One-third of the cases (164) stayed at a resort during their trav

One-third of the cases (164) stayed at a resort during their travel; salmonellosis was reported among 46.3% of them (76/164) (Table 3). No statistically significant differences existed between years and months for departure and return dates. Both travel departure and return dates were available for 351 cases. Overall, the travel duration ranged from 0 to 1,333 days with interquartile at 7 (Q1), 14 (median), and 30 days (Q3) (Table 3). Statistically significant differences in travel durations were found between the diseases. selleck products Travel duration was short for salmonellosis, VTEC infection, and yersiniosis (median duration: 5–8 d); medium for amebiasis, Campylobacter enteritis, cryptosporidiosis,

and shigellosis (median duration: 15–24 d); long for giardiasis and typhoid and paratyphoid fever (median duration: 30–39 d); and very long for hepatitis A (median duration: 102 d). MCA PF-6463922 allowed us to map out a large portion of the variability in the data for the 351 cases with no missing data on the first two-dimensional plan, the first and second axis encompassing 73 and 11% of the total inertia, respectively (Figure 2a). Travel destination, travel duration, and accommodation in a resort were the three variables that contributed most to the first axis, with the categories Latin America/Caribbean, short travel (<8 d), and accommodation in a resort pointing in the opposite direction compared

to the categories Asia, Africa, and long travel (29+ d) (Figure 2a). The categories Europe, <5 and 60+ years contributed the most to the second axis, these two age groups pointing in opposite directions. Accounting for gender did not change the results and consequently this variable was ignored. These results allowed us to define three potential subgroups among ill travelers by the combination of the various categories that make up the variables analyzed: those who had traveled to Latin America/Caribbean for a short period (<8 d) and had stayed at a resort (subgroup A); those who had traveled to either Asia or Africa for a long period of time (29+ d) (subgroup B); and travelers aged

60 years or older who had traveled to Europe (subgroup C). These subgroups encompassed 84, 79, and 12 find more cases, respectively. When illness was overlaid on the MCA map it showed associations between these subgroups and the diseases (Figure 2b). In particular, cyclosporiasis, salmonellosis, and yersiniosis were most frequently identified within subgroup A; hepatitis A and typhoid and paratyphoid fever within subgroup B; and Campylobacter enteritis within subgroup C (Table 4). Illness among the 42 TRC classified as new immigrant were giardiasis (27 cases), amebiasis (12 cases), Campylobacter enteritis (2 cases), and typhoid fever (1 case). They were not included in the MCA because of missing departure date. Overall, TRC accounted for 25.

Bacteria commonly synthesize superoxide dismutases (SOD) to elimi

Bacteria commonly synthesize superoxide dismutases (SOD) to eliminate superoxide anions (Lynch & Kuramitsu, 2000). Hydrogen peroxide is scavenged in most organisms by peroxidases and catalases (Chelikani et al., 2004; Imlay, 2008). Oxidative DNA damage is an important source of mutagenesis. It is known that the formation of 8-oxoG (or GO) can give rise to mutations in E. coli (Bridges, 1993; Bridges et al., 1996) and in other bacteria, for example, in pseudomonads (Saumaa et al., 2002, 2007; Mandsberg et al., 2009). In order to alleviate the mutagenic effect of 8-oxoG, bacteria have developed an oxidized guanine (GO) repair system (Michaels & Miller, 1992; Michaels

et al., 1992). Oxidatively damaged guanine is removed from DNA by MutM glycosylase, whereas MutY glycosylase removes adenine from A·(8-oxoG)

and A·G mispairings. MutT pyrophosphohydrolase hydrolyzes 8-oxodGTP selleckchem to 8-oxodGMP and pyrophosphate to prevent its incorporation into DNA. Products of oxidative damage of adenine have also been shown to be mutagenic (Kamiya, 2003), but have received less attention. Additionally, several premutagenic oxidized pyrimidines such as thymine glycol, 5-hydroxycytosine, dihydrothymine Dabrafenib and dihydrouracil are common lesions in DNA (Dalhus et al., 2009). The generation of ROS is important in pathogenesis. Oxidation of bacterial DNA by ROS presents an increased risk for the occurrence of hypermutable P. aeruginosa with mutations that confer adaptation of the bacteria in the lung of CF patients and persistence of the infection (Ciofu et al., 2005). The chronic infections by P. aeruginosa are associated with biofilm formation. Recent studies have identified a role of oxidative stress in generating mutation and phenotypic variation in P. aeruginosa biofilm (Allegrucci & Sauer,

