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This has a globalization effect on health with possible health effects on local populations. Travelers are also exposed to the health, safety and security considerations of the local population. Rapid movement of travelers and diseases can result in outbreaks of emerging and re-emerging infectious disease.

We have seen the results of globalization of health and safety with the first emerging infectious disease of the 21 century, Severe Acute Respiratory Syndrome (SARS). Other diseases such as avian influenza has also caused problems in Asia. Several terrorist and natural disaster events have also affected tourists, particularly the Bali bombings in 2002 and the Asian Tsunami in 2004.