Knowledge, Attitudes, and Practices Among Foreign Backpackers Toward Malaria Risk in Southeast Asia

Piyaphanee, Watcharapong; Wattanagoon, Yupaporn; Silachamroon, Udomsak; Mansanguan, Chayasin; Wichianprasat, Pongdej; Walker, Eric

doi:10.1111/j.1708-8305.2008.00282.x

Cited by 38 publications

(33 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This contrasted with the knowledge toward malaria risk, where some serious misunderstandings were less common among the travel clinic group than the control group. 15 These findings, and evidence from some previous studies, might suggest that health education regarding the risk of rabies was not routinely provided in travel clinics. 16,17 Ideally, all travelers to a rabies risk area should have practical knowledge about rabies and all common misunderstanding should be explored and corrected in the pre-travel visit.…”

Section: Discussionmentioning

confidence: 59%

Rabies Exposure Risk among Foreign Backpackers in Southeast Asia

Piyaphanee¹,

Shantavasinkul²,

Phumratanaprapin³

et al. 2010

The American Society of Tropical Medicine and Hygiene

Self Cite

View full text Add to dashboard Cite

Abstract. Rabies remains a problem in Southeast Asia where large numbers of backpackers visit each year. During May-June 2008, a survey study was conducted of foreign backpackers in Bangkok, Thailand to assess their risk of rabies exposure . Eight hundred seventy (870) questionnaires were collected and analyzed. The median age of the backpackers was 25.5 years. Most of them were European (68.4%), followed by North American (13.2%). Although 80.7% had sought health information before traveling, only 55.6% had received information about rabies. Only 18.1% had completed preexposure rabies vaccination (3 shots) before travel, whereas 70.9% had not been vaccinated for rabies at all. In this study, the incidence of being licked was 3.56%, and of being bitten 0.69%, on average stays of 30.06 days in Southeast Asia. More than a half (54%) of exposures occurred in the first 10 days after arrival in Southeast Asia.

show abstract

Section: Discussionmentioning

confidence: 59%

Rabies Exposure Risk among Foreign Backpackers in Southeast Asia

Piyaphanee¹,

Shantavasinkul²,

Phumratanaprapin³

et al. 2010

The American Society of Tropical Medicine and Hygiene

Self Cite

View full text Add to dashboard Cite

show abstract

“…Other factors influencing malaria risk include inaccurate pretravel advice from medical practitioners and the common problem of noncompliance with chemoprophylaxis across the full spectrum of travelers including tourists, backpackers, expatriate workers, military personnel, and VFRs (Boreham and Relf 1991, Behrens et al 1998, Laver et al 2001, Robinson et al 2001, Landry et al 2006, Jute and Toovey 2007, Pistone et al 2007, Namikawa et al 2008, Ropers et al 2008, Piyaphanee et al 2009, Resseguier et al 2010. A survey of doctors in New Zealand found that prescriptions for malaria chemoprohylaxis were often inappropriate (Leggat et al 1997), and recommendations were made to improve dissemination of up-to-date information to doctors.…”

Section: Discussionmentioning

confidence: 98%

The Importance of Surveillance for Informing Pretravel Medical Advice: Imported Malaria in New Zealand 1997–2009

Lau

Weinstein

Slaney

2014

Vector-Borne and Zoonotic Diseases

View full text Add to dashboard Cite

Malaria has never been endemic in New Zealand, and all cases have been diagnosed in international travelers. In this paper, we describe malaria cases reported from 1997 to 2009 and discuss epidemiological changes compared to a previous report from 1980 to 1992. From 1997 to 2009, 666 malaria infections were reported, with 410 cases (61.6%) in travelers aged 20-39 and 133 (20%) in military personnel. Infections were caused by Plasmodium vivax in 436 cases (72.7%) and Plasmodium falciparum in 163 (27.2%). In the 533 civilians, common countries of infection were Papua New Guinea (24.4%), India (18.6%), the Solomon Islands (8.8%), and Indonesia (6.1%). Most common regions of malaria acquisition for civilians were Papua New Guinea and Western Pacific (39.8%), Africa (24.7%), Indian subcontinent (19.5%), and Southeast Asia (13.6%). Compared to a previous report of malaria in New Zealand from 1980 to 1992, regions of malaria acquisition have changed significantly, with a lower percentage of cases acquired from Papua New Guinea and Western Pacific (from 59.2% to 39.3%), and a higher percentage from Africa (from 8.6% to 21.3%). The ethnic groups affected also differ significantly between the two surveillance periods, with a reduction in the percentage of cases reported in Caucasians (from 80.8 to 45.9%) and an increase in cases in Indians (from 7.0 to 15.7%), Papua New Guineans and Pacific Islanders (from 5.2 to 16.9%), other Asians (from 2.3 to 5.6%), and Africans (from 0 to 8.5%). Common locations of malaria infection have evolved over time and probably reflect changing travel patterns of New Zealanders and the origins of visitors and immigrants. Therefore, local surveillance is important for informing pretravel advice by identifying vulnerable groups and common destinations for malaria infection, so that special attention on malaria prevention can be focused on travelers who are at highest risk. Ongoing surveillance is also essential for monitoring the evolving epidemiology of imported malaria over time.

show abstract

“…With very few exceptions, tourism scientists focus almost exclusively on phenomena in the destination. What about understanding the experiential elements of transit (Hobson, 2000;McKercher & Tang, 2004;Timothy, 2001) and pre-travel, homebased experiences, impacts and activities (Pan & Fesenmaier, 2006;Piyaphanee et al, 2009)? This scarcity of attention is probably perpetuated, at least in part, by the ease of collecting and analyzing data in destinations versus the more elusive conditions at tourists' origins or in transit.…”

Section: Contents Lists Available At Sciencedirectmentioning

confidence: 99%