2008; Boles & Singh, 2008; Mai-Prochnow et al., 2008). Although the oxygen tension is low within the biofilm structures, it has been reported that respiration can produce enough oxidative stress to produce DNA damage, and that some biofilm bacteria may express lower levels of antioxidant enzymes such as catalase and SOD, thereby increasing the mutation frequency (Hassett et al., 1999; Driffield et al., SSR128129E 2008). The results of Boles & Singh (2008) suggest that the genetic variation in P. aeruginosa biofilm might be caused by the mutagenic repair of DNA double-strand breaks (DSBs) caused by oxidative stress. The involvement of ROS in the generation of mutations has also been studied in starving P. putida (Saumaa et al., 2002, 2007; Tarassova et al., 2009). Recently, we discovered that the frequency of emergence of base substitution mutants is significantly increased in long-term-starved populations of P. putida deficient in stationary-phase-specific sigma factor RpoS (Tarassova et al., 2009).

This is because such

This is because such

Panobinostat manufacturer allele conversion occurs constantly as stochastic events among cells of the bacterial population: at any time point, there must be some cells that have the wild-type allele converted to the defective one, for example from wild-type mutL to 6bpΔmutL as demonstrated here. So the conversion could be regarded as spontaneous and MMR-negative cells should start accumulating genetic changes swiftly, with those that acquired the ‘right’ genetic traits becoming more fit and thus selected for. Mutation rate variation in relation to fitness differences has been reported (Saunders et al., 2003), and here we provide experimental evidence showing that levels of mutability, or variation of mutation rates, could be modulated by allele conversion of an MMR gene. Tandem repeats in bacterial genomes have been widely studied in relation to pathogenicity or escape from the host immunity (Hollingshead et al., 1987; selleck compound Madoff et al., 1996; Tonjum et al., 1998; Jordan et al., 2003), but to our knowledge we are the first to report tandem repeats in MMR genes, and playing important roles in modulating

bacterial mutability. The repetitive structure within the sequence of mutL enables it to function as a genetic switch modulating bacterial mutability, to be turned on or off at the population level nearly spontaneously. Fluctuations in the frequency of 6bpΔmutL cells acetylcholine in the bacterial populations would provide the bacteria with exceptional adaptation potential. One point that we need to emphasize is that the genetic ‘switch’ is turned on or off at the population level by selection of existing cells possessing

the favorable traits, rather than at a single-cell level by any induced adaptive mechanisms. In conclusion, the 6bpΔmutL genotype will facilitate genetic variation and gradual divergence of the bacteria. It is important to note, however, that the scenario presumed to be occurring in the sealed agar stabs is a slow-played version of what might occur in nature, because, in the natural environment, where competition constantly works to renew survivors, cells will quickly become predominant in the populations if selected, or quickly disappear if counter-selected, leading to reasonably low frequencies of 6bpΔmutL cells most of the time. The basic idea of a spontaneous genetic switch model may be generalized to other bacteria, because all bacteria evolve and, when doing so, need a genetic switch to transiently allow the genome to accept foreign DNA or to accumulate mutations. Eventually, variants of the bacteria with beneficial genetic changes will be selected.

We present strong evidence that HbpS belongs to the small set of

We present strong evidence that HbpS belongs to the small set of proteins, which do not use histidine to coordinate the metal in the haem group. Further spectroscopic selleck kinase inhibitor evidence strongly indicates that threonine 113 is actively involved in coordination of haem. Subsequent protein/haem titration experiments show a 1 : 2, protein/haem stoichiometry. We also present data showing the degradation of haem by HbpS in vivo. Because HbpS is conserved in many Actinobacteria, the presented results are applicable to related species. “
“Endoglucanase CelJ (Cel9D-Cel44A) is the largest

multi-enzyme subunit of the Clostridium thermocellum cellulosome and is composed of glycoside hydrolase (GH) families 9 and 44 (GH9 and GH44) and carbohydrate-binding module (CBM) families 30 and PLX4032 nmr 44 (CBM30 and CBM44). The study of CelJ has been hampered by the inability to isolate full-length CelJ from recombinant Escherichia coli cells. Here, full-length CelJ and its N- and C-terminal segments, CBM30-GH9 (Cel9D) and GH44-CBM44 (Cel44A), were synthesized using a wheat germ cell-free protein synthesis system and then were purified to homogeneity. Analysis of the substrate specificities of CelJ and its derivatives demonstrated that the fusion of Cel9D and Cel44A results in threefold synergy for the degradation of xyloglucan,

