Risk factors for infections in international travelers: An analysis of travel-related notifiable communicable diseases

Baer, Atar; Libassi, Lisa; Lloyd, John; Benoliel, Eileen; Brucker, Rachel; Jones, Megan Q.; Kwan-Gett, Tao; McKeirnan, Shelly; Pecha, Monica; Rietberg, Krista; Serafin, Lauri; Walkinshaw, Lina Pinero; Duchin, Jeffrey S.

doi:10.1016/j.tmaid.2014.05.005

Cited by 15 publications

(14 citation statements)

References 10 publications

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“…This is similar to other studies that reported a limited percentages of travelers accessing pretrip health resources (36%–54%) [18–20]. Although limited pretravel research among participants was noted, the majority of park visitors who investigated USVI-specific health concerns before travel were aware of CHIKV.…”

Section: Discussionsupporting

confidence: 87%

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Knowledge and use of prevention measures for chikungunya virus among visitors — Virgin Islands National Park, 2015

Cherry

Beer

Fulton

et al. 2016

Travel Medicine and Infectious Disease

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Summary Background In June 2014, the mosquito-borne chikungunya virus (CHIKV) emerged in the U.S. Virgin Islands (USVI), a location where tourists comprise the majority of the population during peak season (January–April). Limited information is available concerning visitors’ CHIKV awareness and prevention measures. Methods We surveyed a convenience sample of Virgin Islands National Park visitors aged ≥18 years. Respondents completed a questionnaire assessing CHIKV knowledge, attitudes, and practices; health information-seeking practices; and demographics. Results Of 783 persons contacted, 443 (57%) completed the survey. Fewer than half (208/441 [47%]) were aware of CHIKV. During trip preparation, 28% of respondents (126/443) investigated USVI-specific health concerns. Compared with persons unaware of CHIKV, CHIKV-aware persons were more likely to apply insect repellent (134/207 [65%] versus 111/231 [48%]; p < 0.001), wear long-sleeves and long pants (84/203 [41%] versus 57/227 [25%]; p < 0.001), and wear insect repellent-treated clothing (36/204 [18%] versus 22/227 [10%]; p = 0.02). Conclusions The majority of visitors surveyed did not research destination-related health concerns and were unaware of CHIKV. However, CHIKV awareness was associated with using multiple prevention measures to reduce disease risk. These findings underscore the importance of providing tourists with disease education upon destination arrival.

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Section: Discussionsupporting

confidence: 87%

“…Past surveys have reported common reasons for not seeking pretravel health advice include lack of concern about health problems, belief the traveler knew what to do, and being unaware of the need [18,20,21]. This survey did not ask participants to identify the reason they did not investigate health concerns before travel.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and use of prevention measures for chikungunya virus among visitors — Virgin Islands National Park, 2015

Cherry

Beer

Fulton

et al. 2016

Travel Medicine and Infectious Disease

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show abstract

“…A recent study of tourists visiting a national park in the United States Virgin Islands where mosquito borne illnesses, including Chikungunya virus are present, revealed most visitors surveyed did not research destination related health concerns and were unaware that Chikungunya virus was present or problematic [53]. This is similar to other studies where travelers did not access pre-trip health information sources, many of which are readily available on the Internet [53][54][55][56][57].…”

Section: Travel and Immigration Related Illness Travelsupporting

confidence: 58%

SELECTED EPIDEMICS & EMERGING PATHOGENS

McFee¹

2017

Disease-a-Month

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“…Among international travelers originating in developed countries, VFRs are less successful at implementing key approaches to malaria prevention than other categories of travelers to malaria endemic regions [8][9][10][11]. Additionally, VFRs tend to travel for longer periods of time than non-VFRs [8] and to countries and regions of greater malaria risk than non-VFRs [8,12].…”

Section: Introductionmentioning

confidence: 99%

Barriers to malaria prevention among immigrant travelers in the United States who visit friends and relatives in sub-Saharan Africa: A cross-sectional, multi-setting survey of knowledge, attitudes, and practices

et al. 2020

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Background Despite achievements in the reduction of malaria globally, imported malaria cases to the United States by returning international travelers continue to increase. Immigrants to the United States from sub-Saharan Africa (SSA) who then travel back to their homelands to visit friends and relatives (VFRs) experience a disproportionate burden of malaria illness. Various studies have explored barriers to malaria prevention among VFRs and non-VFRstravelers to the same destinations with other purpose for travel-but few employed robust epidemiologic study designs or performed comparative analyses of these two groups. To better quantify the key barriers that VFRs face to implement effective malaria prevention measures, we conducted a comprehensive community-based, cross-sectional, survey to identify differences in malaria prevention knowledge, attitudes, and practices (KAP) among VFRs and others traveling to Africa and describe the differences between VFRs and other types of international travelers. Methods and findings Three distinct populations of travelers with past or planned travel to malaria-endemic countries of SSA were surveyed: VFRs diagnosed with malaria as reported through a state health

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Risk factors for infections in international travelers: An analysis of travel-related notifiable communicable diseases

Cited by 15 publications

References 10 publications

Knowledge and use of prevention measures for chikungunya virus among visitors — Virgin Islands National Park, 2015

Knowledge and use of prevention measures for chikungunya virus among visitors — Virgin Islands National Park, 2015

SELECTED EPIDEMICS & EMERGING PATHOGENS

Barriers to malaria prevention among immigrant travelers in the United States who visit friends and relatives in sub-Saharan Africa: A cross-sectional, multi-setting survey of knowledge, attitudes, and practices

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