1. Clinicoepidemiological characteristics of viral hepatitis in migrants and travellers of the plus Redivi network
- Author
-
Henriquez-Camacho, C, Serre, M, Norman, F, Sanchez-Montalva, A, Torrus, D, Goikoetxea, AJ, Herrero-Martinez, JM, Ruiz-Giardin, JM, Trevino, B, Monge-Maillo, B, Molina, I, Rodriguez, A, Garcia, M, Lopez-Velez, R, Perez-Molina, JA, Aguilera, P, Serrano, MM, Rodriguez, MG, Menendez, MD, Meije, Y, Martinez-Montauti, J, Sanz, X, Tenza, IP, Cuello, IG, Lopez, BM, LLenas, J, Masia, M, Padilla, S, Romero, M, Wilkman-Jorgensen, P, Rincon, JMR, Malmierca, E, Perez-Ayala, A, Herrero, JM, Lizasoain, M, Rojo, P, Matarranz, M, Zarco, C, Rodriguez-Guardado, A, Suarez, JF, Ribeiro, JAB, Aguirre, JG, Sulibarria, MZZ, Giardin, JMR, Lopez, JVS, Arribas, MV, Munoz, EC, Ribas, AM, Vera, MP, Montalva, AS, Salvador, F, Dominguez, A, Trevino-Maruri, B, Deicor, NS, Soriano-Arandes, A, Ciruelo, DP, Bocanegra, C, and Redivi Study Grp
- Subjects
Travellers ,Immigrants ,Viral hepatitis - Abstract
Background: Continuous growth of mobile populations has influenced the global epidemiology of infectious diseases, including chronic and acute viral hepatitis. Method: A prospective observational multicentre study was performed in a Spanish network of imported infections. Viral hepatitis cases from January 2009 to September 2017 were included. Results: Of 14,546 records, 723 (4.97%) had imported viral hepatitis, including 48 (6.64%) acute cases and 675 (93.36%) chronic cases. Of the 48 acute cases, 31 were travellers and immigrants returning from visiting friends or relatives (VFR), while 19 (61%) were acute Hepatitis A or Hepatitis B. Only 18.2% of VFR immigrants and 35% of travellers received pre-travel advice. Acute hepatitis was more frequent in VFR immigrants (AOR 2.59, CI95% 1.20-5.60) and travellers (AOR 2.83, CI95% 1.46-5.50) than immigrants. Of the 675 Chronic cases, 570 were immigrants, and 439 (77%) had chronic Hepatitis B. Chronic hepatitis was more frequent in immigrants (AOR 20.22, CI95% 11.64-35.13) and VFR immigrants (AOR 11.12, CI95% 6.20-19.94) than travellers. Conclusions: Chronic viral hepatitis was typical of immigrants, acute viral hepatitis was common among travellers, and VFR immigrants had mixed risk. Improving pre-travel consultation and screening of immigrants may contribute to preventing new cases of viral hepatitis and avoiding community transmission.
- Published
- 2019