one of the major structural polysaccharides of plant cell walls. Because CelJ displayed broad substrate specificity including significant carboxymethylcellulase (CMCase) and xylanase activities in addition Progesterone to high xyloglucanase activity, CelJ may play an important role in the degradation of plant cell walls, which are composed of highly heterogeneous polysaccharides. Furthermore, because Cel9D, but not Cel44A, acts as a semi-processive endoglucanase, the different modes of action between Cel9D and Cel44A may be responsible for the observed synergistic effect on the activity of CelJ (Cel9D-Cel44A). “
“Ophiobolin A is sesterterpenoid-type phytotoxin and may be an important candidate for

development of new crop protection and pharmaceutical products. The restriction enzyme-mediated integration (REMI) method was used to introduce the plasmid pSH75 into the ophiobolin A-producing filamentous fungus Bipolaris eleusines. A total of 323 stable transformants were obtained, all of which were capable of growing on potato-dextrose agar medium containing 200 μg mL−1 hygromycin B. The transformation frequency was about 4–5 transformants μg−1 plasmid DNA. An ophibolin A-deficient transformant (B014) was assessed and the presence of the hph gene in this transformant was confirmed by PCR. The cell-free cultural filtrates of this transformant showed significantly less inhibition on mycelial growth of the fungal pathogen Rhizoctoni solani but little effect on barnyard grass as opposed to that of the wild-type B.

Furthermore, the hajj season in 2007 fell in winter, which result

Furthermore, the hajj season in 2007 fell in winter, which resulted in a more severe climatic change for Malaysians. In terms of specific symptoms, this study found that cough (91.3%), runny nose (79.2%), fever (59.1%), and sore throat (57.1%) were common respiratory symptoms among Malaysian INCB024360 mw hajj pilgrims. We found cough occurred significantly in older hajj pilgrims. Malaysian hajj pilgrims are more susceptible to cough, runny nose, and fever compared to UK or Saudi hajj pilgrims. In UK pilgrims, sore throat (72%) was the most common respiratory symptoms followed by cough (68%), rhinorrhea (52%), and fever (41%); similarly, in Saudi pilgrims sore throat (86%) was the commonest followed by rhinorrhea

(72%), cough (66%), myalgia (46%), and fever (43%).17 This study showed that wearing facemasks was associated with more ILI cases but statistically it was not significant. This finding was in agreement with Al-Asmary et al. (2007) who found that using facemasks offered no significant protection against acute respiratory infections. Intermittent usage of facemasks carried more risk than using facemasks all the time.13 Our findings showed that wearing facemasks was significantly associated with specific respiratory symptoms, ie, sore throat. It also showed that wearing facemask was associated with prolonged duration of sore throat and fever.

This was against the findings of study by AlMudmeigh et al. (2003) which stated the facemasks were the most important practical protective factor.15

Usual paper and surgical facemasks were not known to provide complete protection from influenza infection. Facemasks are not designed to selleck chemical protect against breath in very small particles and should be used only once.27 The hajj pilgrims tend to reuse the facemasks or not follow Ergoloid the proper guidelines using facemasks for optimum protection. The influenza vaccine coverage of Malaysian hajj pilgrims was more than 70%. This is not different from the previous study that found vaccination between 63 and 90%.10 The vaccine coverage was low in developed countries such as only 33% of hajj pilgrims from Marseille, France,28 and 27.7% from Britain.29 This study showed that influenza vaccination was not helpful to reduce ILI and respiratory tract symptoms. There were no significant differences of respiratory symptoms between vaccinated and unvaccinated group. The previous study among Malaysian hajj pilgrims found that influenza vaccination was effective in preventing clinic visits for ILI. Their subjects solely were hajj pilgrims who attended the clinic with respiratory symptoms. The controls were those who were in the room on the same day that the subjects went to clinics and no question regarding respiratory symptoms to the controls.10 We had reported that 25.9% of hajj pilgrims with respiratory symptoms did not attend the clinic and 16.5% of hajj pilgrims with respiratory symptoms recovered without seeking any kind of medication.30 Mustafa et al.

