Medical consultation

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ravel agents are expected to know a lot about cruises, tours, and other travel-related suppliers. But clients often expect agents to be just as expert about such subjects as travel safety and, most recently, travel health.

With the SARS outbreak, apprehensive customers are wary of trips to any area that might present health risks. While many agents rely on the latest advisories from the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC), another good resource for the trade is the growing field of travel medicine.

Hundreds of doctors around the world now specialize in this area, providing such services as pretrip medical assistance. Travel medicine clinics are listed on the Web site of the International Society of Travel Medicine (ISTM), at www.istm.org.

One such expert, Dr. Glenn Birnbaum of Tradewinds Travel Medicine in Chester, N.J., provides preventive medications and immunizations to travelers bound for countries where specific illnesses are prevalent. A member of ISTM, Birnbaum recently spoke to the New Jersey chapter of ASTA.

According to Birnbaum, most health risks can be minimized through pretrip consultations with travel-medicine specialists. He believes that the level of concern about travel health often is greater than the actual risks.

"There are many precautions that we can take to protect travelers, but they need the advice of a travel-medicine expert, and travel agents play a key role in connecting travelers to such experts," Birnbaum said.

With regard to SARS, Birnbaum says the information provided by the WHO and the CDC is timely and accurate.

"If a destination is not mentioned in an advisory as one at risk for SARS, I wouldn't have any concern about sending people [there]," he said. "The fact is that influenza is a much greater risk than SARS."

At its annual conference last month, ISTM members expressed concern that too many travelers venture abroad without inquiring about health risks. A recent study conducted at airports showed that two-thirds of U.S. travelers hadn't sought medical advice before departing on trips to developing countries.

The study also showed that two-thirds of those traveling to malaria-endemic areas were unaware of the risks, and 83% underestimated their risk for hepatitis A, the most common vaccine-preventable disease.

The good news is that the medical profession has developed the capability to prevent a large percentage of illnesses that can be contracted while traveling -- and professional help is there for anyone seeking it.

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