title: Immunizations.
abstract: Vaccinations are a cornerstone of the pretravel consultation. The pretravel provider should assess a traveler's past medical history, planned itinerary, activities, mode of travel, and duration of stay and make appropriate vaccine recommendations. Given that domestic vaccine-preventable illnesses are more common in international travelers than are exotic or low-income nation-associated vaccine-preventable illnesses, clinicians should first ensure that travelers are current regarding routine immunizations. Additional immunizations may be indicated in some travelers. Familiarity with geographic distribution and seasonality of infectious diseases is essential. Clinicians should be cognizant of which vaccines are live, as there exist contraindications for live vaccines.
authors.affiliation: Family Medicine, Global Health, University of Washington, Box 358732, Seattle, WA 98125, USA. Electronic address: casanfo@uw.edu.
authors.forename: Christopher A
authors.initials: CA
authors.lastname: Sanford
authors.affiliation: Division of Allergy & Infectious Diseases, Department of Medicine, University of Washington, 1100 4th Avenue S Edmonds, Seattle, WA 98020, USA.
authors.forename: Elaine C
authors.initials: EC
authors.lastname: Jong
mesh_terms: D006801:Humans; D014195:Travel; D057236:Travel Medicine; D014611:Vaccination; D014612:Vaccines / Q000008:administration & dosage*
chemical_list: D014612:Vaccines
keywords: Adventure medicine; Consultation; Immunizations; Pre-travel; Preventative; Travel medicine; Vaccines; Vaccinology