Malaria after international travel: a GeoSentinel analysis, 2003–2016
Identifieur interne : 000849 ( Main/Exploration ); précédent : 000848; suivant : 000850Malaria after international travel: a GeoSentinel analysis, 2003–2016
Auteurs : Kristina M. Angelo [États-Unis] ; Michael Libman [Canada] ; Eric Caumes [France] ; Davidson H. Hamer [États-Unis] ; Kevin C. Kain [Canada] ; Karin Leder [Australie] ; Martin P. Grobusch [Pays-Bas] ; Stefan H. Hagmann [États-Unis] ; Phyllis Kozarsky [États-Unis] ; David G. Lalloo [Royaume-Uni] ; Poh-Lian Lim [Singapour] ; Calvin Patimeteeporn [États-Unis] ; Philippe Gautret [France] ; Silvia Odolini [Italie] ; François Chappuis [Suisse] ; Douglas H. Esposito [États-Unis]Source :
- Malaria Journal [ 1475-2875 ] ; 2017.
Abstract
More than 30,000 malaria cases are reported annually among international travellers. Despite improvements in malaria control, malaria continues to threaten travellers due to inaccurate perception of risk and sub-optimal pre-travel preparation.
Records with a confirmed malaria diagnosis after travel from January 2003 to July 2016 were obtained from GeoSentinel, a global surveillance network of travel and tropical medicine providers that monitors travel-related morbidity. Records were excluded if exposure country was missing or unascertainable or if there was a concomitant acute diagnosis unrelated to malaria. Records were analyzed to describe the demographic and clinical characteristics of international travellers with malaria.
There were 5689 travellers included; 325 were children <18 years. More than half (53%) were visiting friends and relatives (VFRs). Most (83%) were exposed in sub-Saharan Africa. The median trip duration was 32 days (interquartile range 20–75); 53% did not have a pre-travel visit. More than half (62%) were hospitalized; children were hospitalized more frequently than adults (73 and 62%, respectively). Ninety-two per cent had a single
Malaria remains a serious threat to international travellers. Efforts must focus on preventive strategies aimed on children and VFRs, and chemoprophylaxis access and preventive measure adherence should be emphasized.
Url:
DOI: 10.1186/s12936-017-1936-3
PubMed: 28728595
PubMed Central: 5520359
Affiliations:
- Australie, Canada, France, Italie, Pays-Bas, Royaume-Uni, Singapour, Suisse, États-Unis
- Géorgie (États-Unis), Massachusetts, État de New York
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</author>
<author><name sortKey="Hagmann, Stefan H" sort="Hagmann, Stefan H" uniqKey="Hagmann S" first="Stefan H." last="Hagmann">Stefan H. Hagmann</name>
<affiliation wicri:level="2"><nlm:aff id="Aff9"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9278 1430</institution-id>
<institution-id institution-id-type="GRID">grid.428847.5</institution-id>
<institution></institution>
<institution>Steven and Alexandra Cohen Children’s Medical Center of New York,</institution>
</institution-wrap>
New Hyde Park, New York, NY USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
<wicri:cityArea>New Hyde Park, New York</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Kozarsky, Phyllis" sort="Kozarsky, Phyllis" uniqKey="Kozarsky P" first="Phyllis" last="Kozarsky">Phyllis Kozarsky</name>
<affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2163 0069</institution-id>
<institution-id institution-id-type="GRID">grid.416738.f</institution-id>
<institution>Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases,</institution>
<institution>Centers for Disease Control and Prevention,</institution>
</institution-wrap>
1600 Clifton Rd NE, Mailstop E03, Atlanta, GA 30329 USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
<wicri:cityArea>1600 Clifton Rd NE, Mailstop E03, Atlanta</wicri:cityArea>
</affiliation>
<affiliation wicri:level="2"><nlm:aff id="Aff10"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0941 6502</institution-id>
<institution-id institution-id-type="GRID">grid.189967.8</institution-id>
<institution>Department of Medicine,</institution>
<institution>Emory University,</institution>
</institution-wrap>
Atlanta, GA USA</nlm:aff>
<country>États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
<wicri:cityArea>Atlanta</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Lalloo, David G" sort="Lalloo, David G" uniqKey="Lalloo D" first="David G." last="Lalloo">David G. Lalloo</name>
<affiliation wicri:level="1"><nlm:aff id="Aff11"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1936 9764</institution-id>
<institution-id institution-id-type="GRID">grid.48004.38</institution-id>
