International Journal of Travel Medicine and Global Health最新文献

{"title":"The Necessity of Designing and Launching Electronic COVID-19 Vaccination Registry System in Iran","authors":"Seyed Saeidreza Mousavi-Roknabadi, Razieh Sadat Mousavi-roknabadi, Hosain Safaei-Firouzabadi, M. Sharifi","doi":"10.34172/ijtmgh.2022.16","DOIUrl":"https://doi.org/10.34172/ijtmgh.2022.16","url":null,"abstract":"Registry systems are a collection of documents containing uniform information of specific individuals that are collected in a systematic and comprehensive method to achieve predetermined and planed scientific, clinical, or political goals. These structured systems designed to collected data for a particular disease or situation, which can be used to assess the identified events in the target population.1 Moreover, these systems might be useful to evaluate the quality and costeffectiveness of health services and to formulate the necessary evidence for policy purposes.2,3 A registry system consists of two parts, the core and the supporting process, as shown in Figure 1.4 Registry systems can be designed in two forms: (1) traditional pen-and-paper, and (2) electronic methods. Penand-paper medical records was used for field survey data collection in the past decades. It costs a lot of money, but it was incomplete, fragmented, difficult to find or read, and needs lots of space for archives and data management is ineffective. Hence, electronic registration systems were presented to solve mentioned problems.5 With the onset of the COVID-19 pandemic and the heavy burden on public health and economies,6 the global scientific communities have been pushing for vaccine development to prevent this disease. With the development and prescription of various vaccines in different countries, several complications were reported. Although vaccine efficacy has been reported to be 65%-95%, the side effects of COVID-19 vaccine play a key role in public confidence in its acceptance; so that fear of complications is the most important reason for the reduction of vaccinations in various groups.7 The long-term side effects of these vaccines are not known exactly; however, few studies have examined short-term side effects, including injection site pain, limb pain, fever and chills, fatigue, headache, muscle and joint pain, as well as nausea and vomiting. Anaphylaxis is a rare and potentially life-threatening complication of the COVID-19 vaccine. Other rare complications include vascular problems for example venous thrombosis, and neurological complications such as Guillain-Barre and encephalopathy.7-9 So far, various electronic registry systems for immunization were designed and launched in Iran.10 Due to the ambiguities around the long-term COVID-19 vaccine side effects, and the ability to follow up the vaccine receivers, there is a necessity to design and lunch an electronic registry system by Ministry of Health and Medical Education of Iran. With following the vaccine receivers and recording their clinical and paraclinical findings and outcomes, as well as early diagnosis of vaccinations’ side effects, we can provide a better knowledge for physicians and health policy makers to improve better patient management and future planning. Also, it is recommended to link this electronic registry system to Iran Integrated Health Systems (SIB), Hospitals’ Picture Archiving and Com","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46344279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypertension and Diabetes Mellitus in Rural Haiti","authors":"Johis Ortega, Juan M. Gonzalez, Kenya Snowden, Amauri Quintana, K. Gattamorta","doi":"10.34172/ijtmgh.2021.28","DOIUrl":"https://doi.org/10.34172/ijtmgh.2021.28","url":null,"abstract":"Introduction: The problem of the prevailing occurrence of hypertension and diabetes cases quickly took the world by storm. Rural areas became even more exposed to the negative issues associated with these health conditions due to the lack of a skilled workforce and educational programs for patients. Within the framework of the current paper, the researcher utilized the data from two mission trips in Thomonde, Haiti, to gain more insight into chronic health issues among rural Haitian residents. Methods: This study employed a retrospective analytical cross-sectional retrospective, descriptive design utilizing data obtained from two mission trips in Thomonde, Haiti in the areas of Palmay, Savane Plate, and La Hoye. The information was analyzed with the help of the SPSS software. A total of 403 adult patient visits across the three sites and two visits were included in the analysis. Results: Gastroesophageal reflux disease (GERD) (25.8%) was the most common diagnosis found in the rural Haitian communes among adults in the total sample (N=403), followed by Hypertension (16.8%) and Dehydration (13.9%). Among women, significant differences were found by location for pregnancy. The greatest number of pregnancies were observed in La Hoye (19.0%). Conclusion: The core implication of these findings was the significance of disseminating knowledge across rural areas while conducting similar retrospective studies to check progress. Real-life application of relevant knowledge could be beneficial for both patients and care providers operating in rural locations that are the hardest to reach.