Abstract:
BACKGROUND:International travel and trade are known to be associated with the risk of spreading communicable diseases across borders. No international surveillance system for infectious diseases on ships exists. Outbreak reports and systematic studies mainly focus on disease activity on cruise ships. The study aims to assess the relevance of communicable disease occurrence on cargo ships. METHODS:Retrospective analysis of all documented entries to 49 medical log books from seagoing cargo ships under German flag between 2000 and 2008. Incidence rates were calculated per 100 person-years at sea. Case series of acute respiratory illness, influenza-like illness, and infectious gastrointestinal illness affecting more than two persons within 1 successive week were classified as an outbreak. Attack rates were calculated based on number of entries to the medical log book in comparison to the average shipboard population during outbreak periods. RESULTS:During more than 1.5 million person-days of observation, 21% of the visits to the ship's infirmary were due to presumably communicable diseases (45.8 consultations per 100 person-years). As many as 33.9 patients per 100 person-years sought medical attention for acute respiratory symptoms. Of the 68 outbreaks that met predefined criteria, 66 were caused by acute respiratory illness with a subset of 12 outbreaks caused by influenza-like illness. Attack rates ranged between 3 and 10 affected seafarers per ship (12.5&-41.6% of the crew). Two outbreaks of gastrointestinal illness were detected. DISCUSSION:Respiratory illness is the most common cause of presumably communicable diseases aboard cargo ships and may cause outbreaks of considerable morbidity. Although the validity of the data is limited due to the use of nonprofessional diagnoses, missing or illegible entries, and restriction of the study population to German ships, the results provide guidance to ship owners and to Port Health Authorities to allocate resources and build capacities under International Health Regulations 2005.
journal_name
J Travel Medjournal_title
Journal of travel medicineauthors
Schlaich CC,Oldenburg M,Lamshöft MMdoi
10.1111/j.1708-8305.2009.00343.xsubject
Has Abstractpub_date
2009-11-01 00:00:00pages
402-6issue
6eissn
1195-1982issn
1708-8305pii
JTM343journal_volume
16pub_type
杂志文章abstract::Infections caused by Burkholderia pseudomallei are rare in nonendemic areas, such as Scandinavia. We report the first two cases of melioidosis in Norway presenting with bacteraemia and splenic and prostatic abscesses, respectively. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00550.x
更新日期:2011-11-01 00:00:00
abstract::Reiter's syndrome [also called reactive arthritis (ReA)] is the triad of arthritis, urethritis, and conjunctivitis. Two cases of Reiter's syndrome triggered by travelers' diarrhea are presented. Health care providers should suspect ReA in travelers with joint symptoms and antecedent diarrheal disease. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2006.00009.x
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Cutaneous myiasis is a well-established diagnosis in returning travelers from tropical countries. The most common form of myiasis seen in this population is localized furuncular myiasis caused by Dermatobia hominis and Cordylobia anthropophaga. There are limited data on the disease course and outcome in trav...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12203
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Descriptions of the epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) have seldom been produced in the Caribbean, which is a major tourism destination. MATERIALS AND METHODS:Using DNA microarrays and spa typing, we characterized 85 MRSA isolates from human skin and soft-tissue infections fr...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12047
更新日期:2013-09-01 00:00:00
abstract::We report a case of a 29-year-old woman who presented to hospital with fever, right upper quadrant pain, marked eosinophilia, and liver abscesses after returning to Canada from Bali, Indonesia. Diagnostic delay and prolonged antibiotic use led to morbidity before the eventual diagnosis and treatment of fascioliasis. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/tay012
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Carriage of and infection with multidrug-resistant Gram-negative bacilli (MDR-GNB) are a potential cause of concern in travelers with no history of hospitalization abroad. METHODS:All consecutive returning travelers hospitalized in our department between February 2012 and January 2013 were prospectively scr...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12211
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Globally, the Swiss have one of the highest proportions of the population traveling to tropical and subtropical countries. Large travel clinics serve an increasing number of customers with specific pre-travel needs including uncommon destinations and preexisting medical conditions. This study aims to identif...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12139
更新日期:2014-09-01 00:00:00
abstract::Although delusional parasitosis is frequently diagnosed by travel medicine and infectious disease specialists, factitious illness/Munchausen syndrome is extremely rare. ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2002.30179
更新日期:2002-11-01 00:00:00
abstract::Whether the result of cyclical atmospheric changes, anthropogenic activities, or combinations of both, authorities now agree that the earth is warming from a variety of climatic effects, including the cascading effects of greenhouse gas emissions to support human activities. To date, most reports of the public health ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1111/j.1708-8305.2006.00072.x
