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Canadian Paediatric Society

Practice Point

The Committee to Advise on Tropical Medicine and Travel (CATMAT) – a reference for Canadian paediatricians

Posted: Dec 4 2015

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Principal author(s)

CPS Hui; Canadian Paediatric Society, Infectious Diseases and Immunization Committee

Paediatr Child Health 2015;20(8):437-38.


The Committee to Advise on Tropical Medicine and Travel (CATMAT) is a federal government committee with wide representation in the fields of travel medicine and infectious diseases. They produce evidence-based statements on tropical and travel medicine for Canadian clinicians, including paediatric content ensured by the involvement of paediatric experts and a liaison member from the Canadian Paediatric Society. Links to all of the active statements are provided in the present practice point, with the aim of making Canadian health care providers more aware of this excellent resource. CATMAT statements of special interest to clinicians who deal with children address paediatric travellers, international adoption, personal protective measures to prevent arthropod bites, fever in the returning traveller, malaria, injury risk and travel, and guidelines for the practice of travel medicine.

Key Words: CATMAT; Traveller health; Tropical disease; VFR


The Committee to Advise on Tropical Medicine and Travel (CATMAT) was formed in 1990, with a mandate to provide recommendations relating to the prevention and treatment of infectious diseases, and other health hazards that may be encountered by Canadian travellers outside of Canada. CATMAT was also mandated to suggest mechanisms for the wider dissemination and use of such recommendations, and to advise of research priorities in tropical medicine and travel health.

This federal government committee is part of the Travel and Migration Health division of the Public Health Agency of Canada, and reports to the assistant deputy minister, Infectious Disease Prevention and Control branch. The committee comprises members with expertise in travel and tropical medicine, and liaisons representing the Association of Medical Microbiology and Infectious Diseases Canada, and the Canadian Paediatric Society, among others. Quality paediatric content is ensured by having paediatricians as core members and a strong liaison relationship with the Canadian Paediatric Society.

CATMAT produces evidence-based statements that are published in the Canada Communicable Diseases Report (Table 1) and on the CATMAT website ( New evidence is reviewed annually and statements are regularly updated in order of priority.

The “Statement on Pediatric Travellers” outlines the risks for travel in different age groups, travel planning, safety and security, infectious and noninfectious issues, personal protective measures and travel-related immunizations. Statements of particular interest to Canadian paediatricians include those on international adoption, personal protective measures to prevent arthropod bites, fever in the returning traveller, malaria, risk of injury and travel, and guidelines for the practice of travel medicine (Table 1).

Committee to Advise on Tropical Medicine and Travel (CATMAT) statements and recommendations (Adapted from CATMAT)
Arthropod bitesStatement on Personal Protective Measures to Prevent Arthropod Bites – Update2012
Cruise ship travelStatement on Cruise Ship Travel2005
Dengue feverStatement on Dengue2009
FeverFever in the Returning International Traveller2011
HepatitisSummary of the Recommendations for the Prevention of Viral Hepatitis during Travel2014
Statement on Hepatitis Vaccines for Travellers2008
High-altitude sicknessStatement on High-altitude Illnesses2007
The immunocompromised travellerThe Immunocompromised Traveller2007
Injury riskStatement on Risk of Injury and Travel2010
International adoptionStatement on International Adoption2010
Japanese encephalitisStatement on Protection Against Japanese Encephalitis2011
Jet lagTravel Statement on Jet Lag (external link)2003
MalariaCanadian Recommendations for the Prevention and Treatment of Malaria among International Travellers
  • Full statement (external link)
  • Prevention summary
  • Diagnosis and treatment summary
  • Special host summary
  • Malaria risk and recommended chemoprophylaxis by geographic area
  • Drugs for the treatment and prevention of malaria
Meningococcal diseaseStatement on Meningococcal Disease and the International Traveller2015
Motion sicknessStatement on Motion Sickness (external link)2003
Older travellersStatement on Older Travellers2011
Pediatric travellersStatement on Pediatric Travellers2010
PolioStatement on Poliovirus and the International Traveller2014

Statement on Pregnancy and Travel

  • Correction Notice



RabiesStatement on Travellers and Rabies Vaccine (external link)2002
Sexually transmitted infectionsStatement on Travellers and Sexually Transmitted Infections2006
Tick-borne encephalitisStatement on Tick-borne Encephalitis2006
Travel medicine resourcesTravel Medicine Resources for Canadian Practitioners2015
Travel medicine practiceGuidelines for the Practice of Travel Medicine2009
Travellers’ diarrheaStatement on Travellers’ Diarrhea2015
Travellers’ diarrhea (persistent)Statement on Persistent Diarrhea in the Returned Traveller2006
TuberculosisRisk Assessment and Prevention of Tuberculosis among Travellers2009

Statement on International Travellers and Typhoid

  • Summary
  • Full statement (external link)
Visiting friends and relatives (VFRs)

Statement on International Travellers who Intend to Visit Friends and Family

  • Full statement
  • Summary
Yellow feverStatement for Travellers and Yellow Fever2013


This practice point has been reviewed by the Community Paediatrics Committee of the Canadian Paediatric Society.


Natalie A Bridger MD; Shalini Desai MD; Ruth Grimes MD (Board Representative); Charles PS Hui MD (past member);
Timothy Mailman MD; Joan L Robinson MD (Chair); Marina Salvadori MD (past member); Otto G Vanderkooi MD
Liaisons: Upton D Allen MBBS, Canadian Pediatric AIDS Research Group; Tobey Audcent MD, Committee to Advise on Tropical Medicine and Travel (CATMAT), Public Health Agency of Canada; Carrie Byington MD, Committee on Infectious Diseases, American Academy of Pediatrics; Rhonda Kropp BScN MPH, Public Health Agency of Canada; Nicole Le Saux MD, Immunization Monitoring Program, ACTive (IMPACT); Dorothy L Moore MD, National Advisory Committee on Immunization (NACI); Patricia Mousmanis MD, College of Family Physicians of Canada
Consultant: Noni E MacDonald MD

Principal author: Charles PS Hui MD


Disclaimer: The recommendations in this position statement do not indicate an exclusive course of treatment or procedure to be followed. Variations, taking into account individual circumstances, may be appropriate. Internet addresses are current at time of publication.

Last updated: Dec 7 2015