RESUMO
We evaluated EuroTravNet (a GeoSentinel subnetwork) data from June 2013 to May 2016 on 508 ill travellers returning from Brazil, to inform a risk analysis for Europeans visiting the 2016 Olympic and Paralympic Games in Brazil. Few dengue fever cases (n = 3) and no cases of chikungunya were documented during the 2013-15 Brazilian winter months, August and September, the period when the Games will be held. The main diagnoses were dermatological (37%), gastrointestinal (30%), febrile systemic illness (29%) and respiratory (11%).
Assuntos
Febre de Chikungunya/epidemiologia , Dengue/epidemiologia , Gastroenteropatias/epidemiologia , Transtornos Respiratórios/epidemiologia , Dermatopatias/epidemiologia , Viagem/estatística & dados numéricos , Adolescente , Adulto , Idoso , Brasil/epidemiologia , Febre de Chikungunya/diagnóstico , Criança , Pré-Escolar , Comorbidade , Dengue/diagnóstico , Europa (Continente)/epidemiologia , Feminino , Jogos Recreativos , Gastroenteropatias/diagnóstico , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Vigilância da População/métodos , Prevalência , Transtornos Respiratórios/diagnóstico , Fatores de Risco , Estações do Ano , Dermatopatias/diagnóstico , Esportes/estatística & dados numéricos , Adulto JovemRESUMO
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.