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND:Jellyfish are a common cause of injury throughout the world, with fatalities and severe systemic events not uncommon after tropical stings. The internet is a recent innovation to gain information on real-time health issues of travel destinations, including Southeast Asia. METHODS:We applied the model of int...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2011.00531.x
更新日期:2011-07-01 00:00:00
abstract::Primary herpes infections usually require intimate contact of mucous membranes by either oral or sexual means.1,2 Infrequently, other types of contact have been described.3-5 Such was the case with an outbreak of herpes gladiatorum at a high-school wrestling camp, or a dental student who became infected from a patient...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1997.tb00802.x
更新日期:1997-09-01 00:00:00
abstract:BACKGROUND:Acetazolamide has been reported to be effective in the prevention of acute mountain sickness (AMS). Our aim was to conduct a systematic review of randomized, placebo-controlled trials of acetazolamide in the prevention of AMS. METHODS:Studies were identified by searching the MEDLINE, Embase, Cochrane Clinic...
journal_title:Journal of travel medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1111/j.1708-8305.2012.00629.x
更新日期:2012-09-01 00:00:00
abstract::A putative underdiagnosis of clinical chikungunya virus infection in Dutch travelers to the Indian Ocean area was addressed by retrospective screening of all sera for which requested dengue virus serology was negative in the period 2007 to 2010. Evidence for a recent infection was observed in 6.5% of 107 patients, ind...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2012.00670.x
更新日期:2013-01-01 00:00:00
abstract::Tropical sprue is a rare disease in travelers. Its etiology remains unclear. We report two cases of tropical sprue occurring in long-term residents in Nepal and Cameroon. In one case, Tropheryma whippelii, the agent of Whipple's disease, was identified. Many infectious agents have been suggested to be the etiological ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2006.00038.x
更新日期:2006-05-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to evaluate the tolerance and immunogenicity of a hepatitis A vaccine using immunopotentiating reconstituted influenza virosomes (IRIV) as adjuvant when administered simultaneously with a yellow fever vaccine (YFV). METHOD:An open prospective trial with two parallel groups was ...
journal_title:Journal of travel medicine
pub_type: 临床试验,杂志文章
doi:10.1111/j.1708-8305.1999.tb00523.x
更新日期:1999-12-01 00:00:00
abstract::Mass gathering is well known to concentrate and amplify the transmission of infectious respiratory diseases. Here we report a possible case of coinfection with influenza A/H1N1 and varicella in a young French traveler returning from a rock festival in Hungary. We report a cluster of influenza A/H1N1 cases at this fest...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00410.x
更新日期:2010-05-01 00:00:00
abstract::In a marine envenomation, identification of the culprit organism can be difficult. In this case report, we present our method to identify snakelocks anemone (Anemonia viridis or formerly Anemonia sulcata) as the culprit of a severe toxic skin reaction. A. viridis is one of the most common anemones of the Mediterranean...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12223
更新日期:2015-07-01 00:00:00
abstract:Background:Obstructive sleep apnoea syndrome is a common condition for which continuous positive airways pressure (CPAP) is the standard treatment. The condition affects a population of which a substantial proportion will be travelling. Methods:We use a questionnaire survey of CPAP users to gain understanding regardin...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tax085
更新日期:2018-01-01 00:00:00
abstract::Japanese encephalitis (JE) is an infection caused by a mosquito-transmitted virus present in many parts of Asia, including India, and Oceania. Infection is usually asymptomatic, leading to overt encephalitis in only 0.1-5% of infected individuals. When encephalitis occurs it is usually severe, with a 25% fatality rate...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1997.tb00766.x
更新日期:1997-03-01 00:00:00
abstract::The object of the study was to determine the incidence rate of meningococcal disease in travelers originating in industrialized countries and visiting developing countries. Subjects were intercontinental travelers with meningococcal diseases acquired from 1986 to 1989. Health authorities in 108 countries were contacte...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1994.tb00548.x
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:Young people's alcohol and drug use increases during holidays. Despite strong associations between substance use and both violence and unintentional injury, little is known about this relationship in young people holidaying abroad. We examine how risks of violence and unintentional injury abroad relate to su...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.2010.00489.x
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Although human diploid cell vaccine (HDCV) has been available for over two decades and has a proven record of efficacy, it is very expensive to produce and can only be made in small quantities. METHODS:In this trial, we compared the safety and immunogenicity of a new, chromatographically purified rabies vac...
