Characteristics and Spectrum of Disease Among Ill Returned Travelers from Pre- and Post-Earthquake Haiti: The GeoSentinel Experience

Autor: Elaine C. Jong, Kevin C. Kain, Mark J. Sotir, Alice Pérignon, Anne E. McCarthy, Effrossyni Gkrania-Klotsas, Frank von Sonnenburg, Eli Schwartz, Shuzo Kanagawa, Bradley A. Connor, Cecilia Perret, Brian J. Ward, Olivier Aoun, David Roesel, William M. Stauffer, Rahul Anand, Antonio Crespo, Elizabeth D. Barnett, De Von Hale, Vanessa Field, François Chappuis, David O. Freedman, Eric Caumes, Douglas H. Esposito, Michael Libman, Michael W. Lynch, George McKinley, Marc Mendelson, Carlos Franco-Paredes, Pauline V. Han, John D. Cahill, Gerd D. Burchard, Peter J. de Vries, Kartini Gadroen, Christophe Rapp, Murray Wittner, N. Jean Haulman, Christina M. Coyle, Peter Vincent, Jay S. Keystone, Jessica K. Fairley, Patricia F. Walker, Susan MacDonald, Yasuyuki Kato, Carmelo Licitra, R. Bradley Sack, J. Dick Maclean, Stefanie S. Gelman, Noreen A. Hynes, Lin H. Chen, Robin McKenzie, Phyllis E. Kozarsky, Louis Loutan
Rok vydání: 2012
Předmět:
Zdroj: The American Journal of Tropical Medicine and Hygiene. 86:23-28
ISSN: 1476-1645
0002-9637
DOI: 10.4269/ajtmh.2012.11-0430
Popis: To describe patient characteristics and disease spectrum among foreign visitors to Haiti before and after the 2010 earthquake, we used GeoSentinel Global Surveillance Network data and compared 1 year post-earthquake versus 3 years pre-earthquake. Post-earthquake travelers were younger, predominantly from the United States, more frequently international assistance workers, and more often medically counseled before their trip than pre-earthquake travelers. Work-related stress and upper respiratory tract infections were more frequent post-earthquake; acute diarrhea, dengue, and Plasmodium falciparum malaria were important contributors of morbidity both pre- and post-earthquake. These data highlight the importance of providing destination- and disaster-specific pre-travel counseling and post-travel evaluation and medical management to persons traveling to or returning from a disaster location, and evaluations should include attention to the psychological wellbeing of these travelers. For travel to Haiti, focus should be on mosquito-borne illnesses (dengue and P. falciparum malaria) and travelers' diarrhea.
Databáze: OpenAIRE