Causes of death among international travellers in Peru, 2017 to 2021
Abstract Background The wellbeing and safety of international tourists is a paramount concern for governments and stakeholders. Mortality among travellers and the causes of death serve as a significant metric of destination safety. We describe the epidemiology and causes of death among international...
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| Veröffentlicht in: | Journal of travel medicine 2024-01, Vol.31 (1) |
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| creator | Allel, Kasim Cabada, Miguel M Lau, Collen Mills, Deborah Franklin, Richard C Zhu, Yan Furuya-Kanamori, Luis |
| description | Abstract
Background
The wellbeing and safety of international tourists is a paramount concern for governments and stakeholders. Mortality among travellers and the causes of death serve as a significant metric of destination safety. We describe the epidemiology and causes of death among international travellers in Peru.
Methods
Data retrieved from the Peruvian government’s deaths certificates registry included all non-residents who died between January 2017 and December 2021. We analysed the national incidence and causes of death among international travellers in Peru. Causes of death were classified into non-communicable diseases (NCD), communicable diseases and injuries. We classified fatalities according to the existence of preventive measures that could be provided during the travel medicine consultation to decrease the risk.
Results
We obtained records from 1514 deaths among international travellers (973 males, 64%). The incidence increased from 0.2 deaths per 10 000 travellers in 2017 to 9.9 in 2021. NCDs were the most common causes of death (n = 560, 37%), followed by communicable diseases (n = 487, 32%), and injuries (n = 321, 21%). Causes of death were unknown in 9.7% of the records. The leading causes of death in these categories were cancer, cardiovascular disease, COVID-19 and trauma. We found similar sex distribution of NCDs in travellers aged >50 years and higher rates of communicable diseases among males across all ages. Injury-associated deaths were significantly higher among males aged 18–29 years (P |
| doi_str_mv | 10.1093/jtm/taad163 |
| format | Article |
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Background
The wellbeing and safety of international tourists is a paramount concern for governments and stakeholders. Mortality among travellers and the causes of death serve as a significant metric of destination safety. We describe the epidemiology and causes of death among international travellers in Peru.
Methods
Data retrieved from the Peruvian government’s deaths certificates registry included all non-residents who died between January 2017 and December 2021. We analysed the national incidence and causes of death among international travellers in Peru. Causes of death were classified into non-communicable diseases (NCD), communicable diseases and injuries. We classified fatalities according to the existence of preventive measures that could be provided during the travel medicine consultation to decrease the risk.
Results
We obtained records from 1514 deaths among international travellers (973 males, 64%). The incidence increased from 0.2 deaths per 10 000 travellers in 2017 to 9.9 in 2021. NCDs were the most common causes of death (n = 560, 37%), followed by communicable diseases (n = 487, 32%), and injuries (n = 321, 21%). Causes of death were unknown in 9.7% of the records. The leading causes of death in these categories were cancer, cardiovascular disease, COVID-19 and trauma. We found similar sex distribution of NCDs in travellers aged >50 years and higher rates of communicable diseases among males across all ages. Injury-associated deaths were significantly higher among males aged 18–29 years (P < 0.001) compared with other sex-age groups. We estimated that for 57.7% of deaths risk could have been decreased through pre-travel advice.
