Imported Malaria in Children in Industrialized Countries, 1992–2002

Stäger, Katrin; Legros, F.; Krause, Gérard; Low, Nicola; Bradley, David J.; Desai, Meghna; Graf, Simone; D’Amato, Stefania; Mizuno, Yasutaka; Janzon, Ragnhild; Petersen, Eskild; Kester, John; Steffen, Robert; Schlagenhauf, Patricia

doi:10.3201/eid1502.080712

Cited by 77 publications

(55 citation statements)

References 27 publications

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“…The data also indicated that P falciparum acquired in sub-Saharan Africa was the most common infection and that VFR children accounted for a majority of cases. 2,10,18 In contrast to studies in adults, no increased risk was found for male gender. 27 Dengue fever and enteric fever were the mostfrequently identified specific causes of systemic febrile illnesses among pediatric travelers returning from tropical regions other than subSaharan Africa.…”

Section: Figurecontrasting

confidence: 49%

“…17 Innovative methods to improve access to pretravel services for VFR travelers have used approaches such as communitybased programs (eg, in sports clubs, churches, or schools) and locallanguage programming through media to educate populations about risks. 18,19 Additional efforts to increase education and to decrease barriers to care are crucial.…”

Section: Figurementioning

confidence: 99%

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Illness in Children After International Travel: Analysis From the GeoSentinel Surveillance Network

et al. 2010

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OBJECTIVE: By using a large, multicenter database, we investigated the characteristics and morbidities of 1591 children returning from 218 global destinations and presenting for care in 19 countries. METHODS: Data reported to the GeoSentinel Surveillance Network between January 1997 and November 2007 were analyzed, to assess demographic features, travel characteristics, and clinical diagnoses of ill pediatric travelers. Data were compared between children and adults and among 3 pediatric age groups (0–5 years, 6–11 years, and 12–17 years). RESULTS: Children were predominantly tourist travelers returning from Asia, sub-Saharan Africa, or Latin America. Compared with adults, children disproportionately presented within 7 days after return, required hospitalization, lacked pretravel health advice, and had traveled for the purpose of visiting friends and relatives. Diarrhea (28%), dermatologic conditions (25%), systemic febrile illnesses (23%), and respiratory disorders (11%) accounted for the majority of diagnoses reported for children. No fatalities were reported. Diarrhea occurred disproportionately among children after exposure to the Middle East/North Africa, dermatologic conditions after exposure to Latin America, systemic febrile illnesses after exposure to sub-Saharan Africa or Asia, and respiratory disorders after exposure to Europe or North America. The proportionate morbidity rates of travel-associated diseases differed among the pediatric age groups and between children and adults. CONCLUSIONS: The health care utilization patterns before and after travel and the profiles of travel-associated health problems differed between children and adults. Health professionals providing pretravel advice need to consider destination- and age-specific susceptibility to travel-related morbidities and develop prevention strategies accordingly.

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Section: Figurecontrasting

confidence: 49%

Section: Figurementioning

confidence: 99%

Illness in Children After International Travel: Analysis From the GeoSentinel Surveillance Network

et al. 2010

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“…4 Similarly, in a large analysis of 12,000 cases of imported pediatric malaria, the main risk areas were VFR destinations rather than tourist targets. 22 Immigrants from endemic areas may consider malaria a benign condition, but it should be noted that 26% of our cases with complicated falciparum malaria did occur in this particular subgroup of travelers. Still, only 0.06% of our VFR patients with falciparum malaria are known to have died.…”

Section: Discussionmentioning

confidence: 99%

Acute and Potentially Life-Threatening Tropical Diseases in Western Travelers—A GeoSentinel Multicenter Study, 1996–2011

Jensenius¹,

Han²,

Schlagenhauf³

et al. 2013

The American Society of Tropical Medicine and Hygiene

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146

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“…Many VFRs stay in family settings in which they may encounter suboptimal housing conditions and increased malaria risk (Bacaner et al, 2004;Scolari et al, 2002;Muentener et al, 1999;Fulford and Keystone, 2005;Di Perri et al, 1994;Barnett et al, 2010;Fenner et al, 2007;Froude et al, 1992;Wagner et al, 2013). VFRs may encounter barriers such as lack of information on services, language, trust of health systems, concerns on their legal status and cost of malaria chemoprophylaxis, which may limit their access to travel clinics (Bacaner et al, 2004;Stager et al, 2009). Migrant VFRs may be exposed to risk of malaria as they visit their families in rural areas with higher malaria transmission rates (Schlagenhauf et al, 2003).…”

Section: Visiting Friends and Relativesmentioning

confidence: 98%