May/June 2003

Newsletter of the International Society of Travel Medicine 2003 May/June Bradley A. Connor Inaugurated as Message from President; Prativa Pandey is chosen Prativa President-elect Three New Counselors Elected

radley Connor, MD (USA) was inaugurated as the sev- enth president of ISTM at the organization’s May meet- Bing in New York. (Brad’s bio and mission statements ap- peared in the previous issue (March/April 2003) of NewsShare and are available on the ISTM website. Written copies of am very honored to be entrusted with NewsShare are also available from the ISTM office.) the responsibility of being president- Prativa Pandey, MD (Nepal) was chosen president-elect in the Ielect of this prestigious Society. I recently held election. She will be inaugurated as the Society’s never dreamt that I would be saying this eighth president at CISTM9, in 2005, in Lisbon Portugal, when but here I am asking for your goodwill Brad ends his term. and support to move the organization for- In the same election, three new counselors were chosen: Peter Leggat (Australia), Kevin ward. Kain (Canada) and Eli Schwartz (Israel). Kevin and Elie will serve four-year terms. Peter will The ever changing issues in travel medi- serve a two-year term. Generally, only two counselors are chosen, but a third was neces- cine make it imperative that the ISTM con- sary to complete Prativa’s term, as she now rises from counselor to president-elect. Peter tinues to educate travel medicine practi- received the third most ballots. tioners and the traveling public while en- This election of Prativa marks several milestones in the history of the ISTM. Prativa will be couraging research in areas that will form the first woman, the first person from outside Europe/North America, and the first person the scientific basis of our specialty in the from Asia to serve as chief executive officer of the Society. Also, the new counselors future. As travel medicine/migration medi- further widen the geographical representation of the executive board to Australia, Canada, cine grows in different parts of the world, Israel, and the United Kingdom, Continued on page 9 “I am sure that Prativa will be an active and dynamic President, especially in bringing the voice of those members outside Europe and North America to our Society,” said outgoing president Louis Loutan (Switzerland).

Prativa is the Medical Director of the CIWEC Clinic Travel Medicine Center in Kathmandu, Bradley A. Connor Inaugurated as Nepal, a clinic that is well known internationally for excellence in travel medicine, provid- President ...... 1 ing clinical practice, research and training of residents. The patient population at the Clinic Message from Prativa ...... 1 comes from all over the world. The New Counselors ...... 2 Prativa is board certified in internal medicine in the United States. She practiced internal medicine for 10 years in Boston where she was associated with Beth Israel Hospital and CISTM8 is a Spectacular Success served as a clinical instructor of medicine at the Harvard University School of Medicine. on Broadway ...... 3 She returned to Nepal in 1993 and joined the CIWEC Clinic. Her experience in designing Update on the ISTM Certificate of and carrying out research in a clinic setting will help steer the priorities of the ISTM. Knowledge Exam ...... 3 She has served a 3-month volunteer season at the Himalayan Rescue Association’s high Letters to the Editor ...... 4 altitude clinic near the base of Mt. Everest, is active in several Nepalese medical organiza- New Feature on the ISTM Website: tions, and is currently the President of the Nepal chapter of the America Nepal Medical Educational Resources ...... 6 Foundation. The Foundation strives to improve medical education in Nepal. AECTM ...... 5 At ISTM, Prativa was elected a counselor in 2001. She was a member of the committee that Decker Award ...... 6 prepared the first certificate of knowledge examination and helped make the CIWEC Clinic one of the main destination travel medicine centers linked to the GeoSentinel program. Calendar ...... 7 Opportunities in Travel Medicine .. 7 Travel Medicine NewsShare 2003 May/June The New Counselors The new counselors also have had long and distinguished careers in travel medicine.

