Travel-related shigellosis in Quebec, Canada: an analysis of risk factors
Travel-related shigellosis is not well documented in Canada although it is frequently acquired abroad and can cause severe disease. To describe the epidemiology of travel-related cases of shigellosis for Quebec (Canada) and to identify high-risk groups of travelers. We performed a random sampling of...
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| Veröffentlicht in: | Journal of travel medicine 2014-09, Vol.21 (5), p.304-309 |
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| creator | Trépanier, Stéphane Bui, Yen-Giang Blackburn, Manon Milord, François Levac, Eric Gagnon, Suzanne |
| description | Travel-related shigellosis is not well documented in Canada although it is frequently acquired abroad and can cause severe disease.
To describe the epidemiology of travel-related cases of shigellosis for Quebec (Canada) and to identify high-risk groups of travelers.
We performed a random sampling of 335 shigellosis cases (from a total of 760 cases) reported in the provincial database of reportable diseases from January 1, 2004, to December 31, 2007. Each case was analyzed according to information available in the epidemiology questionnaire. Total number of trips by region from Statistics Canada was used as denominator to estimate the risk according to region of travel.
Annually, between 43 and 54% of the shigellosis cases were reported in travelers, 45% of whom were aged between 20 and 44 years. Children under 11 years accounted for nearly 16% of cases, but represent only 4% of travelers. Most cases in travelers were serogroups Shigella sonnei (50%) or Shigella flexneri (45%). Almost 31% of cases were reported between January and March. The majority (64%) were acquired in Central America, Mexico, or the Caribbean. However, the Indian subcontinent, Africa, and South America had the highest ratio of number of cases per number of trips. Tourists represented 76% of the cases; 62% of them had traveled for |
| doi_str_mv | 10.1111/jtm.12130 |
| format | Article |
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To describe the epidemiology of travel-related cases of shigellosis for Quebec (Canada) and to identify high-risk groups of travelers.
We performed a random sampling of 335 shigellosis cases (from a total of 760 cases) reported in the provincial database of reportable diseases from January 1, 2004, to December 31, 2007. Each case was analyzed according to information available in the epidemiology questionnaire. Total number of trips by region from Statistics Canada was used as denominator to estimate the risk according to region of travel.
Annually, between 43 and 54% of the shigellosis cases were reported in travelers, 45% of whom were aged between 20 and 44 years. Children under 11 years accounted for nearly 16% of cases, but represent only 4% of travelers. Most cases in travelers were serogroups Shigella sonnei (50%) or Shigella flexneri (45%). Almost 31% of cases were reported between January and March. The majority (64%) were acquired in Central America, Mexico, or the Caribbean. However, the Indian subcontinent, Africa, and South America had the highest ratio of number of cases per number of trips. Tourists represented 76% of the cases; 62% of them had traveled for <2 weeks. At least 15% of cases among travelers were hospitalized.
In Quebec, travel-related cases of shigellosis represent a large burden of total cases. Short-term travelers are at risk, as well as young children. The majority of cases occur in the winter months, corresponding to the peak of travel to "sunshine destinations." Continuous efforts should be made to encourage all travelers to seek pre-travel care, and to inform primary care practitioners of health risks faced by their patients abroad, even for those going to resorts.</description><identifier>ISSN: 1195-1982</identifier><identifier>EISSN: 1708-8305</identifier><identifier>DOI: 10.1111/jtm.12130</identifier><identifier>PMID: 24889090</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Bacteriology ; Child ; Child, Preschool ; Communicable Disease Control ; Cross-Sectional Studies ; Databases, Factual ; Dysentery, Bacillary - epidemiology ; Dysentery, Bacillary - prevention & control ; Epidemiology ; Female ; Humans ; Infant ; Male ; Middle Aged ; Quebec - epidemiology ; Risk Factors ; Shigella - isolation & purification ; Shigellosis ; Surveys and Questionnaires ; Travel ; Travel medicine</subject><ispartof>Journal of travel medicine, 2014-09, Vol.21 (5), p.304-309</ispartof><rights>2014 International Society of Travel Medicine.</rights><rights>2014 International Society of Travel Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-6802f606aff8a8cddc3b3ae3048b2c163cfb409e877540964de6ff90ef1c4dc73</citedby><cites>FETCH-LOGICAL-c381t-6802f606aff8a8cddc3b3ae3048b2c163cfb409e877540964de6ff90ef1c4dc73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24889090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trépanier, Stéphane</creatorcontrib><creatorcontrib>Bui, Yen-Giang</creatorcontrib><creatorcontrib>Blackburn, Manon</creatorcontrib><creatorcontrib>Milord, François</creatorcontrib><creatorcontrib>Levac, Eric</creatorcontrib><creatorcontrib>Gagnon, Suzanne</creatorcontrib><title>Travel-related shigellosis in Quebec, Canada: an analysis of risk factors</title><title>Journal of travel medicine</title><addtitle>J Travel Med</addtitle><description>Travel-related shigellosis is not well documented in Canada although it is frequently acquired abroad and can cause severe disease.
