Risk and spectrum of diseases in travelers to popular tourist destinations
Traveling to tropical regions is related to increased health risks. Travelers' diarrhea is the most frequent health problem, but the range of travel-related diseases also includes potential life-threatening diseases such as malaria. The actual risk of European travelers acquiring specific infec...
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| Veröffentlicht in: | Journal of travel medicine 2005-09, Vol.12 (5), p.248-253 |
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| creator | RACK, Julia WICHMANN, Ole FRIEDRICH-JÄNICKE, Barbara FOROUTAN, Behruz JELINEK, Tomas KAMARA, Bai GÜNTHER, Matthias CRAMER, Jakob SCHÖNFELD, Christian HENNING, Tatjana SCHWARZ, Ute MÜHLEN, Marion WEITZEL, Thomas |
| description | Traveling to tropical regions is related to increased health risks. Travelers' diarrhea is the most frequent health problem, but the range of travel-related diseases also includes potential life-threatening diseases such as malaria. The actual risk of European travelers acquiring specific infectious diseases and other hazards in the tropics is to a large extent unknown and is therefore often adopted from that of the indigenous population. The objective of this study was to elucidate the risk for travel-related diseases, symptoms, and accidents in a population of Europeans who travel to popular tourist destinations.
From July 2003 to June 2004, 794 travelers consulting the travel clinic of the Berlin Institute of Tropical Medicine were recruited for a questionnaire-based observational study before traveling to Kenya, Tanzania, Senegal, the Gambia, India, Nepal, Thailand, or Brazil.
Overall, illness was reported by 42.9% of travelers, with 10.2% reporting more than one adverse health event. Most frequently gastrointestinal symptoms were noted (34.6%), followed by respiratory symptoms (13.7%). More than 5% experienced an accident. Travel to the Indian subcontinent nearly doubled the risk of becoming ill; travel to Thailand significantly decreased the risk. Additional risk factors were a long duration of staying abroad, young age, and traveling under basic conditions. Of all travelers, 80% did not follow the traditionally recommended dietary restrictions. Among travelers visiting malaria-endemic areas, 20% did not carry any antimalarial drugs with them, not continuous chemoprophylaxis or standby medication.
Because of the rising travel activity, especially to tropical countries, the importance of qualified pretravel advice consultation is increasing. To improve the travelers' health, attention needs to be paid to individual risk factors, the prevention and therapy of travelers' diarrhea, malaria prophylaxis, management of respiratory illness, and personal safety. |
| doi_str_mv | 10.2310/7060.2005.12502 |
| format | Article |
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From July 2003 to June 2004, 794 travelers consulting the travel clinic of the Berlin Institute of Tropical Medicine were recruited for a questionnaire-based observational study before traveling to Kenya, Tanzania, Senegal, the Gambia, India, Nepal, Thailand, or Brazil.
Overall, illness was reported by 42.9% of travelers, with 10.2% reporting more than one adverse health event. Most frequently gastrointestinal symptoms were noted (34.6%), followed by respiratory symptoms (13.7%). More than 5% experienced an accident. Travel to the Indian subcontinent nearly doubled the risk of becoming ill; travel to Thailand significantly decreased the risk. Additional risk factors were a long duration of staying abroad, young age, and traveling under basic conditions. Of all travelers, 80% did not follow the traditionally recommended dietary restrictions. Among travelers visiting malaria-endemic areas, 20% did not carry any antimalarial drugs with them, not continuous chemoprophylaxis or standby medication.
