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Typhoid vaccination for international travelers from Greece visiting developing countries
Paraskevi Smeti1, Androula Pavli, Panagiotis Katerelos
1Travel Medicine Office; Department for Interventions in Health Care Facilities, Hellenic Center for Disease Control and Prevention, Athens, Greece.
Typhoid fever vaccination rates are low among Greek travelers, especially for those visiting high-risk areas like the Indian subcontinent. Increased awareness and education are crucial for improving typhoid vaccine uptake in travelers.
Area of Science:
- Travel Medicine
- Infectious Diseases
- Vaccinology
Background:
- Typhoid fever is a common diagnosis among international travelers returning from endemic regions.
- Understanding vaccination practices is key to preventing travel-related infectious diseases.
Purpose of the Study:
- To investigate typhoid vaccine prescription patterns among travelers from Greece.
- To identify factors influencing typhoid vaccination decisions for travel to developing countries.
Main Methods:
- A prospective questionnaire-based study was conducted across 57 Public Health Departments in Greece.
- Data were collected from 3,680 travelers between 2009 and 2012.
Main Results:
- Only 30.1% of travelers received the typhoid vaccine.
- Vaccination rates varied significantly by destination (highest for Indian subcontinent, 44.2%) and duration of travel (highest for 1-3 months, 63.1%).
- Vaccination was associated with destination, travel duration, purpose, area of stay, and accommodation type.
Conclusions:
- There is a critical need to enhance awareness regarding typhoid vaccination for travelers and healthcare professionals.
- High-risk groups, including travelers to the Indian subcontinent and visitors to friends and relatives (VFRs), require targeted interventions.
- Continuing professional education strategies for travel health professionals are essential to improve vaccine administration.
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