Conclusion
Rates of deaths among travellers to Peru increased over time. Most deaths were due to NCDs, followed by communicable diseases and injuries. Pre-travel medical optimization and effective advice focused on age-sex and destination specific risks could reduce risk among travellers. Increased awareness among travel medicine practitioners and improvement of emergency medical response systems in Peru could decrease mortality.</description><identifier>ISSN: 1195-1982</identifier><identifier>ISSN: 1708-8305</identifier><identifier>EISSN: 1708-8305</identifier><identifier>DOI: 10.1093/jtm/taad163</identifier><identifier>PMID: 38127642</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Cardiovascular Diseases ; Cause of Death ; Communicable Diseases - epidemiology ; Humans ; Male ; Original ; Peru - epidemiology ; Travel</subject><ispartof>Journal of travel medicine, 2024-01, Vol.31 (1)</ispartof><rights>International Society of Travel Medicine 2023. Published by Oxford University Press. 2024</rights><rights>International Society of Travel Medicine 2023. Published by Oxford University Press.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2863-b50bc64fda690e5b0765d2085b69a285ff368ac0fa531b524ef25706562ded2e3</cites><orcidid>0000-0002-2144-7181</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38127642$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allel, Kasim</creatorcontrib><creatorcontrib>Cabada, Miguel M</creatorcontrib><creatorcontrib>Lau, Collen</creatorcontrib><creatorcontrib>Mills, Deborah</creatorcontrib><creatorcontrib>Franklin, Richard C</creatorcontrib><creatorcontrib>Zhu, Yan</creatorcontrib><creatorcontrib>Furuya-Kanamori, Luis</creatorcontrib><title>Causes of death among international travellers in Peru, 2017 to 2021</title><title>Journal of travel medicine</title><addtitle>J Travel Med</addtitle><description>Abstract
Background
The wellbeing and safety of international tourists is a paramount concern for governments and stakeholders. Mortality among travellers and the causes of death serve as a significant metric of destination safety. We describe the epidemiology and causes of death among international travellers in Peru.
Methods
Data retrieved from the Peruvian government’s deaths certificates registry included all non-residents who died between January 2017 and December 2021. We analysed the national incidence and causes of death among international travellers in Peru. Causes of death were classified into non-communicable diseases (NCD), communicable diseases and injuries. We classified fatalities according to the existence of preventive measures that could be provided during the travel medicine consultation to decrease the risk.
Results
We obtained records from 1514 deaths among international travellers (973 males, 64%). The incidence increased from 0.2 deaths per 10 000 travellers in 2017 to 9.9 in 2021. NCDs were the most common causes of death (n = 560, 37%), followed by communicable diseases (n = 487, 32%), and injuries (n = 321, 21%). Causes of death were unknown in 9.7% of the records. The leading causes of death in these categories were cancer, cardiovascular disease, COVID-19 and trauma. We found similar sex distribution of NCDs in travellers aged >50 years and higher rates of communicable diseases among males across all ages. Injury-associated deaths were significantly higher among males aged 18–29 years (P < 0.001) compared with other sex-age groups. We estimated that for 57.7% of deaths risk could have been decreased through pre-travel advice.
Conclusion
Rates of deaths among travellers to Peru increased over time. Most deaths were due to NCDs, followed by communicable diseases and injuries. Pre-travel medical optimization and effective advice focused on age-sex and destination specific risks could reduce risk among travellers. Increased awareness among travel medicine practitioners and improvement of emergency medical response systems in Peru could decrease mortality.</description><subject>Cardiovascular Diseases</subject><subject>Cause of Death</subject><subject>Communicable Diseases - epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Original</subject><subject>Peru - epidemiology</subject><subject>Travel</subject><issn>1195-1982</issn><issn>1708-8305</issn><issn>1708-8305</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>EIF</sourceid><recordid>eNp9kM1LxDAQxYMofqyevEtPImjdyaRJ05PI-gkLetBzSNt0t9I2a9Iu-N-bZddFLx6GGZgfb948Qk4pXFPI2Pijb8e91iUVbIcc0hRkLBnw3TDTjMc0k3hAjrz_AACUiPvkgEmKqUjwkNxN9OCNj2wVlUb380i3tptFddcb1-m-tp1uot7ppWka43xYRK_GDVcRAk2j3oaO9JjsVbrx5mTTR-T94f5t8hRPXx6fJ7fTuEApWJxzyAuRVKUWGRieQyp4iSB5LjKNklcVE1IXUGnOaM4xMRXyFAQXWJoSDRuRm7XuYshbUxamC84atXB1q92XsrpWfzddPVczu1QUJLIk1IhcbBSc_RyM71Vb-yL8pjtjB68wA85pktIVerlGC2e9d6ba3qGgVsGrELzaBB_os9_WtuxP0gE4XwN2WPyr9A0E24th</recordid><startdate>20240128</startdate><enddate>20240128</enddate><creator>Allel, Kasim</creator><creator>Cabada, Miguel