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Zika among international travellers presenting to GeoSentinel sites, 2012-2019: implications for clinical practice

dc.rights.licenseopenen_US
dc.contributor.authorANGELO, K. M.
dc.contributor.authorSTONEY, R. J.
dc.contributor.authorBRUN-COTTAN, G.
dc.contributor.authorLEDER, K.
dc.contributor.authorGROBUSCH, M. P.
dc.contributor.authorHOCHBERG, N.
dc.contributor.authorKUHN, S.
dc.contributor.authorBOTTIEAU, E.
dc.contributor.authorSCHLAGENHAUF, P.
dc.contributor.authorCHEN, L.
dc.contributor.authorHYNES, N. A.
dc.contributor.authorPEREZ, C. P.
dc.contributor.authorMOCKENHAUPT, F. P.
dc.contributor.authorMOLINA, I.
dc.contributor.authorCRESPILLO-ANDUJAR, C.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorMALVY, Denis
dc.contributor.authorCAUMES, E.
dc.contributor.authorPLOURDE, P.
dc.contributor.authorSHAW, M.
dc.contributor.authorMCCARTHY, A. E.
dc.contributor.authorPIPER-JENKS, N.
dc.contributor.authorCONNOR, B. A.
dc.contributor.authorHAMER, D. H.
dc.contributor.authorWILDER-SMITH, A.
dc.date.accessioned2021-01-13T09:39:18Z
dc.date.available2021-01-13T09:39:18Z
dc.date.issued2020
dc.identifier.issn1708-8305 (Electronic) 1195-1982 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/23775
dc.description.abstractEnIntroduction: International travellers contribute to the rapid spread of Zika virus (ZIKV) and its sentinel identification globally. We describe ZIKV infections among international travellers seen at GeoSentinel sites with a focus on ZIKV acquired in the Americas and the Caribbean, describe countries of exposure and traveller characteristics, and assess ZIKV diagnostic testing by site. Methods: Records with an international travel-related diagnosis of confirmed or probable ZIKV from January 2012 through December 2019 reported to GeoSentinel with a recorded illness onset date were included to show reported cases over time. Records from March 2016 through December 2019 with an exposure region of the Americas or the Caribbean were included in the descriptive analysis. A survey was conducted to assess the availability, accessibility and utilization of ZIKV diagnostic tests at GeoSentinel sites. Results: GeoSentinel sites reported 525 ZIKV cases from 2012 through 2019. Between 2012 and 2014, eight cases were reported, and all were acquired in Asia or Oceania. After 2014, most cases were acquired in the Americas or the Caribbean, a large decline in ZIKV cases occurred in 2018–19. Between March 2016 and December 2019, 423 patients acquired ZIKV in the Americas or the Caribbean, peak reporting to these regions occurred in 2016 [330 cases (78%)]. The median age was 36 years (range: 3–92); 63% were female. The most frequent region of exposure was the Caribbean (60%). Thirteen travellers were pregnant during or after travel; one had a sexually acquired ZIKV infection. There was one case of fetal anomaly and two travellers with Guillain-Barré syndrome. GeoSentinel sites reported various challenges to diagnose ZIKV effectively. Conclusion: ZIKV should remain a consideration for travellers returning from areas with risk of ZIKV transmission. Travellers should discuss their travel plans with their healthcare providers to ensure ZIKV prevention measures are taken.
dc.language.isoENen_US
dc.subjectIDLIC
dc.title.enZika among international travellers presenting to GeoSentinel sites, 2012-2019: implications for clinical practice
dc.title.alternativeJ Travel Meden_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1093/jtm/taaa061en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed32330261en_US
bordeaux.journalJournal of Travel Medicineen_US
bordeaux.volume27en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue4en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamIDLICen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03167422
hal.version1
hal.date.transferred2021-03-12T08:39:33Z
hal.exporttrue
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