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Illness in long-term travelers visiting GeoSentinel clinics

Chen, Lin H.
Wilson, Mary E.
Davis, Xiaohong
Schwartz, Eli
Keystone, Jay
Hale, Devon
Lim, Poh Lian
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Published in Emerging Infectious Diseases. 2009, vol. 15, no. 11, p. 1773-1782
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 AdultAmbulatory Care FacilitiesAnimalsCommunicable Diseases, Emerging/diagnosis/*epidemiology/transmissionDisease VectorsFemaleHumansMaleMental Disorders/epidemiologyMiddle AgedPopulation SurveillanceSyndromeTime Factors*TravelWorld HealthWounds and Injuries/epidemiologyYoung Adult
PMID: 19891865
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Research group Groupe Louis Loutan (médecine des Voyages et des Migrations, Médecine Tropicale, Santé Internationale) (122)
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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. https://archive-ouverte.unige.ch/unige:19737

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Deposited on : 2012-04-23

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