1921
Volume 94, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract

The aim of this study was to assess the spectrum of imported infectious diseases (IDs) among patients consulting the University of Munich, Germany, between 1999 and 2014 after being in the sub-/tropics. The analysis investigated complete data sets of 16,817 diseased German travelers (2,318 business travelers, 4,029 all-inclusive travelers, and 10,470 backpackers) returning from Latin America (3,225), Africa (4,865), or Asia (8,727), and 977 diseased immigrants, originating from the same regions (112, 654 and 211 respectively). The most frequent symptoms assessed were diarrhea (38%), fever (29%), and skin disorder (22%). The most frequent IDs detected were intestinal infections with species of (900), (730), (556), (209), and (183). Also frequently observed were cutaneous larva migrans (379), dengue (257), and malaria (160). The number of IDs with significantly elevated proportions was higher among backpackers (18) and immigrants (17), especially among those from Africa (18) and Asia (17), whereas it was lower for business travelers (5), all-inclusive travelers (1), and those from Latin America (5). This study demonstrates a large spectrum of imported IDs among returning German travelers and immigrants, which varies greatly based not only on travel destination and origin of immigrants, but also on type of travel.

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2016-04-06
2017-11-25
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References

  1. United Nations World Tourism Organization (UNWTO), 2015. UNWTO Tourism Highlights, 2015. Available at: http://www.e-unwto.org/doi/pdf/10.18111/9789284416899.
  2. Statistisches Bundesamt, (Federal Statistical Office) of Germany, 2015. Available at: https://www.destatis.de/DE/PresseService/Presse/Pressemitteilungen/2015/02/PD15_056_464.html.
  3. International Organization for Migration (IOM), 2014. Global Migration Trends: An Overview. Available at: http://missingmigrants.iom.int/sites/default/files/documents/Global_Migration_Trends_PDF_FinalVH_with_References.pdf.
  4. UNHCR, 2015. Global Trends, Forced Displacement in 2014. Available at: http://unhcr.org/556725e69.html.
  5. Apostolopoulos Y, Sönmez S, , 2007. Population Mobility and Infectious Diseases. New York, NY: Springer.[Crossref]
  6. Freedman DO, Weld LH, Kozarsky PE, Fisk T, Robins R, von Sonnenburg F, Keystone JS, Pandey P, Cetron MS, GeoSentinel Surveillance Network, , 2006. Spectrum of disease and relation to place of exposure among ill returned travelers. N Engl J Med 354: 119130.[Crossref]
  7. Grobusch MP, Calleri G, Bogner JR, , 2012. Infections are a global issue: infection addresses global issues. Infection 40: 599600.[Crossref]
  8. Goorhuis A, van Thiel PP, Middeldorp S, van Eck BL, Grobusch MP, , 2013. The tropics and the crime they did not commit. Infection 41: 275277.[Crossref]
  9. Leder K, Tong S, Weld L, Kain KC, Wilder-Smith A, von Sonnenburg F, Black J, Brown GV, Torresi J, GeoSentinel Surveillance Network, , 2006. Illness in travelers visiting friends and relatives: a review of the GeoSentinel Surveillance Network. Clin Infect Dis 43: 11851193.[Crossref]
  10. McCarthy AE, Weld LH, Barnett ED, So H, Coyle C, Greenaway C, Stauffer W, Leder K, Lopez-Velez R, Gautret P, Castelli F, Jenks N, Walker PF, Loutan L, Cetron M, GeoSentinel Surveillance Network, , 2013. Spectrum of illness in international migrants seen at GeoSentinel clinics in 1997–2009, part 2: migrants resettled internationally and evaluated for specific health concerns. Clin Infect Dis 56: 925933.[Crossref]
  11. Gautret P, Schlagenhauf P, Gaudart J, Castelli F, Brouqui P, von Sonnenburg F, Loutan L, Parola P, GeoSentinel Surveillance Network, , 2009. Multicenter EuroTravNet/GeoSentinel study of travel-related infectious diseases in Europe. Emerg Infect Dis 15: 17831790.[Crossref]
  12. Jensenius M, Han PV, Schlagenhauf P, Schwartz E, Parola P, Castelli F, von Sonnenburg F, Loutan L, Leder K, Freedman DO, GeoSentinel Surveillance Network, , 2013. Acute and potentially life-threatening tropical diseases in western travelers: a GeoSentinel multicenter study, 1996–2011. Am J Trop Med Hyg 88: 397404.[Crossref]