<institution></institution>
<institution>Liverpool School of Tropical Medicine,</institution>
</institution-wrap>
Liverpool, UK</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Liverpool</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Lim, Poh Lian" sort="Lim, Poh Lian" uniqKey="Lim P" first="Poh-Lian" last="Lim">Poh-Lian Lim</name>
<affiliation wicri:level="1"><nlm:aff id="Aff12"><institution-wrap><institution-id institution-id-type="GRID">grid.240988.f</institution-id>
<institution>Institute of Infectious Diseases and Epidemiology,</institution>
<institution>Tan Tock Seng Hospital,</institution>
</institution-wrap>
Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Singapore</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="Aff13"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2224 0361</institution-id>
<institution-id institution-id-type="GRID">grid.59025.3b</institution-id>
<institution>Lee Kong Chian School of Medicine,</institution>
<institution>Nanyang Technological University,</institution>
</institution-wrap>
Singapore, Singapore</nlm:aff>
<country xml:lang="fr">Singapour</country>
<wicri:regionArea>Singapore</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Patimeteeporn, Calvin" sort="Patimeteeporn, Calvin" uniqKey="Patimeteeporn C" first="Calvin" last="Patimeteeporn">Calvin Patimeteeporn</name>
<affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2163 0069</institution-id>
<institution-id institution-id-type="GRID">grid.416738.f</institution-id>
<institution>Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases,</institution>
<institution>Centers for Disease Control and Prevention,</institution>
</institution-wrap>
1600 Clifton Rd NE, Mailstop E03, Atlanta, GA 30329 USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
<wicri:cityArea>1600 Clifton Rd NE, Mailstop E03, Atlanta</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name>
<affiliation wicri:level="1"><nlm:aff id="Aff14"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2176 4817</institution-id>
<institution-id institution-id-type="GRID">grid.5399.6</institution-id>
<institution>Unité de Recherche en Maladies Infectieuses et Tropicales Emergentes,</institution>
<institution>Aix Marseille Université, Tropical IHU-Méditerranée Infection,</institution>
</institution-wrap>
Marseillle, France</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Marseillle</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Odolini, Silvia" sort="Odolini, Silvia" uniqKey="Odolini S" first="Silvia" last="Odolini">Silvia Odolini</name>
<affiliation wicri:level="1"><nlm:aff id="Aff15"><institution-wrap><institution-id institution-id-type="ISNI">0000000417571846</institution-id>
<institution-id institution-id-type="GRID">grid.7637.5</institution-id>
<institution>Department of Infectious and Tropical Diseases,</institution>
<institution>University of Brescia and Spedali Civili General Hospital,</institution>
</institution-wrap>
Brescia, Italy</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Brescia</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Chappuis, Francois" sort="Chappuis, Francois" uniqKey="Chappuis F" first="François" last="Chappuis">François Chappuis</name>
<affiliation wicri:level="1"><nlm:aff id="Aff16"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0721 9812</institution-id>
<institution-id institution-id-type="GRID">grid.150338.c</institution-id>
<institution></institution>
<institution>Geneva University Hospital,</institution>
</institution-wrap>
Geneva, Switzerland</nlm:aff>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>Geneva</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Esposito, Douglas H" sort="Esposito, Douglas H" uniqKey="Esposito D" first="Douglas H." last="Esposito">Douglas H. Esposito</name>
<affiliation wicri:level="2"><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2163 0069</institution-id>
<institution-id institution-id-type="GRID">grid.416738.f</institution-id>
<institution>Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases,</institution>
<institution>Centers for Disease Control and Prevention,</institution>
</institution-wrap>
1600 Clifton Rd NE, Mailstop E03, Atlanta, GA 30329 USA</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Géorgie (États-Unis)</region>
</placeName>
<wicri:cityArea>1600 Clifton Rd NE, Mailstop E03, Atlanta</wicri:cityArea>
</affiliation>
</author>
</analytic>
<series><title level="j">Malaria Journal</title>
<idno type="eISSN">1475-2875</idno>
