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Business travel-associated illness: a GeoSentinel analysis.

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Frequent illnesses for business travelers include malaria and diarrhea, especially when traveling to sub-Saharan Africa. Improving malaria chemoprophylaxis and pre-travel advice can reduce severe health outcomes and deaths.

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Area of Science:

  • Global Health
  • Travel Medicine
  • Epidemiology

Background:

  • Business travelers face unique health risks during international work assignments.
  • Understanding these risks is crucial for developing targeted preventive strategies.

Purpose of the Study:

  • To describe the spectrum of travel-related health problems in business travelers.
  • To identify frequent and serious illnesses encountered by this population.

Main Methods:

  • Analysis of a large cohort of ill business travelers from the GeoSentinel Surveillance Network (1997-2014).
  • Descriptive analysis of diagnoses, regions of exposure, and pre-travel healthcare encounters.

Main Results:

  • Malaria and acute diarrhea were the most frequent diagnoses.
  • Sub-Saharan Africa was a frequent region of exposure, associated with significant malaria cases.
  • Underuse of malaria chemoprophylaxis was common, contributing to preventable infections.
  • Deaths were reported, with malaria being a significant cause.

Conclusions:

  • Diarrheal illnesses and malaria represent major causes of morbidity and mortality in business travelers.
  • Improving adherence to malaria chemoprophylaxis and enhancing pre-travel advice are critical for reducing preventable deaths.
  • Targeted vaccination for vaccine-preventable diseases is also recommended.