Peter Leggat, MD, Kevin Kain MD, Eli Schwartz, MD, PhD, hails from FRCPC, is the di- DTMH, is the Di- Queensland, Aus- rector of the Cen- rector of the Cen- tralia. He did post- ter for Travel and ter for Geographic graduate studies at Tropical Medicine Medicine at Sheba universities in four at the Toronto Medical Center in countries and in General Hospital, Tel-Hashomer, Is- several disciplines is professor of rael. He is the cur- including public medicine at the rent president of health, occupa- University of the Israeli Society tional health Toronto, and of Parasitology (PhD), aerospace medicine, travel medi- holds a Canada Research Chair in Mo- and Tropical Diseases and is a senior lec- cine, aeromedical evacuation, and medi- lecular Parasitology. He has had post-doc- turer in the internal medicine division of cal education. He joined James Cook Uni- toral research training as a Senior Re- Tel-Aviv University. He has worked ex- versity (Australia) in 1992 and is currently search Associate in the Department of Im- tensively in developing countries includ- associate professor in the School of Pub- munology at the Walter Reed Army Insti- ing Cambodia Refugee camps (1980), lic Health and Tropical Medicine. Pres- tute of Research in Washington DC. Kevin CIWEC Clinic, Nepal (1987-88), and Ethio- ently he holds a Fulbright Scholarship for has worked extensively in the tropics and pia (1991 and 1999). As director of the academic exchange at several institutions sub-tropics, including New Guinea, Mada- Israeli malaria team, he has served as a in the USA, including the Civil Aerospace gascar, Uganda, Laos, Thailand, and the consultant for the governments of Zanzi- Medical Institute in Oklahoma City, is vis- Amazon basin. He has served as chair- bar (1994), for the United Nations peace iting professor at the University of the person to Health Canada’s Committee to keeping troops in Angola (1997), and in Witwatersrand, South Africa (in public Advise on Tropical Medicine and Travel Senegal (2001). He is a graduate of the health), and is visiting professor at the and to the Scientific Advisory Board of London School of Tropical Medicine and Prince of Songkla University, Thailand. the Malaria Foundation, been a board Hygiene. His research interests have led He is a Lieutenant Colonel in the Austra- member of the Programme for Appropri- to more than 70 publications in the medi- lian Defense Health Service Reserve. He ate Technology, and been a consultant to cal literature. He has a deep commitment has served in executive positions in many many organizations including the Red to education and expanding public aware- international and Australian organizations Cross, Canadian Blood Services, and Cen- ness in the field of travel medicine. including the World Safety Organization ters for Disease Control and Prevention. (director-general) and the Australasian Eli has been involved in tropical and travel Kevin’s research efforts are focused on College of Tropical Medicine (president). medicine for more than twenty years and He is the recipient of more than 20 major developing a translational research pro- has been an active member of ISTM since gram that characterizes host-parasite in- national and international awards. its founding. Within ISTM he has served teractions responsible for major global on several scientific committees of bien- Peter’s research in travel medicine has health threats such as malaria and HIV. nial conferences, the editorial board of the focused on general practice, travel insur- One of his primary goals has been to at- Journal of Travel Medicine, and currently ance claims, emergency assistance, and tempt to elucidate the molecular basis for is the chair of the Professional Education clinical trials of antimalarial agents. He is adverse outcomes in malaria and to trans- and Training Committee. As chair he a reviewer and a member of editorial late this knowledge into novel therapeu- hopes to help members by furthering the boards for numerous prestigious journals, tic interventions. development of educational resources. has contributed more than 300 papers to One of his goals is to organize ISTM- His specific interests in travel medicine professional journals and national and sponsored training centers to give mem- and his efforts within ISTM include the international conferences, written chap- bers hands-on experience in practicing development of molecular, diagnostic, and ters for many textbooks, and given innu- pre-travel, post-travel and migrant medi- epidemiologic tools for the surveillance merous lectures. cine. He is also the site director for of emerging diseases, especially those GeoSentinel. He has been active at Euro- Peter has served on several ISTM com- that threaten travelers. His efforts are also pean and Asian travel society meetings. mittees and sub-committees, including the focused on global equity, knowledge shar- In October 2002, he chaired the scientific editorial board of the Journal of Travel ing and education. He places great im- committee of the Asian-Pacific Travel Medicine. He is keen to promote and sup- portance in the transfer of appropriate Health conference in Shanghai. port worthwhile regional and global ini- technologies and the training of research tiatives in travel medicine, while continu- scientists in the developing world, en- ing to contribute to his present ISTM ac- abling and empowering them to address tivities. their own problems in a sustainable fashion. Kevin is the author or co-author of numerous articles and chapters in major textbooks.

