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Travel-related infections presenting in Europe: A 20-year analysis of EuroTravNet surveillance data

dc.rights.licenseopenen_US
dc.contributor.authorGROBUSCH, Martin P.
dc.contributor.authorWELD, Leisa
dc.contributor.authorGOORHUIS, Abraham
dc.contributor.authorHAMER, Davidson H.
dc.contributor.authorSCHUNK, Mirjam
dc.contributor.authorJORDAN, Sabine
dc.contributor.authorMOCKENHAUPT, Frank P.
dc.contributor.authorCHAPPUIS, Francois
dc.contributor.authorASGEIRSSON, Hilmir
dc.contributor.authorCAUMES, Eric
dc.contributor.authorJENSENIUS, Mogens
dc.contributor.authorVAN GENDEREN, Perry J. J.
dc.contributor.authorCASTELLI, Francesco
dc.contributor.authorLOPEZ-VELEZ, Rogelio
dc.contributor.authorFIELD, Vanessa
dc.contributor.authorBOTTIEAU, Emmanuelle
dc.contributor.authorMOLINA, Israel
dc.contributor.authorRAPP, Christophe
dc.contributor.authorMENENDEZ, Marta Diaz
dc.contributor.authorGKRANIA-KLOTSAS, Effrossyni
dc.contributor.authorLARSEN, Carsten S.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMALVY, Denis
dc.contributor.authorLALLOO, David
dc.contributor.authorGOBBI, Federico
dc.contributor.authorFLORESCU, Simin A.
dc.contributor.authorGAUTRET, Philippe
dc.contributor.authorSCHLAGENHAUF, Patricia
dc.date.accessioned2021-08-19T12:43:48Z
dc.date.available2021-08-19T12:43:48Z
dc.date.issued2021-02
dc.identifier.issn2666-7762en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/110166
dc.description.abstractEnBackground: Disease epidemiology of (re-)emerging infectious diseases is changing rapidly, rendering surveillance of travel-associated illness important. Methods: We evaluated travel-related illness encountered at EuroTravNet clinics, the European surveillance sub-network of GeoSentinel, between March 1, 1998 and March 31, 2018. Findings: 103,739 ill travellers were evaluated, including 11,239 (10.8%) migrants, 89,620 (86.4%) patients seen post-travel, and 2,880 (2.8%) during and after travel. Despite increasing numbers of patient encounters over 20 years, the regions of exposure by year of clinic visits have remained stable. In 5-year increments, greater proportions of patients were migrants or visiting friends and relatives (VFR); business travel-associated illness remained stable; tourism-related illness decreased. Falciparum malaria was amongst the most-frequently diagnosed illnesses with 5,254 cases (5.1% of all patients) and the most-frequent cause of death (risk ratio versus all other illnesses 2.5:1). Animal exposures requiring rabies post-exposure prophylaxis increased from 0.7% (1998-2002) to 3.6% (2013-2018). The proportion of patients with seasonal influenza increased from zero in 1998-2002 to 0.9% in 2013-2018. There were 44 cases of viral haemorrhagic fever, most during the past five years. Arboviral infection numbers increased significantly as did the range of presenting arboviral diseases, dengue and chikungunya diagnoses increased by 2.6% and 1%, respectively. Interpretation: Travel medicine must adapt to serve the changing profile of travellers, with an increase in migrants and persons visiting relatives and friends and the strong emergence of vector-borne diseases, with potential for further local transmission in Europe. (C) 2020 The Author(s). Published by Elsevier Ltd.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enEurotravnet
dc.subject.enGeosentinel
dc.subject.enInfectious diseases
dc.subject.enSentinel surveillance
dc.subject.entravel
dc.title.enTravel-related infections presenting in Europe: A 20-year analysis of EuroTravNet surveillance data
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.lanepe.2020.100001en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
bordeaux.journalThe Lancet Regional Health - Europeen_US
bordeaux.page100001en_US
bordeaux.volume1en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamIDLICen_US
bordeaux.teamHEALTHY_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDCenters for Disease Control and Preventionen_US
bordeaux.identifier.funderIDPublic Health Agency of Canadaen_US
hal.exportfalse
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=The%20Lancet%20Regional%20Health%20-%20Europe&rft.date=2021-02&rft.volume=1&rft.spage=100001&rft.epage=100001&rft.eissn=2666-7762&rft.issn=2666-7762&rft.au=GROBUSCH,%20Martin%20P.&WELD,%20Leisa&GOORHUIS,%20Abraham&HAMER,%20Davidson%20H.&SCHUNK,%20Mirjam&rft.genre=article


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