“It’s very hard to avoid. About 40 percent of people will get diarrhea when traveling in an undeveloped country, which covers most of the world,” says Dr. Stephen Berger, founder and medical advisor for GIDEON, an online infectious diseases database. Exposure to different strains of the E. coli bacteria, present in all of our bodies, says Berger, is what usually causes diarrhea in travelers, and it can happen in any country.
… referenced chikungunya:
“And with the chikungunya outbreak in Italy in 2007, that’s not tropical any more either,” says Dr. Berger, referring to another mosquito-borne illness that manifests with terrible joint pain, muscle pain, a fever, and often a rash. An outbreak in Ravenna, Italy, in 2007 showed the disease was spreading beyond the tropical realm. “The mosquitoes that cause these things turn out to be mosquitoes that also invade non-tropical areas,” says Berger, “Chikungunya is extremely common in the Indian Ocean region, and it’s becoming more and more common to see it in travelers in the U.S. and Europe, too.”
Read both the article and the slide show.