Gerard Flaherty - School of Medicine, National University of Ireland, Galway, Ireland
Muhammad Asyraf Maarof - School of Medicine, National University of Ireland, Galway, Ireland
Graham Fry - Tropical Medical Bureau, Dublin, Ireland

Introduction: There has been significant growth in international tourism from South-East Asia. Travel medicine services are still quite limited in this region. Few data exists on the knowledge, attitudes and practices of travelers from South-East Asia regarding the prevention of travel-related health risks. The present study aimed to characterize the travel trends and risk reduction strategies of international travelers departing from a major Malaysian airport. Methods: We conducted a cross-sectional survey among international travelers at the Kuala Lumpur International Airport. A questionnaire recorded data on the demographic profile, travel patterns, travel health protective measures, sources of pre-travel health advice, personal perception of travel-related risk, and barriers to seeking health advice, travel vaccinations and malaria chemoprophylaxis. Results: ۳۶.۸% of respondents had sought pre-travel health advice, mostly (۶۴.۷%) from their doctor. ۲۳.۶% of the travelers had received travel vaccinations. ۴۰% of travelers were uninsured and over ۵۰% did not know how to access medical care overseas. The survey revealed deficiencies in the risk perception of travelers regarding endemic infectious diseases such as malaria, dengue, and rabies. A minority of the travelers reported an intention to avoid unsafe food and water, inform themselves of local disease outbreaks, pack a first-aid kit, and protect themselves from animal and mosquito bites. Conclusions: This study highlights areas of concern in relation to the knowledge and behavior of the travelers surveyed and points to the need for raising public awareness in South-East Asia of the risks associated with international travel and the most efficient means of mitigating those risks.

Travel Health, Vaccinations, Risk Assessment, Tropical Infection, Chemoprophylaxis, Airport Survey