Animal-Associated Exposure to Rabies Virus among Travelers, 1997–2012

Gautret, Philippe; Harvey, Kira; Pandey, Prativa; Lim, Poh Lian; Leder, Karin; Piyaphanee, Watcharapong; Shaw, Marc; McDonald, Susan C.; Schwartz, Eli; Esposito, Douglas H.; Parola, Philippe

doi:10.3201/eid2104.141479

Cited by 51 publications

(32 citation statements)

References 30 publications

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“…An estimated 31% of injuries requiring rabies PEP among international travelers are caused by NHPs, which rank second after dogs in most studies and first in studies conducted among travelers returning from Southeast Asia ( 2 ). In a recent GeoSentinel survey involving 2,697 travelers requiring rabies PEP, NHPs accounted for 66% of animal bites occurring in Southeast Asia, and tourists made up a disproportionately large portion of the NHP exposures (92%) ( 6 ). …”

Section: Discussionmentioning

confidence: 99%

Rabies Postexposure Prophylaxis for Travelers Injured by Nonhuman Primates, Marseille, France, 2001–2014

Blaise¹,

Parola²,

Brouqui³

2015

Emerg. Infect. Dis.

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Section: Discussionmentioning

confidence: 99%

Rabies Postexposure Prophylaxis for Travelers Injured by Nonhuman Primates, Marseille, France, 2001–2014

Blaise¹,

Parola²,

Brouqui³

2015

Emerg. Infect. Dis.

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“…Animal bites are common in Nepal with risk of rabies exposure. [15][16][17] Pre-exposure rabies vaccine is desirable but not a must since effective post-exposure prophylaxis is available in the country. Cholera vaccine uptake was 34 (36%).…”

Section: Discussionmentioning

confidence: 99%

Health Problems while Working as a Volunteer or Humanitarian Aid Worker in Post-Earthquake Nepal

Bhandari¹,

Pandey

2018

J Nepal Med Assoc

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Introduction: Volunteers and humanitarian aid workers working in disaster struck areas of the world are a vulnerable group of travelers. Nepal saw an influx of these humanitarian aid workers following earthquakes in April and May 2015. Methods: This was a descriptive cross-sectional study conducted at CIWEC Hospital located in Kathmandu. A questionnaire was given to all volunteers and aid workers who arrived at the hospital for evaluation of health related problems and agreed to be part of the study. Results: Ninety-five volunteers were enrolled in the study. Among these, 65 (68%) were female and 30 (32%) were male. The immunizations received before travel were Hepatitis A 82 (86%), Hepatitis B 82 (86%), Typhoid 70 (73%), Rabies 38 (40%), Japanese Encephalitis 34 (36%), Influenza within last one year 23 (24%), measles 48 (51%), Cholera 34 (36%),Tetanus within 10 years 71 (75%) and Varicella 38 (40%). Forty-four (45%) of travelers carried medication for treatment of Traveler’s Diarrhea (TD) which included Ciprofloxacin, Azithromycin, Loperamide and others like Metronidazole and Charcoal. The common illnesses encountered were gastrointestinal, skin problems , injury and musculoskeletal problems, respiratory problems, genitourinary problems, cardiovascular, psychological problems, syncope, and miscellaneous. Conclusions: Traveler’s Diarrhea and dermatological problems were the most common health related problems. Volunteers were not properly prepared for self-treatment and pre-travel preparation was sub-optimal. Important pre travel health advice will decrease the incidence of health problems in this group.

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“…15 Many cases of rabies exposure have occurred early on in the travel period in the setting of short travel duration. 1,15 However, Dolan and colleagues reported that travellers seeking pretravel vaccination were more likely to be travelling for longer periods. 14 In our study, younger people were less likely to receive pre-exposure prophylaxis.…”

Section: Discussionmentioning

confidence: 99%

“…The disease causes 60 000 deaths per year in the developing world but remains a rare diagnosis in travellers. 1 However, travellers frequently seek medical advice for animal bites or scratches, sometimes requiring rabies postexposure prophylaxis, which disrupts travel plans. 2 Pre-exposure prophylaxis greatly facilitates postexposure prophylaxis measures.…”

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confidence: 99%

Intradermal pre-exposure rabies vaccination in a Canadian travel clinic: 6-year retrospective observational study

Kong

Vincelette

Laplante

et al. 2018

cmajo

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The introduction of intradermal vaccination for pre-exposure rabies prophylaxis was associated with an increase in vaccination uptake. Reduced cost may be responsible for the increased coverage among younger travellers and those travelling for tourism. The high seroconversion rate after intradermal vaccination supports the effectiveness of this route of administration for pre-exposure rabies prophylaxis in immunocompetent people.

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Animal-Associated Exposure to Rabies Virus among Travelers, 1997–2012

Abstract: No demographic characteristics identified who might benefit most from pretravel counseling.

Cited by 51 publications

References 30 publications

Rabies Postexposure Prophylaxis for Travelers Injured by Nonhuman Primates, Marseille, France, 2001–2014

Rabies Postexposure Prophylaxis for Travelers Injured by Nonhuman Primates, Marseille, France, 2001–2014

Health Problems while Working as a Volunteer or Humanitarian Aid Worker in Post-Earthquake Nepal

Intradermal pre-exposure rabies vaccination in a Canadian travel clinic: 6-year retrospective observational study

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