Missionary Health: The Great Omission

Lange, W; Kreider, Sidney D.; Kaczaniuk, Mary A.; Snyder, Frederick

doi:10.1016/s0749-3797(18)31233-9

Cited by 14 publications

(7 citation statements)

References 20 publications

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“…These areas include popular missionary destinations, such as sub-Saharan Africa, Asia, and Latin America 9. Despite these recommendations, a study surveying 61 missionary boards found that only 31% recommended hepatitis B vaccination for their staff before international travel 9. Although cost might be a factor, we were unable to assess it in this analysis.…”

Section: Discussionmentioning

confidence: 92%

“…Missionaries had the lowest hepatitis B vaccination rate among the three categories of HSWs. Although hepatitis B risk has been shown to be higher in missionaries serving overseas, there are no consensus recommendations for missionary health 9,21. However, ACIP recommends hepatitis B vaccination for all international travelers going to regions with high or intermediate levels of endemic hepatitis B infection 20.…”

Section: Discussionmentioning

confidence: 99%

“…However, ACIP recommends hepatitis B vaccination for all international travelers going to regions with high or intermediate levels of endemic hepatitis B infection 20. These areas include popular missionary destinations, such as sub-Saharan Africa, Asia, and Latin America 9. Despite these recommendations, a study surveying 61 missionary boards found that only 31% recommended hepatitis B vaccination for their staff before international travel 9.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pre-Travel Preparation of US Travelers Going Abroad to Provide Humanitarian Service, Global TravEpiNet 2009–2011

Stoney¹,

Jentes²,

Sotir³

et al. 2014

The American Society of Tropical Medicine and Hygiene

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We analyzed characteristics of humanitarian service workers (HSWs) seen pre-travel at Global TravEpiNet (GTEN) practices during 2009–2011. Of 23,264 travelers, 3,663 (16%) travelers were classified as HSWs. Among HSWs, 1,269 (35%) travelers were medical workers, 1,298 (35%) travelers were non-medical service workers, and 990 (27%) travelers were missionaries. Median age was 29 years, and 63% of travelers were female. Almost one-half (49%) traveled to 1 of 10 countries; the most frequent destinations were Haiti (14%), Honduras (8%), and Kenya (6%). Over 90% of travelers were vaccinated for or considered immune to hepatitis A, typhoid, and yellow fever. However, for hepatitis B, 292 (29%) of 990 missionaries, 228 (18%) of 1,298 non-medical service workers, and 76 (6%) of 1,269 medical workers were not vaccinated or considered immune. Of HSWs traveling to Haiti during 2010, 5% of travelers did not receive malaria chemoprophylaxis. Coordinated efforts from HSWs, HSW agencies, and clinicians could reduce vaccine coverage gaps and improve use of malaria chemoprophylaxis.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pre-Travel Preparation of US Travelers Going Abroad to Provide Humanitarian Service, Global TravEpiNet 2009–2011

Stoney¹,

Jentes²,

Sotir³

et al. 2014

The American Society of Tropical Medicine and Hygiene

View full text Add to dashboard Cite

show abstract

“…Examination during home leave of British missionaries who served in 27 countries found diarrhea and giardiasis to be the most common problems, and those who served in West Africa had more illnesses ( 7 ). Not surprisingly, children of missionaries encountered poor water treatment and food sanitation ( 2 ); before hepatitis A vaccine was available, a questionnaire of mission boards identified viral hepatitis as the most serious health problem among missionaries ( 4 ). Among 328 North American missionaries evaluated during 1967–1984, 5.8% seroconverted to hepatitis A (this percentage may underestimate risk without prophylaxis because they presumably had received immune globulin); 0% seroconverted to hepatitis E after an average of 7.3 years of service ( 17 ).…”

Section: Discussionmentioning

confidence: 99%

“…Psychological rates were highest in eastern Europe and northern Africa and lowest in the Caribbean and Southeast Asia. Mission boards consider psychological conditions to be among the most common and serious conditions, specifically depression, stress, and burnout ( 4 ). Furthermore, psychiatric illness caused 60% of premature repatriations among British missionaries or their family members serving overseas ( 7 ).…”

Section: Discussionmentioning

confidence: 99%