Search: onr:"swepub:oai:DiVA.org:umu-53187" > Patterns of illness...
Fältnamn | Indikatorer | Metadata |
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000 | 04172naa a2200433 4500 | |
001 | oai:DiVA.org:umu-53187 | |
003 | SwePub | |
008 | 120315s2011 | |||||||||||000 ||eng| | |
024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-531872 URI |
024 | 7 | a https://doi.org/10.1093/cid/cir4682 DOI |
040 | a (SwePub)umu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a art2 swepub-publicationtype |
100 | 1 | a Flores-Figueroa, Jose4 aut |
245 | 1 0 | a Patterns of illness in travelers visiting Mexico and Central America :b the GeoSentinel experience. |
264 | c 2011-08-10 | |
264 | 1 | b Oxford University Press,c 2011 |
338 | a print2 rdacarrier | |
520 | a BACKGROUND: Mexico and Central America are important travel destinations for North American and European travelers. There is limited information on regional differences in travel related morbidity. METHODS: We describe the morbidity among 4779 ill travelers returned from Mexico and Central America who were evaluated at GeoSentinel network clinics during December 1996 to February 2010. RESULTS: The most frequent presenting syndromes included acute and chronic diarrhea, dermatologic diseases, febrile systemic illness, and respiratory disease. A higher proportion of ill travelers from the United States had acute diarrhea, compared with their Canadian and European counterparts (odds ratio, 1.9; P < .0001). During the 2009 H1N1 influenza outbreak from March 2009 through February 2010, the proportionate morbidity (PM) associated with respiratory illnesses in ill travelers increased among those returned from Mexico, compared with prior years (196.0 cases per 1000 ill returned travelers vs 53.7 cases per 1000 ill returned travelers; P < .0001); the PM remained constant in the rest of Central America (57.3 cases per 1000 ill returned travelers). We identified 50 travelers returned from Mexico and Central America who developed influenza, including infection due to 2009 H1N1 strains and influenza-like illness. The overall risk of malaria was low; only 4 cases of malaria were acquired in Mexico (PM, 2.2 cases per 1000 ill returned travelers) in 13 years, compared with 18 from Honduras (PM, 79.6 cases per 1000 ill returned travelers) and 14 from Guatemala (PM, 34.4 cases per 1000 ill returned travelers) during the same period. Plasmodium vivax malaria was the most frequent malaria diagnosis. CONCLUSIONS: Travel medicine practitioners advising and treating travelers visiting these regions should dedicate special attention to vaccine-preventable illnesses and should consider the uncommon occurrence of acute hepatitis A, leptospirosis, neurocysticercosis, acute Chagas disease, onchocerciasis, mucocutaneous leishmaniasis, neurocysticercosis, HIV, malaria, and brucellosis. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng |
700 | 1 | a Okhuysen, Pablo C4 aut |
700 | 1 | a von Sonnenburg, Frank4 aut |
700 | 1 | a DuPont, Herbert L4 aut |
700 | 1 | a Libman, Michael D4 aut |
700 | 1 | a Keystone, Jay S4 aut |
700 | 1 | a Hale, Devon C4 aut |
700 | 1 | a Burchard, Gerd4 aut |
700 | 1 | a Han, Pauline V4 aut |
700 | 1 | a Wilder-Smith, Anneliesu Institute of Public Health, University of Heidelberg, Germany4 aut0 (Swepub:umu)anwi0099 |
700 | 1 | a Freedman, David O4 aut |
710 | 2 | a Institute of Public Health, University of Heidelberg, Germany4 org |
773 | 0 | t Clinical infectious diseases : an official publication of the Infectious Diseases Society of Americad : Oxford University Pressg 53:6, s. 523-531q 53:6<523-531x 1537-6591 |
773 | 0 | t Clinical Infectious Diseasesd : Oxford University Pressg 53:6, s. 523-531q 53:6<523-531x 1058-4838 |
856 | 4 | u https://academic.oup.com/cid/article-pdf/53/6/523/1022685/cir468.pdf |
856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-53187 |
856 | 4 8 | u https://doi.org/10.1093/cid/cir468 |
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