Results from screening immigrants of low-income countries: data from a public primary health care.


BACKGROUND:A total of 3,132 immigrants from low- and middle-income countries were involved in a cross-sectional observational study to screen for infectious diseases among immigrants attending public primary health care (PHC) centers. The study was conducted to clarify the degree of demographic differences and risk predictors of these diseases. METHODS:Demographic and clinical variables, screening for infectious diseases [hepatitis B and C, human immunodeficiency virus infection, syphilis, and tuberculosis (TB)], and analytical data (anemia, hematuria, and liver function) were recorded from immigrants attending a public PHC unit in Barcelona. RESULTS:Global hepatitis B, including chronic and previous, reached 18.1%; Morocco as the country of origin [odds ratio (OR) 2.1, 95% confidence interval (CI) 1.07-4.14] and gastrointestinal symptoms (OR 1.9, CI 1.18-3.02) were risk factors. Hepatitis C prevalence was 3.3% with elevated hepatic transaminase levels as a risk factor (OR 26.1, CI 8.68-78.37). Positive syphilis was 3.1%; latent and active TB rates were 28.1 and 5.8%, respectively. Concerning TB, we found remarkable differences both among WHO regions of origin (the Eastern Mediterranean region showed the highest rate of active TB, 8%) and the three categories of years of residence in Spain (6.5% for <1 year, 12.8% for 1-5 years, and 10% for >5 years). CONCLUSIONS:The data allowed recommendation of a minimal screening of TB in immigrants from low-income countries regardless of the years of residence in Spain, hepatitis C in patients with altered transaminase levels, and hepatitis B in patients with gastrointestinal symptoms and/or from Morocco.


J Travel Med


Hladun O,Grau A,Esteban E,Jansà JM




Has Abstract


2014-03-01 00:00:00












  • Acute schistosomiasis in European students returning from fieldwork at Lake Tanganyika, Tanzania.

    abstract:BACKGROUND:Schistosomiasis is common in many African regions and poses a risk for travelers and the local population. So far, schistosomiasis in travelers or expatriates returning from the Tanzanian bank of Lake Tanganyika has not been reported. METHODS:We report a group of students who sought treatment with signs of ...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Steiner F,Ignatius R,Friedrich-Jaenicke B,Dieckmann S,Harms G,Poppert S,Mockenhaupt FP

    更新日期:2013-11-01 00:00:00

  • Dead blood under my skin.

    abstract::The diagnostic attitude of western physicians toward migrants' complaints is often an unstable balance between the obstinate search for exotic tropical diseases and the overappreciation of the cultural dimensions of symptoms. Such attitude may divert attention from organic diseases. The careful assessment of all level...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: El-Hamad I,Scarcella C,Pezzoli MC,Ricci A,Castelli F,Migration Health Committee of the ISTM.

    更新日期:2009-07-01 00:00:00

  • Challenges to providing pre-travel care for travellers visiting friends and relatives: an audit of a specialist travel medicine clinic.

    abstract::Travellers visiting friends and relatives (VFRs) often have complex pre-travel needs. We identified the characteristics, destinations, vaccinations and pre-travel advice provided to VFRs and compared these with non-VFR travellers. The significant differences we found suggest that future research should focus on improv...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Rowe K,Chaves N,Leder K

    更新日期:2017-09-01 00:00:00

  • Cerebral Venous Thrombosis - a new diagnosis in travel medicine.

    abstract::Dr. Pfausler and colleagues report in this issue of Journal of Travel Medicine a series of patients with an interesting and potentially fatal neurovascular disorder; they raise the question, is this condition more frequent in travelers? Over a period of 18 months, Dr. Pfausler and colleagues identified five of fifteen...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Grotta JC

    更新日期:1996-09-01 00:00:00

  • Primary Herpes Labialis Acquired during Scuba Diving Course.

    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


    authors: Potasman I I,Pick N

    更新日期:1997-09-01 00:00:00

  • Importation of dengue by soldiers returning from East Timor to north Queensland, Australia.

    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


    authors: Kitchener S,Leggat PA,Brennan L,McCall B

    更新日期:2002-07-01 00:00:00

  • Use of malaria prevention measures by North American and European travelers to East Africa.

    abstract:BACKGROUND:The use of preventive measures, including effective chemoprophylaxis, is essential for protection against malaria among travelers. However, data have shown that travelers and medical advisors are confused by the lack of uniform recommendations and numerous prophylactic regimens of varying effectiveness that ...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Lobel HO,Baker MA,Gras FA,Stennies GM,Meerburg P,Hiemstra E,Parise M,Odero M,Waiyaki P

    更新日期:2001-07-01 00:00:00

  • Rifamycin SV-MMX® for treatment of travellers' diarrhea: equally effective as ciprofloxacin and not associated with the acquisition of multi-drug resistant bacteria.