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49477268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaccine Passport Use and Travel Health Status Among Turkish Travelers at an International Airport","authors":"Mustafa Kahraman, Irem Yuksel, E. Boz, H. Ozbek, Elif Mert, Aybike Reyhanli, Aslihan Sari, Enes Muhammed Canturk, Ebru Can, Ataberk Demirkol, M. Toraman, Nilüfer Yildirim, M. M. Oren, Sila Hidayet Bozdogan Polat, Osman Kan, Cemal Ayazoglu, Fulya Kahraman Aydogan, S. Ozturk, M. Karan","doi":"10.34172/ijtmgh.2021.27","DOIUrl":"https://doi.org/10.34172/ijtmgh.2021.27","url":null,"abstract":"Introduction: Even though Istanbul is one of the centers of the world’s fastest-growing tourism and travel sector, there are limited statistics on the knowledge, attitudes, and practices (KAP) of travelers from this region regarding travel-related infectious diseases. This study aimed to determine the passengers’ KAP about contagious diseases and contribute to developing new solutions for the problems people face while traveling abroad. Methods: A questionnaire was administered to 182 Turkish travelers planning on traveling abroad and applied to the Istanbul Travel Health Center and the Istanbul Airport Health Control Center between January and March 2019. Results: The proportion of carrying a vaccination certificate was statistically higher in those who received healthcare services at international terminals (P=0.002), especially those who had yellow fever (P<0.001) and meningococcal vaccine (P=0.011). More than half of the vaccinated passengers did not carry their vaccination certificates, while around half (53.8%) were traveling to Africa. When compared to travelers flying to Europe, vaccination checks were 6.7 times (95% CI: 2.5-17.9) higher in passengers traveling to Africa, 6.1 times (95% CI: 1.5-24.3) higher in passengers traveling to Asia, and 14.8 times (95% CI: 1.3-164.3) higher in passengers traveling to South America. In addition, the vaccination certificate carrying proportion was significantly higher in those with a travel duration of 15 days or more (P=0.028), those who received health services at international terminals (P=0.002), and those vaccinated (P<0.001). Conclusion: Improved knowledge of travel-related infectious diseases and increased adoption of pre-travel health advice and vaccines are urgently needed among Turkish travelers.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45716285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inequalities in Accessing Healthcare in the United States of America: A Major Contributor to the Increasing COVID-19 Morbidity and Mortality","authors":"O S Ilesanmi, A. Afolabi, Oluwafunbi Awoniyi","doi":"10.34172/IJTMGH.2021.29","DOIUrl":"https://doi.org/10.34172/IJTMGH.2021.29","url":null,"abstract":"Introduction: Many COVID-19 cases and deaths have been reported from the United States (US). This study aimed to assess the health system inequalities as a determinant of COVID-19 case morbidity and mortality in the US. Methods: This study collected data on US COVID-19 cases and deaths as of the 27th of January 2021 from the Worldometer and COVID-19 Community Vulnerability Index. The strength of association between the social vulnerability index (SVI), total COVID-19 deaths and tests, and regional population in the US were determined using Pearson’s correlation. P values<0.05 were statistically significant. Results: New York has the highest SVI (0.94) in the North-Eastern region and the highest percentage of non-Whites. California has the highest SVI (0.90) in the Western region and the highest proportion of Asians. In the mid-Western region of the US, Illinois has the highest SVI (0.88) and the highest proportion of African Americans and Asians. North Carolina has the highest SVI of (1.00) in the Southern region and the highest proportion of African Americans. A strong positive correlation exists between the SVI and total COVID-19 tests (P=0.001) in the North-eastern and Southern regions (P=0.025). In addition, a positive correlation (P<0.039) exists between SVI and the total population in the Western and mid-Western regions (P<0.003). Conclusion: Multi-sectoral collaboration should be encouraged to promote equity in accessing COVID-19 healthcare in the US, especially in States with high COVID-19 SVI.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45527171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High Economic Stress May Explain Worse-Than-Expected Health of Highly Educated Chinese Americans","authors":"S. Assari","doi":"10.34172/ijtmgh.2021.30","DOIUrl":"https://doi.org/10.34172/ijtmgh.2021.30","url":null,"abstract":"Introduction: Low stress is one of many plausible mechanisms that may explain the health effects of educational attainment. However, Marginalization-related Diminished Returns (MDRs) refer to the weaker health effects of educational attainment for marginalized, compared to privileged, groups. We are unaware of any previous studies that have compared Asian and non-Hispanic White Americans for the effects of educational attainment on perceived economic stress. The aim was to compare Chinese and non-Hispanic White Americans for the association between educational attainment and perceived economic stress in a national sample of American adults. This is important given stress is a risk factor for poor health. Methods: This study analyzed cross-sectional data of 20,793 adults who participated in the National Health Interview Survey (NHIS 2015). From all participants, 403 individuals were Chinese Americans, and 20,390 were non-Hispanic Whites. Perceived economic stress was the outcome of interest. Years of education (educational attainment) was the predictor variable of interest. Gender, age, region, marital status, sexual orientation (i.e., lesbian, gay, bisexual, and transgender (LGBT)), and immigration status were covariates. Race/ethnicity was the effect modifier. Results: Overall, higher educational attainment was associated with lower levels of perceived economic stress. A statistically significant interaction showed that the effect of educational attainment on reducing perceived economic stress is smaller for Chinese Americans than Non-Hispanic Whites. Conclusion: Educational attainment is not similarly protective against perceived economic stress across all social groups. Thus, perceived economic stress may explain why ethnic minorities and immigrants gain decreased benefits from their educational attainment than the mainstream and privileged social group.