<imprint><date when="2017">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p id="Par1">More than 30,000 malaria cases are reported annually among international travellers. Despite improvements in malaria control, malaria continues to threaten travellers due to inaccurate perception of risk and sub-optimal pre-travel preparation.</p>
</sec>
<sec><title>Methods</title>
<p id="Par2">Records with a confirmed malaria diagnosis after travel from January 2003 to July 2016 were obtained from GeoSentinel, a global surveillance network of travel and tropical medicine providers that monitors travel-related morbidity. Records were excluded if exposure country was missing or unascertainable or if there was a concomitant acute diagnosis unrelated to malaria. Records were analyzed to describe the demographic and clinical characteristics of international travellers with malaria.</p>
</sec>
<sec><title>Results</title>
<p id="Par3">There were 5689 travellers included; 325 were children <18 years. More than half (53%) were visiting friends and relatives (VFRs). Most (83%) were exposed in sub-Saharan Africa. The median trip duration was 32 days (interquartile range 20–75); 53% did not have a pre-travel visit. More than half (62%) were hospitalized; children were hospitalized more frequently than adults (73 and 62%, respectively). Ninety-two per cent had a single <italic>Plasmodium</italic>
species diagnosis, most frequently <italic>Plasmodium falciparum</italic>
(4011; 76%). Travellers with <italic>P. falciparum</italic>
were most frequently VFRs (60%). More than 40% of travellers with a trip duration ≤7 days had <italic>Plasmodium vivax</italic>
. There were 444 (8%) travellers with severe malaria; 31 children had severe malaria. Twelve travellers died.</p>
</sec>
<sec><title>Conclusion</title>
<p id="Par4">Malaria remains a serious threat to international travellers. Efforts must focus on preventive strategies aimed on children and VFRs, and chemoprophylaxis access and preventive measure adherence should be emphasized.</p>
</sec>
</div>
</front>
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</TEI>
<affiliations><list><country><li>Australie</li>
<li>Canada</li>
<li>France</li>
<li>Italie</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
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<name sortKey="Patimeteeporn, Calvin" sort="Patimeteeporn, Calvin" uniqKey="Patimeteeporn C" first="Calvin" last="Patimeteeporn">Calvin Patimeteeporn</name>
</country>
<country name="Canada"><noRegion><name sortKey="Libman, Michael" sort="Libman, Michael" uniqKey="Libman M" first="Michael" last="Libman">Michael Libman</name>
</noRegion>
<name sortKey="Kain, Kevin C" sort="Kain, Kevin C" uniqKey="Kain K" first="Kevin C." last="Kain">Kevin C. Kain</name>
</country>
<country name="France"><noRegion><name sortKey="Caumes, Eric" sort="Caumes, Eric" uniqKey="Caumes E" first="Eric" last="Caumes">Eric Caumes</name>
</noRegion>
<name sortKey="Gautret, Philippe" sort="Gautret, Philippe" uniqKey="Gautret P" first="Philippe" last="Gautret">Philippe Gautret</name>
</country>
<country name="Australie"><noRegion><name sortKey="Leder, Karin" sort="Leder, Karin" uniqKey="Leder K" first="Karin" last="Leder">Karin Leder</name>
</noRegion>
<name sortKey="Leder, Karin" sort="Leder, Karin" uniqKey="Leder K" first="Karin" last="Leder">Karin Leder</name>
</country>
<country name="Pays-Bas"><noRegion><name sortKey="Grobusch, Martin P" sort="Grobusch, Martin P" uniqKey="Grobusch M" first="Martin P." last="Grobusch">Martin P. Grobusch</name>
</noRegion>
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<country name="Royaume-Uni"><noRegion><name sortKey="Lalloo, David G" sort="Lalloo, David G" uniqKey="Lalloo D" first="David G." last="Lalloo">David G. Lalloo</name>
</noRegion>
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<country name="Singapour"><noRegion><name sortKey="Lim, Poh Lian" sort="Lim, Poh Lian" uniqKey="Lim P" first="Poh-Lian" last="Lim">Poh-Lian Lim</name>
</noRegion>
<name sortKey="Lim, Poh Lian" sort="Lim, Poh Lian" uniqKey="Lim P" first="Poh-Lian" last="Lim">Poh-Lian Lim</name>
</country>
<country name="Italie"><noRegion><name sortKey="Odolini, Silvia" sort="Odolini, Silvia" uniqKey="Odolini S" first="Silvia" last="Odolini">Silvia Odolini</name>
</noRegion>
</country>
<country name="Suisse"><noRegion><name sortKey="Chappuis, Francois" sort="Chappuis, Francois" uniqKey="Chappuis F" first="François" last="Chappuis">François Chappuis</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>
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