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Journal of Travel Medicine

Jacques-Robert Christen, Marie Mura, Gwenaëlle Roudaut, Anne-Sophie Drogoul, Magalie Demar, Sébastien Briolant, Eric Garnotel, Fabrice Simon, Vincent Pommier De Santi
Two cross-sectional studies were performed 2 years apart in French military personnel deployed from France to French Guiana. In 2011, military medical centres in French Guiana reported 40 cases of intestinal parasitism in service members returning from illegal gold mining sites in the rainforest. In 2013, 48 out of 132 service members returning from French Guiana after a 4-month mission had eosinophilia and seven were infected with hookworm. A presumptive first-line treatment with albendazole could be the most pragmatic strategy...
July 2016: Journal of Travel Medicine
Anita E Heywood, Hans Nothdurft, Dominique Tessier, Melissa Moodley, Lars Rombo, Cinzia Marano, Laurence De Moerlooze
BACKGROUND: Knowledge about the travel-associated risks of hepatitis A and B, and the extent of pre-travel health-advice being sought may vary between countries. METHODS: An online survey was undertaken to assess the awareness, advice-seeking behaviour, rates of vaccination against hepatitis A and B and adherence rates in Australia, Finland, Germany, Norway, Sweden, the UK and Canada between August and October 2014. Individuals aged 18-65 years were screened for eligibility based on: travel to hepatitis A and B endemic countries within the past 3 years, awareness of hepatitis A, and/or combined hepatitis A&B vaccines; awareness of their self-reported vaccination status and if vaccinated, vaccination within the last 3 years...
July 2016: Journal of Travel Medicine
Brittany M Rowley, Peter Buzzacott, Petar J Denoble
Adult male recreational diver fatalities (n = 698) in North America from 2004 to 2013 were examined. Compared with non-harvesters, boat (86 vs 59%), solo (26 vs 13%) and night diving (10 vs 3%) were more common among harvesters. Of the divers who were low-on or out-of air, 20% were harvesters and 11% non-harvesters (OR = 2.0, P = 0.03).
July 2016: Journal of Travel Medicine
Dennis Shanks
Alternative approaches to malaria chemoprophylaxis are discussed in light of the difficulties of executing clinical trials within limits of infection rates and ethics.
June 2016: Journal of Travel Medicine
Tamar Lachish, Maskit Bar-Meir, Neta Eisenberg, Eli Schwartz
BACKGROUND: Current guidelines recommend daily dosing of atovaquone-proguanil (AP), beginning a day before travel to endemic areas and continuing for 7 days after departure. Adherence of long-term travellers to daily malaria chemoprophylaxis tends to be poor, even when residing in highly endemic malaria regions. Evidence from a volunteer challenging study suggests that non-daily, longer intervals dosing of AP provides effective protection against Plasmodium falciparum This study examines the effectiveness of twice weekly AP prophylaxis in long-term travellers to highly endemic P...
June 2016: Journal of Travel Medicine
Emily S Jentes, R Ryan Lash, Michael A Johansson, Tyler M Sharp, Ronnie Henry, Oliver J Brady, Mark J Sotir, Simon I Hay, Harold S Margolis, Gary W Brunette
BACKGROUND: International travel can expose travellers to pathogens not commonly found in their countries of residence, like dengue virus. Travellers and the clinicians who advise and treat them have unique needs for understanding the geographic extent of risk for dengue. Specifically, they should assess the need for prevention measures before travel and ensure appropriate treatment of illness post-travel. Previous dengue-risk maps published in the Centers for Disease Control and Prevention's Yellow Book lacked specificity, as there was a binary (risk, no risk) classification...
