{"title":"Characteristics and morbidity patterns of last-minute travelers in Thailand","authors":"Natapon Jongsoowiwatwong , Gerard T. Flaherty , Phimphan Pisutsan , Wasin Matsee , Teera Kusolsuk , Udomsak Silachamroon , Watcharapong Piyaphanee","doi":"10.1016/j.tmaid.2024.102780","DOIUrl":"10.1016/j.tmaid.2024.102780","url":null,"abstract":"<div><h3>Background</h3><div>Last-minute travelers (LMTs) present significant challenges for travel health services and are considered vulnerable due to their lack of health preparation. However, there is a lack of data to support this assumption.</div></div><div><h3>Methods</h3><div>The proportion of LMTs was investigated through a cross-sectional study involving all Thai travelers who visited the Thai Travel Clinic before their departure abroad. A prospective study was conducted by enrolling the travelers after the consultation, utilizing two online questionnaires. The first aimed to gather demographic data and categorize participants as either LMTs (if their departure date was ≤14 days) or non-LMTs, while the second assessed travel-related illnesses either upon their return or at the one-month point if their trip exceeded a month.</div></div><div><h3>Results</h3><div>A quarter (25.5 %) of 310 Thai travelers abroad were classified as LMTs. Both LMTs and non-LMTs showed similar gender distributions with mean ages of 35.8 and 35.7 years old, respectively, but LMTs were more likely to travel for tourism, travel in groups, visit countries within Asia and plan shorter stays abroad. Follow-up studies were conducted from July 2023 to February 2024. 452 departed respondents consisted of 150 LMTs and 302 non-LMTs. Although overall health problems were insignificantly higher in LMTs (32.0 % vs 22.0 %, AOR = 1.469<em>, p</em> = 0.107), gastrointestinal and neurological symptoms (primarily headache and dizziness) were significantly more common among LMTs.</div></div><div><h3>Conclusions</h3><div>LMTs represent a significant portion of Thai travelers, posing challenges for travel health specialists in Thailand. Intervention and education efforts may be necessary to address this issue.</div></div>","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102780"},"PeriodicalIF":6.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Unmasking hidden risks: A case of primaquine-induced intravascular hemolysis in G-6-PD deficient malaria patient","authors":"Tanatorn Soravipukuntorn, Pathomthep Leowattana, Katawut Panyatanakun, Rachata Charoenwisedsil, Borimas Hanboonkunupakarn, Srivicha Krudsood, Wasin Matsee","doi":"10.1016/j.tmaid.2024.102777","DOIUrl":"10.1016/j.tmaid.2024.102777","url":null,"abstract":"","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102777"},"PeriodicalIF":6.3,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Shoichi Shimizu, Yuta Asahara, Yasuyuki Morishima, Tomohiro Ishimaru, Yoshio Osada
{"title":"Concurrent strongyloidiasis and necatoriasis in a Cambodian technical intern trainee in Japan that committed suicide: Diagnosis prompted by Taenia saginata proglottids in watery diarrhea","authors":"Shoichi Shimizu, Yuta Asahara, Yasuyuki Morishima, Tomohiro Ishimaru, Yoshio Osada","doi":"10.1016/j.tmaid.2024.102778","DOIUrl":"10.1016/j.tmaid.2024.102778","url":null,"abstract":"","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102778"},"PeriodicalIF":6.3,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Epidemiologic trends and clinical outcomes of imported malaria in a tertiary care hospital, Bangkok, Thailand: A retrospective analysis (2013–2022)","authors":"Panita Looareesuwan , Rachata Charoenwisedsil , Punyisa Asawapaithulsert , Phimphan Pisutsan , Viravarn Luvira , Watcharapong Piyaphanee , Wasin Matsee","doi":"10.1016/j.tmaid.2024.102775","DOIUrl":"10.1016/j.tmaid.2024.102775","url":null,"abstract":"<div><h3>Background</h3><div>Despite a significant declined in malaria incidence in Thailand, the rising global travel has resulted in an increase of imported malaria cases, posing a threat to the goal of malaria elimination. This study aims to understand the epidemiological trends and clinical outcomes of imported malaria cases in Thailand.</div></div><div><h3>Methods</h3><div>Medical records of all imported malaria cases admitted from 1<sup>st</sup> January 2013 to 31<sup>st</sup> December 2022 at the Hospital for Tropical Diseases, Thailand, were retrospectively examined. Demographic data, travel details, severity of illness, and clinical outcomes were described. Logistic regression was performed to identify factors associated with severe disease outcomes.