Abstract:
BACKGROUND:Rabies, which is globally endemic, poses a risk to international travelers. To improve recommendations for travelers, we assessed the global availability of rabies vaccine (RV) and rabies immune globulin (RIG). METHODS:We conducted a 20-question online survey, in English, Spanish, and French, distributed via e-mail to travel medicine providers and other clinicians worldwide from February 1 to March 30, 2011. Results were compiled according to the region. RESULTS:Among total respondents, only 190 indicated that they provided traveler postexposure care. Most responses came from North America (38%), Western Europe (19%), Australia and South and West Pacific Islands (11%), East and Southeast Asia (8%), and Southern Africa (6%). Approximately one third of 187 respondents stated that patients presented with wounds from an animal exposure that were seldom or never adequately cleansed. RIG was often or always accessible for 100% (n = 5) of respondents in the Middle East and North Africa; 94% (n = 17) in Australia and South and West Pacific Islands; 20% (n = 1) in Tropical South America; and 56% (n = 5) in Eastern Europe and Northern Asia. Ninety-one percent (n = 158) of all respondents reported that RV was often or always accessible. For all regions, 35% (n = 58) and 26% (n = 43) of respondents felt that the cost was too high for RIG and RV, respectively. CONCLUSION:The availability of RV and RIG varied by geographic region. All travelers should be informed that RIG and RV might not be readily available at their destination and that travel health and medical evacuation insurance should be considered prior to departure. Travelers should be educated to avoid animal exposures; to clean all animal bites, licks, and scratches thoroughly with soap and water; and to seek medical care immediately, even if overseas.
journal_name
J Travel Medjournal_title
Journal of travel medicineauthors
Jentes ES,Blanton JD,Johnson KJ,Petersen BW,Lamias MJ,Robertson K,Franka R,Briggs D,Costa P,Lai I,Quarry D,Rupprecht CE,Marano N,Brunette GWdoi
10.1111/jtm.12024subject
Has Abstractpub_date
2013-05-01 00:00:00pages
148-58issue
3eissn
1195-1982issn
1708-8305journal_volume
20pub_type
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journal_title:Journal of travel medicine
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journal_title:Journal of travel medicine
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journal_title:Journal of travel medicine
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journal_title:Journal of travel medicine
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journal_title:Journal of travel medicine
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更新日期:1995-09-01 00:00:00
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doi:10.2310/7060.2005.12202
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journal_title:Journal of travel medicine
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doi:10.1111/j.1708-8305.2008.00254.x
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doi:10.1111/j.1708-8305.1994.tb00548.x
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更新日期:2014-11-01 00:00:00
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journal_title:Journal of travel medicine
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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
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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
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journal_title:Journal of travel medicine
pub_type: 杂志文章
doi:10.1111/jtm.12042
更新日期:2013-07-01 00:00:00
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journal_title:Journal of travel medicine
pub_type: 杂志文章
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更新日期:2016-04-11 00:00:00
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journal_title:Journal of travel medicine
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journal_title:Journal of travel medicine
pub_type: 临床试验,杂志文章
doi:10.2310/7060.2004.17047
更新日期:2004-03-01 00:00:00
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journal_title:Journal of travel medicine
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更新日期:2005-01-01 00:00:00