Health problems in travellers to Nepal visiting CIWEC clinic in Kathmandu — A GeoSentinel analysis
| Autor: | David R. Shlim, Keun Ho Lee, Holly Murphy, Kristina M. Angelo, Prativa Pandey, Bhawana Amatya |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty 030231 tropical medicine Typhoid fever Article Dengue fever 03 medical and health sciences Health problems 0302 clinical medicine Nepal medicine Humans 030212 general & internal medicine Altitude sickness Travel business.industry Public Health Environmental and Occupational Health Influenza a Environmental exposure Japanese encephalitis medicine.disease Malaria Infectious Diseases Family medicine Tropical medicine Female business Travel-Related Illness human activities Sentinel Surveillance |
| Zdroj: | Travel Med Infect Dis |
| Popis: | Background Nepal has always been a popular international travel destination. There is limited published data, however, on the spectrum of illnesses acquired by travellers to Nepal. Methods GeoSentinel is a global data collection network of travel and tropical medicine providers that monitors travel-related morbidity. Records for ill travellers with at least one confirmed or probable diagnosis, were extracted from the GeoSentinel database for the CIWEC Clinic Kathmandu site from January 1, 2009 to December 31, 2017. Results A total of 24,271 records were included. The median age was 30 years (range: 0–91); 54% were female. The top 3 system-based diagnoses in travellers were: gastrointestinal (32%), pulmonary (16%), and dermatologic (9%). Altitude illness comprised 9% of all diagnoses. There were 278 vaccine-preventable diseases, most frequently influenza A (41%) and typhoid fever (19%; S. typhi 52 and S. paratyphi 62). Of 64 vector-borne illnesses, dengue was the most frequent (64%), followed by imported malaria (14%). There was a single traveller with Japanese encephalitis. Six deaths were reported. Conclusions Travellers to Nepal face a wide spectrum of illnesses, particularly diarrhoea, respiratory disease, and altitude illness. Pre-travel consultations for travellers to Nepal should focus on prevention and treatment of diarrhoea and altitude illness, along with appropriate immunizations and travel advice. |
| Databáze: | OpenAIRE |
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