June 2016: Journal of Travel Medicine
Jason A Trubiano, Douglas Johnson, Asma Sohail, Joseph Torresi
BACKGROUND: Solid organ transplant (SOT) recipients are often heavily immunosuppressed and consequently at risk of serious illness from vaccine preventable viral and bacterial infections or with endemic fungal and parasitic infections. We review the literature to provide guidance regarding the timing and appropriateness of vaccination and pathogen avoidance related to the immunological status of SOT recipients. METHODS: A PUBMED search ([Vaccination OR vaccine] AND/OR ["specific vaccine"] AND/OR [immunology OR immune response OR cytokine OR T lymphocyte] AND transplant was performed...
June 2016: Journal of Travel Medicine
Lauren M Gardner, Abrar A Chughtai, C Raina MacIntyre
BACKGROUND: Middle East respiratory syndrome coronavirus (MERS-CoV) emerged from the Kingdom of Saudi Arabia (KSA) in 2012 and has since spread to 26 countries. All cases reported so far have either been in the Middle East or linked to the region through passenger air travel, with the largest outbreak outside KSA occurring in South Korea. Further international spread is likely due to the high travel volumes of global travel, as well as the occurrence of large annual mass gathering such as the Haj and Umrah pilgrimages that take place in the region...
June 2016: Journal of Travel Medicine
Gerard T Flaherty
No abstract text is available yet for this article.
June 2016: Journal of Travel Medicine
Benjamin C Francis, Ximena Gonzalo, Sirisha Duggineni, Janice M Thomas, Caoimhe NicFhogartaigh, Zahir Osman Eltahir Babiker
BACKGROUND: Malaria is the most common imported tropical disease in the United Kingdom (UK). The overall mortality is low but inter-regional differences have been observed. METHODS: We conducted a 2-year retrospective review of clinical and laboratory records of patients with malaria attending three acute hospitals in East London from 1 April 2013 through 31 March 2015. Epidemiological and clinical characteristics of imported malaria were described and risk factors associated with severe falciparum malaria were explored...
June 2016: Journal of Travel Medicine
Mikkel B Quam, Annelies Wilder-Smith
The ongoing Zika pandemic in Latin America illustrates a potential source for further globalized spread. Here, we assessed global travel-related Zika virus exportations from Brazil during the initial year of the epidemic. Similar to subsequent national notifications, we estimated 584-1786 exported Zika cases from Brazil occurred September 2014-August 2015.
June 2016: Journal of Travel Medicine
Evgeny Mashkovskiy, Piotr Szawarski, Pavel Ryzhkov, Tomaz Goslar, Irena Mrak
Prolonged altitude exposure even with acclimatization continues to present a physiological challenge to all organ systems including the central nervous system. We describe a case of a 41-year-old Caucasian female climber who suffered severe visual loss that was due to possible optic nerve pathology occurring during a high altitude expedition in the Himalayas. This case is atypical of classic high altitude cerebral oedema and highlights yet another danger of prolonged sojourn at extreme altitudes.
June 2016: Journal of Travel Medicine
Tiebing Liu, Chanyuan Zhang, Chong Liu
BACKGROUND: Several studies have indicated an increased risk of breast cancer (BC) among female flight attendants (FFAs); however, the results from epidemiological studies were not consistent. We thus conducted an updated meta-analysis to re-assess the risk of BC among FFAs, according to the MOOSE guideline. METHODS: A systematical search of PubMed and Embase for relevant observational studies up to March 2016 was performed, supplemented by manual reviews of bibliographies in relevant studies...
June 2016: Journal of Travel Medicine
Andrea Farnham, Ulf Blanke, Emily Stone, Milo A Puhan, Christoph Hatz
BACKGROUND: mHealth methodology such as smartphone applications offers new opportunities to capture the full range of health risks during travel in real time. Our study aims to widen the scope of travel health research in tropical and subtropical destinations by using a smartphone application to collect detailed information on health behaviours, clinical symptoms, accidents and environmental factors during travel. METHODS: We enrolled travel clinic clients in Zurich and Basel ≥18 years of age travelling to Thailand for <5 weeks...
