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Lin H Chen, Karin Leder, Patricia Schlagenhauf, Michael Libman, Jay Keystone, Marc Mendelson, Philippe Gautret, Eli Schwartz, Marc Shaw, Sue MacDonald, Anne McCarthy, Bradley A Connor, Davidson H Hamer, Mary E Wilson, GeoSentinel Surveillance Network, Reply: regarding business travelers, Journal of Travel Medicine, Volume 25, Issue 1, 2018, tay031, https://doi.org/10.1093/jtm/tay031
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Dear Editor,
We appreciate the commentary by Dr Bunn1 regarding perceptions of pre-travel preparation among business travellers and employers, which advocated for coverage of services such as travel vaccinations and malaria chemoprophylaxis. While some large multinational corporations and smaller organizations may recommend or even require pre-travel health preparation for their employees travelling for work, many employers, especially small companies, have no such policy. An undefined proportion of our business travellers are not corporate travellers but instead are small business owners or employees, where the cost may be burdensome, especially for frequent travel. Some of these regular travellers may tend to minimize risk, similar to the attitudes and practices often observed among individuals who travel to visit friends and relatives. This can be paradoxical: e.g. engineers working in West Africa who travel frequently over extended periods of time to rural sites where their malaria risk is high may perceive frequent courses of malaria chemoprophylaxis as impractical or unnecessary.2