Causes of death among international travellers in Peru, 2017 to 2021.

Autor:	Allel K; Department of Disease Control, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.; Institute for Global Health, University College London, London WC1E 6BT, UK.; UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane 4029, Australia., Cabada MM; Division of Infectious Diseases, University of Texas Medical Branch, Galveston, TX 77555, USA.; Cusco Branch - Alexander von Humboldt Tropical Medicine Institute, Universidad Peruana Cayetano Heredia, Cusco, Peru., Lau C; UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane 4029, Australia., Mills D; Dr Deb The Travel Doctor, Travel Medicine Alliance, Brisbane 4000, Australia., Franklin RC; College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville 4811, Australia., Zhu Y; UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane 4029, Australia.; Zhuhai International Travel Healthcare Center of China Customs, Zhuhai 519020, China., Furuya-Kanamori L; UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane 4029, Australia.
Jazyk:	angličtina
Zdroj:	Journal of travel medicine [J Travel Med] 2024 Jan 28; Vol. 31 (1).
DOI:	10.1093/jtm/taad163
Abstrakt:	Background: The wellbeing and safety of international tourists is a paramount concern for governments and stakeholders. Mortality among travellers and the causes of death serve as a significant metric of destination safety. We describe the epidemiology and causes of death among international travellers in Peru. Methods: Data retrieved from the Peruvian government's deaths certificates registry included all non-residents who died between January 2017 and December 2021. We analysed the national incidence and causes of death among international travellers in Peru. Causes of death were classified into non-communicable diseases (NCD), communicable diseases and injuries. We classified fatalities according to the existence of preventive measures that could be provided during the travel medicine consultation to decrease the risk. Results: We obtained records from 1514 deaths among international travellers (973 males, 64%). The incidence increased from 0.2 deaths per 10 000 travellers in 2017 to 9.9 in 2021. NCDs were the most common causes of death (n = 560, 37%), followed by communicable diseases (n = 487, 32%), and injuries (n = 321, 21%). Causes of death were unknown in 9.7% of the records. The leading causes of death in these categories were cancer, cardiovascular disease, COVID-19 and trauma. We found similar sex distribution of NCDs in travellers aged >50 years and higher rates of communicable diseases among males across all ages. Injury-associated deaths were significantly higher among males aged 18-29 years (P < 0.001) compared with other sex-age groups. We estimated that for 57.7% of deaths risk could have been decreased through pre-travel advice. Conclusion: Rates of deaths among travellers to Peru increased over time. Most deaths were due to NCDs, followed by communicable diseases and injuries. Pre-travel medical optimization and effective advice focused on age-sex and destination specific risks could reduce risk among travellers. Increased awareness among travel medicine practitioners and improvement of emergency medical response systems in Peru could decrease mortality. (© International Society of Travel Medicine 2023. Published by Oxford University Press.)
Databáze:	MEDLINE
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