Perceptions of tick-borne encephalitis risk: a survey of travellers and travel clinics from Canada, Germany, Sweden and the UK.


Background:While the worldwide endemicity of tick-borne encephalitis (TBE) has been increasing, a lack of awareness of the risks of this life-threatening disease may be leading to an underutilization of preventive measures among travellers to TBE-endemic regions. This study's objectives were to assess travellers' awareness of TBE and advice-seeking attitudes, and to evaluate practices of travel clinics regarding pre-travel advice. Methods:We used an online questionnaire to identify individuals aged 18-65 years residing in the UK, Germany, Canada and Sweden, who had travelled to TBE-endemic countries between 2013 and 2016. This sample was defined as the visit-risk sample. Of these, the first 375 respondents who reported that they had engaged in pre-defined at-risk activities (e.g. hiking in forests) were asked to complete an additional online survey and were included in the activity-risk sub-sample. We also used an online/phone questionnaire to interview travel clinic personnel. Results:The TBE visit-risk sample included 4375 individuals; 69% had heard of the disease and 32% had heard of a TBE vaccine. Before travelling, travellers most commonly sought information online (26%); fewer travellers consulted family doctors (8%) or travel clinics (5%). In the activity-risk sample, 79% of the travellers were aware of at least one correct TBE prevention measure; however, only 15% reported being vaccinated within the past 3 years, with 11% of vaccinated travellers doing so following a clinic's recommendation. One hundred and eighty travel clinic representatives responded and reported that TBE vaccination was recommended to an average of 61% of travellers to endemic regions. Vaccination-reminder services such as follow-up appointments, e-mail and text reminders were offered by 50% of the clinics. Conclusions:There is a need to increase awareness of the risk and prevention of TBE among travellers to endemic countries, and travel clinics could play an important role in this process. 5975671594001tay062media15975671594001.


J Travel Med


Marano C,Moodley M,Melander E,De Moerlooze L,Nothdurft HD




Has Abstract


2019-02-01 00:00:00




Suppl 1










  • Risk estimates of dengue in travelers to dengue endemic areas using mathematical models.

    abstract:BACKGROUND:Dengue has emerged as a frequent problem in international travelers. The risk depends on destination, duration, and season of travel. However, data to quantify the true risk for travelers to acquire dengue are lacking. METHODS:We used mathematical models to estimate the risk of nonimmune persons to acquire ...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Massad E,Wilder-Smith A

    更新日期:2009-05-01 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


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    更新日期:1997-12-01 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

  • An outbreak of acute pulmonary histoplasmosis in members of a trekking trip in Martinique, French West Indies.

    abstract:BACKGROUND:Thirteen clustered cases of American histoplasmosis, a deep mycosis caused by Histoplasma capsulatum and acquired through inhalation of airborne spores was reported. Twenty-five persons traveled in Martinique, French West Indies. Thirteen underwent trekking and passed through a mountain tunnel full of bats (...

    journal_title:Journal of travel medicine

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    authors: Salomon J,Flament Saillour M,De Truchis P,Bougnoux ME,Dromer F,Dupont B,de Saint-Hardouin G,Perronne C

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    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


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    更新日期:2018-01-01 00:00:00

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    journal_title:Journal of travel medicine

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    authors: Bottieau E,Clerinx J,Van den Enden E,Van Esbroeck M,Colebunders R,Van Gompel A,Van den Ende J

    更新日期:2006-07-01 00:00:00

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    abstract:BACKGROUND:Little is known about the awareness of travellers with diabetes about the health effects of international travel. This study aimed to design and validate a questionnaire to examine the travel health knowledge, attitudes and practices of people living with type 1 diabetes. METHODS:A set of 74 items based on ...

