
  Structured interviews were conducted with 208 ferry passengers (93% response) travelling between Townsville (Latitude 19 degrees S) and Magnetic Island.
  
  
  RESULTS
  Less than half of the international tourists (21, 46%) had obtained travel health advice before coming to north Queensland, although they were significantly more likely to have done so than domestic tourists (p<0.001). Travel health advice obtained by international tourists was sourced mainly from their general practitioner (8, 50%) or from a guidebook (6, 38%). Eighty-eight percent of north Queensland residents, 70% of domestic tourists, and 34% of international tourists knew what an Irukandji jellyfish was (p<0.001), although this was not associated with having obtained travel health advice. For those passengers returning from the Island, 8 (44%) domestic tourists and 4 (35%) international tourists recalled seeing some information on the Island that improved their knowledge about Irukandji jellyfish. Most of the international tourists travelled to north Queensland by bus (30, 65%), while most domestic tourists arrived by private car (12, 40%) or plane (10, 33%).
  
  
  CONCLUSIONS
  Only a small proportion of international tourists knew about Irukandji jellyfish and most tourists had not received travel health advice. The majority of tourists had not received further information about Irukandji jellyfish risk whilst on the island. All travellers to popular north Queensland tourist areas need travel health advice, which includes advice on avoiding contact with Irukandji and Chironex box jellyfish. Health promotion campaigns directed at providing this advice need to be aware that most tourists to north Queensland arrive by bus or car and the only 'shared' vehicle, at least to Magnetic Island, is the passenger ferry.
authors.affiliation: School of Public Health, and Tropical Medicine, James Cook University, Townsville 4811, QLD, Australia.
authors.forename: Peter A
authors.initials: PA
authors.lastname: Leggat
authors.forename: Simone L
authors.initials: SL
authors.lastname: Harrison
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Fenner
authors.forename: David N
authors.initials: DN
authors.lastname: Durrheim
authors.forename: Anne L
authors.initials: AL
authors.lastname: Swinbourne