Morbidity in expatriates—a prospective cohort study

Patel, Dipti; Easmon, Charles J.; Seed, Paul; Dow, Carol; Snashall, David

doi:10.1093/occmed/kql026

Cited by 27 publications

(14 citation statements)

References 17 publications

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“…As there are a number of reports of acute onset mental disorder during long periods overseas [14][15][16] , an appropriate response is desirable. However, in addition to the language problem with these disorders, a trend for delayed consultation due to the cost of treatment, differences in health service provision and stigma regarding psychiatric consultation has been identified 2,17,18) , and our findings that consultations for these disorders were infrequent may be rooted in this trend. As treatment in the mother tongue is required, it is difficult to entrust the response to these disorders solely to local institutions, and thus there is a need to provide a more comprehensive system of services and information from companies assigning workers overseas and the home country's health service that goes beyond individual corporate frameworks.…”

Section: Discussionmentioning

confidence: 51%

“…Of these, around 17,000 are on overseas assignment from private companies and 500 on government business and 93.6% are males 1) . Of the studies conducted on the health-related conditions of expatriates [2][3][4][5][6][7] , reports by Hamada 5) and Uchikoshi et al 7) focused on Japanese expatriates living in Southeast Asia. Based on these reports, "Diseases of the respiratory system" and "Certain infectious and parasitic diseases" are frequent among this population.…”

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confidence: 99%

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Patterns of Outpatient Visits by Japanese Male Expatriates in Thailand

Sakai

Wongkhomthong

Marui

et al. 2008

Journal of Occupational Health

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Patterns of Outpatient Visits by Japanese Male Expatriates in Thailand: Rie SAKAI, et al. Department of Public Health, Juntendo University School of Medicine-Objective of this study is to clarify the health-related conditions of Japanese male expatriates in Thailand. Records of Japanese male expatriates in their 30s to 50s who consulted outpatient clinics at Bangkok Hospital in 2005 were analyzed for number and type of outpatient visits then compared with data from the "Patient Survey" 2005 for agematched males in Japan. "Diseases of the respiratory system" and "Certain infectious and parasitic diseases" had a higher rate of diagnosis among Japanese men living in Thailand than those living in Japan. "Endocrine, nutritional and metabolic diseases," and "Mental and behavioral disorders" had a lower rate of diagnosis among Japanese men living in Thailand than those in Japan. "Acute upper respiratory infections" accounted for 87.4% of "Diseases of the respiratory system" and "intestinal infections" accounted for 59.9% of "Certain infectious and parasitic diseases" among expatriates. Japanese male expatriates have a tendency of not visiting hospital when they have no subjective or objective symptoms. To support a healthy expatriate life, health information should be propagated widely and available support services, such as counseling via e-mail or fax, should be actively promoted. Expatriates should be informed of the availability of these services before they go abroad and during their stay. (J Occup Health 2008; 50: 103-113)

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Section: Discussionmentioning

confidence: 51%

mentioning

confidence: 99%

Patterns of Outpatient Visits by Japanese Male Expatriates in Thailand

Sakai

Wongkhomthong

Marui

et al. 2008

Journal of Occupational Health

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show abstract

“…Son un grupo de perfil muy variado, que va desde funcionarios como diplomáticos, embajadores u otros, a cooperantes y trabajadores de apoyo a la cooperación al desarrollo, profesionales sanitarios, misioneros, religiosos, educadores, militares, artistas -que se encuentren en gira internacional-, empresarios y trabajadores de cualificación profesional variada, pertenecientes a empresas de toda índole, muchas de ellas en fase den expansión; todos ellos además, pueden estar acompañados de sus familiares durante su estancia. Los trabajadores expatriados además deben adaptarse a las costumbres de la comunidad de acogida y la exposición a los riesgos propios del nuevo país, tiene una duración mayor que la de los turistas, aunque está descrito que van mejor informados y suelen protegerse mejor que aquellos 4 .…”

Section: Población De Interésunclassified

Salud laboral versus enfermedades tropicales e importadas

Montalvo

2009

Med. segur. trab.

