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Title: Regional variation in travel-related illness acquired in Africa, March 1997-May 2011
Authors: Marc Mendelson
Pauline V. Han
Peter Vincent
Frank von Sonnenburg
Jakob P. Cramer
Louis Loutan
Kevin C. Kain
Philippe Parola
Stefan Hagmann
Effrossyni Gkrania-Klotsas
Mark Sotir
Patricia Schlagenhauf
Rahul Anand
Hilmir Ásgeirsson
Elizabeth D. Barnett
Sarah Borwein
Gerd Dieter Burchard
John D. Cahill
Daniel Campion
Francesco Castelli
Eric Caumes
Lin H. Chen
Bradley A. Connor
Christina M. Coyle
Jakob Cramer
Jane Eason
Cécile Ficko
Vanessa Field
David O. Freedman
Abram Goorhuis
Martin P. Grobusch
Alejandra Gurtman
Devon C. Hale
Annemarie Hern
Noreen Hynes
Mogens Jensenius
Robert Kass
Amy D. Klion
Phyllis E. Kozarsky
Karin Leder
Carmelo Licitra
Rogelio López-Vélez
Michael W. Lynch
Alberto Matteelli
Anne McCarthy
George MckInley
Susan McLellan
José Antonio Pérez Molina
Robert Muller
Thomas B. Nutman
Alice Pérignon
Phi Truong Hoang Phu
Watcharapong Piyaphanee
Christophe Rapp
David Roesel
Eli Schwartz
Marc Shaw
Udomsak Silachamroon
William Stauffer
Natsuo Tachikawa
Joseph Torresi
Johan Ursing
Jean Vincelette
Patricia Walker
Andy Wang
Mary E. Wilson
Henry Wu
Yukihiro Yoshimura
University of Cape Town
Centers for Disease Control and Prevention
Tokai Medicross Travel Clinic
Ludwig-Maximilians-Universitat Munchen
Universitatsklinikum Hamburg-Eppendorf und Medizinische Fakultat
Universite de Geneve
University of Toronto
North University Hospital
Bronx-Lebanon Hospital Center
Cambridge University Hospitals NHS Foundation Trust
University of Zurich
University of Utah
Karolinska University Hospital
Boston University
Travel-Safe Medical Centre
Bernhard Nocht Institut fur Tropenmedizin Hamburg
St. Luke's-Roosevelt Hospital Center
Università degli Studi di Brescia
Hopital Universitaire Pitie Salpetriere
Harvard University
Cornell University
Albert Einstein College of Medicine of Yeshiva University
Beijing United Family Hospital and Clinics
Hopital d'Instruction des Armees Begin
University of Alabama at Birmingham
University of Amsterdam
The Mount Sinai Medical Center
Worldwise Travellers Health and Vaccination Centre
Johns Hopkins University
Oslo University Hospital
Travellers Medical and Vaccination Centre
National Institutes of Health, Bethesda
Emory University
Royal Melbourne Hospital
Orlando Regional Health Center
Hospital Ramon y Cajal
Fresno International Travel Medical Center
University of Ottawa, Canada
Tulane University
Travel Clinic Services
Hôpital Pitié-Salpêtrière
International SOS Vietnam
Mahidol University
University of Washington, Seattle
Chaim Sheba Medical Center Israel
Regions Hospital
Yokohama Municipal Citizen's Hospital
Centre Hospitalier de L'Universite de Montreal
Keywords: Medicine
Issue Date: 1-Jan-2014
Citation: Emerging Infectious Diseases. Vol.20, No.4 (2014), 532-541
Abstract: To understand geographic variation in travel-related illness acquired in distinct African regions, we used the GeoSentinel Surveillance Network database to analyze records for 16,893 ill travelers returning from Africa over a 14-year period. Travelers to northern Africa most commonly reported gastrointestinal illnesses and dog bites. Febrile illnesses were more common in travelers returning from sub-Saharan countries. Eleven travelers died, 9 of malaria; these deaths occurred mainly among male business travelers to sub-Saharan Africa. The profile of illness varied substantially by region: malaria predominated in travelers returning from Central and Western Africa; schistosomiasis, strongyloidiasis, and dengue from Eastern and Western Africa; and loaisis from Central Africa. There were few reports of vaccine-preventable infections, HIV infection, and tuberculosis. Geographic profiling of illness acquired during travel to Africa guides targeted pretravel advice, expedites diagnosis in ill returning travelers, and may influence destination choices in tourism.
ISSN: 10806059
Appears in Collections:Scopus 2011-2015

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