Travel and migration associated infectious diseases morbidity in Europe, 2008
Autor(es): Field Vanessa, Gautret Philippe, Schlagenhauf Patricia, Burchard Gerd-Dieter, Caumes Eric, Jensenius Mogens, Castelli Francesco, Gkrania-Klotsas Effrossyni, Weld Leisa, Lopez-Velez Rogelio, de Vries Peter, von Sonnenburg Frank, Loutan Louis, Parola Philippe
Resumo: Europeans represent the majority of international travellers - clinicians encountering returned patients have an essential role in recognizing, - communicating travel-associated public health risks. To investigate the morbidity of travel associated infectious diseases in European travellers, we analysed diagnoses with demographic, clinical - travel-related predictors of disease, in 6957 ill returned travellers who presented in 2008 to EuroTravNet centres with a presumed travel associated condition. Gastro-intestinal (GI) diseases accounted for 33% of illnesses, followed by febrile systemic illnesses (20%), dermatological conditions (12%) - respiratory illnesses (8%). There were 3 deaths recorded; a sepsis caused by Escherichia coli pyelonephritis, a dengue shock syndrome - a Plasmodium falciparum malaria.GI conditions included bacterial acute diarrhea (6.9%), as well as giardiasis - amebasis (2.3%). Among febrile systemic illnesses with identified pathogens, malaria (5.4%) accounted for most cases followed by dengue (1.9%) - others including chikungunya, rickettsial diseases, leptospirosis, brucellosis, Epstein Barr virus infections, tick-borne encephalitis (TBE) - viral hepatitis. Dermatological conditions were dominated by bacterial infections, arthropod bites, cutaneous larva migrans - animal bites requiring rabies post-exposure prophylaxis - also leishmaniasis, myasis, tungiasis - one case of leprosy. Respiratory illness included 112 cases of tuberculosis including cases of multi-drug resistant or extensively drug resistant tuberculosis, 104 cases of influenza like illness, - 5 cases of Legionnaires disease. Sexually transmitted infections (STI) accounted for 0.6% of total diagnoses - included HIV infection - syphilis. A total of 165 cases of potentially vaccine preventable diseases were reported. Purpose of travel - destination specific risk factors was identified for several diagnoses such as Chagas disease in immigrant travellers from South America - P. falciparum malaria in immigrants from sub-Saharan Africa. Travel within Europe was also associated with health risks with distinctive profiles for Eastern - Western Europe. In 2008, a broad spectrum of travel associated diseases were diagnosed at EuroTravNet core sites. Diagnoses varied according to regions visited by ill travellers. The spectrum of travel associated morbidity also shows that there is a need to dispel the misconception that travel, close to home, in Europe, is without significant health risk.
Imprenta: BMC Infectious Diseases, v. 10, p. 330, 2010
Identificador do objeto digital: 10.1186/1471-2334-10-330
Descritores: Chikungunya virus - Infectious diseases ; Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Vaccine ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Dengue ; Chikungunya virus - Epidemiology ; Chikungunya virus - Public health
Data de publicação: 2010
