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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.
Abstract:
The aim of this study was to describe the children who seek pre-travel advice in Greece. During 2008-2010, 4065 persons sought pre-travel services in the 57 Prefectures, including 128 (3.15%) children <15 years. Main travel destinations were sub-Saharan Africa (54 children; 42.2%), South America (18; 14.1%), the Middle East (16; 12.5%), the Indian subcontinent (12; 9.4%), and South East Asia (7; 5.5%). Seventy-six children (59.4%) stayed for <1 month, 34 (26.6%) for 1-6 months, and 10 (7.8%) for >6 months. Recreation was the main purpose of travel (81 children; 63.3%), followed by work (24; 18.8%), and to visit friends and relatives (VFRs) (14; 10.9%). Paediatric travellers VFRs stayed more frequently in local residences compared to non-VFR paediatric travellers (85.7% and 20.2%). Children stayed more frequently in local residences and travelled more frequently for recreational purposes or to VFRs (27.3%, 63.3%, and 10.9%, respectively), compared to older travellers (11.9%, 58.8%, and 4%, respectively). Malaria chemoprophylaxis was prescribed for 64.8% of children travelling to sub-Saharan Africa. This study demonstrated clearly that only a very small number of international paediatric travellers seek pre-travel services in Greece. Communication strategies to access paediatric travellers should be developed in order to improve travel medicine services for children in Greece.
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