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45355341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Free Falling: Characteristics and Prevention of Injury and Death in Extreme Aerial Sports Tourists","authors":"Eoghan J Kennedy, J. Visser, G. Flaherty","doi":"10.34172/ijtmgh.2022.01","DOIUrl":"https://doi.org/10.34172/ijtmgh.2022.01","url":null,"abstract":"Extreme aerial sports are unique in terms of their high degree of lethality, life-changing injuries, and the lack of experience required by amateur participants. As society gradually re-emerges from the pandemic, we are likely to witness a renewed interest in outdoor adventure activities, including extreme aerial sports such as bungee jumping and skydiving. Sports physicians, general practitioners and travel medicine advisers should have a basic familiarity with the risks associated with bungee jumping and skydiving. Serious injury can occur during bungee jumping when the safety harness fails, the cord elasticity is miscalculated, or the cord is not properly connected to the platform. There is a predominance of ocular injuries, especially retinal haemorrhage. More severe non-fatal injuries include facet joint dislocation with quadriplegia, carotid artery dissection, and non-fatal hanging. The majority of adverse skydiving incidents occur during the landing phase and most injuries involve the lower extremities. When travelling as a skydiving tourist, individuals should carry documents explaining each aspect of the equipment and a note for security personnel. Tourists should check if their insurance covers skydiving. Future research should investigate the experiences of aerial sports tourists, in relation to the level of preparation and safety measures applied to their jumps.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46973511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment Camp and Patients in Arbaeen Pilgrimage in 2019","authors":"Faramarz Farahmand, Farimah Hayati, Razieh Sadat Mousavi-roknabadi, Hosain Safaei-Firouzabadi, Seyed Rouhollah Hosseini-Marvast, Leila Mohsenian","doi":"10.34172/ijtmgh.2022.05","DOIUrl":"https://doi.org/10.34172/ijtmgh.2022.05","url":null,"abstract":"Introduction: One of the largest religious gatherings in the world is the Arbaeen pilgrimage, which takes place on the 40th day after the anniversary of the martyrdom of Imam Hussein, the third Shiite Imam. This study was aimed to investigate how to set up the Sahib-al-Zaman treatment camp on the Arbaeen walking route in 2019 and the patients referring to it. Methods: This retrospective cross-sectional study was conducted on all patients referring to the Sahib-al-Zaman camp of Shiraz University of Medical Sciences, Shiraz, Iran in the Arbaeen Walking plan in 2019. In this study, how to set up camp was described. Patients’ data and drugs used by the medical team were collected, and then were analyzed. Results: Totally, 3477 patients were enrolled. The mean±SD of patients’ age was 33.77±16.19 (ranging from 1 to 96) years, and 2,183 patients (62.78%) were male. Most patients were Iranian (84.5%) and then Iraqi (13.66%), and only 1.84% were from other nationalities. Upper respiratory tract infection (60.2%), low back pain and muscle cramps (17.6%), and blister and need for dressing (12.3%) were the most common chief complaints in the patients. Adult cold pills, acetaminophen (325 mg), and cetirizine (10 mg) were the most commonly prescribed drugs for the patients. Conclusion: Although the data used in this study are not sufficient due to the lack of a pre-created data recording system, the results of this study showed that in addition to the importance and necessity of holding such ceremonies, health issues and facilities should also be considered.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41325833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Risks and Benefits of International Travel for Adult Patients With Asthma","authors":"Sinead M. Walsh, G. Flaherty","doi":"10.34172/ijtmgh.2021.25","DOIUrl":"https://doi.org/10.34172/ijtmgh.2021.25","url":null,"abstract":"Asthma is a very prevalent condition. A significant proportion of patients with asthma will engage in travel for work or leisure purposes. Patients may be fearful of travel, especially during the current COVID-19 global pandemic. However, there are health benefits to be obtained, including leaving an area of high air pollution and travelling to an area of lower air pollution, travelling to high altitude, the beneficial effects of a low trigger environment and the psychological benefits associated with travel. Travel can be associated with improved diet and increased vitamin D exposure. Caution should be taken with alcohol consumption as it may worsen asthma. Whilst bariatric surgery has been shown to improve asthma symptoms and control, there are dangers associated with bariatric surgery tourism that the traveller should be made aware of. Travellers with asthma may experience jet lag and a worsening in their symptoms. Caution is required around exogenous melatonin use. Optimal asthma control pre-travel is essential. The destination should be carefully considered, in terms of air pollution, altitude and possible environmental triggers. Pre-travel, written asthma management plans should be reviewed and updated if necessary. Patients should carry more asthma medications than they think is necessary, including oral corticosteroids and a pressurised metered dose inhaler via spacer. Travellers with asthma should have a self-management plan in the event of exacerbations occurring during travel.