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Self-reported illness among Boston-area international travelers: a prospective study

tetano

Editor, Senior Moderator
Travel Med Infect Dis. 2016 Sep 26. pii: S1477-8939(16)30127-2. doi: 10.1016/j.tmaid.2016.09.009. [Epub ahead of print]
[h=1]Self-reported illness among Boston-area international travelers: a prospective study.[/h] Chen LH[SUP]1[/SUP], Han PV[SUP]2[/SUP], Wilson ME[SUP]3[/SUP], Stoney RJ[SUP]2[/SUP], Jentes ES[SUP]2[/SUP], Benoit C[SUP]4[/SUP], Ooi WW[SUP]5[/SUP], Barnett ED[SUP]6[/SUP], Hamer DH[SUP]7[/SUP].
[h=3]Author information[/h]

[h=3]Abstract[/h] [h=4]BACKGROUND:[/h] The Boston Area Travel Medicine Network surveyed travelers on travel-related health problems.
[h=4]METHODS:[/h] Travelers were recruited 2009-2011 during pre-travel consultation at three clinics. The investigation included pre-travel data, weekly during-travel diaries, and a post-travel questionnaire. We analyzed demographics, trip characteristics, health problems experienced, and assessed the relationship between influenza vaccination, influenza prevention advice, and respiratory symptoms.
[h=4]RESULTS:[/h] Of 987 enrolled travelers, 628 (64%) completed all surveys, of which 400 (64%) reported health problems during and/or after travel; median trip duration was 12 days. Diarrhea affected the most people during travel (172) while runny/stuffy nose affected the most people after travel (95). Of those with health problems during travel, 25% stopped or altered plans; 1% were hospitalized. After travel, 21% stopped planned activities, 23% sought physician or other health advice; one traveler was hospitalized. Travelers who received influenza vaccination and influenza prevention advice had lower rates of respiratory symptoms than those that received influenza prevention advice alone (18% vs 28%, P=0.03).
[h=4]CONCLUSIONS:[/h] A large proportion of Boston-area travelers reported health problems despite pre-travel consultation, resulting in inconveniences. The combination of influenza prevention advice and influenza immunization was associated with fewer respiratory symptoms than those who received influenza prevention advice alone.
Copyright ? 2016 Elsevier Ltd. All rights reserved.


[h=4]KEYWORDS:[/h] influenza; knowledge-attitudes-practices; survey; travel; travel-associated health problems

PMID: 27687076 DOI: 10.1016/j.tmaid.2016.09.009
[PubMed - as supplied by publisher]
 
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