Fitness to work: fitness to travel.

1. According to Edwards (1988), "Fitness to work means being able to do the tasks involved effectively and without risk to one's own, or to others' health and safety." 2. Travel hazards can be biological, chemical, physical, and psychological in nature. 3. Travel hazard management includes pre- and posttravel health assessments, immunization, use of antimalarials, travel kit preparation, health insurance coverage, compliance to country admission regulations, and country-specific health and cultural briefing. 4. Educational and preventive practices are needed to prepare employees for high risk international travel. Through counseling and advice, occupational health services can help employees and employers with health risk management. High risk travel can be lowered to a moderate-low risk situation.