The volume of international travel and diversify of destinations have
increased dramatically in recent decades and continue to grow. The sco
pe and variety of travel related health problems increase accordingly,
with 15% to more than 50% of travellers to developing countries repor
ting some illness. Infections acquired abroad may be acute and life-th
reatening, requiring urgent, sometimes empirical, intervention. They m
ay also be chronic and associated with late complications, particularl
y in immigrants, refugees and long term travellers. We present a persp
ective on and practical approach fo the management of illness in retur
ned travellers.