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

Stoney, Rhett J.; Jentes, Emily S.; Sotir, Mark J.; Kozarsky, Phyllis E.; Rao, Sowmya R.; LaRocque, Regina C.; Ryan, Edward T.

doi:10.4269/ajtmh.13-0479

Cited by 14 publications

(7 citation statements)

References 25 publications

(38 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Providers at nonacademic centers, in particular, were less likely to recommend MMR vaccination to eligible travelers. This observation is consistent with previous work indicating that providers deviate from ACIP and CDC recommendations for other travel-related vaccines (28, 29). …”

Section: Discussionsupporting

confidence: 92%

Missed Opportunities for Measles, Mumps, Rubella Vaccination Among Departing U.S. Adult Travelers Receiving Pretravel Health Consultations

et al. 2017

Self Cite

View full text Add to dashboard Cite

Background Measles outbreaks continue to occur in the United States and are mostly due to infections in returning travelers. Objective We described how providers assessed the measles immunity status of departing U.S. adult travelers seeking pretravel consultation and assessed reasons given for nonvaccination among those considered eligible to receive the measles-mumps-rubella (MMR) vaccine. Design Observational study in U.S. pretravel clinics. Setting 24 sites associated with Global TravEpiNet (GTEN), a Centers for Disease Control and Prevention-funded consortium. Patients Adults (born in or after 1957) attending pre-travel consultations at GTEN sites (2009-2014). Measurements Structured questionnaire completed by traveler and provider during pretravel consultation. Results We included 40,810 adult travelers; providers considered 6,612 (16%) to be eligible for MMR vaccine at the time of pretravel consultation. Of the MMR-eligible, 3,477 (53%) were not vaccinated at the visit; of these, 1,689 (48%) were not vaccinated due to traveler refusal, 966 (28%) due to provider decision, and 822 (24%) due to health systems barriers. Most MMR-eligible travelers who were not vaccinated were evaluated in the South (2,262 travelers, 65%) or at nonacademic centers (1,777 travelers, 51%). Nonvaccination due to traveler refusal was most frequent in the South (1,432 travelers, 63%) or at nonacademic centers (1,178 travelers, 66%). Limitations Our estimates could underrepresent the opportunities for MMR vaccination, as providers accepted verbal histories of disease and vaccination as evidence of immunity. Conclusions Sixteen percent of U.S. adult travelers who presented for pretravel consultation at GTEN sites met criteria for MMR vaccination according to the provider's assessment, but fewer than half of these travelers were vaccinated. An increase in MMR vaccination of eligible U.S. adult travelers could reduce the likelihood of measles importations and transmissions.

show abstract

Section: Discussionsupporting

confidence: 92%

Missed Opportunities for Measles, Mumps, Rubella Vaccination Among Departing U.S. Adult Travelers Receiving Pretravel Health Consultations

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…9 , 10 The proportion of travelers vaccinated for polio, rabies, meningococcal disease, JE, and YF was assessed for specific groups of at-risk travelers who met criteria (eg, destination country with risk, season with risk, duration of stay, or indicated for the itinerary) for recommended vaccination; a more extensive description of travelers who were considered at risk is available elsewhere. 11 For all vaccines, if the clinician indicated existing immunity or if the traveler received at least the first dose of a vaccine series at the pre-travel consultation, the traveler was considered, for this analysis, vaccinated for that disease. To analyze reasons for non-vaccination, we excluded those who were previously immune, were vaccinated at the clinic visit, or for whom information was not known.…”

Section: Methodsmentioning

confidence: 99%

Pre-Travel Medical Preparation of Business and Occupational Travelers

Khan

Jentes

Brown

et al. 2016

Journal of Occupational &Amp; Environmental Medicine

Self Cite

View full text Add to dashboard Cite

Objectives:The aim of the study was to understand more about pre-travel preparations and itineraries of business and occupational travelers.Methods:De-identified data from 18 Global TravEpiNet clinics from January 2009 to December 2012 were analyzed.Results:Of 23,534 travelers, 61% were non-occupational and 39% occupational. Business travelers were more likely to be men, had short times to departure and shorter trip durations, and commonly refused influenza, meningococcal, and hepatitis B vaccines. Most business travelers indicated that employers suggested the pre-travel health consultation, whereas non-occupational travelers sought consultations because of travel health concerns.Conclusions:Sub-groups of occupational travelers have characteristic profiles, with business travelers being particularly distinct. Employers play a role in encouraging business travelers to seek pre-travel consultations. Such consultations, even if scheduled immediately before travel, can identify vaccination gaps and increase coverage.

show abstract

“…Another group at highest risk includes persons involved in humanitarian staffing (e.g., missionaries, medical, and humanitarian workers): their length of stay is long and their travel destinations are low income countries where the incidence of the above-mentioned infectious diseases is high. Nevertheless, the Global TravEpi Network (GTEN) data in US showed an appropriate pre-travel care and vaccination, over 90% of coverage, for hepatitis A, typhoid, and yellow fever [23].…”

Section: Introductionmentioning

confidence: 99%

Travel-Related Typhoid Fever: Narrative Review of the Scientific Literature

Muresu

Sotgiu

Are

et al. 2020

IJERPH

View full text Add to dashboard Cite

Enteric fever is a foodborne infectious disease caused by Salmonella enterica serotypes Typhi and Paratyphi A, B and C. The high incidence in low income countries can increase the risk of disease in travelers coming from high income countries. Pre-travel health advice on hygiene and sanitation practices and vaccines can significantly reduce the risk of acquiring infections. Although the majority of the cases are self-limiting, life-threatening complications can occur. Delayed diagnosis and cases of infections caused by multi-drug resistant strains can complicate the clinical management and affect the prognosis. More international efforts are needed to reduce the burden of disease in low income countries, indirectly reducing the risk of travelers in endemic settings. Surveillance activities can help monitor the epidemiology of cases caused by drug-susceptible and resistant strains.

show abstract

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

Cited by 14 publications

References 25 publications

Missed Opportunities for Measles, Mumps, Rubella Vaccination Among Departing U.S. Adult Travelers Receiving Pretravel Health Consultations

Missed Opportunities for Measles, Mumps, Rubella Vaccination Among Departing U.S. Adult Travelers Receiving Pretravel Health Consultations

Pre-Travel Medical Preparation of Business and Occupational Travelers

Travel-Related Typhoid Fever: Narrative Review of the Scientific Literature

Contact Info

Product

Resources

About