Illness in Long-Term Travelers Visiting GeoSentinel Clinics

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Chen, Lin H. ; Wilson, Mary E. ; Davis, Xiaohong ; Loutan, Louis ; Schwartz, Eli ; Keystone, Jay ; Hale, Devon ; Lim, Poh Lian ; McCarthy, Anne ; Gkrania-Klotsas, Effrossyni ; Schlagenhauf, Patricia
• Corporate Authors:
  for the GeoSentinel Surveillance Network1
• Description:
  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.
• Subjects:
  Adult Ambulatory Care Facilities Animals Communicable Diseases, Emerging Disease Vectors Female Global Health Humans Male Mental Disorders Middle Aged Population Surveillance Research Syndrome Time Factors Travel Wounds And Injuries Young Adult

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• Source:
  Emerg Infect Dis. 15(11):1773-1782.
• Document Type:
  Journal Article
• Volume:
  15
• Issue:
  11
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:3d398d19d88bd51a8ce445d4a8fd6f2665d9796fb1311d721a91bdd9532670fd
• Download URL:
  https://stacks.cdc.gov/view/cdc/18004/cdc_18004_DS1.pdf
• File Type:
  [PDF - 352.95 KB ]