CISTM8 is a Spectacular Success on Broadway by Karl Neumann, Editor, NewsShare

he recently concluded 8th biennial hoods of the Big Apple. Music was pro- ISTM’s outgoing and incoming presi- conference of the International vided by not one but two groups, New dents, a stirring speech about travel and TSociety of Medicine, held at the York’s own Jon Benitez Jazz Quintet of- hope by one of our members, and a key- mammoth New York Marriott Marquis fering a mellow jazz backdrop on the lower note address “International Health Regu- Hotel on Broadway in Times Square – floor and the band, “Off the Wall” on the lations in the Era of Outbreaks and Epi- which, say New Yorkers, is the epicenter upper level playing a variety of music for demics” by Isabelle Nuttal, M.D. Dr. of the world, if not the universe – made the dancing pleasure of the assembled Nuttal is the World Health Organization’s the Great White Way sparkle even brighter multitude. Medical Officer for International Travel. than usual, if, indeed, that is possible. The opening ceremony of the Confer- But as dazzling as Act I was, it was merely The gala opening reception, “Lights on ence, Act I, so to speak, began with a the curtain raiser for a memorably spec- Broadway/Tastes of New York” was held talented singer, from the Broadway show tacular, sophisticated, state-of-the-art on the eve of the Conference in the bi- Mama Mia, presenting a rendition of well medical meeting. CISTM8 was expertly level 8th and 9th Floor Broadway Lounge known Broadway show tunes about the staged, produced, directed, and choreo- and Promenade. These immense rooms, City - perhaps the first medical meeting graphed by Bradley Connor (USA), the part of a forty-story atrium, protrude out ever to be inaugurated in this “show biz” meeting chairman and incoming presi- over Times Square, offering a panoramic fashion. This was followed by a recorded dent, and by Hans Dieter Nothdurft (Ger- view of the bright lights, a fitting and un- address by former U.S. President Bill many) and David Freedman (USA), the forgettable backdrop to the evening’s fes- Clinton praising ISTM for its accomplish- scientific co-chairmen. The co-chairmen tivities. The food, plentiful and delicious, ments and mission, welcomes from the represented the various ethnic neighbor- deputy mayor of New York and from Continued on page 4 Update on the ISTM Certificate of Knowledge Exam he Certificate of Knowledge Examination was held on May 7, prior to the opening of the CISTM8, at the Marriott Marquis Hotel in New York City. It was an extremely successful undertaking, with T423 people from 28 countries taking the exam. More than 300 of the examinees were ISTM members. About 80% of examinees remained for the conference. In June, the passing score will be decided followed by the scanning of the examination answer sheets by Knapp & Associates International, Inc. (KA&I). The passing score will be determined after reviewing each examination question, evaluating the difficulty of each question and judging how a professional with basic competence would perform on the question. These judgments will be analyzed statistically to determine the passing score. Questions that appear to be flawed will be discussed by a group from the Examination Committee to determine if they should be deleted from scoring entirely or if credit should be given for more than one answer. Examination results will be mailed out approximately six to eight weeks after the administration of the exam. The examination is designed only to distinguish those who have the basic level of professional knowledge from those who do not. Therefore, those who pass the examination will be informed only that they have successfully completed the Certificate of Knowledge process. They will not be notified of the actual score. Those who fail the examination will be notified of their score and the minimum score required for passing. They will also receive a diagnostic report showing their performance in each content area so that they may review any weak areas and retake the exam if they wish at a later date. There is no “curve” to the grading of the exam; in other words, once a passing score is set it could be that everyone who took the exam passed. Candidates who pass the examination will receive a Certificate in Travel Health™ (CTH) suitable for framing, and will be allowed to represent that they have received such a certificate and can use the CTH designation. I’d like to thank all of the examinees for their participation and hope it was a positive experience for all. I would also like to thank the Examination Committee and the Executive Board for their continued support and dedication to the cause. Phyllis Kozarsky, MD for the Examination Committee

