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Risk and spectrum of diseases in travelers to popular tourist destinations.
J Travel Med. 2005 Sep-Oct; 12(5):248-53.JT

Abstract

BACKGROUND

Traveling to tropical regions is related to increased health risks. Travelers' diarrhea is the most frequent health problem, but the range of travel-related diseases also includes potential life-threatening diseases such as malaria. The actual risk of European travelers acquiring specific infectious diseases and other hazards in the tropics is to a large extent unknown and is therefore often adopted from that of the indigenous population. The objective of this study was to elucidate the risk for travel-related diseases, symptoms, and accidents in a population of Europeans who travel to popular tourist destinations.

METHODS

From July 2003 to June 2004, 794 travelers consulting the travel clinic of the Berlin Institute of Tropical Medicine were recruited for a questionnaire-based observational study before traveling to Kenya, Tanzania, Senegal, the Gambia, India, Nepal, Thailand, or Brazil.

RESULTS

Overall, illness was reported by 42.9% of travelers, with 10.2% reporting more than one adverse health event. Most frequently gastrointestinal symptoms were noted (34.6%), followed by respiratory symptoms (13.7%). More than 5% experienced an accident. Travel to the Indian subcontinent nearly doubled the risk of becoming ill; travel to Thailand significantly decreased the risk. Additional risk factors were a long duration of staying abroad, young age, and traveling under basic conditions. Of all travelers, 80% did not follow the traditionally recommended dietary restrictions. Among travelers visiting malaria-endemic areas, 20% did not carry any antimalarial drugs with them, not continuous chemoprophylaxis or standby medication.

CONCLUSIONS

Because of the rising travel activity, especially to tropical countries, the importance of qualified pretravel advice consultation is increasing. To improve the travelers' health, attention needs to be paid to individual risk factors, the prevention and therapy of travelers' diarrhea, malaria prophylaxis, management of respiratory illness, and personal safety.

Authors+Show Affiliations

Berlin Institute of Tropical Medicine, Berlin, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16256047

Citation

Rack, Julia, et al. "Risk and Spectrum of Diseases in Travelers to Popular Tourist Destinations." Journal of Travel Medicine, vol. 12, no. 5, 2005, pp. 248-53.
Rack J, Wichmann O, Kamara B, et al. Risk and spectrum of diseases in travelers to popular tourist destinations. J Travel Med. 2005;12(5):248-53.
Rack, J., Wichmann, O., Kamara, B., Günther, M., Cramer, J., Schönfeld, C., Henning, T., Schwarz, U., Mühlen, M., Weitzel, T., Friedrich-Jänicke, B., Foroutan, B., & Jelinek, T. (2005). Risk and spectrum of diseases in travelers to popular tourist destinations. Journal of Travel Medicine, 12(5), 248-53.
Rack J, et al. Risk and Spectrum of Diseases in Travelers to Popular Tourist Destinations. J Travel Med. 2005 Sep-Oct;12(5):248-53. PubMed PMID: 16256047.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Risk and spectrum of diseases in travelers to popular tourist destinations. AU - Rack,Julia, AU - Wichmann,Ole, AU - Kamara,Bai, AU - Günther,Matthias, AU - Cramer,Jakob, AU - Schönfeld,Christian, AU - Henning,Tatjana, AU - Schwarz,Ute, AU - Mühlen,Marion, AU - Weitzel,Thomas, AU - Friedrich-Jänicke,Barbara, AU - Foroutan,Behruz, AU - Jelinek,Tomas, PY - 2005/11/1/pubmed PY - 2006/3/8/medline PY - 2005/11/1/entrez SP - 248 EP - 53 JF - Journal of travel medicine JO - J Travel Med VL - 12 IS - 5 N2 - BACKGROUND: Traveling to tropical regions is related to increased health risks. Travelers' diarrhea is the most frequent health problem, but the range of travel-related diseases also includes potential life-threatening diseases such as malaria. The actual risk of European travelers acquiring specific infectious diseases and other hazards in the tropics is to a large extent unknown and is therefore often adopted from that of the indigenous population. The objective of this study was to elucidate the risk for travel-related diseases, symptoms, and accidents in a population of Europeans who travel to popular tourist destinations. METHODS: From July 2003 to June 2004, 794 travelers consulting the travel clinic of the Berlin Institute of Tropical Medicine were recruited for a questionnaire-based observational study before traveling to Kenya, Tanzania, Senegal, the Gambia, India, Nepal, Thailand, or Brazil. RESULTS: Overall, illness was reported by 42.9% of travelers, with 10.2% reporting more than one adverse health event. Most frequently gastrointestinal symptoms were noted (34.6%), followed by respiratory symptoms (13.7%). More than 5% experienced an accident. Travel to the Indian subcontinent nearly doubled the risk of becoming ill; travel to Thailand significantly decreased the risk. Additional risk factors were a long duration of staying abroad, young age, and traveling under basic conditions. Of all travelers, 80% did not follow the traditionally recommended dietary restrictions. Among travelers visiting malaria-endemic areas, 20% did not carry any antimalarial drugs with them, not continuous chemoprophylaxis or standby medication. CONCLUSIONS: Because of the rising travel activity, especially to tropical countries, the importance of qualified pretravel advice consultation is increasing. To improve the travelers' health, attention needs to be paid to individual risk factors, the prevention and therapy of travelers' diarrhea, malaria prophylaxis, management of respiratory illness, and personal safety. SN - 1195-1982 UR - https://www.unboundmedicine.com/medline/citation/16256047/Risk_and_spectrum_of_diseases_in_travelers_to_popular_tourist_destinations_ L2 - https://academic.oup.com/jtm/article-lookup/doi/10.2310/7060.2005.12502 DB - PRIME DP - Unbound Medicine ER -