Research that changed how the world treats travelers.

Since the 1980s, CIWEC's clinicians have published on diarrheal disease, altitude illness, rabies and the health of travelers. These are the findings that mattered most.

More key findings

02 – 06
1988Traveler's diarrhea

What actually causes traveler's diarrhea in Nepal

One of the first systematic studies of the organisms behind diarrhea in travelers and foreign residents in Nepal — groundwork for how it is diagnosed and treated here today.

Taylor DN, Houston R, Shlim DR, et al. JAMA 1988
1989Altitude & rescue

Why trekkers die — and how they're rescued

The first look at helicopter rescues and deaths among trekkers in Nepal, followed by a study of causes of death. Altitude illness emerged as a leading, preventable cause.

Shlim DR, Houston R. JAMA 1989 · Shlim DR, Gallie J. Int J Sports Med 1992
1995Enteric fever

Paratyphi A: the typhoid vaccines don't cover

Showed the clinical importance of Salmonella Paratyphi A in Nepal — a cause of enteric fever that typhoid vaccination does not protect against.

Shlim DR, Schwartz E, Eaton M. J Travel Med 1995 · Schwartz E, et al. Arch Intern Med 1990
2002Rabies

Measuring rabies risk for visitors

Quantified the risk of possible rabies exposure among tourists and foreign residents in Nepal, shaping pre-travel vaccine advice for the region.

Pandey P, Shlim DR, Cave W, Springer MF. J Travel Med 2002
2018Frostbite

Saving fingers and toes after Everest

Reported the Kathmandu experience treating severe frostbite in extreme-altitude climbers with iloprost — one of the largest field series of its kind.

Pandey P, Vadlamudi R, Pradhan R, et al., Hackett P. Wilderness Environ Med 2018
FULL BIBLIOGRAPHYEvery paper, letter and chapter since 1988 →

The only organization to have fielded two presidents of the International Society of Travel Medicine.

Our research comes straight from the exam room: questions raised by real patients, answered in our own lab and published so travelers everywhere benefit.