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    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Christl SU,Seifert A,Seeler D

    更新日期:2009-01-01 00:00:00

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    journal_title:Journal of travel medicine

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    更新日期:2015-01-01 00:00:00

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    authors: Semenza JC,Ebi KL

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    更新日期:1997-06-01 00:00:00

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    journal_title:Journal of travel medicine

    pub_type: 杂志文章,meta分析,评审


    authors: Ritchie ND,Baggott AV,Andrew Todd WT

    更新日期:2012-09-01 00:00:00

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    更新日期:2003-05-01 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


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    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

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    journal_title:Journal of travel medicine

    pub_type: 杂志文章


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    journal_title:Journal of travel medicine

    pub_type: 杂志文章


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    更新日期:2015-09-01 00:00:00

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    journal_title:Journal of travel medicine

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    authors: Chomchay P,Khawplod P,Wilde H

    更新日期:2000-07-01 00:00:00

  • Migrants' admissions to hospital: a retrospective study in Como from 1994 to 1998.

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    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Santoro D,Visoná R,Pusterla L,Vigevani GM

    更新日期:2000-11-01 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:2006-05-01 00:00:00

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    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Basnyat B,Pokhrel G,Cohen Y

    更新日期:2000-01-01 00:00:00

  • HIV/AIDS in Yugoslavians Infected Abroad.

    abstract::Retrospective studies have shown that the first HIV positive patient in the Federal Republic (FR) of Yugoslavia (Serbia and Montenegro) was detected among intravenous drug users (IDUs) in 1981. The first two cases of AIDS in Yugoslavia were registered in 19851; one of them was infected in subSaharan Africa. The object...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Vucic-Jankovic ML,Ristic SJ,Bakovic TR

    更新日期:1996-09-01 00:00:00

  • Environmental hazards in Nepal: altitude illness, environmental exposures, injuries, and bites in travelers and expatriates.

    abstract:BACKGROUND:Adventure travel necessarily places travelers at risk of environmental hazards. We assessed the burden of "environmental" hazards among a cohort of travelers and expatriates presenting to a large travel clinic in Nepal. METHODS:Data on travelers and expatriates seen at the Canadian International Water and E...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Boggild AK,Costiniuk C,Kain KC,Pandey P

    更新日期:2007-11-01 00:00:00

  • Fifty years of imported Lassa fever: a systematic review of primary and secondary cases.

    abstract:RATIONALE FOR SYSTEMATIC REVIEW:Lassa fever is the most common cause of imported haemorrhagic fevers cases in non-endemic countries. As a disease with a high case fatality rate that has regularly caused clusters of nosocomial transmission in endemic areas, prompt diagnosis is vital. We conducted a systematic review of ...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Wolf T,Ellwanger R,Goetsch U,Wetzstein N,Gottschalk R

    更新日期:2020-07-14 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

  • Travel-related shigellosis in Quebec, Canada: an analysis of risk factors.

    abstract:BACKGROUND:Travel-related shigellosis is not well documented in Canada although it is frequently acquired abroad and can cause severe disease. OBJECTIVES:To describe the epidemiology of travel-related cases of shigellosis for Quebec (Canada) and to identify high-risk groups of travelers. METHOD AND DATA SOURCES:We pe...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


    authors: Trépanier S,Bui YG,Blackburn M,Milord F,Levac E,Gagnon S

    更新日期:2014-09-01 00:00:00

  • Twitter for travel medicine providers.

    abstract::Travel medicine practitioners, perhaps more so than medical practitioners working in other areas of medicine, require a constant flow of information to stay up-to-date, and provide best practice information and care to their patients. Many travel medicine providers are unaware of the popularity and potential of the Tw...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章,评审


    authors: Mills DJ,Kohl SE

    更新日期:2016-03-16 00:00:00

  • Outbreak of travel-related pontiac fever among hotel guests illustrating the need for better diagnostic tests.

    abstract:BACKGROUND:Pontiac fever (PF), a legionellosis with influenza-like symptoms and high attack rates, is rarely reported. Travel-related outbreaks can elude detection because infected persons are often widely removed geographically from the transmission source before illness onset. Thirty-one persons staying at an Illinoi...

    journal_title:Journal of travel medicine

    pub_type: 杂志文章


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    更新日期:2005-07-01 00:00:00