M</creator><creator>Lau, Collen</creator><creator>Mills, Deborah</creator><creator>Franklin, Richard C</creator><creator>Zhu, Yan</creator><creator>Furuya-Kanamori, Luis</creator><general>Oxford University Press</general><scope>TOX</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><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2144-7181</orcidid></search><sort><creationdate>20240128</creationdate><title>Causes of death among international travellers in Peru, 2017 to 2021</title><author>Allel, Kasim ; Cabada, Miguel M ; Lau, Collen ; Mills, Deborah ; Franklin, Richard C ; Zhu, Yan ; Furuya-Kanamori, Luis</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2863-b50bc64fda690e5b0765d2085b69a285ff368ac0fa531b524ef25706562ded2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Cardiovascular Diseases</topic><topic>Cause of Death</topic><topic>Communicable Diseases - epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Original</topic><topic>Peru - epidemiology</topic><topic>Travel</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allel, Kasim</creatorcontrib><creatorcontrib>Cabada, Miguel M</creatorcontrib><creatorcontrib>Lau, Collen</creatorcontrib><creatorcontrib>Mills, Deborah</creatorcontrib><creatorcontrib>Franklin, Richard C</creatorcontrib><creatorcontrib>Zhu, Yan</creatorcontrib><creatorcontrib>Furuya-Kanamori, Luis</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of travel medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allel, Kasim</au><au>Cabada, Miguel M</au><au>Lau, Collen</au><au>Mills, Deborah</au><au>Franklin, Richard C</au><au>Zhu, Yan</au><au>Furuya-Kanamori, Luis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Causes of death among international travellers in Peru, 2017 to 2021</atitle><jtitle>Journal of travel medicine</jtitle><addtitle>J Travel Med</addtitle><date>2024-01-28</date><risdate>2024</risdate><volume>31</volume><issue>1</issue><issn>1195-1982</issn><issn>1708-8305</issn><eissn>1708-8305</eissn><abstract>Abstract
Background
The wellbeing and safety of international tourists is a paramount concern for governments and stakeholders. Mortality among travellers and the causes of death serve as a significant metric of destination safety. We describe the epidemiology and causes of death among international travellers in Peru.
Methods
Data retrieved from the Peruvian government’s deaths certificates registry included all non-residents who died between January 2017 and December 2021. We analysed the national incidence and causes of death among international travellers in Peru. Causes of death were classified into non-communicable diseases (NCD), communicable diseases and injuries. We classified fatalities according to the existence of preventive measures that could be provided during the travel medicine consultation to decrease the risk.
Results
We obtained records from 1514 deaths among international travellers (973 males, 64%). The incidence increased from 0.2 deaths per 10 000 travellers in 2017 to 9.9 in 2021. NCDs were the most common causes of death (n = 560, 37%), followed by communicable diseases (n = 487, 32%), and injuries (n = 321, 21%). Causes of death were unknown in 9.7% of the records. The leading causes of death in these categories were cancer, cardiovascular disease, COVID-19 and trauma. We found similar sex distribution of NCDs in travellers aged >50 years and higher rates of communicable diseases among males across all ages. Injury-associated deaths were significantly higher among males aged 18–29 years (P < 0.001) compared with other sex-age groups. We estimated that for 57.7% of deaths risk could have been decreased through pre-travel advice.
Conclusion
Rates of deaths among travellers to Peru increased over time. Most deaths were due to NCDs, followed by communicable diseases and injuries. Pre-travel medical optimization and effective advice focused on age-sex and destination specific risks could reduce risk among travellers. Increased awareness among travel medicine practitioners and improvement of emergency medical response systems in Peru could decrease mortality.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>38127642</pmid><doi>10.1093/jtm/taad163</doi><orcidid>https://orcid.org/0000-0002-2144-7181</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1195-1982 |
| ispartof | Journal of travel medicine, 2024-01, Vol.31 (1) |
| issn | 1195-1982 1708-8305 1708-8305 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10823482 |
| source | MEDLINE; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Cardiovascular Diseases Cause of Death Communicable Diseases - epidemiology Humans Male Original Peru - epidemiology Travel |
| title | Causes of death among international travellers in Peru, 2017 to 2021 |
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