Travel Unravelled – Details, episodes & analysis

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Travel Unravelled

Travel Unravelled

ISTM

Society & Culture
Health & Fitness

Frequency: 1 episode/44d. Total Eps: 15

Libsyn
Join experts from the International Society of Travel Medicine as they unravel the most important travel tips you need to know. Hear the legendary stories about the history of travel medicine, why your favourite cocktail might also be an ancient malaria treatment, and where you should never go without travel insurance. Whether you're an adventure amateur or an expeditioner with experience, Travel Unravelled has something for everyone. Bon voyage!
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Unwanted Souvenirs: Top Five Parasites in Travellers

Season 2 · Episode 14

mardi 2 décembre 2025Duration 59:48

With names like leishmaniasis, myiasis, new world screwworm and gnathostomiasis, parasitic infections can be absolutely the worst souvenir to bring back from any trip. They all come from unwanted hitchhikers that can return with travellers after they explore distant and not-so-distant destinations, turning even the most idyllic trip into a nightmare.

So, how can travellers avoid bringing back unwanted parasitic souvenirs? What should travellers do to minimize the risk of parasitic infection? And what should you do if you suspect you have a parasitic disease?

In this special in-person taping of the Travel Unravelled podcast recorded at the American Society of Tropical Medicine and Hygiene (ASTMH) 2025 annual meeting in Toronto, moderator Dr. Aisha Khatib is joined by International Society of Travel Medicine president Dr. Anne McCarthy to welcome special guest host Dr. Henry Wu, clinical group president of ASTMH and director of Emory University's TravelWell Center. The two tropical medicine specialists interview Dr. Carlos Seas, Associate Professor of Medicine at Cayetano Heredia University, and Dr. Stephen Vaughan, Clinical Associate Professor of Infectious Diseases at the University of Calgary. Together, this group brings decades of experience in travel and tropical medicine, sharing expert insights, practical advice, and real-world stories to help travellers stay safe.

Content Warning: This episode includes graphic discussions of parasitic infections. Viewer discretion is advised.

We'll uncover:

  • Where parasites hide 

  • The environments that put travellers at risk

  • Foods and water sources that can carry parasitic infections

  • How to protect yourself and avoid bringing home an unwanted souvenir

  • Real-life stories and anecdotes from travellers and clinicians

  • Key parasites to watch for, including skin, food-borne, and vector-borne infections

GUEST BIOS

Dr. Henry Wu is an Associate Professor of Medicine and Distinguished Physician in the Division of Infectious Diseases at Emory University. Dr. Wu serves as the director of the Emory TravelWell Center, Emory's clinical center dedicated to the prevention, treatment, and surveillance of infections related to travel and migration. He previously served at the US Centers for Disease Control and Prevention as an Epidemic Intelligence Service Officer and Medical Epidemiologist at the Meningitis and Vaccine Preventable Diseases Branch. Dr. Wu's interests include infectious diseases epidemiology, tropical diseases, travel medicine and the evaluation of patients for serious emerging infections.

Dr. Carlos Seas is a Gorgas Course Director. He is an Associate Professor of Medicine and
Subdirector of the Alexander von Humboldt Tropical Medicine Institute at Cayetano Heredia University. He has published over 140 peer-reviewed papers and several chapters in textbooks such as Mandel's and Cecil's, and is associate editor of several reputed medical Journals  His research interests include tuberculosis, cholera, shigellosis, hospital-acquired infections, HIV/AIDS, skin and soft tissue infections, infections in travellers, antimicrobial resistance, and S. aureus bacteriemia. He is a Member of the National Academy of Medicine in Peru and Fellow of the Infectious Disease Society of America, and has served DSMB's at NIH-USA for over 12 years.

Dr. Stephen Vaughan is a Clinical Associate Professor of Infectious Diseases at the University of Calgary, Cumming School of Medicine, and the Adult Infectious Disease Residency Program Director. He's passionate about sharing his knowledge and has been awarded numerous clinical teaching awards, appears in the media as an infectious disease expert, and, in the past, provided COVID-19 guidance to the Calgary Flames. He has served on the Committee to Advise on Tropical Medicine and Travel (CATMAT), Calgary Site Lead for GeoSentinel (CDC-funded), and founded the Canadian National Tropical Medicine Rounds. Dr. Vaughan's research interests include tropical infectious diseases, and phage therapy. 