Because of the rising travel activity, especially to tropical countries, the importance of qualified pretravel advice consultation is increasing. To improve the travelers' health, attention needs to be paid to individual risk factors, the prevention and therapy of travelers' diarrhea, malaria prophylaxis, management of respiratory illness, and personal safety.</description><identifier>ISSN: 1195-1982</identifier><identifier>EISSN: 1708-8305</identifier><identifier>DOI: 10.2310/7060.2005.12502</identifier><identifier>PMID: 16256047</identifier><language>eng</language><publisher>Hamilton, ON: Decker</publisher><subject>Accidents - statistics & numerical data ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Communicable Disease Control - methods ; Communicable Diseases - epidemiology ; Developing Countries ; Diarrhea - epidemiology ; Diarrhea - prevention & control ; Europe ; Female ; General aspects ; Health Education - methods ; Health Knowledge, Attitudes, Practice ; Health Services - statistics & numerical data ; Humans ; Malaria - epidemiology ; Malaria - prevention & control ; Male ; Medical sciences ; Middle Aged ; Risk Factors ; Risk-Taking ; Surveys and Questionnaires ; Travel</subject><ispartof>Journal of travel medicine, 2005-09, Vol.12 (5), p.248-253</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-d718ee6216de1c8e8e0638aaa94fd180b196f0f7c5f61817715bcf502c663a0a3</citedby><cites>FETCH-LOGICAL-c391t-d718ee6216de1c8e8e0638aaa94fd180b196f0f7c5f61817715bcf502c663a0a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17361644$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16256047$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>RACK, Julia</creatorcontrib><creatorcontrib>WICHMANN, Ole</creatorcontrib><creatorcontrib>FRIEDRICH-JÄNICKE, Barbara</creatorcontrib><creatorcontrib>FOROUTAN, Behruz</creatorcontrib><creatorcontrib>JELINEK, Tomas</creatorcontrib><creatorcontrib>KAMARA, Bai</creatorcontrib><creatorcontrib>GÜNTHER, Matthias</creatorcontrib><creatorcontrib>CRAMER, Jakob</creatorcontrib><creatorcontrib>SCHÖNFELD, Christian</creatorcontrib><creatorcontrib>HENNING, Tatjana</creatorcontrib><creatorcontrib>SCHWARZ, Ute</creatorcontrib><creatorcontrib>MÜHLEN, Marion</creatorcontrib><creatorcontrib>WEITZEL, Thomas</creatorcontrib><title>Risk and spectrum of diseases in travelers to popular tourist destinations</title><title>Journal of travel medicine</title><addtitle>J Travel Med</addtitle><description>Traveling to tropical regions is related to increased health risks. Travelers' diarrhea is the most frequent health problem, but the range of travel-related diseases also includes potential life-threatening diseases such as malaria. The actual risk of European travelers acquiring specific infectious diseases and other hazards in the tropics is to a large extent unknown and is therefore often adopted from that of the indigenous population. The objective of this study was to elucidate the risk for travel-related diseases, symptoms, and accidents in a population of Europeans who travel to popular tourist destinations.
From July 2003 to June 2004, 794 travelers consulting the travel clinic of the Berlin Institute of Tropical Medicine were recruited for a questionnaire-based observational study before traveling to Kenya, Tanzania, Senegal, the Gambia, India, Nepal, Thailand, or Brazil.
Overall, illness was reported by 42.9% of travelers, with 10.2% reporting more than one adverse health event. Most frequently gastrointestinal symptoms were noted (34.6%), followed by respiratory symptoms (13.7%). More than 5% experienced an accident. Travel to the Indian subcontinent nearly doubled the risk of becoming ill; travel to Thailand significantly decreased the risk. Additional risk factors were a long duration of staying abroad, young age, and traveling under basic conditions. Of all travelers, 80% did not follow the traditionally recommended dietary restrictions. Among travelers visiting malaria-endemic areas, 20% did not carry any antimalarial drugs with them, not continuous chemoprophylaxis or standby medication.
