Pretravel Advice Neglects Rabies Risk for Travelers to Tropical Countries

Krause, Erik; Grundmann, Hajo; Hatz, Christoph

doi:10.1111/j.1708-8305.1999.tb00854.x

Cited by 22 publications

(13 citation statements)

References 10 publications

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“…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: 99%

Rabies Exposure Risk among Foreign Backpackers in Southeast Asia

Piyaphanee¹,

Shantavasinkul²,

Phumratanaprapin³

et al. 2010

The American Society of Tropical Medicine and Hygiene

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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.

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Section: Discussionmentioning

confidence: 99%

Rabies Exposure Risk among Foreign Backpackers in Southeast Asia

Piyaphanee¹,

Shantavasinkul²,

Phumratanaprapin³

et al. 2010

The American Society of Tropical Medicine and Hygiene

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“…In the study by Watcharapong et al (2010), half of the exposures took place within the first 10 days. Such studies confirm the need for health education and awareness of this deadly disease (Krause et al 1999). Pre-exposure would be a better strategy than seeking medical assistance after a bite, as many areas in tropical Asian countries lack medical and immunization facilities.…”

Section: Epidemiological Devastation and Concernsmentioning

confidence: 71%

The science of rabies in tropical regions: From epidemiological pandemonium to prevention

Gundamaraju

Vemuri

Kuen

et al. 2015

Frontiers in Life Science

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Rabies is a devastating viral disease affecting the central nervous system. The fatality rate is very high compared to other viral diseases. Inadequate vaccination, lack of awareness, cost of medications and ineffective post-prophylactic surveillance are some of the major reasons for the high prevalence of rabies in tropical regions, leading to more than 40,000 cases annually presenting a major threat to public health. The present report aims to provide an overview of the lethal effects of rabies in major regions of the tropics, such as China and its neighboring countries, India, Bangkok, Thailand, all major regions of Africa, such as Tanzania and Ethiopia, and tropical regions of South America. The review is based on rich literature sources including epidemiological and endemic surveys, sample analysis, and health and hygiene reports from various parts of the world. The epidemiology is elucidated in the present article. The review also highlights the incidence of cases and aspects of prophylaxis. A bird's-eye view of rabies and its epidemic impact will encourage researchers to act further on the disease, which will lead to better awareness and treatment options.

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“…The most common observed intervention was counseling on lifestyle changes with twelve studies. 30,[48][49][50][51][52][53][54][55][56][57][58][59] Among them, six addressed counselling about physical activity and two dealt with smoking cessation. Most of the studies addressed specific age groups or patient characteristics, such as influenza vaccination in people older than 65 years, or enhancing physical activity in patients younger than 65 years.…”

Section: Description Of Studiesmentioning

confidence: 99%

“…11,13,14,16,17,19,23,24,29,30,32,36,37,39,43,48,[50][51][52][53][54][55][56]59 The most frequently cited barriers were "the lack of GP's engagement" (5 out of 24), 13,14,32,50,54 "the lack of interest or time"…”

Section: Barriers From Patient's Perspectivementioning

confidence: 99%

“…This referred to the lack of encouragement from the GP, 13,14,32 or missed advice eg, in smoking cessation 50 or concerning travel medicine. 54 Lack of interest Four studies described a lack of patient interest in physical activity counselling, 48,53,59 and in smoking and alcohol counselling 43,51 as a barrier to using preventive services.…”

Section: Barriers From Patient's Perspectivementioning

confidence: 99%

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Screening and prevention in Swiss primary care: a systematic review

Eisner

Zoller²,

Rosemann³

et al. 2011

IJGM

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Background and objectives Prevention is a challenging area of primary care. In Switzerland, little is known about attitudes to and performance of screening and prevention services in general practice. To implement prevention services in primary care it is important to know about not only potential facilitators but also barriers. Primary care encompasses the activities of general practitioners, including those with particular interest and/or specializations (eg, pediatrics, gynecology). The aim of this study was to review all studies with a focus on prevention services which have been conducted in Switzerland and to reveal barriers and facilitators for physicians to participate in any preventive measures. Methods The Cochrane Library, PubMed, EMBASE and BIOSIS were searched from January 1990 through December 2010. Studies focussing on preventive activities in primary care settings were selected and reviewed. The methodological quality of the identified studies was classified according to the guidelines in the Consolidated Standards of Reporting Trials (CONSORT) statement. Results We identified 49 studies including 45 descriptive studies and four randomised controlled trials (RCTs). Twelve studies addressed the prevention of epidemics, eleven out of them vaccinations. Further studies focused on lifestyle changes, physical activity counselling, smoking cessation, cardiovascular prevention and cancer screening. Perceived lack of knowledge/training and lack of time were the most commonly stated barriers. Motivation, feasibility and efficiency were the most frequently reported supporting factors for preventive activities. The methodological quality was weak, only one out of four RCTs met the applied quality criteria. Conclusion Most studies focussing on screening and prevention activities in primary care addressed vaccination, lifestyle modification or cardiovascular disease prevention. Identified barriers and facilitators indicate a need for primary-care-adapted education and training which are easy to handle, time-saving and reflect the specific needs of general practitioners. If new prevention programs are to be implemented in general practices, RCTs of high methodological quality are needed to assess their impact.

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Pretravel Advice Neglects Rabies Risk for Travelers to Tropical Countries

Cited by 22 publications

References 10 publications

Rabies Exposure Risk among Foreign Backpackers in Southeast Asia

Rabies Exposure Risk among Foreign Backpackers in Southeast Asia

The science of rabies in tropical regions: From epidemiological pandemonium to prevention

Screening and prevention in Swiss primary care: a systematic review

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