To describe the epidemiology of travel-related cases of shigellosis for Quebec (Canada) and to identify high-risk groups of travelers.
We performed a random sampling of 335 shigellosis cases (from a total of 760 cases) reported in the provincial database of reportable diseases from January 1, 2004, to December 31, 2007. Each case was analyzed according to information available in the epidemiology questionnaire. Total number of trips by region from Statistics Canada was used as denominator to estimate the risk according to region of travel.
Annually, between 43 and 54% of the shigellosis cases were reported in travelers, 45% of whom were aged between 20 and 44 years. Children under 11 years accounted for nearly 16% of cases, but represent only 4% of travelers. Most cases in travelers were serogroups Shigella sonnei (50%) or Shigella flexneri (45%). Almost 31% of cases were reported between January and March. The majority (64%) were acquired in Central America, Mexico, or the Caribbean. However, the Indian subcontinent, Africa, and South America had the highest ratio of number of cases per number of trips. Tourists represented 76% of the cases; 62% of them had traveled for <2 weeks. At least 15% of cases among travelers were hospitalized.
In Quebec, travel-related cases of shigellosis represent a large burden of total cases. Short-term travelers are at risk, as well as young children. The majority of cases occur in the winter months, corresponding to the peak of travel to "sunshine destinations." Continuous efforts should be made to encourage all travelers to seek pre-travel care, and to inform primary care practitioners of health risks faced by their patients abroad, even for those going to resorts.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Bacteriology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Communicable Disease Control</subject><subject>Cross-Sectional Studies</subject><subject>Databases, Factual</subject><subject>Dysentery, Bacillary - epidemiology</subject><subject>Dysentery, Bacillary - prevention & control</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Quebec - epidemiology</subject><subject>Risk Factors</subject><subject>Shigella - isolation & purification</subject><subject>Shigellosis</subject><subject>Surveys and Questionnaires</subject><subject>Travel</subject><subject>Travel medicine</subject><issn>1195-1982</issn><issn>1708-8305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkNtKxDAQhoMo7rp64QtIwRsFu06SNk29k-JhYUGE9bqk6US79rAmrbBvb_agFw4DMzAfw89HyDmFKfV1u-ybKWWUwwEZ0wRkKDnEh36naRzSVLIROXFuCQBMMnZMRiySMoUUxmS2sOob69BirXosA_dRvWNdd65yQdUGrwMWqG-CTLWqVHeBan2rer05dyawlfsMjNJ9Z90pOTKqdni2nxPy9viwyJ7D-cvTLLufh5pL2odCAjMChDJGKqnLUvOCK-QQyYJpKrg2RQQpyiSJ_RRRicKYFNBQHZU64RNytfu7st3XgK7Pm8ppn1m12A0up3HsFTApqEcv_6HLbrA-_5aKBY2Ac09d7yhtO-csmnxlq0bZdU4h3_jNvd9869ezF_uPQ9Fg-Uf-CuU_5zV0dw</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Trépanier, Stéphane</creator><creator>Bui, Yen-Giang</creator><creator>Blackburn, Manon</creator><creator>Milord, François</creator><creator>Levac, Eric</creator><creator>Gagnon, Suzanne</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>Travel-related shigellosis in Quebec, Canada: an analysis of risk factors</title><author>Trépanier, Stéphane ; Bui, Yen-Giang ; Blackburn, Manon ; Milord, François ; Levac, Eric ; Gagnon, Suzanne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-6802f606aff8a8cddc3b3ae3048b2c163cfb409e877540964de6ff90ef1c4dc73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Bacteriology</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Communicable Disease Control</topic><topic>Cross-Sectional Studies</topic><topic>Databases, Factual</topic><topic>Dysentery, Bacillary - epidemiology</topic><topic>Dysentery, Bacillary - prevention & control</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Quebec - epidemiology</topic><topic>Risk Factors</topic><topic>Shigella - isolation & purification</topic><topic>Shigellosis</topic><topic>Surveys and Questionnaires</topic><topic>Travel</topic><topic>Travel medicine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Trépanier, Stéphane</creatorcontrib><creatorcontrib>Bui, Yen-Giang</creatorcontrib><creatorcontrib>Blackburn, Manon</creatorcontrib><creatorcontrib>Milord, François</creatorcontrib><creatorcontrib>Levac, Eric</creatorcontrib><creatorcontrib>Gagnon, Suzanne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of travel medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trépanier, Stéphane</au><au>Bui, Yen-Giang</au><au>Blackburn, Manon</au><au>Milord, François</au><au>Levac, Eric</au><au>Gagnon, Suzanne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Travel-related shigellosis in Quebec, Canada: an analysis of risk factors</atitle><jtitle>Journal of travel medicine</jtitle><addtitle>J Travel Med</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>21</volume><issue>5</issue><spage>304</spage><epage>309</epage><pages>304-309</pages><issn>1195-1982</issn><eissn>1708-8305</eissn><abstract>Travel-related shigellosis is not well documented in Canada although it is frequently acquired abroad and can cause severe disease.
To describe the epidemiology of travel-related cases of shigellosis for Quebec (Canada) and to identify high-risk groups of travelers.
We performed a random sampling of 335 shigellosis cases (from a total of 760 cases) reported in the provincial database of reportable diseases from January 1, 2004, to December 31, 2007. Each case was analyzed according to information available in the epidemiology questionnaire. Total number of trips by region from Statistics Canada was used as denominator to estimate the risk according to region of travel.
Annually, between 43 and 54% of the shigellosis cases were reported in travelers, 45% of whom were aged between 20 and 44 years. Children under 11 years accounted for nearly 16% of cases, but represent only 4% of travelers. Most cases in travelers were serogroups Shigella sonnei (50%) or Shigella flexneri (45%). Almost 31% of cases were reported between January and March. The majority (64%) were acquired in Central America, Mexico, or the Caribbean. However, the Indian subcontinent, Africa, and South America had the highest ratio of number of cases per number of trips. Tourists represented 76% of the cases; 62% of them had traveled for <2 weeks. At least 15% of cases among travelers were hospitalized.
In Quebec, travel-related cases of shigellosis represent a large burden of total cases. Short-term travelers are at risk, as well as young children. The majority of cases occur in the winter months, corresponding to the peak of travel to "sunshine destinations." Continuous efforts should be made to encourage all travelers to seek pre-travel care, and to inform primary care practitioners of health risks faced by their patients abroad, even for those going to resorts.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>24889090</pmid><doi>10.1111/jtm.12130</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Adolescent Adult Age Factors Aged Bacteriology Child Child, Preschool Communicable Disease Control Cross-Sectional Studies Databases, Factual Dysentery, Bacillary - epidemiology Dysentery, Bacillary - prevention & control Epidemiology Female Humans Infant Male Middle Aged Quebec - epidemiology Risk Factors Shigella - isolation & purification Shigellosis Surveys and Questionnaires Travel Travel medicine |
| title | Travel-related shigellosis in Quebec, Canada: an analysis of risk factors |
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