Travellers’ Diarrhoea (TD) continues to be the most frequent health problem in travellers1.
According to the Centers for Disease Control and Prevention, Travellers’ Diarrhoea is a clinical disease resulting from microbial contamination of ingested food and water2. It occurs during or shortly after travel, most commonly affecting people travelling from an area of more highly developed hygiene and sanitation infrastructure to a less developed one.
Travellers’ Diarrhoea is characterised by the fairly abrupt onset of loose, watery or semi-formed stools associated with abdominal cramps and rectal urgency. Symptoms may be preceded by gaseousness, abdominal cramping, vomiting and fever. In almost a third of Travellers’ Diarrhoea victims, the symptoms will be severe enough to confine them to bed. The most common cause of Travellers’ Diarrhoea is the Enterotoxigenic E.coli ( ETEC ) which may be found in drinks, ice cubes, on the outside of fruits and vegetables, one the surface of utensils and anywhere contaminated water or poor hygiene is present. E.coli can be found in a street side stall or in the best restaurants.