    abstract:Background:The novel oral antibiotic formulation Rifamycin SV-MMX®, with a targeted delivery to the distal small bowel and colon, was superior to placebo in treating travellers' diarrhea (TD) in a previous study. Thus, a study was designed to compare this poorly absorbed antibiotic with the systemic agent ciprofloxacin...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章,随机对照试验


    authors: Steffen R,Jiang ZD,Gracias Garcia ML,Araujo P,Stiess M,Nacak T,Greinwald R,DuPont HL

    更新日期:2018-01-01 00:00:00

  • Cross-border truck drivers in Hong Kong: their psychological health, sexual dysfunctions and sexual risk behaviors.

    abstract:BACKGROUND:Due to their job nature, cross-border truck drivers working between Hong Kong and China are exposed to many health risks. The aim of this study was to find out the impact of their occupation on their psychological health and sexual dysfunction and to assess their sexual risk behaviors. METHODS:A cross-secti...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Wong WC,Tam SM,Leung PW

    更新日期:2007-01-01 00:00:00

  • Bat-associated histoplasmosis can be transmitted at entrances of bat caves and not only inside the caves.

    abstract::Our observation of histoplasmosis cases augments the current knowledge on transmission by bats. In the presented cases, the only contact happened in the proximity of a bat cave but not inside the cave. We wish to communicate and stress that even outside of caves, bats may disperse the organism. ...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Jülg B,Elias J,Zahn A,Köppen S,Becker-Gaab C,Bogner JR

    更新日期:2008-03-01 00:00:00

  • Fatal grand mal seizure in a Dutch trekker.

    abstract::A 35-year-old healthy Dutch woman went on a trek (Lang Tang) in Nepal up to an approximate altitude of about 3800 meters. She had no prior history of any medical problems except attacks of generalized epilepsy when she was 19 years old, which had been controlled with antiepileptic medications. She had had no attacks a...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Basnyat B

    更新日期:1998-12-01 00:00:00

  • Sexual behavior, knowledge of STI prevention, and prevalence of serum markers for STI among tour guides in Cuzco/Peru.

    abstract:BACKGROUND:Sexual behavior during travel has increasingly become a focus of travel medicine research. The perceived freedom when away from home can lead to increased casual sexual activities, often unprotected. Local sexual partners, particularly those who are in close contact with tourists due to their occupation, nee...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Cabada MM,Maldonado F,Bauer I,Verdonck K,Seas C,Gotuzzo E

    更新日期:2007-05-01 00:00:00

  • Acute Histoplasmosis in Spelunkers Returning from Mato Grosso, Peru.

    abstract::Background: Histoplasmosis is a fungal disease with a worldwide distribution. Travelers returning from endemic areas with a history of exposure to fungal spores have a high risk of infection. Methods: We report four cases of acute pulmonary disease in Italian spelunkers returning from Mato Grosso, Peru. Results: Sympt...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Nasta P,Donisi A,Cattane A,Chiodera A,Casari S

    更新日期:1997-12-01 00:00:00

  • Should health-care providers in the United States have access to influenza vaccines formulated for the southern hemisphere?

    abstract:BACKGROUND:Influenza is the most common vaccine-preventable disease in travelers. It circulates year-round in the tropics, November to March in the northern hemisphere (NH), and April to October in the southern hemisphere (SH). In 2005, approximately 8.5 million US adults aged 18 years and older traveled to the Caribbe...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Strikas RA,Kozarsky PE,Reed C,Kapella BK,Freedman DO

    更新日期:2008-11-01 00:00:00

  • Analysis of yellow fever vaccination practice in England.

    abstract:BACKGROUND:Prior to initiation of a program of registration, training, standards, and audit for yellow fever vaccination centers (YFVCs) in England, the National Travel Health Network and Centre (NaTHNaC) assessed the current practice and resource needs of these centers. METHODS:A questionnaire was sent to all YFVCs o...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Bryant N,Tucker R,Simons H,Bailey S,Mathewson J,Lea G,Hill DR

    更新日期:2008-09-01 00:00:00

  • Climate change impact on migration, travel, travel destinations and the tourism industry.

    abstract::Background: Climate change is not only increasing ambient temperature but also accelerating the frequency, duration and intensity of extreme weather and climate events, such as heavy precipitation and droughts, and causing sea level rise, which can lead to population displacement. Climate change-related reductions in ...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章,评审


    authors: Semenza JC,Ebi KL

    更新日期:2019-06-11 00:00:00

  • Health advice provided to hostelers from Australia: influence of a travelers' information evening.

    abstract:BACKGROUND:Little is known about the health advice provided to hostelers and the role and influence of hosteling organizations' travelers' information evenings in giving travel health advice. This study was designed to investigate these in relation to the Australian context. METHODS:In 1997, hostelers attending travel...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Leggat PA

    更新日期:2002-01-01 00:00:00

  • Myiasis in Travelers.

    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


    authors: Lachish T,Marhoom E,Mumcuoglu KY,Tandlich M,Schwartz E

    更新日期:2015-07-01 00:00:00

  • Two Norwegian patients with melioidosis presenting with bacteraemia and splenic and prostatic abscesses.

