1. Animal-Associated Exposure to Rabies Virus among Travelers, 1997–2012
- Author
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Gautret, P., Harvey, K., Pandey, P., Lim, P. L., Leder, K., Piyaphanee, W., Shaw, M., Mcdonald, S. C., Schwartz, E., Esposito, D. H., Parola, P., Delmont, J., Torresi, J., Brown, G., Yoshimura, Y., Tachikawa, N., Kurai, H., Sagara, H., Von Sonnenburg, F., Kanagawa, S., Kato, Y., Mizunno, Y., Hern, A., Chappuis, F., Loutan, L., Keystone, J. S., Kain, K., Grobusch, M., De Vries, P., Gadroen, K., Using, J., Froberg, G., Libman, M. D., Ward, B., Dick Maclean, J., Rapp, C., Aoun, O., Valdez, L. M., Siu, H., Cramer, J., Burchard, G. -D., Phu, P. T. H., Anderson, N., Batchelor, T., Meisch, D., Jensenius, M., Lalloo, D. G., Beeching, N. J., Stauffer, W., Walker, P., Kass, R., Jean Haulman, N., Roesel, D., Jong, E. C., Wang, A., Eason, J., Kendall, B., Hale, D. C., Anand, R., Gelman, S. S., Chen, L. H., Wilson, M. E., Silachamroon, U., Borwein, S., Van Genderen, P. J., Vincelette, J., Gurtman, A., Kozarsky, P. E., Wu, H., Fairley, J., Franco-Paredes, C., Schlagenhauf, P., Weber, R., Steffen, R., Yates, J., Ansdell, V., Mendelson, M., Vincent, P., Mockenhaupt, F., Harms, G., Perret, C., Valdivieso, F., Doyle, P., Ghesquiere, W., Cahill, J. D., Mckinley, G., Mccarthy, A., Caumes, E., Perignon, A., Anderson, S., Hynes, N. A., Bradley Sack, R., Mckenzie, R., Field, V., Connor, B. A., Muller, R., Freedman, D. O., Hagmann, S., Miller, A. O., Gkrania-Klotsas, E., Tenenboim, S., Jenks, N. P., Kerr, C., Licitra, C., Crespo, A., Castelli, F., Carosi, G., Holtom, P., Goad, J., and Anglim, A.
- Subjects
Male ,History ,Veterinary medicine ,Time Factors ,Epidemiology ,lcsh:Medicine ,rabies ,medicine.disease_cause ,Global Health ,Medical care ,0302 clinical medicine ,Rabies vaccine ,80 and over ,Global health ,030212 general & internal medicine ,Child ,travel ,Animal Bites ,Aged, 80 and over ,Middle Aged ,21st Century ,3. Good health ,20th Century ,Vaccination ,Infectious Diseases ,GeoSentinel ,animal-related exposure ,rabies virus ,viruses ,Adolescent ,Adult ,Aged ,Animals ,Female ,History, 20th Century ,History, 21st Century ,Humans ,Population Surveillance ,Rabies ,Seasons ,Young Adult ,Rabies virus ,Travel ,Synopsis ,medicine.drug ,Microbiology (medical) ,030231 tropical medicine ,lcsh:Infectious and parasitic diseases ,03 medical and health sciences ,Environmental health ,medicine ,lcsh:RC109-216 ,Rabies transmission ,business.industry ,lcsh:R ,medicine.disease ,Animal-Associated Exposure to Rabies Virus among Travelers, 1997–2012 ,business ,human activities - Abstract
No demographic characteristics identified who might benefit most from pretravel counseling., Among travelers, rabies cases are rare, but animal bites are relatively common. To determine which travelers are at highest risk for rabies, we studied 2,697 travelers receiving care for animal-related exposures and requiring rabies postexposure prophylaxis at GeoSentinel clinics during 1997–2012. No specific demographic characteristics differentiated these travelers from other travelers seeking medical care, making it challenging to identify travelers who might benefit from reinforced pretravel rabies prevention counseling. Median travel duration was short for these travelers: 15 days for those seeking care after completion of travel and 20 days for those seeking care during travel. This finding contradicts the view that preexposure rabies vaccine recommendations should be partly based on longer travel durations. Over half of exposures occurred in Thailand, Indonesia, Nepal, China, and India. International travelers to rabies-endemic regions, particularly Asia, should be informed about potential rabies exposure and benefits of pretravel vaccination, regardless of demographics or length of stay.
- Published
- 2015