Eurosurveillance
Volume 17, Issue 26, 2012

Infectious diseases among travellers and migrants in Europe, Eurotravnet 2010 (Article)

Gautret P.* , Cramer J.P. , Field V. , Caumes E. , Jensenius M. , Gkrania-Klotsas E. , de Vries P.J. , Grobusch M.P. , Lopez-Velez R. , Castelli F. , Schlagenhauf P. , Hervius Askling H. , von Sonnenburg F. , G Lalloo D. , Loutan L. , Rapp C. , Basto F. , Santos O'Connor F. , Weld L. , Parola P.
  • a University Hospital Institute for Infectious and Tropical Diseases, Marseille, France
  • b University Medical Center Hamburg-Eppendorf, Department of Tropical Medicine and Infectious Diseases, Bernhard Nocht Clinic, Hamburg, Germany
  • c InterHealth and National Travel Health Network and Centre (NaTHNaC), London, United Kingdom
  • d Service des Maladies Infectieuses et Tropicales, Department of Infectious and Tropical Diseases, Hôpital Pitié-Salpétrière, Paris, France
  • e Department of Infectious Diseases, Oslo University Hospital, Oslo, Norway
  • f Department of Infectious Diseases, Addenbrooke's Hospital, Cambridge, United Kingdom
  • g Center for Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Academic Medical Center, Amsterdam, Netherlands
  • h Center for Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Academic Medical Center, Amsterdam, Netherlands
  • i Tropical Medicine and Clinical Parasitology, Infectious Diseases Department, Ramón y Cajal Hospital, Madrid, Spain
  • j University Division of Infectious and Tropical Diseases, University of Brescia, Brescia Spedali Civili General Hospital, Brescia, Italy
  • k Centre for Travel Medicine, University of Zürich, Zürich, Switzerland
  • l Department of Medicine/Solna, Unit for Infectious Diseases, Karolinska Institute, Stockholm, Sweden
  • m Department of Infectious Diseases and Tropical Medicine, Ludwig-Maximilian's University of Munich, Munich, Germany
  • n Liverpool School of Tropical Medicine, Liverpool, United Kingdom
  • o Division of International and Humanitarian Health, Geneva University Hospitals, Geneva, Switzerland
  • p Department of Infectious and Tropical Diseases, Bégin Military Hospital, Saint-Mandé, France
  • q Centro Hospitalar São João (Hospital Centre São João), International Health Unit, Porto, Portugal
  • r European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
  • s ISTM/Geosentinel Statistician Consultant, VIC, Canada
  • t University Hospital Institute for Infectious and Tropical Diseases, Marseille, France

Abstract

To investigate trends in travel-associated morbidity with particular emphasis on emerging infections with the potential for introduction into Europe, diagnoses of 7,408 returning travellers presenting to 16 EuroTravNet sites in 2010 were compared with 2008 and 2009. A significant increase in reported Plasmodium falciparum malaria (n=361 (6% of all travel-related morbidity) vs. n=254 (4%) and 260 (5%); p<0.001), P. vivax malaria (n=51 (1%) vs. n=31 (0.5%) and 38 (1%); p=0.027) and dengue fever (n=299 (5%) vs. n=127 (2%) and 127 (2%); p<0.001) was observed. Giardia lamblia was identified in 16% of patients with acute diarrhoea, with no significant annual variation. The proportion of acute diarrhoea due to Campylobacter increased from 7% in 2008 to 12% in 2010 (p=0.001). We recorded 121 patients with pulmonary tuberculosis in 2010, a three-fold increase in the proportionate morbidity from 2008 to 2010. In 2010, 60 (0.8%) cases of chronic Chagas disease, 151 (2%) cases of schistosomiasis and 112 (2%) cases of cutaneous larva migrans were reported. Illness patterns in sentinel travellers, captured by EuroTravnet, continue to highlight the potential role of travellers in the emergence of infectious diseases of public health concern in Europe and the relevance of offering medical travel advice and enforcing specific and adequate prophylaxis.

Author Keywords

[No Keywords available]

Index Keywords

parasitosis Respiratory Tract Infections Europe Population Surveillance human Communicable Diseases middle aged travel acute diarrhea Malaria morbidity Skin Diseases dengue Sentinel Surveillance Humans Dengue virus lung tuberculosis import disease male giardia lamblia female cutaneous larva migrans Campylobacter Chikungunya alphavirus diarrhea Article adult schistosomiasis malaria falciparum Plasmodium vivax malaria infection Chagas Disease Transients and Migrants emporiatrics mortality Gastrointestinal Diseases public health
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84863541664&partnerID=40&md5=a473ee534988dbaa88dcfcb58b7d3a37
ISSN: 1025496X
Cited by: 62
Original Language: English