journal_title:Journal of travel medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2310/7060.2004.19001
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Giardia infection is an ongoing problem in Tasmania and occurs throughout the state. It has been postulated that part of the problem is the reservoir of infection in native animals which is suggested to contribute to infections in humans. To date, however, no detailed study on the epidemiology of giardiasis ...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1998.tb00485.x
更新日期:1998-09-01 00:00:00
abstract::Acute eosinophilic pneumonia (AEP) has been reported following chloroquine or mefloquine exposure, both structurally related to piperaquine. We report a case of AEP with typical CT scan patterns, hypereosinophilia in blood (9.8 109/l), and bronchoalveolar lavage (78% of 600 000 cells/ml), 10 days after artenimol-piper...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/tax023
更新日期:2017-09-01 00:00:00
abstract::Malaria infections have become an increasing public health problem in Europe, especially those imported into nonendemic areas. The transmission and diffusion of malaria has increased, especially over the last decade, due to changes in agricultural practices, vector resistance to insecticides, and most relevantly, incr...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1994.tb00583.x
更新日期:1994-09-01 00:00:00
abstract:BACKGROUND:Dermatitis linearis is a skin condition that affects both local populations and travelers alike. Dermatitis linearis is caused by some beetles within the subtribe Paederina and manifests as painful lesions, blisters and intense itching. Though outbreaks are widespread, the condition as a whole still remains ...
journal_title:Journal of travel medicine
pub_type: 杂志文章,评审
doi:10.1093/jtm/taw032
更新日期:2016-05-13 00:00:00
abstract::Background: Brucellosis is an endemic disease in Latin America and other countries. Serologic cross-reaction between cholera and Brucella infection is well recognized. Since the introduction to cholera in 1991 in Latin America, interpreting serologic tests has become potentially problematic. This study attempts to eva...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/j.1708-8305.1996.tb00694.x
更新日期:1996-03-01 00:00:00
abstract::A non-pregnant Canadian woman returning from India presented with a 1-week history of jaundice and malaise. Subsequently, she developed fulminant hepatic failure caused by hepatitis E virus (HEV). HEV can cause fulminant hepatic failure, most commonly in pregnant women and those with chronic liver disease; however, al...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1093/jtm/taw021
更新日期:2016-04-11 00:00:00
abstract:BACKGROUND:Internet travel purchases accounted for 10% of the travel industry revenue generated in 2001. To ensure that travelers remain healthy during excursions to developing countries, travel health information needs to be available at commercial travel websites. We evaluated the current availability of travel healt...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2003.2699
更新日期:2003-09-01 00:00:00
abstract:BACKGROUND:Soldiers based in Townsville, Australia, returned from East Timor following peacekeeping operations during the wet season of 1999 to 2000. This represented the potential to import dengue virus into north Queensland, a dengue receptive area of Australia. This article seeks to outline the measures taken by the...
journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.2310/7060.2002.24234
更新日期:2002-07-01 00:00:00