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Characteristics and preparation of the last-minute traveler: analysis of vaccine usage in the Global TravEpiNet Consortium.
J Travel Med. 2019 09 02; 26(6)JT

Abstract

BACKGROUND

Last-minute travellers (LMTs) present challenges for health care providers because they may have insufficient time for recommended vaccinations or pre-travel preparation. Our objective was to obtain a better understanding of LMTs in order to help travel medicine providers develop improved strategies to decrease the number of LMTs and potentially reduce travel-related morbidity.

METHODS

We defined LMTs as travellers with a departure date of 7 days or fewer from the medical encounter. We analysed the characteristics and health preparation of 12 494 LMTs who presented to a network of US clinical practices for pre-travel health advice between January 2009 and December 2015.

RESULTS

LMTs comprised 16% of all travellers. More LMTs than non-LMTs travelled for business or to visit friends and relatives (VFR) (26% vs 16% and 15% vs 8%, respectively; P < 0.0001). More LMTs also travelled for longer than 1 month (27% vs 21%; P < 0.0001) and visited only urban areas (40% vs 29%; P < 0.0001). At least one travel vaccine was deferred by 18% of LMTs because of insufficient time before departure. Vaccines that required multiple vaccinations, such as Japanese encephalitis and rabies, were the most likely to be deferred because of time constraints.

CONCLUSION

Interventions to improve the timing of pre-travel health consultations should be developed, particularly for business and VFR travellers. Recently endorsed accelerated vaccine schedules for Japanese encephalitis and rabies may help some LMTs receive protection against these infections despite late presentation for pre-travel health care.

Authors+Show Affiliations

Hawaii Permanente Medical Group, Honolulu, HI, USA.Biostatistics Center, Massachusetts General Hospital, Boston, MA, USA. Department of Global Health, Boston University School of Public Health, Boston, MA, USA.Division of Global Migration and Quarantine, Travelers' Health Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.Division of Global Migration and Quarantine, Travelers' Health Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.Division of Global Migration and Quarantine, Travelers' Health Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.Travelers' Advice and Immunization Center, Massachusetts General Hospital, Boston, MA, USA. Harvard Medical School, Boston, MA, USA.Travelers' Advice and Immunization Center, Massachusetts General Hospital, Boston, MA, USA. Harvard Medical School, Boston, MA, USA. Harvard T.H. Chan School of Public Health, Boston, MA, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31044254

Citation

Yates, Johnnie A., et al. "Characteristics and Preparation of the Last-minute Traveler: Analysis of Vaccine Usage in the Global TravEpiNet Consortium." Journal of Travel Medicine, vol. 26, no. 6, 2019.
Yates JA, Rao SR, Walker AT, et al. Characteristics and preparation of the last-minute traveler: analysis of vaccine usage in the Global TravEpiNet Consortium. J Travel Med. 2019;26(6).
Yates, J. A., Rao, S. R., Walker, A. T., Esposito, D. H., Sotir, M., LaRocque, R. C., & Ryan, E. T. (2019). Characteristics and preparation of the last-minute traveler: analysis of vaccine usage in the Global TravEpiNet Consortium. Journal of Travel Medicine, 26(6). https://doi.org/10.1093/jtm/taz031
Yates JA, et al. Characteristics and Preparation of the Last-minute Traveler: Analysis of Vaccine Usage in the Global TravEpiNet Consortium. J Travel Med. 2019 09 2;26(6) PubMed PMID: 31044254.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Characteristics and preparation of the last-minute traveler: analysis of vaccine usage in the Global TravEpiNet Consortium. AU - Yates,Johnnie A, AU - Rao,Sowmya R, AU - Walker,Allison Taylor, AU - Esposito,Douglas H, AU - Sotir,Mark, AU - LaRocque,Regina C, AU - Ryan,Edward T, AU - ,, PY - 2019/02/20/received PY - 2019/04/15/revised PY - 2019/04/25/accepted PY - 2019/5/3/pubmed PY - 2020/6/24/medline PY - 2019/5/3/entrez KW - Japanese encephalitis vaccine KW - last-minute traveler KW - rabies vaccine KW - vaccines JF - Journal of travel medicine JO - J Travel Med VL - 26 IS - 6 N2 - BACKGROUND: Last-minute travellers (LMTs) present challenges for health care providers because they may have insufficient time for recommended vaccinations or pre-travel preparation. Our objective was to obtain a better understanding of LMTs in order to help travel medicine providers develop improved strategies to decrease the number of LMTs and potentially reduce travel-related morbidity. METHODS: We defined LMTs as travellers with a departure date of 7 days or fewer from the medical encounter. We analysed the characteristics and health preparation of 12 494 LMTs who presented to a network of US clinical practices for pre-travel health advice between January 2009 and December 2015. RESULTS: LMTs comprised 16% of all travellers. More LMTs than non-LMTs travelled for business or to visit friends and relatives (VFR) (26% vs 16% and 15% vs 8%, respectively; P < 0.0001). More LMTs also travelled for longer than 1 month (27% vs 21%; P < 0.0001) and visited only urban areas (40% vs 29%; P < 0.0001). At least one travel vaccine was deferred by 18% of LMTs because of insufficient time before departure. Vaccines that required multiple vaccinations, such as Japanese encephalitis and rabies, were the most likely to be deferred because of time constraints. CONCLUSION: Interventions to improve the timing of pre-travel health consultations should be developed, particularly for business and VFR travellers. Recently endorsed accelerated vaccine schedules for Japanese encephalitis and rabies may help some LMTs receive protection against these infections despite late presentation for pre-travel health care. SN - 1708-8305 UR - https://www.unboundmedicine.com/medline/citation/31044254/Characteristics_and_preparation_of_the_last_minute_traveler:_analysis_of_vaccine_usage_in_the_Global_TravEpiNet_Consortium_ L2 - https://academic.oup.com/jtm/article-lookup/doi/10.1093/jtm/taz031 DB - PRIME DP - Unbound Medicine ER -