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ResumenEl objetivo de este artículo es propiciar una reflexión -focalizada en los profesionales de la salud laboral-sobre el incremento en nuestro medio de la patología tropical, entre las que se incluye aquellas enfermedades que dejaron de ser endémicas en nuestro entorno y/o que nunca estuvieron presentes y que en la actualidad sin embargo, pueden verse cada vez más en las consultas médicas generales. Este tipo de enfermedades las conocemos con las denominaciones de enfermedades tropicales, importadas, emergentes o re-emergentes.El punto de partida es llamar la atención sobre si dichos profesionales tienen presente estos riesgos y si hacen un control o un seguimiento del estado de salud del trabajador antes del comienzo y al regreso, de la estancia ó del viaje.Adicionalmente otro asunto a tratar, son las consecuencias legales que llevan al trabajador a enfrentarse a estas patologías, bien por necesidad ó imperativo de la empresa donde trabajan, bien de forma voluntaria, si se trata del destino elegido por motivo de vacaciones. (Med Segur Trab 2009; 55 (215): 12-18) Palabras clave: profesionales de la salud laboral, patología tropical, viaje, riesgos sanitarios AbstractThe aim of this paper is to propose a discussion about the increase of tropical pathologies, related with labour health workers, including new pathologies and other diseases that no longer were endemic in our society and now have become more frequent in our medical consulting rooms. These types of diseases are known as tropical or imported diseases, as well as emerging or re-emerging diseases.Our first point is about the attention paid by these health professionals on these risks and whether they really control and monitoring these diseases before and after the workers travel.Another issue are the legal consequences face by the workers that have to be exposed to theses diseases, either by requirement for their job companies or by their own choice on holiday´s destination.

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“…Expatriates are a diverse group who must adapt to their host culture, who have a longer duration of exposure to country-related hazards, and who have the opportunity to modify risks in their immediate environment [1]. With increasing globalization, expatriate travel has grown substantially, along with an increasing need to understand the health issues for these travelers.…”

Section: Introductionmentioning

confidence: 99%

Expatriates ill after travel: Results from the Geosentinel Surveillance Network

et al. 2012

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BackgroundExpatriates are a distinct population at unique risk for health problems related to their travel exposure.MethodsWe analyzed GeoSentinel data comparing ill returned expatriates with other travelers for demographics, travel characteristics, and proportionate morbidity (PM) for travel-related illness.ResultsOur study included 2,883 expatriates and 11,910 non-expatriates who visited GeoSentinel clinics ill after travel. Expatriates were more likely to be male, do volunteer work, be long-stay travelers (>6 months), and have sought pre-travel advice. Compared to non-expatriates, expatriates returning from Africa had higher proportionate morbidity (PM) for malaria, filariasis, schistosomiasis, and hepatitis E; expatriates from the Asia-Pacific region had higher PM for strongyloidiasis, depression, and anxiety; expatriates returning from Latin America had higher PM for mononucleosis and ingestion-related infections (giardiasis, brucellosis). Expatriates returning from all three regions had higher PM for latent TB, amebiasis, and gastrointestinal infections (other than acute diarrhea) compared to non-expatriates. When the data were stratified by travel reason, business expatriates had higher PM for febrile systemic illness (malaria and dengue) and vaccine-preventable infections (hepatitis A), and volunteer expatriates had higher PM for parasitic infections. Expatriates overall had higher adjusted odds ratios for latent TB and lower odds ratios for acute diarrhea and dermatologic illness.ConclusionsIll returned expatriates differ from other travelers in travel characteristics and proportionate morbidity for specific diseases, based on the region of exposure and travel reason. They are more likely to present with more serious illness.

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Morbidity in expatriates—a prospective cohort study

Cited by 27 publications

References 17 publications

Patterns of Outpatient Visits by Japanese Male Expatriates in Thailand

Patterns of Outpatient Visits by Japanese Male Expatriates in Thailand

Salud laboral versus enfermedades tropicales e importadas

Expatriates ill after travel: Results from the Geosentinel Surveillance Network

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