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March 16, 2010
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Travelers' Diarrhea

Medical Author: John P. Cunha, DO
Medical Editor: William C. Shiel, Jr., MD, FACP, FACR

What is travelers' diarrhea?

Travelers from temperate regions of the world frequently experience diarrhea four days to two weeks after arriving in certain areas of the world. This illness is called travelers' diarrhea. Other colorful and humorous terms used to describe this illness include "Montezuma's Revenge," the "Aztec Two Step," and "Turista" in Mexico, the "Delhi Belly" in India, and the "Hong Kong Dog" in the Far East.

How common is travelers' diarrhea?

Twenty percent to 50% of travelers may develop diarrhea depending on the region of the world they visit. Diarrhea is the most common illness of travelers. In general, travelers at risk for diarrhea commonly come from industrialized nations and travel to high-risk areas that are primarily within developing or less industrialized nations of the world, including Latin America, Africa, the Middle East, and Asia. Areas of lesser risk include China and some Caribbean nations. Travel to areas of the United States, Canada, Northern Europe, and Australia pose the lowest risk to travelers.

Men and women are at equal risk for developing travelers' diarrhea. Younger individuals are more commonly afflicted, perhaps because of more adventurous eating habits. People with disorders that compromise their immune system (such as HIV, cancer, chemotherapy, steroid use), diabetics and people with underlying abdominal disorders (irritable bowel syndrome, colitis) are more susceptible to travelers' diarrhea. Interestingly, people on acid blockers for their stomachs [like famotidine (Pepcid), cimetidine (Tagamet), omeprazole (Prilosec), esomeprazole (Nexium)] also have a higher susceptibility to travelers' diarrhea because they have less stomach acid to protect them from the bacteria that cause the condition.



Next: What causes travelers' diarrhea? »

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Travelers' Diarrhea

What are viral hemorrhagic fevers?

Viral hemorrhagic fevers (VHFs) refer to a group of illnesses that are caused by several distinct families of viruses. In general, the term "viral hemorrhagic fever" is used to describe a severe multisystem syndrome (multisystem in that multiple organ systems in the body are affected). Characteristically, the overall vascular system is damaged, and the body's ability to regulate itself is impaired. These symptoms are often accompanied by hemorrhage (bleeding); however, the bleeding is itself rarely life-threatening. While some types of hemorrhagic fever viruses can cause relatively mild illnesses, many of these viruses cause severe, life-threatening disease.

The Special Pathogens Branch (SPB) primarily works with hemorrhagic fever viruses that are classified as biosafety level four (BSL-4) pathogens. A list of these viruses appears in the SPB disease information index. The Division of Vector-Borne Infectio...

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