International mass gatherings and travel-associated illness: A GeoSentinel cross-sectional, observational study

Autor: Wayne Ghesquiere, Andrea K. Boggild, Giles Eperon, Alexandre Duvignaud, Noreen A. Hynes, Kevin C. Kain, Katherine Plewes, Michael Libman, Paul Kelly, Michael Beadsworth, Susan Anderson, Poh Lian Lim, Israel Molina, Lin H. Chen, Jonathan D. Alpern, Sarah Borwein, Carsten Schade Larsen, Emmanuel Bottieau, Emilie Javelle, Kunjana Mavunda, Hilmir Asgeirsson, Nicholas J. Beeching, Elizabeth D. Barnett, François Chappuis, Satoshi Katsuna, Sabine Jordan, Philippe Gautret, Susan Kuhn, Johnnie Yates, Mugen Ujiie, Christian Wejse, Denis Malvy, Mogens Jensenius, Eric Caumes, Joseph Torresi, Karin Leder, Bradley A. Connor, Rainer Weber, Patricia Schlagenhauf, Jesse J. Waggoner, Davidson H. Hamer, Henry M. Wu, Kristina M. Angelo, Thomas Weitzel, Dan Bourque, Perry J.J. van Genderen, Mauro Saio, Brian J. Ward, Marc Mendelson, Hedvig Glans, Cecilia Perret Pérez, Salim Parker, William M. Stauffer
Přispěvatelé: Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA), Institut Hospitalier Universitaire Méditerranée Infection (IHU Marseille), Division of Global Migration and Quarantine [Atlanta, GA, USA], Centers for Disease Control and Prevention (CDC), Université Paris Descartes - Paris 5 (UPD5), Laboratoire Traitement et Communication de l'Information (LTCI), Télécom ParisTech-Institut Mines-Télécom [Paris] (IMT)-Centre National de la Recherche Scientifique (CNRS), Centre for Tropical Diseases [Montréal] (TDC), McGill University = Université McGill [Montréal, Canada], Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées (IRBA), Institut Hospitalier Universitaire Méditerranée Infection (IHU AMU), McGill University, Medical Microbiology & Infectious Diseases
Jazyk: angličtina
Rok vydání: 2019
Předmět:
medicine.medical_specialty
Oylmpics
Pneumococcal disease
Pneumonia
Viral
030231 tropical medicine
Article
Betacoronavirus
03 medical and health sciences
0302 clinical medicine
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Mass gathering
Humans
Medicine
[SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology
030212 general & internal medicine
Pandemics
ComputingMilieux_MISCELLANEOUS
Travel
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
Surveillance
SARS-CoV-2
business.industry
Public Health
Environmental and Occupational Health
COVID-19
medicine.disease
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
3. Good health
Religious mass
Vaccination
Pneumonia
Cross-Sectional Studies
Infectious Diseases
Family medicine
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
Respiratory
Observational study
Hajj
Mass gatherings
Coronavirus Infections
business
Healthcare providers
Zdroj: Travel Medicine and Infectious Disease
Travel Medicine and Infectious Disease, 2019, 32, pp.101504. ⟨10.1016/j.tmaid.2019.101504⟩
Travel Medicine and Infectious Disease, Elsevier, 2019, 32, pp.101504. ⟨10.1016/j.tmaid.2019.101504⟩
Gautret, P, Angelo, K M, Asgeirsson, H, Duvignaud, A, van Genderen, P J J, Bottieau, E, Chen, L H, Parker, S, Connor, B A, Barnett, E D, Libman, M, Hamer, D H & GeoSentinel Network 2019, ' International mass gatherings and travel-associated illness : A GeoSentinel cross-sectional, observational study ', Travel Medicine and Infectious Disease, vol. 32, 101504 . https://doi.org/10.1016/j.tmaid.2019.101504
Tropical medicine and infectious disease, 32:101504. Elsevier Inc.
ISSN: 1477-8939
DOI: 10.1016/j.tmaid.2019.101504⟩
Popis: Background Travelers to international mass gatherings may be exposed to conditions which increase their risk of acquiring infectious diseases. Most existing data come from single clinical sites seeing returning travelers, or relate to single events. Methods Investigators evaluated ill travelers returning from a mass gathering, and presenting to a GeoSentinel site between August 2015 and April 2019, and collected data on the nature of the event and the relation between final diagnoses and the mass gathering. Results Of 296 ill travelers, 51% were female and the median age was 54 years (range: 1–88). Over 82% returned from a religious mass gathering, most frequently Umrah or Hajj. Only 3% returned from the Olympics in Brazil or South Korea. Other mass gatherings included other sporting events, cultural or entertainment events, and conferences. Respiratory diseases accounted for almost 80% of all diagnoses, with vaccine preventable illnesses such as influenza and pneumonia accounting for 26% and 20% of all diagnoses respectively. This was followed by gastrointestinal illnesses, accounting for 4.5%. Sixty-three percent of travelers reported having a pre-travel encounter with a healthcare provider. Conclusions Despite this surveillance being limited to patients presenting to GeoSentinel sites, our findings highlight the importance of respiratory diseases at mass gatherings, the need for pre-travel consultations before mass gatherings, and consideration of vaccination against influenza and pneumococcal disease.
Databáze: OpenAIRE
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