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Global TravEpiNet: a national consortium of clinics providing care to international travelers--analysis of demographic characteristics, travel destinations, and pretravel healthcare of high-risk US international travelers, 2009-2011
- Source :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America. 54(4)
- Publication Year :
- 2011
-
Abstract
- Background International travel poses a risk of destination-specific illness and may contribute to the global spread of infectious diseases. Despite this, little is known about the health characteristics and pretravel healthcare of US international travelers, particularly those at higher risk of travel-associated illness. Methods We formed a national consortium (Global TravEpiNet) of 18 US clinics registered to administer yellow fever vaccination. We collected data regarding demographic and health characteristics, destinations, purpose of travel, and pretravel healthcare from 13235 international travelers who sought pretravel consultation at these sites from January 2009 through January 2011. Results The destinations and itineraries of Global TravEpiNet travelers differed from those of the overall population of US international travelers. The majority of Global TravEpiNet travelers were visiting low- or lower-middle-income countries, and Africa was the most frequently visited region. Seventy-five percent of travelers were visiting malaria-endemic countries, and 38% were visiting countries endemic for yellow fever. Fifty-nine percent of travelers reported ≥1 medical condition. Atovaquone/proguanil was the most commonly prescribed antimalarial drug, and most travelers received an antibiotic for self-treatment of travelers' diarrhea. Hepatitis A and typhoid were the most frequently administered vaccines. Conclusions Data from Global TravEpiNet provide insight into the characteristics and pretravel healthcare of US international travelers who are at increased risk of travel-associated illness due to itinerary, purpose of travel, or existing medical conditions. Improved understanding of this epidemiologically significant population may help target risk-reduction strategies and interventions to limit the spread of infections related to global travel.
- Subjects :
- Microbiology (medical)
Adult
Male
Veterinary medicine
medicine.medical_specialty
Adolescent
Population
Psychological intervention
Destinations
Communicable Diseases
Risk Assessment
Typhoid fever
Young Adult
Environmental health
Health care
Medicine
Travel medicine
Humans
education
Child
Aged
Demography
Aged, 80 and over
Public Health Informatics
education.field_of_study
Travel
business.industry
Hepatitis A
Infant
Middle Aged
medicine.disease
United States
Infectious Diseases
Child, Preschool
Communicable Disease Control
Female
business
Risk assessment
human activities
Public Health Administration
Travel Medicine
Subjects
Details
- ISSN :
- 15376591
- Volume :
- 54
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
- Accession number :
- edsair.doi.dedup.....a3a3e42dd5fb89c6028956a211f17796