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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.
Clin Infect Dis. 2012 Feb 15; 54(4):455-62.CI

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.

Authors+Show Affiliations

Travelers' Advice and Immunization Center, Massachusetts General Hospital, Boston, USA. rclarocque@partners.orgNo 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 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 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
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

22144534

Citation

LaRocque, Regina C., et al. "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." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 54, no. 4, 2012, pp. 455-62.
LaRocque RC, Rao SR, Lee J, et al. 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. Clin Infect Dis. 2012;54(4):455-62.
LaRocque, R. C., Rao, S. R., Lee, J., Ansdell, V., Yates, J. A., Schwartz, B. S., Knouse, M., Cahill, J., Hagmann, S., Vinetz, J., Connor, B. A., Goad, J. A., Oladele, A., Alvarez, S., Stauffer, W., Walker, P., Kozarsky, P., Franco-Paredes, C., Dismukes, R., ... Ryan, E. T. (2012). 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. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 54(4), 455-62. https://doi.org/10.1093/cid/cir839
LaRocque RC, et al. 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. Clin Infect Dis. 2012 Feb 15;54(4):455-62. PubMed PMID: 22144534.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - LaRocque,Regina C, AU - Rao,Sowmya R, AU - Lee,Jennifer, AU - Ansdell,Vernon, AU - Yates,Johnnie A, AU - Schwartz,Brian S, AU - Knouse,Mark, AU - Cahill,John, AU - Hagmann,Stefan, AU - Vinetz,Joseph, AU - Connor,Bradley A, AU - Goad,Jeffery A, AU - Oladele,Alawode, AU - Alvarez,Salvador, AU - Stauffer,William, AU - Walker,Patricia, AU - Kozarsky,Phyllis, AU - Franco-Paredes,Carlos, AU - Dismukes,Roberta, AU - Rosen,Jessica, AU - Hynes,Noreen A, AU - Jacquerioz,Frederique, AU - McLellan,Susan, AU - Hale,Devon, AU - Sofarelli,Theresa, AU - Schoenfeld,David, AU - Marano,Nina, AU - Brunette,Gary, AU - Jentes,Emily S, AU - Yanni,Emad, AU - Sotir,Mark J, AU - Ryan,Edward T, AU - ,, Y1 - 2011/12/05/ PY - 2011/12/7/entrez PY - 2011/12/7/pubmed PY - 2012/5/24/medline SP - 455 EP - 62 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin Infect Dis VL - 54 IS - 4 N2 - 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. SN - 1537-6591 UR - https://www.unboundmedicine.com/medline/citation/22144534/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_ L2 - https://academic.oup.com/cid/article-lookup/doi/10.1093/cid/cir839 DB - PRIME DP - Unbound Medicine ER -