Owing to this study, the University of Utah now requires that new nurses observe a minimum of five pre-travel consults, participate in five mock travel consults, and are observed for five complete pre-travel consults. The model presented here is reliable, reproducible, and can be tailored according to the local needs and legal requirements regarding the scope of nursing practice. It could be used in large urban areas where physicians and subspecialists are in high demand with many factors competing for their time. It also has application for training and maintaining qualified personnel in rural and other remote

areas where it is difficult to regularly serve the critical number of travelers to receive adequate experience. There is a growing need for standardized travel clinics throughout the world. The University of Utah

has learn more created a model where multiple LDK378 nmr pre-travel clinics throughout the state can be staffed by nurses, who are effectively trained, consistently supervised and who maintain a high level of expertise. Further work is needed to gather data to objectively demonstrate the effectiveness of these clinics in safely providing for the travel needs of the population and in preventing disease in the international traveler. The authors would like to thank Charles Langelier, MD, PhD candidate, for his help with editing and proof reading the manuscript. The authors state that they have no conflicts of interest to declare. “
“Background. Health-care professionals can help travelers by providing accurate pre-travel counseling for mosquito-transmitted diseases such as malaria, yellow fever, and dengue fever. Governments and international organizations will benefit from knowledge survey among health professionals in this field to promote the development of travel health profession. This study investigates

physicians’ and nurses’ knowledge regarding malaria, yellow fever, and dengue fever. Methods. A cross-sectional questionnaire survey was distributed to physicians and nurses in Taiwan interested in travel medicine between April and September of 2008. The self-administered, single-choice questionnaire evaluated knowledge regarding epidemiology, prophylactic medication for Ribose-5-phosphate isomerase malaria, yellow fever, and dengue fever, and vaccinations for yellow fever as well as background information of participants. Results. Complete information was collected from 82 physicians and 203 nurses. (Out of 289, effective response rate = 99.9%). The mean percentage of accurate responses was similar for all three diseases: malaria 67.3% (range, 16.8%–90.5%); yellow fever 65.4% (39.6%–79.3%); and dengue fever 74.4% (14.4%–96.5%). The items with the lowest accuracy were (1) behavior of the dengue fever vector Aedes aegypti mosquito (14.4%) and (2) incubation period of malaria (16.8%). There were 60.4% participants who did not know the current revaccination interval for the yellow fever vaccine.