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Travel-associated Illness Trends and Clusters, 2000–2010

Longitudinal data examining travel-associated illness patterns are lacking. To address this need and determine trends and clusters in travel-related illness, we examined data for 2000–2010, prospectively collected for 42,223 ill travelers by 18 GeoSentinel sites. The most common destinations from wh...

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Autores principales: Leder, Karin, Torresi, Joseph, Brownstein, John S., Wilson, Mary E., Keystone, Jay S., Barnett, Elizabeth, Schwartz, Eli, Schlagenhauf, Patricia, Wilder-Smith, Annelies, Castelli, Francesco, von Sonnenburg, Frank, Freedman, David O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713975/
https://www.ncbi.nlm.nih.gov/pubmed/23763775
http://dx.doi.org/10.3201/eid1907.121573
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author Leder, Karin
Torresi, Joseph
Brownstein, John S.
Wilson, Mary E.
Keystone, Jay S.
Barnett, Elizabeth
Schwartz, Eli
Schlagenhauf, Patricia
Wilder-Smith, Annelies
Castelli, Francesco
von Sonnenburg, Frank
Freedman, David O.
author_facet Leder, Karin
Torresi, Joseph
Brownstein, John S.
Wilson, Mary E.
Keystone, Jay S.
Barnett, Elizabeth
Schwartz, Eli
Schlagenhauf, Patricia
Wilder-Smith, Annelies
Castelli, Francesco
von Sonnenburg, Frank
Freedman, David O.
author_sort Leder, Karin
collection PubMed
description Longitudinal data examining travel-associated illness patterns are lacking. To address this need and determine trends and clusters in travel-related illness, we examined data for 2000–2010, prospectively collected for 42,223 ill travelers by 18 GeoSentinel sites. The most common destinations from which ill travelers returned were sub-Saharan Africa (26%), Southeast Asia (17%), south-central Asia (15%), and South America (10%). The proportion who traveled for tourism decreased significantly, and the proportion who traveled to visit friends and relatives increased. Among travelers returning from malaria-endemic regions, the proportionate morbidity (PM) for malaria decreased; in contrast, the PM trends for enteric fever and dengue (excluding a 2002 peak) increased. Case clustering was detected for malaria (Africa 2000, 2007), dengue (Thailand 2002, India 2003), and enteric fever (Nepal 2009). This multisite longitudinal analysis highlights the utility of sentinel surveillance of travelers for contributing information on disease activity trends and an evidence base for travel medicine recommendations.
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spelling pubmed-37139752013-07-30 Travel-associated Illness Trends and Clusters, 2000–2010 Leder, Karin Torresi, Joseph Brownstein, John S. Wilson, Mary E. Keystone, Jay S. Barnett, Elizabeth Schwartz, Eli Schlagenhauf, Patricia Wilder-Smith, Annelies Castelli, Francesco von Sonnenburg, Frank Freedman, David O. Emerg Infect Dis Research Longitudinal data examining travel-associated illness patterns are lacking. To address this need and determine trends and clusters in travel-related illness, we examined data for 2000–2010, prospectively collected for 42,223 ill travelers by 18 GeoSentinel sites. The most common destinations from which ill travelers returned were sub-Saharan Africa (26%), Southeast Asia (17%), south-central Asia (15%), and South America (10%). The proportion who traveled for tourism decreased significantly, and the proportion who traveled to visit friends and relatives increased. Among travelers returning from malaria-endemic regions, the proportionate morbidity (PM) for malaria decreased; in contrast, the PM trends for enteric fever and dengue (excluding a 2002 peak) increased. Case clustering was detected for malaria (Africa 2000, 2007), dengue (Thailand 2002, India 2003), and enteric fever (Nepal 2009). This multisite longitudinal analysis highlights the utility of sentinel surveillance of travelers for contributing information on disease activity trends and an evidence base for travel medicine recommendations. Centers for Disease Control and Prevention 2013-07 /pmc/articles/PMC3713975/ /pubmed/23763775 http://dx.doi.org/10.3201/eid1907.121573 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Research
Leder, Karin
Torresi, Joseph
Brownstein, John S.
Wilson, Mary E.
Keystone, Jay S.
Barnett, Elizabeth
Schwartz, Eli
Schlagenhauf, Patricia
Wilder-Smith, Annelies
Castelli, Francesco
von Sonnenburg, Frank
Freedman, David O.
Travel-associated Illness Trends and Clusters, 2000–2010
title Travel-associated Illness Trends and Clusters, 2000–2010
title_full Travel-associated Illness Trends and Clusters, 2000–2010
title_fullStr Travel-associated Illness Trends and Clusters, 2000–2010
title_full_unstemmed Travel-associated Illness Trends and Clusters, 2000–2010
title_short Travel-associated Illness Trends and Clusters, 2000–2010
title_sort travel-associated illness trends and clusters, 2000–2010
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3713975/
https://www.ncbi.nlm.nih.gov/pubmed/23763775
http://dx.doi.org/10.3201/eid1907.121573
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