LINKS

 

DISCUSSION POINTS

00:00 Intro
04:55 Dr. Carlos Seas
06:37 Dr. Stephen Vaughan
07:52 Cutaneous larva migrans
10:04 Myiasis
15:40 New World Screwworm
17:35 Paragonimiasis
25:08 Gnathostomiasis
31:23 Fascioliasis
36:01 Vector-borne parasites
42:48 Lightning round advice
46:50 Audience questions
56:30 Wrap up

 

 

Travel Health Insurance and Medical Care on the Road

Season 2 · Episode 13

mardi 21 octobre 2025Duration 01:02:19

Travel insurance is often an afterthought in trip planning. Some travellers skip it altogether. Others buy it without really knowing what they're covered for — or how it works when things go wrong. But when the unexpected happens — like a scooter crash in Bali, a flare-up of a chronic condition in Peru, or an illness in a remote location — travel insurance can be the key to accessing timely medical care and support.

In this episode of Travel Unravelled, we take a closer look at travel health insurance through the lens of clinicians who advise travellers before departure and care for them when things don't go to plan. Whether you're a frequent flyer, a first-time traveller, or a clinician advising patients before departure, this episode offers practical, evidence-informed insights to help everyone travel smarter and safer.

We'll unpack:

  • What travel insurance actually covers

  • Common exclusions that catch travellers off guard.

  • What medical assistance companies can and can't do for a traveller.

  • Real-world case studies of denied claims and costly outcomes.

  • Travel insurance tips for travellers on how to prepare, what to check, and how to avoid common pitfalls.

 

GUEST BIOS

Dr. Gareth Richards has extensive experience in medical retrievals and repatriation across Australia, New Zealand, the Pacific, and Asia. He also consults for First Assistance, an international medical assistance company, where he advises on everything from minor ailments to evacuating critically ill patients from remote, resource-limited settings.

Dr. Kamolthip Atsawawaranunt is a Thai physician with training in Family, Travel, and Occupational Medicine. She currently works as the Medical Advisor for Thailand and Laos at International SOS, where she provides professional medical assistance services. Her role includes conducting medical assessments and consultations, offering telephone advice, coordinating complex medical evacuations and repatriations, and supporting clinical governance.

 

LINKS 

DISCUSSION POINTS

00:00 Welcome back to Travel Unravelled!
00:40 Catching up with Travel Unravelled hosts
01:46 Guest introduction
03:18 Basics of travel health insurance
05:13 Common illnesses abroad
08:15 Evacuation vs. repatriation
15:28 Cost of care without travel insurance
18:49 Common travel insurance claims
24:02 Injured or ill abroad tips
29:26 Read the fine print
32:27 Standard travel insurance policy
39:08 Case examples
46:59 Travel insurance use
56:29 Lightning round: travel insurance tips
59:11 Final comments

 

Human toxoplasmosis from swimming with the Amazon's pink dolphins?

mardi 20 août 2024Duration 18:38

ISTM podcast director Dr. Aisha Khatib and digital communications lead Dr. Sarah McGuinness discuss a strange medical case drawn from the pages of the Journal of Travel Medicine. Approximately two billion people around the world are afflicted with toxoplasmosis, a parasitic disease that typically results from exposure to cat feces. Most of those infected don't have any symptoms, but in some cases, the disease can cause muscle aches, fever and swollen glands. So is it possible that the Brazilian traveller contracted toxoplasmosis from the pink dolphins of the Amazon river? (A mini episode.)

LINKS

The Journal of Travel Medicine article: "Human toxoplasmosis as a result of swimming with pink dolphins in the Amazon river?" By Sylvia Lemos Hinrichsen, PhD, Tatiana Aguiar Santos Vilella, MSc, Reginaldo Gonçalves Lima Neto, PhD

The episode web page at ISTM features supplementary pics of Drs. Aisha Khatib and Sarah McGuiness in the Amazon. 

Travel Unravelled is sponsored by IAMAT, the International Association for Medical Assistance to Travellers.

KEY MOMENTS

00:00 Introduction

00:10 Dr. Aisha Khatib and Dr. Sarah McGuinness introduce the topic of toxoplasmosis.

02:01 Dr. Aisha Khatib and Dr. Sarah McGuinness discuss their own experiences swimming with pink dolphins in the Amazon River.

03:10 Explanation of what toxoplasmosis is—a zoonotic disease caused by a parasite that can infect warm-blooded animals, including humans.

04:31 Discussion of how toxoplasmosis is typically transmitted, including through contact with cat feces and eating undercooked meat.

05:57 Uncertainty around how the traveller in the case report contracted toxoplasmosis from swimming with pink dolphins in the Amazon.

