Paediatric international travellers from Greece: characteristics and pre-travel recommendations

Helena C Maltezou1, Androula Pavli, Athina Spilioti

  • 1Department for Interventions in Health Care Facilities, Hellenic Centre for Disease Control and Prevention, 3-5 Agrafon Street, Athens 15123, Greece. helen-maltezou@ath.forthnet.gr

Insights

Few children traveling internationally from Greece seek pre-travel advice. Most child travelers go to sub-Saharan Africa for recreation, with malaria prevention advised for many. Improved communication is needed to reach more pediatric travelers.

Area of Science:

  • Travel Medicine
  • Paediatric Health
  • Public Health

Background:

  • Pre-travel health advice is crucial for international travelers, especially children, to prevent travel-related illnesses.
  • Understanding the profile of pediatric travelers is essential for tailoring preventive health strategies.
  • Limited data exists on Greek children seeking pre-travel consultations.

Purpose of the Study:

  • To characterize children under 15 years who sought pre-travel advice in Greece between 2008 and 2010.
  • To identify their travel destinations, duration, and purpose.
  • To inform the development of targeted travel medicine services for pediatric populations.

Main Methods:

  • Retrospective analysis of pre-travel service data from 4065 individuals over a three-year period.
  • Inclusion criteria: children aged <15 years seeking pre-travel advice.
  • Data collected included travel destinations, duration, purpose, accommodation, and prescribed chemoprophylaxis.

Main Results:

  • Only 128 children (3.15%) utilized pre-travel services.
  • Top destinations included sub-Saharan Africa (42.2%), South America (14.1%), and the Middle East (12.5%).
  • Recreation was the primary travel purpose (63.3%), with significant stays in local residences for visiting friends and relatives (VFRs) (85.7%). Malaria chemoprophylaxis was recommended for 64.8% of those traveling to sub-Saharan Africa.

Conclusions:

  • A small proportion of international pediatric travelers in Greece access pre-travel health services.
  • Pediatric travelers, particularly VFRs, exhibit distinct travel patterns and accommodation preferences.
  • Enhanced communication strategies are necessary to improve access and uptake of travel medicine services for children.

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