Atar Baer1, Lisa Libassi2, Jennifer K Lloyd3, Eileen Benoliel4, Rachel Brucker5, Megan Q Jones6, Tao Sheng Kwan-Gett7, Shelly McKeirnan8, Monica Pecha9, Krista Rietberg10, Lauri Serafin11, Lina P Walkinshaw12, Jeffrey S Duchin13. 1. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: atar.baer@kingcounty.gov. 2. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: llibassi@uw.edu. 3. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: Jenny.Lloyd@kingcounty.gov. 4. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: Eileen.Benoliel@kingcounty.gov. 5. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: rsbrucker@comcast.net. 6. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: Megan.Jones@kingcounty.gov. 7. Northwest Center for Public Health Practice, University of Washington, 1107 NE 45th Street, Suite 400, Seattle, WA 98105, USA. Electronic address: kwangett@uw.edu. 8. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: Shelly.McKeirnan@kingcounty.gov. 9. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: monica.pecha@kingcounty.gov. 10. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: Krista.Rietberg@kingcounty.gov. 11. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: Lauri.Serafin@kingcounty.gov. 12. University of Washington, Box 357230, Seattle, WA 98195, USA. Electronic address: walkinsl@uw.edu. 13. Public Health - Seattle & King County, 401 5th Ave, Suite 900, Seattle, WA 98104, USA. Electronic address: Jeff.Duchin@kingcounty.gov.
Abstract
BACKGROUND: We sought to describe travel-related illness among our residents and gain insight into targeting pre-travel health advice to prevent travel-related illness. METHODS: A supplemental travel questionnaire was developed and administered for cases with a legally notifiable communicable disease reported in 2011-2012, who spent at least part of their exposure period outside the United States. RESULTS: Among 451 cases meeting the eligibility criteria, 259 were interviewed. Forty four percent reported receiving pre-travel advice. Two-thirds adhered fully with risk behavior recommendations; 94% followed immunization recommendations partially or fully; and 84% adhered fully with malaria prophylaxis recommendations. The primary reasons for not obtaining pre-travel advice were being unaware of the need (47.5%), or believing they already knew what to do (34.5%). Adults (OR = 2.8, 95% CI = 1.4-5.5), males (OR = 1.8, 95% CI = 1.1-3.0), those born outside the United States (OR = 2.0, 95% CI = 1.1-3.7), and those with planning time under two weeks (OR = 4.8, 95% CI = 1.5-15.9) or travel duration less than 7 days (OR = 7.9, 95% CI = 3.0-20.9) were more likely to travel without seeking pre-travel advice. CONCLUSIONS: The majority of cases reported not receiving pre-travel advice. Understanding the predictors of failure to receive pre-travel advice may help target public health prevention efforts.
BACKGROUND: We sought to describe travel-related illness among our residents and gain insight into targeting pre-travel health advice to prevent travel-related illness. METHODS: A supplemental travel questionnaire was developed and administered for cases with a legally notifiable communicable disease reported in 2011-2012, who spent at least part of their exposure period outside the United States. RESULTS: Among 451 cases meeting the eligibility criteria, 259 were interviewed. Forty four percent reported receiving pre-travel advice. Two-thirds adhered fully with risk behavior recommendations; 94% followed immunization recommendations partially or fully; and 84% adhered fully with malaria prophylaxis recommendations. The primary reasons for not obtaining pre-travel advice were being unaware of the need (47.5%), or believing they already knew what to do (34.5%). Adults (OR = 2.8, 95% CI = 1.4-5.5), males (OR = 1.8, 95% CI = 1.1-3.0), those born outside the United States (OR = 2.0, 95% CI = 1.1-3.7), and those with planning time under two weeks (OR = 4.8, 95% CI = 1.5-15.9) or travel duration less than 7 days (OR = 7.9, 95% CI = 3.0-20.9) were more likely to travel without seeking pre-travel advice. CONCLUSIONS: The majority of cases reported not receiving pre-travel advice. Understanding the predictors of failure to receive pre-travel advice may help target public health prevention efforts.
Authors: Cara C Cherry; Karlyn D Beer; Corey Fulton; David Wong; Danielle Buttke; J Erin Staples; Esther M Ellis Journal: Travel Med Infect Dis Date: 2016-09-03 Impact factor: 6.211
Authors: Rachel D Savage; Laura C Rosella; Natasha S Crowcroft; Maureen Horn; Kamran Khan; Monali Varia Journal: PLoS One Date: 2018-11-07 Impact factor: 3.240
Authors: Hannah R Volkman; Emily J Walz; Danushka Wanduragala; Elizabeth Schiffman; Anne Frosch; Jonathan D Alpern; Patricia F Walker; Kristina M Angelo; Christina Coyle; Mimi A Mohamud; Esther Mwangi; Joseline Haizel-Cobbina; Comfort Nchanji; Rebecca S Johnson; Baninla Ladze; Stephen J Dunlop; William M Stauffer Journal: PLoS One Date: 2020-03-12 Impact factor: 3.240