08:04 Overview of the main transmission routes for toxoplasmosis that travellers should be aware of, including contact with cat feces, eating undercooked meat, and swimming in contaminated water.

11:21 Advice on testing and treatment for toxoplasmosis, particularly for pregnant women and those with weakened immune systems.

13:04 Key takeaways on the importance of good hygiene practices and being aware of potential disease risks when travelling.

Journey to Wellness: The Health Benefits of Travel

Season 1 · Episode 3

jeudi 18 juillet 2024Duration 41:39

What are the benefits of travel? Can a trip to a distant destination really improve your health? And how is it possible to engage in responsible travel? In this episode sponsored by IAMAT, the International Association for Medical Assistance to Travellers, we delve into the myriad benefits of travelling. For example, few people know that those who travel experience lower risk of many issues, including heart disease and burnout. Travel also creates economic and cultural benefits. Join Dr. Anne McCarthy, Dr. Aisha Khatib, and new Travel Unravelled voices Dr. Sarah McGuinness, the ISTM digital communications lead, and ISTM president Dr. Gerard Flaherty as they describe the argument for travel — and how it can positively impact your life and the world around you.  

 

LINKS

 

  • Read Dr. Gerard Flaherty's research on the benefits of travel:

  • Travel Unravelled is an ISTM podcast sponsored by IAMAT, the International Association for Medical Assistance to Travellers.

 

Rage on the Road: Rabies, Risk and Travellers

Season 1 · Episode 2

jeudi 16 mai 2024Duration 55:16

Thought to be the inspiration behind legends like the vampire and the werewolf, the rabies virus poses a serious risk for travellers around the world. In the second episode of Travel Unravelled, hosts Dr. Anne McCarthy and Dr. Albie de Frey sink their teeth into all things rabies with podcast director Dr. Aisha Khatib.

Discover the insidious nature of rabies, why it's considered one of the most fatal diseases in existence, how you can protect yourself before travelling to rabies-prone regions — and what to do if you get exposed to the virus from an animal bite. Featuring interviews with such rabies experts as the deputy director of South Africa's National Institute for Communicable Diseases, Dr. Lucille Blumberg, and the medical director of Belgium's Institute of Tropical Medicine, Dr. Patrick Soentjens, our second episode chronicles the evolution of rabies prevention recommendations, from vaccine developer Louis Pasteur to the state of the art today.

LINKS

  • Travel Unravelled is sponsored by IAMAT, the International Association for Medical Assistance to Travellers.

  • Learn more about the upcoming CISTM19 in New Orleans this May 2025.

  • Planning a trip? Consult with this CDC Rabies Assessment to see the risk level of your destination.

  • See CDC's 2024 Rabies Yellow Book

  • Read the WHO Guide for Rabies Pre and Post Exposure Prophylaxis in Humans, which guest Dr. Patrick Soentjens helped to develop.

  • Learn more about the fascinating ancient history of rabies in this Tropical Medicine and Infectious Disease article.

  • Read Dr. Lucille Blumberg's bio.

  • Read Dr. Patrick Soentjens's bio.

  • See the travel medicine website and app that Dr. Patrick Soentjens mentions, Wanda.be.

CLINICAL PEARL

  • Read the article that Dr. Olivier Aoun discussed in this episode's pearl:

    • Multi-drug resistant gluteal abscesses due to Mycobacterium abscessus following medical tourism for cosmetic purposes to Mexico in the Journal of Travel Medicine

 

Malaria for Travellers: Causes, Symptoms, Treatment and Prevention

Season 1 · Episode 1

jeudi 18 avril 2024Duration 52:57

The most dangerous animal in the world is not the shark or the tiger. It won't stalk you on safari or attack you as you surf.

Tiny but mighty, the mosquito kills more people than any other animal in the world. Why? Because it transmits deadly diseases to humans, such as malaria, dengue fever, and yellow fever. Malaria causes more than 600,000 deaths every year—all of which are preventable. In the first episode of Travel Unravelled, Dr. Anne McCarthy and Dr. Albie de Frey dive into the essential facts about malaria.

On the agenda: How to avoid getting malaria, how to prepare before a trip, and what to do if you feel sick in a malaria area. Plus: Why malaria is so tough to diagnose. It's the Battle of the Buzz, and listening to this podcast is your best repellent!

Links & Mentions

  • Access the ISTM Malaria fact sheet, and more information for travellers at the ISTM website.

  • Check out the WHO Malaria Fact Sheet for more important information.

