Disease exacerbation among individuals with chronic
illnesses while traveling is not unexpected. Seeking
pre-travel consultation early, at least 4 to 6 weeks
prior to departure is recommended for all travelers
with underlying diseases.32 Our results indicate that
infections were not the common cause of travel-related
death in Thailand, thus health professionals should
highlight the likelihood of disease exacerbation and
provide a proper preparation for travelers, rather than
focusing on antimalarial or antibiotic prophylaxis. In
order to gain a better understanding of travelers’ health