</div></div><div><h3>Results</h3><div>In total, 335 cases of imported malaria were identified, with 33 % classified as transnational malaria and 67 % as border malaria. Transnational malaria cases (79 % <em>P. falciparum)</em> were mostly acquired from Sub-Saharan Africa for business or visiting friends and relatives (VFRs). Border malaria cases (81 % <em>P. vivax</em>) involved unskilled labourers and were acquired from land-border countries. The proportion of imported malaria in business travelers increased from 13 % to 50 % over the ten years. Risk factors for severe imported malaria included male gender, age 40 and older, infection with <em>P. falciparum</em>, and acquired malaria from Africa.</div></div><div><h3>Conclusions</h3><div>Understanding unique demographic and socioeconomic characteristics in both border and transnational cases is crucial for effective malaria prevention. The increasing imported malaria among business travelers highlight the need for targeted prevention in this high-risk group.</div></div>","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102775"},"PeriodicalIF":6.3,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fan Xu , Xu Li , Yi Hu , Xiaoya Liu, Guangwen Liu, Qiri Mu, Yu Zhang
{"title":"Emergence of cutaneous anthrax in a case with non-stock farming professional woman: The need for heightened surveillance and public health readiness","authors":"Fan Xu , Xu Li , Yi Hu , Xiaoya Liu, Guangwen Liu, Qiri Mu, Yu Zhang","doi":"10.1016/j.tmaid.2024.102779","DOIUrl":"10.1016/j.tmaid.2024.102779","url":null,"abstract":"","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102779"},"PeriodicalIF":6.3,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edmilson F. de Oliveira-Filho , Ruth A. Martínez-Vega , Andres Moreira-Soto , Carl Beuchel , Ivette K. Freyle-Román , Eliana Mora-Guevara , Bladimiro Rincón-Orozco , Jan Felix Drexler
{"title":"Post-migration infection with SARS-CoV-2 in Venezuelan migrants: A laboratory-based epidemiological observational study","authors":"Edmilson F. de Oliveira-Filho , Ruth A. Martínez-Vega , Andres Moreira-Soto , Carl Beuchel , Ivette K. Freyle-Román , Eliana Mora-Guevara , Bladimiro Rincón-Orozco , Jan Felix Drexler","doi":"10.1016/j.tmaid.2024.102772","DOIUrl":"10.1016/j.tmaid.2024.102772","url":null,"abstract":"<div><h3>Background</h3><div>Since 2015, over 6 million Venezuelans migrated to Colombia and neighboring countries. While most people adhered to lockdown measures, migrants kept moving during the COVID-19 pandemic.</div></div><div><h3>Method</h3><div>To investigate the extent of migration-associated SARS-CoV-2 infections, we interviewed 1209 adult Venezuelan migrants upon arrival to Bucaramanga, Colombia, 200 km from the Colombian-Venezuelan border along the main migration route during April–September 2021, collected individual-level socio-economic and clinical data, sampled blood and saliva, and assessed SARS-CoV-2 infection by serological, molecular and phylogenetic tools.</div></div><div><h3>Results</h3><div>SARS-CoV-2 RT-PCR positivity was 1.9 % (95 % Confidence Interval (CI), 1.2–2.9) without varying significantly over the study period (chi-square, p = 0.922) and significantly associated with stay in Colombia >14 days (p = 0.018; prevalence ratio 3.3, 95 % CI, 1.2–8.7). Pre-existing SARS-CoV-2-specific antibodies were neither significantly associated with preventing infection (Chi-square, p = 0.188), nor symptom development (Fisher, p = 0.246). Predominance and time of detection of SARS-CoV-2 Mu and Gamma variants in migrants in comparison to available genomic data suggested infection predominantly in Colombia. SARS-CoV-2 IgG-based seroprevalence was 34.2 % (95 % CI, 31.5–36.9). Detection of SARS-CoV-2-specific antibodies was significantly associated with previous contact with infected individuals (p = 0.002).</div></div><div><h3>Conclusions</h3><div>SARS-CoV-2 infection occurred predominantly after immigration, potentially facilitated by densely populated border camps. Improved infrastructure and health care will prevent migration-associated spread of COVID-19 and other infectious diseases.</div></div>","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102772"},"PeriodicalIF":6.3,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Edgar A. Ramírez García , Maria José Valentina Canchanya-Olimar , Mariana Rojas del Águila , Nelson Iván Agudelo Higuita , Andrés F. Henao-Martínez , Carlos Franco-Paredes , Luis A. Marcos , Juan C. Celis Salinas , Martín Casapia Morales