  • See if your next travel destination is in a Malaria area with this CDC guide.

  • And see the Canadian resource: CATMAT Malaria areas 

  • Watch the TEDTalk about mosquitoes and malaria, in which Bill Gates releases mosquitoes on the audience.

  • Read a BBC article about singer Cheryl Cole's malaria diagnosis

  • Make a mean gin and tonic with this recipe (and remember it will not prevent or treat malaria!)

Travel Unravelled Trailer

Season 1

lundi 25 mars 2024Duration 01:06

Travel Unravelled: an ISTM Podcast explores the latest developments, challenges and innovations in travel health and medicine. Join ISTM President-Elect Dr. Anne McCarthy, Travel Doctor Corporate CEO Dr. Albie De Frey and ISTM podcast director Dr. Aisha Khatib as they chat with experts around the world and give you practical tips for your next adventure.

Whether you're a seasoned traveller or just starting to plan your first international trip, Travel Unravelled is your personal guide to staying healthy while exploring the world—without taking up any room in your suitcase.

Across the Ages: Travel Advice for Parents from Pediatricians

Season 2 · Episode 12

mardi 19 août 2025Duration 01:04:09

Family travel is on an upward trend. A 2023 study from the Family Travel Association found that 81% of parents are "very likely" to explore the world with their children over the next 12 months.

So what does it take to plan a safe and healthy trip with kids? Expert pediatricians Dr. Mike Starr and Dr. Sheila Mackell join the Travel Unravelled podcast to provide guidance. Dr. Starr is a general pediatrician and infectious diseases specialist in Melbourne with more than 30 years of experience, while Dr. Mackell is a pediatrician in Flagstaff, Arizona, with more than 35 years of experience in general pediatrics and travel medicine. Together, they discuss a wide variety of tips and tricks that every parent should know before booking a trip with little ones. 

 From vaccinations and common illnesses to environmental risks, medications, and even sport and activity precautions, there's a lot more to travelling with young people than booking flights — and once you listen to this episode, you'll be a lot better prepared to handle it. 

 

GUEST BIOS

Dr. Mike Starr is a general pediatrician, infectious diseases physician and emergency physician at The Royal Children's Hospital in Melbourne, and an Associate Professor in the Department of Paediatrics at the University of Melbourne. He's been working in travel medicine for over 30 years, specialising in the care of children, families and pregnant women. He's authored many papers, guidelines and textbook chapters on paediatric travel medicine topics.  He's one of the authors/editors of the Australian Manual of Travel Medicine.

 

Dr. Sheila Mackell is a pediatrician based in Flagstaff, Arizona, with over 35 years of experience in general pediatrics and travel medicine. She trained at the University of Pennsylvania, the University of Virginia, and UCSF, and holds a certificate in tropical medicine from the American Society of Tropical Medicine & Hygiene. She now teaches travel medicine and public health, and travels with surgical teams to provide pediatric care for children undergoing cleft lip and palate surgery.

 

LINKS

 

DISCUSSION POINTS

00:00 Welcome back to Travel Unravelled!

00:40 Catching up with Travel Unravelled hosts

01:52 Guest introduction

03:30 Understanding pediatric travel

04:25 The best age groups to travel with

08:04 The most common accidents during travel

10:05 Tips for travelling with teens or school-age children

15:07 Vaccinations you should know about

24:32 Food, water, and diarrheal illness prevention in children

31:06 Flying with children

38:52 How to approach malaria risk conversations

43:21 Types of medications for children

47:44 Protection against insects

51:42 Activity and sport precautions abroad

55:24: Lightning round: three essential travel tips for parents

01:01:05 Final comments

 

High Stakes: A Guide to Altitude Illness in Travellers

Episode 11

mardi 29 juillet 2025Duration 01:27:24

Approximately 50,000 people attempt to reach the summit of Mount Kilimanjaro every year, making Africa's highest peak one of the most popular climbing destinations in the world. But despite the many ambitious climbers, only 60% actually make it to the top. That's likely because many climbers, regardless of age, experience, and fitness level, will face something far more elusive: altitude sickness.

And it's not just the climbers who feel it; millions of tourists at high-altitude destinations ranging from the Andes to the Himalayas are equally at risk.

Headaches, nausea, and gastrointestinal issues are just some of the common symptoms of Acute Mountain Sickness (AMS), a near-universal part of the climbing experience at 3,000 metres above sea level. And unlike other travel illnesses, there's no vaccine for this one. So what's actually helpful to alleviate symptoms? Are preventive medicines like acetazolamide reliable? What about Peru's coca tea or Nepali Pilgrim's black pepper, ginger, and garlic remedy–are any of those effective at all? And is there any value to having oxygen piped into your room?

