title: Vaccination against tetanus, diphtheria, pertussis and poliomyelitis in adult travellers.
abstract: This paper reviews the risk and vaccine recommendations for tetanus, diphtheria, pertussis and poliomyelitis for adult travellers. The travel clinic presents a unique opportunity to evaluate whether routine vaccinations are up-to-date. Tetanus, diphtheria and pertussis occur worldwide but are more common in low resource countries due to incomplete childhood vaccination coverage, environmental and socio-economic factors. Diphtheria has been reported in travellers without adequate protection. A booster against tetanus and diphtheria is recommended for all adult travellers, regardless of travel destination and duration. The incidence of pertussis in general adult travellers has been poorly studied. Extrapolating from the reported high incidence in travellers to the Hajj, the risk may be more substantial than thought. There are no universal recommendations for pertussis vaccination for adult travellers, and studies are needed to develop evidence based guidelines. Poliomyelitis is well controlled and now only occurs in a small number of countries. Travellers to and from endemic and re-infected countries should be fully vaccinated against poliomyelitis.
authors.affiliation: Service des Maladies Infectieuses et Tropicales, Hôpital Nord, AP-HM, Chemin des Bourrelys, 13915 Marseille cedex 20, France. philippe.gautret@club-internet.fr
authors.forename: Philippe
authors.initials: P
authors.lastname: Gautret
authors.forename: Annelies
authors.initials: A
authors.lastname: Wilder-Smith
mesh_terms: D003140:Communicable Disease Control / Q000379:methods*; D004165:Diphtheria / Q000517:prevention & control*; D004168:Diphtheria Toxoid / Q000008:administration & dosage; D006801:Humans; D007115:Immunization Schedule; D007159:Immunologic Tests; D032541:Mass Vaccination / Q000379:methods*; D010567:Pertussis Vaccine / Q000008:administration & dosage; D011051:Poliomyelitis / Q000517:prevention & control*; D023321:Poliovirus Vaccines / Q000008:administration & dosage; D012307:Risk Factors; D013742:Tetanus / Q000517:prevention & control*; D013745:Tetanus Toxoid / Q000008:administration & dosage; D014195:Travel; D014917:Whooping Cough / Q000517:prevention & control*
chemical_list: D004168:Diphtheria Toxoid; D010567:Pertussis Vaccine; D023321:Poliovirus Vaccines; D013745:Tetanus Toxoid