June 2016: Journal of Travel Medicine
Herbert L DuPont, Robert Steffen
BACKGROUND: The recommendation that antibiotics should be used for routine therapy of travellers' diarrhoea is being reconsidered in view of growing evidence that the therapy may lead to intestinal carriage of multi-drug resistant (MDR) colonic microbiota. This review attempts to put the issues of therapy and MDR acquisition in perspective to help in the establishment of therapeutic recommendations for travellers' diarrhoea. METHODS: The existing literature showing the risk and consequences of acquisition of MDR microbiota in antibiotic-treated travellers was reviewed...
June 2016: Journal of Travel Medicine
Linda E Keyes, Luke Mather, Charles Duke, Nirajan Regmi, Benoit Phelan, Sushil Pant, Jennifer Starling, Matthew McElwee, Devlin Cole, Theodore McConnell, Purshotam Paudel, T Douglas Sallade, Alison Sheets, David Twillman, David S Young, Buddha Basnyat
BACKGROUND: The number of tourists in Nepal doubled between 2003 and 2013 is nearly 800 000. With the increased popularity of trekking, the number of those with pre-existing medical conditions requiring access to healthcare is likely to increase. We therefore sought to characterize the demographics and health status of trekkers on the Everest Base Camp route in the Solukhumbu Valley. In addition, we report cases that illustrate the potential complications of an ageing and medicated population of trekkers with underlying diseases...
June 2016: Journal of Travel Medicine
Min Zhang, Jianming Zhang, Yutong Hao, ZhengXing Fan, Lei Li, Yiguang Li, Wendong Ju, Hong Zhang, Wei Liu, Mengzhang Zhang, Di Wu, Hongtao He
BACKGROUND: Although international travel has become increasingly more common in main land China, few data are available on vaccination knowledge, attitude and practice (KAP) among Chinese travelers. METHOD: In each of 14 International Travel Healthcare Centers (ITHCs) situated in mainland China 200 volunteers were recruited for a cross-sectional investigation by questionnaire on KAP related to travel vaccinations. For the evaluation the study subjects were grouped by demographic data, past travel experience, travel destination, duration of stay abroad, purpose of travel...
June 2016: Journal of Travel Medicine
George Drewett, Karin Leder
Much of the travel medicine literature focuses on travel to 'developing' regions by travellers from 'developed' regions; however literature about travel to developed regions is scarce. This article examines presentations to a travel medicine clinic over a 17-year period with illnesses resulting from travel to developed regions. From a cohort of general presentations to the clinic of 1077 patients, 85 patients acquired infections due to travel to developed regions, with a total of 99 infectious diagnoses made...
June 2016: Journal of Travel Medicine
Kensuke Takaoka, Yannis Gourtsoyannis, John D Hart, Margaret Armstrong, Amanda Daniel, Emma Mewse, Diana Phillips, Robin L Bailey
BACKGROUND: Few studies have investigated incidence rate and risk factors for giardiasis and strongyloidiasis in returning UK travellers. The clinical presentations of these two diseases are often similar and difficult to distinguish. This study was conducted to investigate the incidence rate and the risk factors for symptomatic giardiasis and strongyloidiasis in returned tropical travellers. METHODS: We retrospectively analysed 3306 consecutive attendances presenting to the emergency clinic at the Hospital for Tropical Diseases in London, the UK from September 2008 to May 2010...
May 2016: Journal of Travel Medicine
Laurence Lagarce, Nicolas Lerolle, Pierre Asfar, Yohann Le Govic, Pascale Lainé-Cessac, Ludovic de Gentile
Non-pharmaceutical forms of Artemisia annua (a Chinese plant containing artemisinin) are used by some travellers who believe these products are safer than anti-malarial drugs. We report two cases of severe Plasmodium falciparum malaria requiring hospitalization in an Intensive Care Unit following prophylaxis with non-pharmaceutical A. annua in French travellers.
May 2016: Journal of Travel Medicine
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