© 2003 ISTM Newsletter of the International Society of Travel Medicine 3 Travel Medicine NewsShare 2003 May/June “CISTM8,” continued from page 3 Letters to the Editor were ably assisted by Kevin Kain (Canada) and Herwig Kollartisch (Aus- Dear Editor: tria). This ISTM extravaganza ran for four days – five days, if you count the pre- ISTM has grown over the years with high quality development of the biennial meeting, meeting meetings – of almost continuous its publications and electronic networking. Its growth and quality have been due in presentations of the latest in travel medi- large measure to a dedicated group of experts in the field who founded and have led it up cine, with the only intermissions each to this time. night for sleeping. Necessarily, every organization must develop new leadership if it is to continue its The meeting attracted about 2,000 attend- growth and development. But there has been relatively little introduction of new lead- ees from around the world, including in- ers since our inception. In some instances, individuals have served simultaneously as vited guests, spouses, pharmaceutical officers and as chairmen of key committees, essentially giving them control of this Soci- representatives, local dignitaries, and ety. press people. The faculty numbered 118. I suggest we should broaden our leadership. In most organizations, chairmanship of From sun up to way past sundown, the key committees is a stepping stone to becoming an officer. It is generally inappropriate attendees immersed themselves in more for individuals to have dual positions of authority, as is the case in ISTM. There are than 200 presentations, consisting of ple- many members capable of filling these roles, and they should be encouraged. There nary sessions, symposia, free communi- should be term limits for officers and committee chairmen. I would also like to see a limit cations, oral sessions and posters, pre- on the number of sessions that someone could chair at our meetings. Ideally, it would be meeting meetings, debates of the day, one, but certainly no more than two. This would apply to our regular sessions, not to workshops, destinations of the day, elec- satellite symposia that are under the control of their sponsors. New faces should be seen tronic interactive workshops, meet the pro- at the podiums. fessor, satellite sessions, and industry ex- hibits. And, of course, there were commit- These goals could be met by voluntary action of our current leaders. If necessary, tee meetings, working lunches, social change could be made by amendments to the bylaws. events and all the other accouterments that Institutional memory is very important and change can progress at a reasonable rate. are now standard fare at such assemblages. New leaders would be well advised to seek guidance from their predecessors. Our Many presentations, even ones at 6:30 AM founders did a very good job in creating this organization. We should have an advisory were SRO (Broadway talk for standing committee of former officers so we could continue to benefit from their experience and room only, referring to smash hits). suggestions. (Reports that several days after the clos- With one business meeting every two years, limited space in our newsletter for editorial ing ceremony some ISTM members were comment, and a list serve which forbids chat room discussion of non-clinical issues, it is still riding elevators and escalators des- difficult to get full democratic expression of opinion by our members. I hope these com- perately looking for the level (floor) for ments and suggestions will be a stimulus for others to respond and to get more involved their next session are believed to be un- in Society activities. founded, or at least, exaggerated. But it is apparently true that some members, in- Leonard C. Marcus, V.M.D., M.D. cluding some officers of the Society, had Travelers’ Health and Immunization Services great difficult remembering which level Newton, MA, USA they were on and whether their next func- tion was up or down, or north or south, or Response to letter, from Charlie Ericsson continued on page 5 east or west.) New Feature on the ISTM Website: Educational Resources he Education and Training Committee has established a website on the ISTM webpage listing educational centers (schools Tand organized courses) and other facilities that offer training and/or advanced education in pre-travel, post-travel and migration health worldwide. The list includes the country where the course is given, main subject, duration, and the name and address of the contact person. Some courses offer a diploma in travel medicine. Three facilities offer training in migration health. Presently the list includes about 20 courses in 11 countries. This is only the beginning. Please send additional listings to my email address. Eli Schwartz, MD, DTMH, Chairman, Education and Training Committee Email: [email protected]

4 Newsletter of the International Society of Travel Medicine © 2003 ISTM Travel Medicine NewsShare 2003 May/June “Letters to the Editor,” continued from page 4 AECTM To the Editor: AECTM Date: 8 -11 February 2004 In his letter to the editor, Dr Leonard Marcus raises important issues for the leadership Venue: Cape Town International of ISTM to consider. His comments relate mostly to the desire to broaden representation Convention Centre and infuse our society with new perspectives and opportunities. The Executive Board could not agree more. The problem, frankly, has been lack of persons willing to step forward and work. For instance, none of us could realistically expect to be solicited to fill the role of committee chair without prior experience on that committee. Volunteering to work on a committee is simple. Working toward a position of responsibility requires mostly willingness to devote time and energy to the tasks at hand. he Africa-European Conference on For the purpose of fostering fresh ideas and perspectives, term limits for committee TTravel Medicine is a unique hosting chairs already exist. Of course, a major concern of the Executive Board has been losing by The International Society of Travel someone with technical skills who cannot easily be replaced. The role of committee Medicine and The South African Society chair is not honorary. Regrettably, the work of some committees is done by the chair of Travel Medicine. This educational con- alone despite cajoling and pleas for help from committee members, who seem more ference is a first for Africa and will take infatuated by a title than willing to work. place in the vibrant city of Cape Town, in The suggestion to spread around leaders of symposia is a very good suggestion. The its world-class convention centre. The critique is well taken. The scientific program committee will need to comment on how conference will focus on a variety of top- many assigned chairs of symposia renege at the 11th hour forcing them to rely on the ics highly relevant to travel medicine, and same willing but familiar faces. these include Travel and Migrant Epide- miology in Africa, Cross Border Employ- To insure institutional memory, we already have a Long Range Planning Committee ment, Infectious Diseases and the Trav- chaired by the immediate past president and composed of the new and past presidents. eller, Air Travel Risks and Aeromedical Operationally, the Executive Board already asks that each committee chair attend Ex- Evacuation, A Global View of Rickettsio- ecutive Board meetings in an effort to improve world wide representation and to coordi- sis, Venomous Creatures of Africa, nate initiatives that often cross defined lines of authority. Trauma Hazards in Africa, Southern Afri- The concept of a chat room has been discussed. To my knowledge no final decision has can Zoonosis, Health Risk Profiles of Af- been made. The hope is that a chat room would not be simply a gripe session, but a rican Game Parks, Travel-related Skin Dis- means to foster constructive criticism and new ideas, which the Executive Board, in my orders, Surgical Safaris and much more. experience, fully welcomes. I would urge that those interested in having a chat room We invite Travel Health Practitioners, In- step forward to help with its design and rules for behavior. I suspect someone new will fectious Disease Specialists, multina- need to be responsible for sifting through the chaff in order to summarize the wheat that tional company Occupational Health Prac- might be presented to a committee or the Executive Board for action. While I cannot titioners, Air and Shipping Line Medical speak for the Electronics Committee, I suspect their plates are much too full for a chat Directors, NGO, Refugee and Humanitar- room to be a success without additional and serious volunteers to help. ian Aid Workers, Medical Assistance In the spirit of more open discussion the Executive Board at its last meeting in NY asked Company personnel, Pharmaceutical committee chairs to supply regular updates of their work and initiatives for dissemina- Company Researchers and Developers, tion in NewsShare. I believe this demonstrates a sincere willingness to come to grips Nurses, Students and Travel Health Jour- with some of the important criticism that Dr. Marcus rightfully raises. Clearly one nalists and anyone else concerned with business meeting every other year is not an adequate forum for member participation. the health and welfare of travellers : I suggest two major approaches by our members: Please come and join us at the Fairest Cape of Lady Anne Barnard and modern • Contact either the chair of the committee you wish to serve on, or contact our secre- day beautiful people in February 2004. tariat at [email protected] who can direct you to the correct person. I guarantee you the Bring us your travel medicine expertise committee chairs will kiss the feet of anyone actually willing to work. However, and experience, your curiosity and an expect to be kicked off a committee if you are not willing to work. open mind and heart and together we will • Feel free to write to the counselor(s) of your choice or to the president about your learn and teach and make medical history concerns, but first consider writing to committee chairs about your ideas so that the and leave Africa in body but never again committee can consider, debate and bring forward a finished product for consider- in mind or spirit… ation by the Executive Board. Albie de Frey, Co-chair, Organising Continued on page 6 Committee; President, South African Society of Travel Medicine

