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Deaths in international travelers arriving in the United States, July 1, 2005 to June 30, 2008.
J Travel Med. 2012 Mar-Apr; 19(2):96-103.JT

Abstract

BACKGROUND

The Centers for Disease Control and Prevention's (CDC) Quarantine Activity Reporting System (QARS), which documents reports of morbidity and mortality among travelers, was analyzed to describe the epidemiology of deaths during international travel.

METHODS

We analyzed travel-related deaths reported to CDC from July 1, 2005 to June 30, 2008, in which international travelers died (1) on a U.S.-bound conveyance, or (2) within 72 hours after arriving in the United States, or (3) at any time after arriving in the United States from an illness possibly acquired during international travel. We analyzed age, sex, mode of travel (eg, by air, sea, land), date, and cause of death, and estimated rates using generalized linear models.

RESULTS

We identified 213 deaths. The median age of deceased travelers was 66 years (range 1-95); 65% were male. Most deaths (62%) were associated with sea travel; of these, 111 (85%) occurred in cruise ship passengers and 20 (15%) among cargo and cruise ship crew members. Of 81 air travel-associated deaths, 77 occurred in passengers, 3 among air ambulance patients, and 1 in a stowaway. One death was associated with land travel. Deaths were categorized as cardiovascular (70%), infectious disease (12%), cancer (6%), unintentional injury (4%), intentional injury (1%), and other (7%). Of 145 cardiovascular deaths with reported ages, 62% were in persons 65 years of age and older. Nineteen (73%) of 26 persons who died from infectious diseases had chronic medical conditions. There was significant seasonal variation (lowest in July-September) in cardiovascular mortality in cruise ship passengers.

CONCLUSIONS

Cardiovascular conditions were the major cause of death for both sexes. Travelers should seek pre-travel medical consultation, including guidance on preventing cardiovascular events, infections, and injuries. Persons with chronic medical conditions and the elderly should promptly seek medical care if they become ill during travel.

Authors+Show Affiliations

Division of Global Migration and Quarantine, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA. clawson2@cdc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22414034

Citation

Lawson, Carl J., et al. "Deaths in International Travelers Arriving in the United States, July 1, 2005 to June 30, 2008." Journal of Travel Medicine, vol. 19, no. 2, 2012, pp. 96-103.
Lawson CJ, Dykewicz CA, Molinari NA, et al. Deaths in international travelers arriving in the United States, July 1, 2005 to June 30, 2008. J Travel Med. 2012;19(2):96-103.
Lawson, C. J., Dykewicz, C. A., Molinari, N. A., Lipman, H., & Alvarado-Ramy, F. (2012). Deaths in international travelers arriving in the United States, July 1, 2005 to June 30, 2008. Journal of Travel Medicine, 19(2), 96-103. https://doi.org/10.1111/j.1708-8305.2011.00586.x
Lawson CJ, et al. Deaths in International Travelers Arriving in the United States, July 1, 2005 to June 30, 2008. J Travel Med. 2012;19(2):96-103. PubMed PMID: 22414034.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Deaths in international travelers arriving in the United States, July 1, 2005 to June 30, 2008. AU - Lawson,Carl J, AU - Dykewicz,Clare A, AU - Molinari,Noelle Angelique M, AU - Lipman,Harvey, AU - Alvarado-Ramy,Francisco, Y1 - 2012/02/28/ PY - 2012/3/15/entrez PY - 2012/3/15/pubmed PY - 2013/5/28/medline SP - 96 EP - 103 JF - Journal of travel medicine JO - J Travel Med VL - 19 IS - 2 N2 - BACKGROUND: The Centers for Disease Control and Prevention's (CDC) Quarantine Activity Reporting System (QARS), which documents reports of morbidity and mortality among travelers, was analyzed to describe the epidemiology of deaths during international travel. METHODS: We analyzed travel-related deaths reported to CDC from July 1, 2005 to June 30, 2008, in which international travelers died (1) on a U.S.-bound conveyance, or (2) within 72 hours after arriving in the United States, or (3) at any time after arriving in the United States from an illness possibly acquired during international travel. We analyzed age, sex, mode of travel (eg, by air, sea, land), date, and cause of death, and estimated rates using generalized linear models. RESULTS: We identified 213 deaths. The median age of deceased travelers was 66 years (range 1-95); 65% were male. Most deaths (62%) were associated with sea travel; of these, 111 (85%) occurred in cruise ship passengers and 20 (15%) among cargo and cruise ship crew members. Of 81 air travel-associated deaths, 77 occurred in passengers, 3 among air ambulance patients, and 1 in a stowaway. One death was associated with land travel. Deaths were categorized as cardiovascular (70%), infectious disease (12%), cancer (6%), unintentional injury (4%), intentional injury (1%), and other (7%). Of 145 cardiovascular deaths with reported ages, 62% were in persons 65 years of age and older. Nineteen (73%) of 26 persons who died from infectious diseases had chronic medical conditions. There was significant seasonal variation (lowest in July-September) in cardiovascular mortality in cruise ship passengers. CONCLUSIONS: Cardiovascular conditions were the major cause of death for both sexes. Travelers should seek pre-travel medical consultation, including guidance on preventing cardiovascular events, infections, and injuries. Persons with chronic medical conditions and the elderly should promptly seek medical care if they become ill during travel. SN - 1708-8305 UR - https://www.unboundmedicine.com/medline/citation/22414034/full_citation L2 - https://academic.oup.com/jtm/article-lookup/doi/10.1111/j.1708-8305.2011.00586.x DB - PRIME DP - Unbound Medicine ER -