Furthermore, the hajj season in 2007 fell in winter, which result

Furthermore, the hajj season in 2007 fell in winter, which resulted in a more severe climatic change for Malaysians. In terms of specific symptoms, this study found that cough (91.3%), runny nose (79.2%), fever (59.1%), and sore throat (57.1%) were common respiratory symptoms among Malaysian Kinase Inhibitor Library purchase hajj pilgrims. We found cough occurred significantly in older hajj pilgrims. Malaysian hajj pilgrims are more susceptible to cough, runny nose, and fever compared to UK or Saudi hajj pilgrims. In UK pilgrims, sore throat (72%) was the most common respiratory symptoms followed by cough (68%), rhinorrhea (52%), and fever (41%); similarly, in Saudi pilgrims sore throat (86%) was the commonest followed by rhinorrhea

(72%), cough (66%), myalgia (46%), and fever (43%).17 This study showed that wearing facemasks was associated with more ILI cases but statistically it was not significant. This finding was in agreement with Al-Asmary et al. (2007) who found that using facemasks offered no significant protection against acute respiratory infections. Intermittent usage of facemasks carried more risk than using facemasks all the time.13 Our findings showed that wearing facemasks was significantly associated with specific respiratory symptoms, ie, sore throat. It also showed that wearing facemask was associated with prolonged duration of sore throat and fever.

This was against the findings of study by AlMudmeigh et al. (2003) which stated the facemasks were the most important practical protective factor.15

Usual paper and surgical facemasks were not known to provide complete protection from influenza infection. Facemasks are not designed to http://www.selleckchem.com/products/Liproxstatin-1.html protect against breath in very small particles and should be used only once.27 The hajj pilgrims tend to reuse the facemasks or not follow TCL the proper guidelines using facemasks for optimum protection. The influenza vaccine coverage of Malaysian hajj pilgrims was more than 70%. This is not different from the previous study that found vaccination between 63 and 90%.10 The vaccine coverage was low in developed countries such as only 33% of hajj pilgrims from Marseille, France,28 and 27.7% from Britain.29 This study showed that influenza vaccination was not helpful to reduce ILI and respiratory tract symptoms. There were no significant differences of respiratory symptoms between vaccinated and unvaccinated group. The previous study among Malaysian hajj pilgrims found that influenza vaccination was effective in preventing clinic visits for ILI. Their subjects solely were hajj pilgrims who attended the clinic with respiratory symptoms. The controls were those who were in the room on the same day that the subjects went to clinics and no question regarding respiratory symptoms to the controls.10 We had reported that 25.9% of hajj pilgrims with respiratory symptoms did not attend the clinic and 16.5% of hajj pilgrims with respiratory symptoms recovered without seeking any kind of medication.30 Mustafa et al.

The serine alkaline protease, SAPB, from Bacillus pumilus CBS is

The serine alkaline protease, SAPB, from Bacillus pumilus CBS is an effective additive in laundry detergent formulations (Jaouadi et al., 2008). Twelve mutants of SAPB have constructed by site-directed mutagenesis and the results demonstrate that all the amino acids of the catalytic cluster and amino acids intimately related to the hydrophobic environments near the active site are important for engineering of kinetic performances of detergent-stable enzymes (Jaouadi et al., 2010). Mutations outside of the catalytic centre or the binding sites resulted in increased catalytic activity of the enzyme, as has been observed in other studies

(van der Veen et al., 2004; Fan et al., 2007). For the rational enzymatic design, the amino acid residues that are close to the active

centre or the binding pocket are often modified. click here However, the amino acid residues that are located far from these two places may play an important role in enzymatic function. Random mutagenesis can be introduced into gene sequences when it is not necessary to know the identity of the structure–function relationship of the enzyme. Currently, whether nattokinase may become a widely used thrombolytic agent mainly selleck chemical depends on the enhancement of its properties, e.g. prolonging the half-life with oral administration and improving the stability and catalytic efficiency. In conclusion, the results of our work have demonstrated that it is feasible to generate a mutant library of nattokinase using the DNA family shuffling method to obtain a mutant with enhanced catalytic efficiency. With better catalytic efficiency, the mutant may become a desirable