  13. Leder K, Torresi J, Brownstein JS, Wilson ME, Keystone JS, Barnett E, Schwartz E, Schlagenhauf P, Wilder-Smith A, Castelli F, von Sonnenburg F, Freedman DO, Cheng AC, GeoSentinel Surveillance Network, , 2013. Travel-associated illness trends and clusters, 2000–2010. Emerg Infect Dis 19: 10491073.[Crossref]
  14. Leder K, Torresi J, Libman MD, Cramer JP, Castelli F, Schlagenhauf P, Wilder-Smith A, Wilson ME, Keystone JS, Schwartz E, Barnett ED, von Sonnenburg F, Brownstein JS, Cheng AC, Sotir MJ, Esposito DH, Freedman DO, GeoSentinel Surveillance Network, , 2013. GeoSentinel surveillance of illness in returned travelers, 2007–2011. Ann Intern Med 158: 456468.[Crossref]
  15. Gautret P, Cramer JP, Field V, Caumes E, Jensenius M, Gkrania-Klotsas E, de Vries PJ, Grobusch MP, Lopez-Velez R, Castelli F, Schlagenhauf P, Hervius Askling H, von Sonnenburg F, Lalloo DG, Loutan L, Rapp C, Basto F, Santos O'Connor F, Weld L, Parola P, EuroTravNet Network, , 2012. Infectious diseases among travellers and migrants in Europe, EuroTravNet 2010. Euro Surveill 17: 20205.
  16. Warne B, Weld LH, Cramer JP, Field VK, Grobusch MP, Caumes E, Jensenius M, Gautret P, Schlagenhauf P, Castelli F, Lalloo DG, Ursing J, Chappuis F, von Sonnenburg F, López-Vélez R, Rapp C, Smith KC, Parola P, Gkrania-Klotsas E, EuroTravNet Network, , 2014. Travel-related infection in European travelers, EuroTravNet 2011. J Travel Med 21: 248254.[Crossref]
  17. Schlagenhauf P, Weld L, Goorhuis A, Gautret P, Weber R, von Sonnenburg F, Lopez-Vélez R, Jensenius M, Cramer JP, Field VK, Odolini S, Gkrania-Klotsas E, Chappuis F, Malvy D, van Genderen PJ, Mockenhaupt F, Jauréguiberry S, Smith C, Beeching NJ, Ursing J, Rapp C, Parola P, Grobusch MP, EuroTravNet Network, , 2015. Travel-associated infection presenting in Europe (2008–12): an analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation. Lancet Infect Dis 15: 5564.[Crossref]
  18. Caumes E, Legros F, Duhot D, Cohen JM, Arnould P, Mosnier A, , 2008. Health problems in returning travelers consulting general practitioners. J Travel Med 15: 457459.[Crossref]
  19. Field V, Gautret P, Schlagenhauf P, Burchard GD, Caumes E, Jensenius M, Castelli F, Gkrania-Klotsas E, Weld L, Lopez-Velez R, de Vries P, von Sonnenburg F, Loutan L, Parola P, EuroTravNet Network, , 2010. Travel and migration associated infectious diseases morbidity in Europe, 2008. BMC Infect Dis 10: 330.[Crossref]
  20. Patel S, Sethi A, , 2009. Imported tropical diseases. Dermatol Ther 22: 538549.[Crossref]
  21. Fenner L, Weber R, Steffen R, Schlagenhauf P, , 2007. Imported infectious disease and purpose of travel, Switzerland. Emerg Infect Dis 13: 217222.[Crossref]
  22. Paschke C, Apelt N, Fleischmann E, Perona P, Walentiny C, Löscher T, Herbinger KH, , 2011. Controlled study on enteropathogens in travelers returning from the tropics with and without diarrhea. Clin Microbiol Infect 17: 11941200.[Crossref]
  23. Herbinger KH, Fleischmann E, Weber C, Perona P, Loescher T, Bretzel G, , 2011. Epidemiological, clinical, and diagnostic data on intestinal infections with Entamoeba histolytica and Entamoeba dispar among returning travelers. Infection 39: 527535.[Crossref]
  24. Herbinger KH, Siess C, Nothdurft HD, von Sonnenburg F, Loescher T, , 2011. Skin disorders among travelers returning from tropical and non-tropical countries consulting a travel medicine clinic. Trop Med Int Health 16: 14571464.[Crossref]
  25. Herbinger KH, Schunk M, Nothdurft HD, von Sonnenburg F, Löscher T, Bretzel G, , 2012. Comparative study on infection-induced thrombocytopenia among returned travelers. Infection 40: 373379.[Crossref]
  26. Herbinger KH, Drerup L, Alberer M, Nothdurft HD, von Sonnenburg F, Löscher T, , 2012. Spectrum of imported infectious diseases among children and adolescents returning from the tropics and subtropics. J Travel Med 19: 150157.[Crossref]
  27. Herbinger KH, Metzner M, Beissner M, Bretzel G, Nothdurft HD, von Sonnenburg F, Löscher T, , 2013. Infection-induced anaemia: a cross-sectional study of 14,636 German travelers aged 20–49 years. Infection 41: 10791087.[Crossref]
  28. Pan American Health Organization, 2013. Epidemiological Alert. Chikungunya Fever. Available at: http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=23806+&Itemid=999999&lang=en. Accessed January 6, 2014.
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  • Received : 08 Oct 2015
  • Accepted : 01 Jan 2016

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