“Letters to the Editor,” continued from page 5

Bottom line: please do not be passive or simply critical. No organization is perfect and a volunteer organization is dependent greatly on the willingness of its members to A devote time and energy without compensation. Get involved. You will be welcomed with Decker ward open arms. Sincerely, Charles D. Ericsson, MD he International Society of Past President, ISTM T Travel Medicine is pleased to Chair, Publications Committee announce the Decker Award for Best Original Article published in the Jour- nal of Travel Medicine in the two Dear Editor: years preceding the conference in New York. The winner was selected There is a need within ISTM for a multi-faceted program that provides a listing and by a blue ribbon subcommittee information on diverse types of opportunities in travel medicine. The descriptions should chaired by Herbert DuPont, MD. clearly specify targeted participants, as some programs are only appropriate for physicians whereas others are appropriate for nurses as well as physicians. Some examples The winner is: follow: Provost S, and Soto JC. Predictors of 1. Formally organized educational courses – for example, the Travel Medicine course pretravel consultation in tourists from in Seattle, regional courses relevant to Travel Medicine, and any ISTM-sponsored Quebec (Canada). J Travel Med 2001; courses. 8:66-75. 2. Training programs – for example, the Gorgas Course in Peru. List hospitals and This award is accompanied by a $1000 clinics where travel medicine practitioners can learn about local diseases. check from BC Decker. Congratula- tions to the authors. 3. Exchange possibilities – travel clinics around the world where practitioners can visit, exchange ideas and experiences, and send travelers for evaluation while in Also selected by the subcommittee those areas, arranged individually. and announced at the Membership Assembly in New York were two re- 4. Listing of additional organizations that may have opportunities appropriate to Travel view articles and two short articles Medicine – for example, Health Volunteer Overseas and the Physician Volunteer Fair that were deemed worthy of honor- held by the Massachusetts Medical Society. able mention. These are: 5. Listing of grants, funding, and awards applicable to the field of travel medicine. Best Review Articles 6. Listing of job opportunities – a separate list from the programs above (in a separate Aw JJ. Cosmic radiation and commer- section of the web site or in NewsShare). cial air travel. J Travel Med 2003; The program should be available on the web site, through both NewsShare and a sec- 10:19-28. tion on Education and Training. The program should also be available through Ryan ET. Calderwood SB. Cholera NewsShare in print form. vaccines. JTM 2001; 8:82-91. The program should be updated regularly and continuously. Best Short Articles (Brief Commu- The listings should be validated with supporting information. nication or Research Letter) I would be happy to serve on the Committee on Education and Training, and help Caramello P, Canta F, Bonino L, et al. coordinate this initiative. Puumala virus pulmonary syndrome in a Roumanian immigrant. J Travel Lin H. Chen, M.D. Boston, USA Med 2002; 9:326-9. Maje HA, and Freedman DO. Cashew Editor’s note: Lin has agreed to work closely with Eli Schwartz, Chair, Professional Educa- nut dermatitis in a returned traveler. J tion and Training Committee. Please see the Calendar in NewsShare and the new listing, Travel Med 2001; 8:213-15. Educational Resources, on the ISTM website. These areas will be expanded in the future. Submitted by: Charles D. Ericsson, MD, Chair, Publications Committee Robert Steffen, MD, Editor, Journal of Travel Medicine