{"title":"Hemorrhagic erucism due to Lonomia spp. in Peru – A call for action","authors":"Edgar A. Ramírez García , Maria José Valentina Canchanya-Olimar , Mariana Rojas del Águila , Nelson Iván Agudelo Higuita , Andrés F. Henao-Martínez , Carlos Franco-Paredes , Luis A. Marcos , Juan C. Celis Salinas , Martín Casapia Morales","doi":"10.1016/j.tmaid.2024.102774","DOIUrl":"10.1016/j.tmaid.2024.102774","url":null,"abstract":"<div><div>Envenomation due to exposure to caterpillars is an emerging public health problem. A life-threatening bleeding diathesis has been described in South America after exposure to <em>Lonomia obliqua</em> or <em>L. acheolus</em>. Deforestation, forest degradation, and global warming might increase the frequency of human exposure to these insects. Prompt recognition and administration of antivenom are crucial to ensure a favorable outcome.</div></div>","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102774"},"PeriodicalIF":6.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rising threat of Oropouche virus transmission from mother to child: An urgent call for action","authors":"Ashutosh Pareek, Runjhun Singhal, Aaushi Pareek, Anil Chuturgoon, Vasso Apostolopoulos","doi":"10.1016/j.tmaid.2024.102776","DOIUrl":"10.1016/j.tmaid.2024.102776","url":null,"abstract":"","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102776"},"PeriodicalIF":6.3,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Miguel Ángel Loyola-Cruz , Emilio Mariano Durán-Manuel , Clemente Cruz-Cruz , Juan Carlos Bravata-Alcántara , Victor Hugo Gutierrez-Muñoz , Laura Margarita Márquez-Valdelamar , Beatriz Leal-Escobar , Enzo Vásquez-Jiménez , Mónica Alethia Cureño-Díaz , Gustavo Esteban Lugo-Zamudio , Claudia Camelia Calzada-Mendoza , Gamaliel López-Leal , Graciela Castro-Escarpulli , Araceli Rojas-Bernabé , Verónica Fernández-Sánchez , Estibeyesbo Said Plascencia-Nieto , Nayeli Goreti Nieto-Velázquez , Juan Manuel Bello-López
{"title":"Imported malaria cases by Plasmodium falciparum and Plasmodium vivax in Mexican territory: Potential impact of the migration crisis","authors":"Miguel Ángel Loyola-Cruz , Emilio Mariano Durán-Manuel , Clemente Cruz-Cruz , Juan Carlos Bravata-Alcántara , Victor Hugo Gutierrez-Muñoz , Laura Margarita Márquez-Valdelamar , Beatriz Leal-Escobar , Enzo Vásquez-Jiménez , Mónica Alethia Cureño-Díaz , Gustavo Esteban Lugo-Zamudio , Claudia Camelia Calzada-Mendoza , Gamaliel López-Leal , Graciela Castro-Escarpulli , Araceli Rojas-Bernabé , Verónica Fernández-Sánchez , Estibeyesbo Said Plascencia-Nieto , Nayeli Goreti Nieto-Velázquez , Juan Manuel Bello-López","doi":"10.1016/j.tmaid.2024.102773","DOIUrl":"10.1016/j.tmaid.2024.102773","url":null,"abstract":"<div><h3>Background</h3><div>As the migratory flow to the USA has intensified in recent months, health problems associated have been identified. The aim of this work was the identification of malaria cases imported into Mexican territory.</div></div><div><h3>Methods</h3><div>Operational definitions of suspected and confirmed cases were used for investigation of malaria cases. Detection of parasitic entities by thick blood smear and molecular biology served as a confirmatory test. With the characteristics of the cases, a heat map was made to determine common clinical pictures. Finally, epidemiological analysis of cases was performed for the construction of timelines of imported malaria and the tracing of migratory routes.</div></div><div><h3>Results</h3><div>Twelve migrants from four countries were treated for presenting clinical symptoms with suspected dengue or malaria. Malaria was confirmed and two <em>Plasmodium</em> species were identified. From the epidemiological dates of arrival in Mexico, onset of symptoms and migratory routes, we speculate that ten cases acquired <em>P. vivax</em> during their crossing through Honduras, El Salvador or Guatemala. For the Guinea cases, we conclude that there was African importation of <em>P. falciparum.</em></div></div><div><h3>Conclusion</h3><div>The epidemiological panorama of malaria cases imported into Mexico show the need to join efforts to ensure universal access to health services, with the objective of timely detection of imported cases.</div></div>","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102773"},"PeriodicalIF":6.3,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Avinash Sharma, Alfonso J. Rodriguez-Morales, Shruti Srivastava, Ziad A. Memish, Alimuddin Zumla
{"title":"Public Health Challenges at the Upcoming Kumbh Mela 2025: Addressing the Mpox global public health emergency of international concern","authors":"Avinash Sharma, Alfonso J. Rodriguez-Morales, Shruti Srivastava, Ziad A. Memish, Alimuddin Zumla","doi":"10.1016/j.tmaid.2024.102771","DOIUrl":"10.1016/j.tmaid.2024.102771","url":null,"abstract":"","PeriodicalId":23312,"journal":{"name":"Travel Medicine and Infectious Disease","volume":"62 ","pages":"Article 102771"},"PeriodicalIF":6.3,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}