STEP 1: History of travel
A. PRE-TRAVEL PREPARATIONS	Pre-travel consultation: date, location, contact details
	Immunizations received and dates; oral versus injectable formulation if applicable; completion of full vaccination series for travel and for routine childhood immunizations
	Malaria prophylaxis: drug, dose, schedule, adherence, duration, side effects
	Other prophylaxis: drug, dose, schedule, adherence, duration, side effects
	Other personal protective measures: standby treatment of malaria / travellers’ diarrhea; bednets; clothing; insecticide use
	Air transportation preparations: deep vein thrombosis (DVT) prophylaxis, medications for jet lag
	Environmental risk preparations: sun, extreme heat, altitude
B. SPECIFIC TRAVEL ITINERARY	Dates of travel (approximation of incubation period)
	Season of travel: rainy, dry
	Specific destinations: regions; urban, rural; proximity to fresh water; jungle, desert
	Reason for travel: tourism, business, visiting friends and relatives (VFR), other
	Style of travel: accommodation; off typical tourist routes; camping, trekking
	Local population: possible TB contacts, outbreaks, illnesses
	Transportation: crowding; use of animals such as camels, elephants
C. EXPOSURE HISTORY*	Street foods / Local water (enteric fever, travellers’ diarrhea)
	Arthropod bites (malaria, dengue, chikungunya, arboviruses, Rickettsia, African trypanosomiasis)
	Uncooked meat / unpasteurized dairy (trichinosis, brucellosis, toxoplasmosis)
	Blood and body fluid exposure: sexual encounters, tattoos, piercings, injections including immunizations, intravenous (IV) drug use, and rabies post-exposure prophylaxis (PEP) (human immunodeficiency virus [HIV], HBV, hepatitis C virus [HCV], herpes simplex virus [HSV], syphilis, gonorrhea (gonococcus) / Chlamydia trachomatis [GC/CT])
	Fresh water activities: swimming, kayaking, rafting (schistosomiasis, leptospirosis)
	Animal exposures (Q-fever, brucellosis, tularemia, anthrax, rabies, Crimean-Congo hemorrhagic fever)
	Safari (rickettsioses, African trypanosomiasis)

*For epidemiology of specific diseases, please refer to websites of the WHO (World Health Organization) (http://www.who.int/topics/en/), or the Public Health Agency of Canada (PHAC) (http://www.phac-aspc.gc.ca/tmp-pmv/info/index-eng.php), the U.S. Centers for Disease Control and Prevention (CDC) (http://wwwnc.cdc.gov/travel/content/diseases.aspx).