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43448999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Traveling and Celebrating During Songkran as Super Spreading Events: A Potential Triggering Factor of the Surge of COVID-19 Cases in Thailand","authors":"I. C. Rocha, Mary Grace A. Pelayo, Chaiyasom Sammatid","doi":"10.34172/ijtmgh.2021.33","DOIUrl":"https://doi.org/10.34172/ijtmgh.2021.33","url":null,"abstract":"Thailand, a predominantly Buddhist country in Southeast Asia, recently celebrated Songkran, a Buddhist new year festival, on April 12 to 15, 2021.1 Since the celebration is a fourday holiday that ends on a Thursday, many Thais extended their celebration until the weekend, making it a week-long holiday. As a result, many people from Bangkok, the country’s capital, went home to their respective provinces or visited tourist hotspots to spend their week-long vacation despite the slight surge of coronavirus disease 2019 (COVID-19) cases in the country. The complacency of several Thais became apparent as the country had successfully controlled the outbreak in the past months. Before the COVID-19 pandemic, Songkran was celebrated every April 13, typically marked by the traditional splashing of water in the sweltering summer heat and commemorated by visiting temples to pay respect to the monks and getting together with family and friends.1 However, the annual Songkran celebrations in 2020 and 2021 were completely different from the usual and accustomed holiday activities. In 2020, the government completely canceled the Songkran festival due to the COVID-19 outbreak. Strict preventive measures were implemented during that time, and the public willingly followed due to fear of catching the contagious disease.1 Due to the cancellation and successful implementation of strict public health protocols, the Songkran in 2020 did not cause any problem in the country’s COVID-19 situation.2 In 2021, however, the government did not cancel Songkran but rather imposed banning water-splashing, powdersmearing, and foam parties. Instead, only religious practices were allowed, such as sprinkling water on Buddha statues and pouring water onto the palms of the elderly to ask for blessings. Despite the restrictions on public gatherings, the government allowed the public to travel domestically during the holiday as long as they complied with the Center for COVID-19 Situation Administration guidelines. The Tourism Authority of Thailand even encouraged its locals to travel within the country to promote tourism. With an estimation of 3.2 million domestic trips during the week-long Songkran, many people used this opportunity to celebrate and travel outside the capital city.1 Moreover, compounding the festivity is the revival of the nightlife spots in central Bangkok which resulted in a riskier and more susceptible situation for COVID-19 transmission. Unfortunately, on April 14, 2021, just a day after the Thai New Year, daily new cases of COVID-19 in the country started to increase into more than 1000 cases (1,335 cases) from tens to hundreds of daily new cases before the celebrations.3 The number of cases peaked at thousands for the first time since the pandemic hit the country. Prior to Songkran, Thailand was able to successfully control the COVID-19 transmission despite being the first country in the world to report the first COVID-19 case outside China.2 However, the country’s ","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41605013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sickle Cell Disease Complications Following Air Travel: A Review of the Current Literature","authors":"S. Wembonyama, O. Mukuku, Patricia Mishika Lukusa, Dieudonné Saghasa Malekani, L. Tshilolo","doi":"10.34172/ijtmgh.2022.02","DOIUrl":"https://doi.org/10.34172/ijtmgh.2022.02","url":null,"abstract":"Every year, the number of people using commercial aircraft is estimated at two billion, and more than 300 million people take long-haul flights. Sickle cell patients may be at risk during the air journey because significant hypobaric hypoxia may occur at cruising altitude. This literature review reports complications related to air travel such as painful crises, serious spleen complications (spleen infarcts) requiring a splenectomy, or even sudden death. Prevention of these complications includes environmental protection (maintaining pressure inside the aircraft cabin in a hypobaric condition) and individual prophylaxis (general recommendations for all travelers and specific measures for sickle-cell patients). In order to assess complications associated with air travel in sickle-cell patients, an assessment of their ability to fly is necessary. In addition, the flight fitness assessment identifies patients who will need additional oxygen during flight. When prescribed by the passenger’s physician, additional oxygen is provided by most airlines. Knowing these elements makes it possible to anticipate problems and provide appropriate responses to patients.","PeriodicalId":32539,"journal":{"name":"International Journal of Travel Medicine and Global Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48684161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}