This the final article in a three-part series on international travel with
pets and the importation of foreign pathogens into the United-States. Almos
t a million U.S, citizens temporarily reside outside U.S. territorial borde
rs. These citizens often own pets that were either acquired in the U.S. but
transported overseas or purchased or adopted overseas. en U.S, citizens re
turn home, their pets usually return with them; these pets may be inadverte
ntly infected with foreign diseases or parasites that have the potential to
produce serious consequences within U.S. borders. Veterinarians must be ab
le to advise clients regarding the multitude of diseases or parasites that
might be encountered within any foreign ecosystem. Part I of this series ex
plored the details and regulations of leaving and returning to the United S
tates with pets. Part II reviewed the first two of the five major categorie
s of "invading" pathogens. This article discusses the final three pathogen
categories, which include leishmania species, Babesia canis, Babesia gibson
i, Trypanosoma congolense, Schistosoma japonicum, and Tunga penetrans. Each
pathogen is discussed in relation to geographic distribution, clinical pre
sentation, diagnosis treatment, and zoonotic potential.