    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


    authors: Hesstvedt L,Wilhelmsen M,Mengshoel AT,Dyrhol-Riise AM

    更新日期:2011-11-01 00:00:00

  • International travellers from New Jersey: piloting a travel health module in the 2011 Behavioral Risk Factor Surveillance System survey.

    abstract:BACKGROUND:In 2011, the Centers for Disease Control and Prevention and the New Jersey Department of Health used the New Jersey Behavioral Risk Factor Survey (NJBRFS), a state component of the national Behavioral Risk Factor Surveillance System (BRFSS) to pilot a travel health module designed to collect population-based...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Stoney RJ,Kozarsky P,Bostick RM,Sotir MJ

    更新日期:2016-01-18 00:00:00

  • Cholera-Brucella Cross-Reaction: A New Potential Diagnostic Problem for Travelers to Latin America.

    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


    authors: Goicochea CE,Gotuzzo E,Carrillo C

    更新日期:1996-03-01 00:00:00

  • Willingness to pay for preventive travel health measures among Hong Kong Chinese residents.

    abstract:BACKGROUND:The effectiveness of preventive measures in combating travel-related illnesses is well recognized. However, there is a lack of information on the economic value of any travel-associated preventive measures in the literature. OBJECTIVES:The purpose of this article is to report the values of willingness to pa...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Yeung R,Abdullah AS,McGhee SM,Hedley AJ

    更新日期:2005-03-01 00:00:00

  • Emergency medical equipment on board German airliners.

    abstract:BACKGROUND:Medical emergencies often occur on commercial airline flights, but valid data on their causes and consequences are rare. Therefore, it is unclear what emergency medical equipment is necessary. Although a minimum standard for medical equipment is defined in regulations, additional material is not standardized...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Hinkelbein J,Neuhaus C,Wetsch WA,Spelten O,Picker S,Böttiger BW,Gathof BS

    更新日期:2014-09-01 00:00:00

  • International regulations for automobile driving and epilepsy.

    abstract:BACKGROUND:Many patients with epilepsy travel abroad and drive automobiles with the assumption that policies, rules, and regulations on epilepsy and driving are similar to those of their home countries. This paper investigates the driving restrictions and other pertinent information on this issue in foreign countries. ...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Ooi WW,Gutrecht JA

    更新日期:2000-01-01 00:00:00

  • Patterns of illness and injury on Antarctic research cruises, 2004-2019: a descriptive analysis.

    abstract:BACKGROUND:Before the impact of the coronavirus disease 2019 pandemic, cruise travel had experienced exponential growth in the preceding decade. Travel medicine practitioners were increasingly called upon to provide pre-cruise travel advice and medical clearance. Demand for these services will return at some time in th...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Visser JT

    更新日期:2020-09-26 00:00:00

  • East and west, home is best? A questionnaire-based survey on mortality of Dutch travelers abroad.

    abstract::A questionnaire-based survey on the mortality of Dutch travelers abroad revealed that travel outside of Europe carried an increased mortality risk predominantly caused by fatal cardiovascular events and traffic accidents rather than fatal infections. Discussion of these items should receive a prominent place in our tr...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Groenheide AC,van Genderen PJ,Overbosch D

    更新日期:2011-03-01 00:00:00

  • Estimating the risk of communicable diseases aboard cargo ships.

    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 ...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Schlaich CC,Oldenburg M,Lamshöft MM

    更新日期:2009-11-01 00:00:00

  • Predictive factors of imported malaria in 272 febrile returning travelers seen as outpatients.

    abstract:BACKGROUND:We conducted a prospective study to evaluate the aetiologies of fever in returning travelers and to identify the clinical and laboratory factors predictive of malaria in travelers returning from tropical areas with fever. METHODS:We included those consulting for fever appearing less than 3 months after retu...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Ansart S,Perez L,Thellier M,Danis M,Bricaire F,Caumes E

    更新日期:2010-03-01 00:00:00

  • Trends in knowledge, attitudes, and practices of travel risk groups toward prevention of hepatitis A: results from the Dutch Schiphol Airport survey 2002 to 2009.

    abstract:BACKGROUND:Previous studies investigating the travelers' knowledge, attitudes, and practices (KAP) profile indicated an important educational need among those traveling to risk destinations. Initiatives to improve such education should target all groups of travelers, including business travelers, those visiting friends...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: van Genderen PJ,van Thiel PP,Mulder PG,Overbosch D,Dutch Schiphol Airport Study Group.

    更新日期:2012-01-01 00:00:00

  • Patient compliance in the use of Vivotif Berna(R) vaccine, typhoid vaccine, live oral Ty21a.

    abstract:BACKGROUND:Several live attenuated vaccines against bacterial enteric pathogens have recently been licensed. These include the Salmonella typhi Ty21a typhoid vaccine (Vivotif Berna(R) Vaccine) and Vibrio cholerae CVD103-HgR cholera vaccine (Mutacol Berna(R) Vaccine). They comprise a unique class of biologics in which p...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Cryz SJ Jr

    更新日期:1998-03-01 00:00:00