Chief complaint | Main symptoms Associated symptoms Date of illness onset Location where symptoms started (while away, in transit, or after return) Health care received for this problem (such as medications or hospitalizations) while abroad and after return |
Trip details | Countries visited Itinerary in country Duration of travel Date of return from travel Reason for travel Leisure Visiting friends and relatives Business Research/education Missionary/volunteer work Providing medical care Receiving medical care Type of accommodations and sleeping arrangements Hotel (with or without air conditioning) Hostel Safari accommodations (for example, lodge, luxury tent) Camping Someone’s home Modes of transportation |
Recreational activities | Safari Hiking Swimming Ocean (scuba diving, marine life exposure) Freshwater exposure (lake, river, stream) Swimming pools and hot tubs Rafting/boating Sightseeing Other adventuresome activities |
Common exposures | Insect bites (for example, mosquito, tick, sand fly, tsetse fly) Foods eaten Raw produce Undercooked meat Unpasteurized dairy products Seafood Source of drinking water (for example, tap, bottled, purified, use of ice) |
Other exposures | Sexual activity during travel (use of condoms, new partner) Tattoos or piercings received while traveling Animal or arthropod bites, stings, or scratches Known outbreaks in the countries visited |
Use of travel precautions | Effective insect repellent (DEET 25%–40% or other EPA-registered product) Bed nets Adherence to malaria prophylaxis |
Past medical history | Chronic medical conditions Diabetes Heart disease Autoimmune disease Immunosuppressive conditions Cancer Recent illnesses or surgeries |
Medications | Routine medications Malaria prophylaxis Antibiotics Over-the-counter medications Herbal, complementary, and alternative medicines |
Pretravel and routine vaccinations received | Hepatitis A Hepatitis B Influenza Japanese encephalitis Meningococcal disease Measles-mumps-rubella (MMR) Polio Rabies Tetanus-diphtheria-acellular pertussis (Tdap) Typhoid Varicella Yellow fever |
Additional information | Smoking, alcohol, and illicit drug use Recent domestic travel or prior international travel, especially within the prior 6 months Family history |
Disease | Usual Incubation Period (Range) | Distribution |
Incubation <14 Days | ||
Chikungunya | 2–4 days (1–14 days) | Tropics, subtropics |
Dengue | 4–8 days (3–14 days) | Tropics, subtropics |
Encephalitis, arboviral (Japanese encephalitis, tickborne encephalitis, West Nile virus, other) | 3–14 days (1–20 days) | Specific agents vary by region |
Enteric fever | 7–18 days (3–60 days) | Especially in Indian subcontinent |
Acute HIV infection | 10–28 days (10 days to 6 weeks) | Worldwide |
Influenza | 1–3 days | Worldwide, can also be acquired while traveling |
Legionellosis | 5–6 days (2–10 days) | Widespread |
Leptospirosis | 7–12 days (2–26 days) | Widespread, most common in tropical areas |
Malaria, Plasmodium falciparum | 6–30 days (98% onset within 3 months of travel) | Tropics, subtropics |
Malaria, Plasmodium vivax | 8 days to 12 months (almost half have onset >30 days after completion of travel) | Widespread in tropics and subtropics |
Spotted fever rickettsiosis | Few days to 2–3 weeks | Causative species vary by region |
Zika virus infection | 3–14 days | Widespread in Latin America, endemic through much of Africa, Southeast Asia, and Pacific Islands |
Incubation 14 Days to 6 Weeks | ||
Encephalitis, arboviral; enteric fever; acute HIV; leptospirosis; malaria | See above incubation periods for relevant diseases | See above distribution for relevant diseases |
Amebic liver abscess | Weeks to months | Most common in resource-poor countries |
Hepatitis A | 28–30 days (15–50 days) | Most common in resource-poor countries |
Hepatitis E | 26–42 days (2–9 weeks) | Widespread |
Acute schistosomiasis (Katayama syndrome) | 4–8 weeks | Most common in sub-Saharan Africa |
Incubation >6 Weeks | ||
Amebic liver abscess, hepatitis E, malaria, acute schistosomiasis | See above incubation periods for relevant diseases | See above distribution for relevant diseases |
Hepatitis B | 90 days (60–150 days) | Widespread |
Leishmaniasis, visceral | 2–10 months (10 days to years) | Asia, Africa, Latin America, southern Europe, and the Middle East |
Tuberculosis | Primary, weeks; reactivation, years | Global distribution, rates, and levels of resistance vary widely |
There's more to see -- the rest of this topic is available only to subscribers.