Travelling with HIV in the XXI century: Case report and narrative review
The number of migrants and travellers has grown in recent decades. This phenomenon is also true of people living with HIV, given their much-improved life expectancy and quality of life. A significant number of travellers with HIV are migrants returning to their home countries to visit friends and re...
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| Veröffentlicht in: | Travel medicine and infectious disease 2020-11, Vol.38, p.101921, Article 101921 |
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| creator | Perez-Molina, Jose A. Crespillo-Andújar, Clara Moreno, Santiago Serrano-Villar, Sergio López-Vélez, Rogelio |
| description | The number of migrants and travellers has grown in recent decades. This phenomenon is also true of people living with HIV, given their much-improved life expectancy and quality of life. A significant number of travellers with HIV are migrants returning to their home countries to visit friends and relatives (VFRs). This population constitutes a high-risk group because they travel for longer and often to rural and remote areas and have closer contact with the local population. In this review we discuss the sociodemographic characteristics of travellers with HIV, the differences between conventional travellers and VFRs, and the risks of HIV acquisition and transmission during travel. We also present the most relevant travel-associated illnesses and highlight the particularities of pre-travel advice given to this population, including immunosuppression, responses to vaccines, high incidence of comorbidities, drug interactions, legal and language barriers. The need to integrate these factors based on far less evidence than that available for the general population makes pre-travel advice for travellers with HIV genuinely challenging.
•Life expectancy of people with HIV has dramatically improved so increasing their interest in travel, including high risk destinations.•HIV migrants returning to their home countries to visit friends and relatives constitutes a high-risk group.•Pre-travel advice for HIV travellers is challenging. It should integrate factors not only of medical nature but also legal and social ones. |
| doi_str_mv | 10.1016/j.tmaid.2020.101921 |
| format | Article |
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•Life expectancy of people with HIV has dramatically improved so increasing their interest in travel, including high risk destinations.•HIV migrants returning to their home countries to visit friends and relatives constitutes a high-risk group.•Pre-travel advice for HIV travellers is challenging. It should integrate factors not only of medical nature but also legal and social ones.</description><identifier>ISSN: 1477-8939</identifier><identifier>EISSN: 1873-0442</identifier><identifier>DOI: 10.1016/j.tmaid.2020.101921</identifier><identifier>PMID: 33220457</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Antigens ; Case reports ; Drug dosages ; Fever ; Hematology ; HIV ; Human immunodeficiency virus ; Immunosuppressed ; Infections ; Infectious diseases ; Life expectancy ; Local population ; Migrants ; Patients ; Population ; Quality of life ; Travel ; Travel medicine ; Traveller ; Tropical diseases ; Vaccines</subject><ispartof>Travel medicine and infectious disease, 2020-11, Vol.38, p.101921, Article 101921</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020 Elsevier Ltd. All rights reserved.</rights><rights>2020. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-2ee5df4d8e430545ef736592cc2351a370683d5e47de85140ea76dceaf336fd3</citedby><cites>FETCH-LOGICAL-c387t-2ee5df4d8e430545ef736592cc2351a370683d5e47de85140ea76dceaf336fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2470888693?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33220457$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Perez-Molina, Jose A.</creatorcontrib><creatorcontrib>Crespillo-Andújar, Clara</creatorcontrib><creatorcontrib>Moreno, Santiago</creatorcontrib><creatorcontrib>Serrano-Villar, Sergio</creatorcontrib><creatorcontrib>López-Vélez, Rogelio</creatorcontrib><title>Travelling with HIV in the XXI century: Case report and narrative review</title><title>Travel medicine and infectious disease</title><addtitle>Travel Med Infect Dis</addtitle><description>The number of migrants and travellers has grown in recent decades. This phenomenon is also true of people living with HIV, given their much-improved life expectancy and quality of life. A significant number of travellers with HIV are migrants returning to their home countries to visit friends and relatives (VFRs). This population constitutes a high-risk group because they travel for longer and often to rural and remote areas and have closer contact with the local population. In this review we discuss the sociodemographic characteristics of travellers with HIV, the differences between conventional travellers and VFRs, and the risks of HIV acquisition and transmission during travel. We also present the most relevant travel-associated illnesses and highlight the particularities of pre-travel advice given to this population, including immunosuppression, responses to vaccines, high incidence of comorbidities, drug interactions, legal and language barriers. The need to integrate these factors based on far less evidence than that available for the general population makes pre-travel advice for travellers with HIV genuinely challenging.