and economical source for use in thrombolytic therapy or other industrial applications. Further investigation of the selection of mutants with high catalytic efficiency using the DNA family shuffling and screening method is promising. The authors selleck inhibitor sincerely thank Dr. Yufeng Zhao from the Wuhan Institute of Technology for critical reading of the manuscript. This work was funded by grants from the National Natural Science Foundation of China (Nos. 30670464, 20873092, 30800190), National Mega Project on Major Drug Development (No. 2009ZX09301-014-1) and Science and Technology Project of Wuhan (No. 200960323115). “
“Rhizoctonia solani is an important soilborne pathogen of potato plants whose control typically depends on chemicals. Here, we screened six fungal endophytes for the suppression of R. solani growth both in vitro and in a greenhouse. These isolates were identified using morphology and internal transcribed spacer regions of rDNA as Alternaria longipes, Epicoccum nigrum, Phomopsis sp., and Trichoderma atroviride. Both T. atroviride and E. nigrum showed significant in vitro inhibition of mycelial growth of R. solani, with the greatest inhibition zone observed for E. nigrum species in dual cultures. The highest inhibition was observed for T. atroviride.

0 kPa) and a repeatedly normal ALT should be given the option to

0 kPa) and a repeatedly normal ALT should be given the option to commence treatment or to be monitored not less than 6-monthly with HBV DNA and ALT and at least yearly for evidence of fibrosis (2C). We recommend all patients with a CD4 <500 cells/μL are treated with fully suppressive ART inclusive of anti-HBV-active www.selleckchem.com/products/ly2157299.html antivirals (1B). We

recommend at least two baseline HBV DNA measurements are obtained 3 to 6 months apart to guide initiation of therapy. We recommend 6-monthly HBV DNA measurements for routine monitoring of therapy. We recommend that an ALT level below the upper limit of normal should not be used to exclude fibrosis or as a reason to defer HBV therapy. Normal levels of ALT should be considered as 30 IU/L for men and 19 IU/L for women. Romidepsin chemical structure Proportion of patients with a CD4 ≥500 cells/μL and an HBV DNA ≥2000 IU/mL and/or evidence of more than minimal fibrosis (Metavir ≥F2, Ishak ≥S2, or

TE ≥9.0 kPa) commencing ART inclusive of anti-HBV antivirals Central to the optimal management of patients infected with HBV and HIV is the need for adequate assessment of both HBV and HIV status to inform the decision as to whether neither, HBV alone or both viruses require treatment. Recommendations for the patient with HBV monoinfection are generally based on HBV DNA levels, Nabilone evidence of liver inflammation and degree of fibrosis, and the same is true for those with coinfection. A raised ALT most often reflects HBV-induced inflammation and the need for treatment, although significant liver damage may be present without

raised transaminases, especially in the setting of HIV coinfection [7]. Hence, assessment of liver fibrosis by TE or liver biopsy should be performed in all patients, and will guide decisions including the need for therapy in those with high CD4 cell counts and no HIV indication for ART, the choice of drug treatment, and the need for HCC screening. Liver biopsy may provide additional information on the degree of inflammation and fibrosis and exclude the presence of other pathology. No RCT evidence exists, and the assessment and recommendations on when to initiate ART are based on theoretical considerations and indirect data: i) observational data demonstrating HBV/HIV infection is associated with a faster rate of fibrosis progression and an increased risk of cirrhosis, ESLD, HCC and liver-related death when compared to HBV monoinfection [7,22–27].

Arsenate was added to M penetrans cells to determine whether ATP

Arsenate was added to M. penetrans cells to determine whether ATP hydrolysis by a motor-associated component directly provides

energy for gliding, as proposed for M. mobile, upon whose gliding motility arsenate has an immediate negative impact (Jaffe et al., 2004). M. penetrans continued to glide Trametinib nmr in the presence of 50 mM arsenate, five times the amount in which growth was prevented (see above), at incubation times ranging from 1 to 8 h. In 50 mM arsenate, the gliding speeds of both M. mobile [F(1, 144) = 13331, P < 0.0003] and M. penetrans [F(1, 144) = 7670, P < 0.0003] were significantly reduced. However, the 37% decrease in M. penetrans was much smaller than that in M. mobile, which exhibited an 89% decrease in speed (Fig. 2), essentially in agreement with the observations of an absence of M. mobile cells moving faster than 10% of normal gliding speed after 10 min under similar conditions (Jaffe et al., 2004). Although the change in speed of M. penetrans was statistically significant, the moderate value of the decrease and the continued movement of the cells after 8 h (not shown) suggest that direct inhibition of the motor by ATP depletion was unlikely. Increasing the arsenate concentration fivefold further, to 250 mM, had a negligible effect on M. penetrans motility (Fig. 2). Thus, ATP hydrolysis is an unlikely energy selleck compound source for gliding by M. penetrans. The