Because of the rising travel activity, especially to tropical countries, the importance of qualified pretravel advice consultation is increasing. To improve the travelers' health, attention needs to be paid to individual risk factors, the prevention and therapy of travelers' diarrhea, malaria prophylaxis, management of respiratory illness, and personal safety.</description><subject>Accidents - statistics & numerical data</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Communicable Disease Control - methods</subject><subject>Communicable Diseases - epidemiology</subject><subject>Developing Countries</subject><subject>Diarrhea - epidemiology</subject><subject>Diarrhea - prevention & control</subject><subject>Europe</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Education - methods</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Services - statistics & numerical data</subject><subject>Humans</subject><subject>Malaria - epidemiology</subject><subject>Malaria - prevention & control</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Risk Factors</subject><subject>Risk-Taking</subject><subject>Surveys and Questionnaires</subject><subject>Travel</subject><issn>1195-1982</issn><issn>1708-8305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LxDAQhoMorq6evUkueuvuTNom6VEWP1kQRM8lmyYQ7ZeZVvDf23UX9jTv4ZmXmYexK4SFSBGWCuSUAPIFihzEETtDBTrRKeTHU8YiT7DQYsbOiT4BQGghTtkMpcglZOqMvbwF-uKmrTj1zg5xbHjneRXIGXLEQ8uHaH5c7SLxoeN914-1iVMcY6CBV46G0JohdC1dsBNvanKX-zlnHw_376unZP36-Ly6Wyc2LXBIKoXaOSlQVg6tdtqBTLUxpsh8hRo2WEgPXtncS9SoFOYb66fnrJSpAZPO2e2ut4_d9zgdUDaBrKtr07pupFJqlUkUYgKXO9DGjig6X_YxNCb-lgjlVl-51Vdu9ZX_-qaN6331uGlcdeD3vibgZg8Ysqb20bQ20IFTqUSZZekfv3x3UA</recordid><startdate>20050901</startdate><enddate>20050901</enddate><creator>RACK, Julia</creator><creator>WICHMANN, Ole</creator><creator>FRIEDRICH-JÄNICKE, Barbara</creator><creator>FOROUTAN, Behruz</creator><creator>JELINEK, Tomas</creator><creator>KAMARA, Bai</creator><creator>GÜNTHER, Matthias</creator><creator>CRAMER, Jakob</creator><creator>SCHÖNFELD, Christian</creator><creator>HENNING, Tatjana</creator><creator>SCHWARZ, Ute</creator><creator>MÜHLEN, Marion</creator><creator>WEITZEL, Thomas</creator><general>Decker</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20050901</creationdate><title>Risk and spectrum of diseases in travelers to popular tourist destinations</title><author>RACK, Julia ; 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Travelers' diarrhea is the most frequent health problem, but the range of travel-related diseases also includes potential life-threatening diseases such as malaria. The actual risk of European travelers acquiring specific infectious diseases and other hazards in the tropics is to a large extent unknown and is therefore often adopted from that of the indigenous population. The objective of this study was to elucidate the risk for travel-related diseases, symptoms, and accidents in a population of Europeans who travel to popular tourist destinations.
From July 2003 to June 2004, 794 travelers consulting the travel clinic of the Berlin Institute of Tropical Medicine were recruited for a questionnaire-based observational study before traveling to Kenya, Tanzania, Senegal, the Gambia, India, Nepal, Thailand, or Brazil.
Overall, illness was reported by 42.9% of travelers, with 10.2% reporting more than one adverse health event. Most frequently gastrointestinal symptoms were noted (34.6%), followed by respiratory symptoms (13.7%). More than 5% experienced an accident. Travel to the Indian subcontinent nearly doubled the risk of becoming ill; travel to Thailand significantly decreased the risk. Additional risk factors were a long duration of staying abroad, young age, and traveling under basic conditions. Of all travelers, 80% did not follow the traditionally recommended dietary restrictions. Among travelers visiting malaria-endemic areas, 20% did not carry any antimalarial drugs with them, not continuous chemoprophylaxis or standby medication.
Because of the rising travel activity, especially to tropical countries, the importance of qualified pretravel advice consultation is increasing. To improve the travelers' health, attention needs to be paid to individual risk factors, the prevention and therapy of travelers' diarrhea, malaria prophylaxis, management of respiratory illness, and personal safety.</abstract><cop>Hamilton, ON</cop><pub>Decker</pub><pmid>16256047</pmid><doi>10.2310/7060.2005.12502</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of travel medicine, 2005-09, Vol.12 (5), p.248-253 |
| issn | 1195-1982 1708-8305 |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Accidents - statistics & numerical data Adult Aged Aged, 80 and over Biological and medical sciences Communicable Disease Control - methods Communicable Diseases - epidemiology Developing Countries Diarrhea - epidemiology Diarrhea - prevention & control Europe Female General aspects Health Education - methods Health Knowledge, Attitudes, Practice Health Services - statistics & numerical data Humans Malaria - epidemiology Malaria - prevention & control Male Medical sciences Middle Aged Risk Factors Risk-Taking Surveys and Questionnaires Travel |
| title | Risk and spectrum of diseases in travelers to popular tourist destinations |
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