Publication:
Regional variation in travel-related illness acquired in Africa, March 1997-May 2011

Issued Date

2014-01-01

Resource Type

Article

ISSN

10806059
10806040

DOI

10.3201/eid2004.131128

Other identifier(s)

2-s2.0-84896487406

Rights

Mahidol University

Rights Holder(s)

SCOPUS

Bibliographic Citation

Emerging Infectious Diseases. Vol.20, No.4 (2014), 532-541

Suggested Citation

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 Regional variation in travel-related illness acquired in Africa, March 1997-May 2011. Emerging Infectious Diseases. Vol.20, No.4 (2014), 532-541. doi:10.3201/eid2004.131128 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/34883

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Title

Regional variation in travel-related illness acquired in Africa, March 1997-May 2011

Author(s)

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

Other Contributor(s)

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
 InterHealth
 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
 HealthPartners

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.

Keyword(s)

Medicine

Availability

URI

https://repository.li.mahidol.ac.th/handle/20.500.14594/34883

Collections

Scopus 2011-2015