International tourism to tropical and sub-tropical areas, both to resource-
poor and developed countries, has almost trebled within the past 20 years,
We examined the records of patients referred to the Liverpool School of Tro
pical Medicine over 6 years, 46 (63%) of infestations originated in the UK,
Ticks were most common in the Uh (19 cases, 41%) whereas myiasis was most
common in travellers (18 cases, 67%), These records suggest that whereas ma
ny overseas acquired infestations are potentially dangerous if infections a
re transmitted, ticks constitute the greatest risk, and both domestic and e
xotic species may act as disease vectors.