Background A key purpose of the International Health Regulations (IHR) is to prevent unwarranted interruptions to trade and travel during large and/or transnational infectious disease outbreaks. Nevertheless, such outbreaks continue to disrupt the travel industry. This aspect of the IHR has received little attention in the academic literature despite its considerable impact on affected States and commercial activity. This article outlines the challenges and gaps in knowledge regarding the relationship between outbreaks and the travel sector and discusses the opportunities for further research and policy work to overcome these challenges. Methodology We conducted a literature review on the relationship between outbreaks and travel restrictions, with a particular focus on the 2014–16 Ebola epidemic in West Africa. This review was complemented by an expert roundtable at Chatham House and further supported by case studies and qualitative interviews. Results Numerous travel stakeholders are affected by, and affect, large-scale infectious disease outbreaks. These stakeholders react in different ways: peer pressure plays an important role for both governments and the travel sector, and the reactions of the media and public influence and are influenced by these stakeholders. While various data sources on travel are available, and World Health Organization is mandated to work with States, there is no recognized coordinating body to disseminate timely, consistent, reliable and authoritative information and best practices to all stakeholders. Conclusion This article highlights the interdependent relationship between various travel stakeholders. The reasons for interruption of travel during the 2014–16 Ebola outbreak were complex, with decisions by States only partly contributing to the cessation. Decisions by non-state actors, particularly the travel industry itself, contributed significantly and were based on a variety of factors. Further research, analysis and policy development are required to mitigate the health and economic consequences of infectious disease outbreaks. Any further research will also need to take account of COVID-19 travel-related issues.

The ecology of Anopheles mosquitoes in relation to malaria transmission was studied at sprayed and unsprayed villages and two unsprayed cattle sheds in the inner terai of Sindhuli District, Central Region, and at two unsprayed villages and one cattle shed in Kanchanpur, Far Western Region of Nepal, from August 1987 to August 1989. Anopheles maculatus was the most abundant of 26 anopheline species collected in Sindhuli District; however, An. fluviatilis was collected most frequently at human bait and was infected most frequently with malaria sporozoites. Residual house spray controlled the indoor resting abundance of the endophilic resting species and protected the population from malaria during midsummer, but had less effect on exophilic resting species and those abundant after and before spray application during the fall and spring, respectively. Malaria at the unsprayed village was detected predominantly in adults of both sexes, perhaps because young children retired early and frequently slept indoors under bed nets during the early evening period of elevated anopheline host-seeking activity. Malaria transmission was verified by the collection of sporozoite infected An. fluviatilis and An. maculatus during spring at cattle sheds in the forested Churia Hills and during the summer monsoon season within the unsprayed village. An. culicifacies was the most abundant of 12 anopheline species collected in Kanchanpur District. Few females of all species were collected at human bait positioned in or out of houses or had human positive blood meals; none were infected with sporozoites. Malaria incidence was higher in the study village positioned along the forest-rice field ecotone than in the cleared rice growing area.

IntroductionDescription of the AreasMetereological ConditionsMethodsEntomological TechniquesResults and DiscussionSummaryConclusionAcknowledgementReferences