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Travel-related infection in European travelers, EuroTravNet 2011.
J Travel Med. 2014 Jul-Aug; 21(4):248-54.JT

Abstract

BACKGROUND

Limited data exist on infectious diseases imported to various locations in Europe, particularly after travel within the continent.

METHODS

To investigate travel-related disease relevant to Europe that is potentially preventable through pre-travel intervention, we analyzed the EuroTravNet database of 5,965 ill travelers reported by 16 centers in "Western" Europe in 2011.

RESULTS

There were 54 cases of vaccine-preventable disease, mostly hepatitis A (n = 16), typhoid fever (n = 11), and measles (n = 8); 6 cases (including 3 measles cases) were associated with travel within "Western" Europe. Malaria was the most commonly diagnosed infection (n = 482, 8.1% of all travel-related morbidity). Among patients with malaria, the military most commonly received pre-travel advice (95%), followed by travelers for missionary, volunteer, research, or aid work (81%) but travelers visiting friends and relatives (VFRs) were least likely to receive pre-travel advice (21%). The vast majority (96%) of malaria patients were resident in "Western" Europe, but over half (56%) were born elsewhere. Other significant causes of morbidity, which could be reduced through advice and behavioral change, include Giardia (n = 221, 3.7%), dengue (n = 146, 2.4%), and schistosomiasis (n = 131, 2.2%). Of 206 (3.5%) travelers with exposure in "Western" Europe, 75% were tourists; the highest burden of disease was acute gastrointestinal infection (35% cases). Travel from "Eastern" Europe (n = 132, 2.2%) was largely associated with migration-related travel (53%); among chronic infectious diseases, tuberculosis was frequently diagnosed (n = 20). Travelers VFRs contributed the largest group of malaria patients (46%), but also had the lowest documented rate of pre-travel health advice in this subset (20%). Overall, 44% of nonimmigrant ill travelers did not receive pre-travel advice.

CONCLUSION

There is a burden of infectious diseases in travelers attending European health centers that is potentially preventable through comprehensive pre-travel advice, chemoprophylaxis, and vaccination. Targeted interventions for high-risk groups such as travelers VFRs and migration-associated travelers are of particular importance.

Authors+Show Affiliations

Department of Infectious Diseases, Addenbrooke's Hospital, Cambridge, UK.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 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, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

24750378

Citation

Warne, Ben, et al. "Travel-related Infection in European Travelers, EuroTravNet 2011." Journal of Travel Medicine, vol. 21, no. 4, 2014, pp. 248-54.
Warne B, Weld LH, Cramer JP, et al. Travel-related infection in European travelers, EuroTravNet 2011. J Travel Med. 2014;21(4):248-54.
Warne, B., Weld, L. H., Cramer, J. P., Field, V. K., Grobusch, M. P., Caumes, E., Jensenius, M., Gautret, P., Schlagenhauf, P., Castelli, F., Lalloo, D. G., Ursing, J., Chappuis, F., von Sonnenburg, F., López-Vélez, R., Rapp, C., Smith, K. C., Parola, P., & Gkrania-Klotsas, E. (2014). Travel-related infection in European travelers, EuroTravNet 2011. Journal of Travel Medicine, 21(4), 248-54. https://doi.org/10.1111/jtm.12120
Warne B, et al. Travel-related Infection in European Travelers, EuroTravNet 2011. J Travel Med. 2014 Jul-Aug;21(4):248-54. PubMed PMID: 24750378.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Travel-related infection in European travelers, EuroTravNet 2011. AU - Warne,Ben, AU - Weld,Leisa H, AU - Cramer,Jakob P, AU - Field,Vanessa K, AU - Grobusch,Martin P, AU - Caumes,Eric, AU - Jensenius,Mogens, AU - Gautret,Philippe, AU - Schlagenhauf,Patricia, AU - Castelli,Francesco, AU - Lalloo,David G, AU - Ursing,Johan, AU - Chappuis,François, AU - von Sonnenburg,Frank, AU - López-Vélez,Rogelio, AU - Rapp,Christophe, AU - Smith,Kitty C, AU - Parola,Philippe, AU - Gkrania-Klotsas,Effrossyni, AU - ,, Y1 - 2014/04/20/ PY - 2013/10/16/received PY - 2013/12/06/revised PY - 2013/12/11/accepted PY - 2014/4/23/entrez PY - 2014/4/23/pubmed PY - 2015/2/24/medline SP - 248 EP - 54 JF - Journal of travel medicine JO - J Travel Med VL - 21 IS - 4 N2 - BACKGROUND: Limited data exist on infectious diseases imported to various locations in Europe, particularly after travel within the continent. METHODS: To investigate travel-related disease relevant to Europe that is potentially preventable through pre-travel intervention, we analyzed the EuroTravNet database of 5,965 ill travelers reported by 16 centers in "Western" Europe in 2011. RESULTS: There were 54 cases of vaccine-preventable disease, mostly hepatitis A (n = 16), typhoid fever (n = 11), and measles (n = 8); 6 cases (including 3 measles cases) were associated with travel within "Western" Europe. Malaria was the most commonly diagnosed infection (n = 482, 8.1% of all travel-related morbidity). Among patients with malaria, the military most commonly received pre-travel advice (95%), followed by travelers for missionary, volunteer, research, or aid work (81%) but travelers visiting friends and relatives (VFRs) were least likely to receive pre-travel advice (21%). The vast majority (96%) of malaria patients were resident in "Western" Europe, but over half (56%) were born elsewhere. Other significant causes of morbidity, which could be reduced through advice and behavioral change, include Giardia (n = 221, 3.7%), dengue (n = 146, 2.4%), and schistosomiasis (n = 131, 2.2%). Of 206 (3.5%) travelers with exposure in "Western" Europe, 75% were tourists; the highest burden of disease was acute gastrointestinal infection (35% cases). Travel from "Eastern" Europe (n = 132, 2.2%) was largely associated with migration-related travel (53%); among chronic infectious diseases, tuberculosis was frequently diagnosed (n = 20). Travelers VFRs contributed the largest group of malaria patients (46%), but also had the lowest documented rate of pre-travel health advice in this subset (20%). Overall, 44% of nonimmigrant ill travelers did not receive pre-travel advice. CONCLUSION: There is a burden of infectious diseases in travelers attending European health centers that is potentially preventable through comprehensive pre-travel advice, chemoprophylaxis, and vaccination. Targeted interventions for high-risk groups such as travelers VFRs and migration-associated travelers are of particular importance. SN - 1708-8305 UR - https://www.unboundmedicine.com/medline/citation/24750378/full_citation L2 - https://academic.oup.com/jtm/article-lookup/doi/10.1111/jtm.12120 DB - PRIME DP - Unbound Medicine ER -