[Source: Eurosurveillance, full text: (LINK). Abstract, edited.]
Eurosurveillance, Volume 17, Issue 26, 28 June 2012

Surveillance and outbreak reports

Infectious diseases among travellers and migrants in Europe, EuroTravNet 2010


P Gautret<SUP>1</SUP>, J P Cramer<SUP>2</SUP>, V Field<SUP>3</SUP>, E Caumes<SUP>4</SUP>, M Jensenius<SUP>5</SUP>, E Gkrania-Klotsas<SUP>6</SUP>, P J de Vries<SUP>7</SUP>, M P Grobusch<SUP>7</SUP>, R Lopez-Velez<SUP>8</SUP>, F Castelli<SUP>9</SUP>, P Schlagenhauf<SUP>10</SUP>, H Hervius Askling<SUP>11</SUP>, F von Sonnenburg<SUP>12</SUP>, D G Lalloo<SUP>13</SUP>, L Loutan<SUP>14</SUP>, C Rapp<SUP>15</SUP>, F Basto<SUP>16</SUP>, F Santos O?Connor<SUP>17</SUP>, L Weld<SUP>18</SUP>, P Parola ()<SUP>1</SUP>, for the EuroTravNet Network<SUP>19</SUP>
  1. University Hospital Institute for Infectious and Tropical Diseases, Marseille, France
  2. University Medical Center Hamburg-Eppendorf, Department of Tropical Medicine and Infectious Diseases, Bernhard Nocht Clinic, Hamburg, Germany
  3. InterHealth and National Travel Health Network and Centre (NaTHNaC), London, United Kingdom
  4. Service des Maladies Infectieuses et Tropicales (Department of Infectious and Tropical Diseases), H?pital Piti?-Salp?tri?re, Paris, France
  5. Department of Infectious Diseases, Oslo University Hospital, Oslo, Norway
  6. Department of Infectious Diseases, Addenbrooke?s Hospital, Cambridge, United Kingdom
  7. Center for Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Academic Medical Center, Amsterdam, the Netherlands
  8. Tropical Medicine and Clinical Parasitology, Infectious Diseases Department, Ram?n y Cajal Hospital, Madrid, Spain
  9. University Division of Infectious and Tropical Diseases, University of Brescia and Brescia Spedali Civili General Hospital, Brescia, Italy
  10. Centre for Travel Medicine, University of Z?rich, Z?rich, Switzerland
  11. Department of Medicine/Solna, Unit for Infectious Diseases, Karolinska Institute, Stockholm, Sweden
  12. Department of Infectious Diseases and Tropical Medicine, Ludwig-Maximilian?s University of Munich, Munich, Germany
  13. Liverpool School of Tropical Medicine, Liverpool, United Kingdom
  14. Division of International and Humanitarian Health, Geneva University Hospitals, Geneva, Switzerland
  15. Department of Infectious and Tropical Diseases, B?gin Military Hospital, Saint-Mand?, France
  16. Centro Hospitalar S?o Jo?o (Hospital Centre S?o Jo?o), International Health Unit, Porto, Portugal
  17. European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
  18. ISTM/Geosentinel Statistician Consultant, Victoria, Canada
  19. http://www.eurotravnet.eu
<HR>
Citation style for this article: Gautret P, Cramer JP, Field V, Caumes E, Jensenius M, Gkrania-Klotsas E, de Vries PJ, Grobusch MP, Lopez-Velez R, Castelli F, Schlagenhauf P, Hervius Askling H, von Sonnenburg F, Lalloo DG, Loutan L, Rapp C, Basto F, Santos O?Connor F, Weld L, Parola P, for the EuroTravNet Network. Infectious diseases among travellers and migrants in Europe, EuroTravNet 2010. Euro Surveill. 2012;17(26):pii=20205. Available online: http://www.eurosurveillance.org/View...rticleId=20205
Date of submission: 16 January 2012 <HR>To investigate trends in travel-associated morbidity with particular emphasis on emerging infections with the potential for introduction into Europe, diagnoses of 7,408 returning travellers presenting to 16 EuroTravNet sites in 2010 were compared with 2008 and 2009. A significant increase in reported Plasmodium falciparum malaria (n=361 (6% of all travel-related morbidity) vs. n=254 (4%) and 260 (5%); p<0.001), P. vivax malaria (n=51 (1%) vs. n=31 (0.5%) and 38 (1%); p=0.027) and dengue fever (n=299 (5%) vs. n=127 (2%) and 127 (2%); p<0.001) was observed. Giardia lamblia was identified in 16% of patients with acute diarrhoea, with no significant annual variation. The proportion of acute diarrhoea due to Campylobacter increased from 7% in 2008 to 12% in 2010 (p=0.001). We recorded 121 patients with pulmonary tuberculosis in 2010, a three-fold increase in the proportionate morbidity from 2008 to 2010. In 2010, 60 (0.8%) cases of chronic Chagas disease, 151 (2%) cases of schistosomiasis and 112 (2%) cases of cutaneous larva migrans were reported. Illness patterns in sentinel travellers, captured by EuroTravnet, continue to highlight the potential role of travellers in the emergence of infectious diseases of public health concern in Europe and the relevance of offering medical travel advice and enforcing specific and adequate prophylaxis.
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