6 Newsletter of the International Society of Travel Medicine © 2003 ISTM Travel Medicine NewsShare 2003 May/June Calendar: Travel Medicine Conferences, Calendar: Travel Medicine Conferences, Opportunities in Courses, Educational Travel Travel Medicine (Note: This calendar is a service for the travel medicine community. The University of Minnesota, Minneapo- listings come from reputable individuals within the community but are not lis, Minnesota, USA checked or necessarily endorsed by ISTM.) e are starting a new city-wide in- Conferences scientists. Lectures by leading specialists Wternational pathway for resi- (Cuban and others) and visits to hospi- dents. There are 5 residency programs 4th World Congress of tals, research laboratories, and commu- currently involved (pediatrics, medi- Wilderness Medicine. nity health centers. Lab training available cine, and pediatrics/medicine) with over Whistler, British Colum- on request in bacteriology and parasitol- 300 residents in the 5 programs. Within Aug bia. August 9-13, 2003. ogy, and extra module, public health. Of- a few years we hope to initiate a course Held every four years by 9-13 ficial language: English. Medical educa- accredited by the American Society of the Wilderness Medical Society (WMS). tion credits applied for from Dutch accred- Tropical Medicine and Hygiene. For those working in wilderness medicine iting authorities. Course Coordinator: Pe- and providing care in challenging areas We have clinical sites both internation- ter de Beer, MD; PO Box 1660;6201 BR around the world. Fairmont Chateau Whis- ally and locally. Locally, two travel clin- Maastricht, Netherlands. Email: tler. Contact: WMS, 3595 East Fountain ics are participating as well as a Somali [email protected] and pedebeer@hvision. Blvd., Suite A-1, Colorado Springs, CO clinic, TB clinic, HIV clinics, Center for nl. Web address of MST: www.tropen 80910. USA. Tel: +1-719-572-9255. Fax: International Health Clinic, the Center kliniek.nl. IPK information: Director, Training +1-719-572-1514. Web address: for Victims of Torture and others. We programs, Dr. Nereyda Cantelar. See Web ad- www.wms.org. would be willing to consider having dress IPK : www.ipk.sld.cu. residents or staff from other programs 14th Conference on the Africa-European Con- visit and/or do electives at our facili- Health of International ference on Travel Medi- ties. For more information, visit our new Travelers, Montreal, cine (AECTM). Cape web site at www.medpeds.umn.edu/ Nov Canada, November 13th Feb Town, South Africa. Feb- travel, go under International Resident and 14th, 2003. Lectures, 13-14 ruary 8 - 11, 2004. Orga- pathway and click on Introduction. expert panels, and workshops. Many in- 8-11 nized jointly by International Society of teractive sessions. For physicians and There are also over 30 lectures and 30 Travel Medicine (ISTM) and South Afri- nurses to develop and update their knowl- cases on the web site. can Society of Travel Medicine (SAT- edge and skills in travel medicine. Spon- SUMA). Although this is the “Africa Eu- William Stauffer, MD sor: The Medisys Travel Health Clinics ropean” Conference, we welcome col- Minneapolis, MN, USA and TravelMedisys.com. Hotel Omni. leagues from ALL over the world to at- Contact: Dr. Dominique Tessier or Mrs. **************** tend. Leading experts from all parts of the Nicole Côté, Medisys Travel Health Clinic world will present the very latest in travel I will be retiring from the U.S. Army 500 Sherbrooke West, Suite 1100, and migration medicine. Many interactive next summer. My career has allowed Montréal, Quebec, Canada H3A 3C6. Tel sessions. Special workshops on travel- me to do a great deal of travel medicine :514-499-2773. Fax: 514-845-4842. Email: ers in Africa, visitors of game parks, medi- both from the military deployment and [email protected]. cal services for long-term expatriates etc. civilian travel perspectives. I am inter- Havana Travel &Tropi- Contact: Ken Brown, African Conferences ested in transitioning these skills to the cal Medicine Course and Incentives (CAI) e-mail: civilian community, preferably in Eu- 2003. Havana, Cuba. [email protected] Phone: (++27) (11) rope for a few (5-10) years. I would like Nov November 17-22, 2003. 475 2902. Fax: (++27) (11) 475 0366 Web to determine if there are opportunities 17-22 Organizer: Instituto de address: www.istm.org; www.sastm.org.za for such employment. Curriculum vitae Medicina Tropical “Pedro Kouri” (IPK), available. Winter Wilderness Havana, in collaboration with Medical Ser- Medicine Conference, Stephen Craig MD, USA vices for the Tropics (MST), Maastricht, Jackson Hole, Wyoming, [email protected] Netherlands. For physicians –(especially Feb USA. February 13-17, those working in general 2004. The latest in win- practice, occupational, aviation, tropical 13-17 ter-related wilderness and travel medicine. Continued on page 8 and public health medicine), pharmacists, microbiologists, nurses, and other health