In this episode, the Travel Unravelled hosts are joined by topic experts Dr. Steven Roy (Canada), Dr. Suman Acharya (Nepal), and Professor Ross Hofmeyr (South Africa) to explore the risk of altitude sickness in travellers: how to prepare for it, and how different cultures and climbers around the world try to prevent or treat it.

 

GUEST BIOS

Dr. Steven Roy is an intensive care physician and a consultant in high altitude and wilderness medicine. He is the program director of the Diploma in Wilderness & Expedition Medicine and co-program director of the Resident Physician Elective in Wilderness Medicine. Dr. Roy has high-altitude experience in the Himalayas, the Alps, the Rockies, and the Andes.

Dr. Suman Acharya is a consultant physician at Lumbini Provincial Hospital, located on the Southern border of Nepal. He did his Diploma in Mountain Medicine in 2017 and frequently goes to the Himalayas as an expedition doctor, trains and educates mountain guides and climbers about altitude illness. Dr. Acharya is currently serving as the secretary of the Mountain Medicine Society of Nepal and as a Board member at the Himalayan Rescue Association.  

Professor Ross Hofmeyr is a cardiothoracic anaesthesiologist at the University of Cape Town, South Africa, and co-founder and medical director for Wild Medix. With a special interest in extreme physiology, he has led expeditions in environments ranging from the Antarctic to the tropics, including running mountain medicine training on many of Africa's highest peaks, such as Kilimanjaro and Mount Kenya.

 

LINKS

 

DISCUSSION POINTS

00:00 Welcome back to Travel Unravelled!

00:42 Catching up with Travel Unravelled hosts

03:15 Guest introduction

09:33 What is altitude illness?

17:13 Why do many mistake altitude sickness for a bad meal?

22:40 How can we be better prepared for high-altitude?

28:28 Why do people speedrun Kilimanjaro?

39:33 Does being fit help avoid altitude illness?

41:12 Is ibuprofen a good preventative for altitude illness?

51:20 Why are people having trouble sleeping at altitude?

56:46 Does coca tea actually help with altitude illness?

1:01:14 What to add to a first-aid climbing kit?

1:12:57 How do you get rescued from high altitude?

1:23:36 Final comments

 

Snakebites and Travellers: Myths, Facts, and First Aid

Episode 10

jeudi 29 mai 2025Duration 01:12:03

The World Health Organization (WHO) estimates that 5 million snakebites occur each year, with between 81,000 and 138,000 deaths. A fear of snakes is common. It doesn't help that snakes have long been cast as villains: In Raiders of the Lost Ark, a deadly cobra lurks in an ancient Egyptian temple. In Greek mythology, Medusa's snake mane is her ultimate weapon. And in real life, White Lotus star Walton Goggins recently revealed he was bitten by a snake while filming in Thailand. 

It's no surprise that travellers worry about snakebite. So in the 10th episode of Travel Unravelled, we're exploring how to minimize the risk of envenomation—and providing some tips for travellers and clinicians in the event that they do encounter a bite from a venomous serpent. Here, the Travel Unravelled team of Dr. Albie de Frey, Dr. Sarah McGuinness and Dr. Aisha Khatib benefit from the perspectives of renowned experts Professor David Warrell, the founding director of the Centre for Tropical Medicine at Oxford University, UK and Dr. Bart Currie, leader of the Tropical and Emerging Infectious Diseases team at the Menzies School of Health Research in Darwin, Australia. 

How do you determine snakebite risk at your travel destination? What can you do to minimize snakebite risk? What should you do if you get bitten by a snake? Takeaways that our experts explore include:

  • The importance of immobilization and getting to medical care quickly

  • The value of a photo of the snake, if safe to obtain

  • The fact that not all snakebite victims require antivenom

  • And that clinical assessment and observation are crucial in early hospital management

 

LINKS

 

DISCUSSION POINTS
00:00 Introduction
01:42 Catching up with Travel Unravelled hosts
03:50 Introducing our guests​
08:30 Is the fear of snakes an unreasonable concern for travellers?
12:50 Types of snakes: Cytotoxic, Neurotoxic, Hemotoxic
21:07 What to do if you've been bitten by a snake
34:23 Snakebite first aid: Everything you need to know
50:10 Signs and symptoms of snakebite
1:00:02 How to effectively treat a snakebite 
1:08:00 Final remarks

 


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