presence of membrane potential has been reported in a variety of mycoplasma species (Benyoucef et al., 1981; Schiefer & Schummer, 1982). To determine whether PMF supplies the energy needed for M. penetrans gliding motility, we observed motility

in the presence of the ionophore CCCP, which collapses the proton gradient. Cells were incubated for 1 h in the presence of 10 mM CCCP in DMSO and in PBS-G2K containing the same volume of DMSO used in the test buffer. After 1 h, gliding speed actually increased by 29% compared to the control buffer (P < 0.0001) (Fig. 2), ruling out PMF as an energy source for gliding motility of M. penetrans. Avelestat (AZD9668) To test SMF as a potential energy source for M. penetrans gliding, cells were observed in the presence of amiloride, an inhibitor of Na+/H+ antiporters and sodium channels, which competes with Na+ in the medium (Benos, 1982). Mycoplasma penetrans gliding speed was not significantly affected by 1 h of incubation in amiloride (P = 0.6) (Fig. 2), ruling out SMF as an energy source. To determine the role of thermal energy in the motility mechanism of M. penetrans, we analyzed its gliding speed under conditions of differing temperature. If radiant energy from ambient heat is a significant power source, then we would predict increased speed even at temperatures in excess of those normally encountered physiologically. We analyzed gliding speed at temperatures ranging from 30 to 40 °C and pH levels ranging from 5.8 to 8.8 (Fig. 3). Speed increased with temperature, but at acidic or alkaline pH, the trend was less distinct.

Diagnostic congruence between both “competitors” was fair also wh

Diagnostic congruence between both “competitors” was fair also when malaria cases were removed or for cosmopolitan infections, and it was even so for diagnoses with no final confirmation. Finally about 5% of the cases were not found by either “competitor,” and corresponded to atypical presentation, or complex or rare diseases, where the diagnosis could only be found with tests that are normally not available within the first 36 hours. There is however still room for improvement, by analyzing the reasons for having missed diagnoses. Absence Selleck LY2157299 of diagnoses or findings

in the database, nonupdated incidences, and erroneous computation were errors identified and corrected after the study. The good performance of KABISA TRAVEL compared to clinicians with expertise in travel medicine encourages promoting its use not only by travel physicians and infectious diseases specialists but learn more also by first-line practitioners (family or emergency physicians). However, a prospective assessment in primary care settings should be first conducted, as first-line physicians are much less exposed to travel-related diseases, possibly causing

errors of manipulation and an effect on pre-test probability. This might enhance the importance of the contribution of the “tutorship.” Anyhow, by its interactive and dynamic approach, we are rather convinced that KABISA TRAVEL may provide diagnostic guidance for primary care practitioners and may have an additional educative impact regarding tropical and travel medicine. KABISA TRAVEL performed as accurately as experienced travel physicians in diagnosing febrile illnesses occurring Megestrol Acetate after a stay in the tropics and was perceived as rather helpful when the etiology was not immediately obvious to them. Further study is needed to evaluate its beneficial impact on diagnostic performances of physicians not familiar with travel medicine. The authors state

they have no conflicts of interest to declare. “
“Travelers visiting friends and relatives (VFR) are known to be at high risk of acquiring infectious diseases during travel. However, little is known about the impact of VFR travel on chronic diseases. This was a nonrandomized, retrospective observational study. Patients were adult VFR travelers who received care from an internal medical clinic serving immigrants and refugees. The primary objective was to determine the impact of VFR travel on markers of chronic disease management including: blood pressure, glycosylated hemoglobin, body mass index, serum creatinine, and anticoagulation. Of the 110 VFR travelers in our study, N = 48 traveled to Africa and N = 62 traveled to Asia for a mean duration of 59 (range 21–303) days. Of the 433 counseling points discussed at pre-travel visits, 71% were infectious disease prevention, 16% chronic disease related, and 13% travel safety.