© 2003 ISTM Newsletter of the International Society of Travel Medicine 7 Travel Medicine NewsShare 2003 May/June Calendar continued Contact: WMS, 3595 East Fountain Blvd., Wilderness and Travel Courses/Educational Travel Suite A-1, Colorado Springs, CO 80910. Medicine. Santa Fe, New The Gorgas Course in USA. Tel: +1-719-572-9255. Fax: +1-719- Mexico. April 25-28, 2004. April Clinical Tropical Medi- 572-1514. Web address: www.wms.org. Sponsored by the Wilder- cine. Lima, and the Andes ness Medical Society. Feb 2- 11th International Con- 25-28 and Amazon regions, Contact: WMS, 3595 East Fountain Blvd., gress of Infectious Dis- Peru. Course scheduled Suite A-1, Colorado Springs, CO 80910. April 2 eases. Cancun, Mexico. for February 2-April 2, 2004 (waiting list USA. Tel: +1-719-572-9255. Fax: +1-719- March March 4-7, 2004. Sponsor: only) and January 31-April 1, 2005. Spon- 572-1514. Web address: www.wms.org. 4-7 International Society for sored by the University of Alabama and Infectious Diseases (ISID). Official lan- 11th International Con- the Tropical Medicine Institute UPCH, guage: English. ISID, 181 Longwood Av- gress of Infectious Dis- Lima, Peru. Includes lectures, case con- enue, Boston, MA 02115, USA. Tel: (617) eases. Cancun, Mexico. ferences, diagnostic laboratory proce- 277-0551. Fax: (617) 731-1541. Email: March March 4-7, 2004. Sponsor: dures, and bedside teaching in a 36-bed [email protected]. Web address: 4-7 International Society for tropical medicine unit. Official language: www.isid.org. Infectious Diseases (ISID). Official lan- English. International Faculty. 380 contact guage: English. ISID, 181 Longwood Av- hours. Contact: David O. Freedman, M.D. Hypothermia and Cold enue, Boston, MA 02115, USA. Tel: (617) Gorgas Memorial Institute, University of Related Injuries. 277-0551. Fax: (617) 731-1541. Email: Alabama at Birmingham, 530 Third Av- Alyeska, Alaska. March [email protected]. Web address: enue South, BBRB 203, Birmingham, AL March 6-11, 2004. Sponsored by www.isid.org. 35294. Fax: 205-934-5600. Email: the Wilderness Medical 6-11 [email protected]. Web address: Society. Contact: WMS, 3595 East Foun- 4th European Conference www.gorgas.org. tain Blvd., Suite A-1, Colorado Springs, on Travel Medicine CO 80910. USA. Tel: +1-719-572-9255. Fax: (ECTM4). Rome. March Tropical Medicine Expe- +1-719-572-1514. Web address: March 29-31, 2004. Travel Medi- ditions to East Africa: 9th www.wms.org. 29-31 cine and Safety. Spon- Uganda Expedition sored in part by WHO and CDC, Atlanta. Feb scheduled for February An interdisciplinary approach to travel 15-27 15-27, 2004, and 11th medicine, preceded and followed by meet- Kenya Expedition scheduled for “Opportunities,” cont. from page 7 ings held in close collaboration with lead- March 7-19, 2004. In collaboration with ing societies in dermatology, occupa- Kay Schaefer, MD, PhD, MSc, DTM&H, tional health, sports medicine, pediatrics, of Cologne, Germany and the Universi- I would like to recruit a nurse practitio- psychology and psychiatry, environmen- ties of Nairobi and Makerere. Two-week ner or physician’s assistance to work tal health, cardiology, and other subjects. expeditions designed for up to 8 health with me at the Fresno International These meetings will be held in Venice and care professionals (doctors, public Travel Medical Center. We have been in other Italian cities of cultural interest. health experts, scientists, pharmacists, selected as a new, in developement, Abstracts accepted from those wishing nurses). Participants visit hospitals and GeoSentinel site. Fresno is a culturally to take part. Send abstracts to: health projects in urban and rural areas. diverse agricultural community in the [email protected] by November 30, Includes individual bedside teaching, center of California. We will take ad- 2003. Other information: laboratory work, and lectures in epidemi- vantage of that fact in recruiting infor- Veneziacongressi, Accademia 1056, 30123 ology, diagnosis, treatment, and preven- mation on returning travelers and im- Venice. Tel +390415228400, fax tion and control of important tropical in- migrants to feed into the GeoSentinel +390415238995, email fectious diseases. Also update on travel databank. The ideal candidate has a [email protected]. medicine and visit to the “Flying Doc- passion for travel as well as a back- tors.” 50 contact hours. Official language: ground in internal medicine, cardiology 9th Conference of the In- English. Medical education credits ap- and travel medicine/infectious dis- ternational Society of plied from German accrediting authorities. eases. Most important is a willingness Travel Medicine May Contact: Dr. Kay Schaefer, Tel/Fax: +49- to learn and assist in the care of a busy (CISTM). Lisbon. May 1- 221-3404905, E-Mail: contact@tropme private internal medicine practice. 5, 2005. Biennial meeting 1-5 dex.com. Web address: www.tropme of the International Society of Travel Michael W. Lynch, MD, FACP dex.com. Medicine. Detailed information about the Fresno, California, USA meeting will be available in the next issue. [email protected]

