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The general approach to the travel requirements of special groups includes the initial (1) risk assessment, determining the risks of the destination, mode of travel and the special conditions of the traveler; (2) vaccinate when possible and indicated; (3) provide the traveler with appropriate empirical self-treatment, including a traveler's medical kit and, where appropriate, the name of a physician or clinic at the destination, including a detailed doctor’s letter; (4) consider chemoprophylaxis when possible and indicated

Ericsson CD. Travelers with pre-existing medical conditions. Int J Antimicrobial Agents 2003; 21: 181-188.