•Life expectancy of people with HIV has dramatically improved so increasing their interest in travel, including high risk destinations.•HIV migrants returning to their home countries to visit friends and relatives constitutes a high-risk group.•Pre-travel advice for HIV travellers is challenging. It should integrate factors not only of medical nature but also legal and social ones.</description><subject>Antigens</subject><subject>Case reports</subject><subject>Drug dosages</subject><subject>Fever</subject><subject>Hematology</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Immunosuppressed</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Life expectancy</subject><subject>Local population</subject><subject>Migrants</subject><subject>Patients</subject><subject>Population</subject><subject>Quality of life</subject><subject>Travel</subject><subject>Travel medicine</subject><subject>Traveller</subject><subject>Tropical diseases</subject><subject>Vaccines</subject><issn>1477-8939</issn><issn>1873-0442</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kEFLAzEQhYMotlZ_gSABz1uzmWSTFTxIUVsQvBTpLcRkVlPa3ZpNW_rv3Vr16GmGx5t5vI-Qy5wNc5YXN_NhWtrgh5zxb6Xk-RHp51pBxoTgx90ulMp0CWWPnLXtnDGQWsAp6QFwzoRUfTKeRrvBxSLU73Qb0gcdT15pqGn6QDqbTajDOq3j7paObIs04qqJidra09rGaFPY7MVNwO05OansosWLnzkg08eH6WicPb88TUb3z5kDrVLGEaWvhNcogEkhsVJQyJI7x0HmFhQrNHiJQnnUMhcMrSq8Q1sBFJWHAbk-vF3F5nONbTLzZh3rLtFwoZjWuiihc8HB5WLTthErs4phaePO5Mzs4Zm5-YZn9vDMAV53dfXze_22RP9380urM9wdDNgV7EpH07qAtUMfIrpkfBP-DfgC-2V_dw</recordid><startdate>202011</startdate><enddate>202011</enddate><creator>Perez-Molina, Jose A.</creator><creator>Crespillo-Andújar, Clara</creator><creator>Moreno, Santiago</creator><creator>Serrano-Villar, Sergio</creator><creator>López-Vélez, Rogelio</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F1W</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H95</scope><scope>H97</scope><scope>K9.</scope><scope>KB0</scope><scope>L.G</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope></search><sort><creationdate>202011</creationdate><title>Travelling with HIV in the XXI century: Case report and narrative review</title><author>Perez-Molina, Jose A. ; 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This phenomenon is also true of people living with HIV, given their much-improved life expectancy and quality of life. A significant number of travellers with HIV are migrants returning to their home countries to visit friends and relatives (VFRs). This population constitutes a high-risk group because they travel for longer and often to rural and remote areas and have closer contact with the local population. In this review we discuss the sociodemographic characteristics of travellers with HIV, the differences between conventional travellers and VFRs, and the risks of HIV acquisition and transmission during travel. We also present the most relevant travel-associated illnesses and highlight the particularities of pre-travel advice given to this population, including immunosuppression, responses to vaccines, high incidence of comorbidities, drug interactions, legal and language barriers. The need to integrate these factors based on far less evidence than that available for the general population makes pre-travel advice for travellers with HIV genuinely challenging.
•Life expectancy of people with HIV has dramatically improved so increasing their interest in travel, including high risk destinations.•HIV migrants returning to their home countries to visit friends and relatives constitutes a high-risk group.•Pre-travel advice for HIV travellers is challenging. It should integrate factors not only of medical nature but also legal and social ones.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>33220457</pmid><doi>10.1016/j.tmaid.2020.101921</doi></addata></record> |
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| ispartof | Travel medicine and infectious disease, 2020-11, Vol.38, p.101921, Article 101921 |
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| language | eng |
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| source | Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland |
| subjects | Antigens Case reports Drug dosages Fever Hematology HIV Human immunodeficiency virus Immunosuppressed Infections Infectious diseases Life expectancy Local population Migrants Patients Population Quality of life Travel Travel medicine Traveller Tropical diseases Vaccines |
| title | Travelling with HIV in the XXI century: Case report and narrative review |
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