“Pratvia,” continued from p. 1. the ISTM will continue to expand. Chal- ISTM STAFF lenges for the Society will lie in integrat- ing and embracing travel medicine practi- ISTM EXECUTIVE BOARD tioners from all parts of the world, despite language barriers and regional differences. PRESIDENT: Bradley A. Connor, M.D., USA The ISTM should also strive to play a PRESIDENT ELECT: Prativa Pandey, M.D., Nepal key role in defining standards of practice PAST-PRESIDENT: Louis Loutan, M.D., Switzerland in travel medicine, and to serve as a re- COUNSELOR: Fiona Raeside Genasi, R.G.N., UK source for those who are new or expand- COUNSELOR: Kevin Kain, M.D.,Canada ing their interest in this field. I hope to COUNSELOR: Peter Leggat, M.D., Australia bring to the ISTM presidency a mix of COUNSELOR: Eli Schwartz, M.D., Israel western medical training and practice with SECRETARY/TREASURER: Frank von Sonnenburg, M.D., Germany 10 years experience in the world’s busiest EDITOR, JOURNAL OF TRAVEL MEDICINE: Robert Steffen, M.D., Switzerland destination travel medicine clinic. WEB EDITOR: Karl Neumann, M.D., USA SPECIAL ADVISOR: Stephen Ostroff, M.D., USA Travel has become an essential part of SPECIAL ADVISOR: Robert Steffen, M.D., Switzerland human life. Only by travel will we under- 8TH CISTM CHAIRPERSON: Bradley A. Connor, M.D., USA stand each other in this global village. Travel and travel medicine will have its ISTM COMMITTEE CHAIRS ups and downs but it is a specialty that ELECTRONIC COMMUNICATIONS: David Freedman, M.D., USA will continue to grow. We need to con- HEALTH OF MIGRANTS AND REFUGEES: Brian D. Gushulak MD., Canada tinue to embrace and encourage new prac- HOST COUNTRIES: Santanu Chatterjee, M.D., India titioners and support the ones who are MEMBERSHIP: Albie de Frey, M.D., South Africa already in the field. There is a strong need LONG RANGE PLANNING: Charles Ericsson, MD, United States to educate our medical colleagues about PRACTICE AND NURSING ISSUES: Fiona Genasi, R.G.N., United Kingdom our role in keeping people healthy while PROFESSIONAL EDUCATION & TRAINING: Eli Schwartz, M.D., Israel they travel. I hope that we all learn from PUBLICATIONS: Charles Ericsson, MD, United States each other, share ideas, and build bridges RESEARCH: Anne McCarthy, M.D., Canada toward a safer and friendlier world. TRAVEL INDUSTRY & PUBLIC EDUCATION: Karl Neumann, M.D., USA

ISTM SECRETARIAT ADMINISTRATIVE ASSISTANT: Brenda Bagwell, USA

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Japan: Yuka Ujita Peru: Eduardo Gotuzzo Editor: Karl Neumann, USA Philippines: Francois Ausseil Assistant Editor: Eric Walker, UK Singapore: Helen M.L. Oh Assistant Editor: Peter Leggat, Australia Administrative Assistant: Camilo Benitez Regional Editors: ISTM NewsShare Australia: Jonathan Cohen 108-48 70th Road Colombia: Juan Gemot Forest Hills, NY, USA 11375 Hong Kong: Abu S. M. Abdullah Tel: 718-263-2072 India: Santanu Chaterjee Fax:718-575-0290 Indonesia: Hanny G. Moniaga E-mail: [email protected] © 2002 ISTM. All rights reserved. May not be reproduced without permission.