en
Scientific article
English

Illness in long-term travelers visiting GeoSentinel clinics

Published inEmerging infectious diseases, vol. 15, no. 11, p. 1773-1782
Publication date2009
Abstract

Length of travel appears to be associated with health risks. GeoSentinel Surveillance Network data for 4,039 long-term travelers (trip duration >6 months) seen after travel during June 1, 1996, through December 31, 2008, were compared with data for 24,807 short-term travelers (trip duration <1 month). Long-term travelers traveled more often than short-term travelers for volunteer activities (39.7% vs. 7.0%) and business (25.2% vs. 13.8%). More long-term travelers were men (57.2% vs. 50.1%) and expatriates (54.0% vs. 8.9%); most had pretravel medical advice (70.3% vs. 48.9%). Per 1,000 travelers, long-term travelers more often experienced chronic diarrhea, giardiasis, Plasmodium falciparum and P. vivax malaria, irritable bowel syndrome (postinfectious), fatigue >1 month, eosinophilia, cutaneous leishmaniasis, schistosomiasis, and Entamoeba histolytica diarrhea. Areas of concern for long-term travelers were vector-borne diseases, contact-transmitted diseases, and psychological problems. Our results can help prioritize screening for and diagnosis of illness in long-term travelers and provide evidence-based pretravel advice.

Keywords
  • Adult
  • Ambulatory Care Facilities
  • Animals
  • Communicable Diseases, Emerging/diagnosis/*epidemiology/transmission
  • Disease Vectors
  • Female
  • Humans
  • Male
  • Mental Disorders/epidemiology
  • Middle Aged
  • Population Surveillance
  • Syndrome
  • Time Factors
  • *Travel
  • World Health
  • Wounds and Injuries/epidemiology
  • Young Adult
Citation (ISO format)
CHEN, Lin H. et al. Illness in long-term travelers visiting GeoSentinel clinics. In: Emerging infectious diseases, 2009, vol. 15, n° 11, p. 1773–1782. doi: 10.3201/eid1511.090945
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ISSN of the journal1080-6040
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