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Am. J. Trop. Med. Hyg., 79(1), 2008, pp. 4-8
Copyright © 2008 by The American Society of Tropical Medicine and Hygiene

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SHORT REPORT


Health Risks in Travelers to China: The GeoSentinel Experience and Implications for the 2008 Beijing Olympics

Xiaohong M. Davis, Susan MacDonald, Sarah Borwein, David O. Freedman, Phyllis E. Kozarsky, Frank von Sonnenburg, Jay S. Keystone, Poh Lian Lim, Nina Marano* for the GeoSentinel Surveillance Network{dagger}
Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia; Beijing United Family Hospital and Clinics, Beijing, China; Central Health Medical Practice, Hong Kong SAR, China; W. C. Gorgas Center for Geographic Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama; Emory University, Atlanta, Georgia; University of Munich, Munich, Germany; Toronto General Hospital, Toronto, Canada; Tan Tock Seng Hospital, Singapore

 

ABSTRACT

Selected data collected for travelers to China from 1998 through November 2007 by the GeoSentinel Surveillance Network were used to provide an evidence base for prioritizing recommendations for Olympic and other future travelers to China. Respiratory illness and injuries were common among patients seen during their travel; acute diarrhea and dog bites were common among those seen after travel. Tropical and parasitic diseases were rare. Pre-travel consultation for China travelers should be individualized according to these findings.

Received May 6, 2008. Accepted for publication June 2, 2008.

Financial support: GeoSentinel, The Global Surveillance Network of the International Society of Travel Medicine is supported by Cooperative Agreement U50/CCU412347 from the Centers for Disease Control and Prevention.

Disclaimer: The findings and conclusions in this paper are those of the authors and do not necessarily represent the views of the funding agency.

* Address correspondence to Nina Marano, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 1600 Clifton Road, MS E-03, Atlanta, GA 30333. E-mail: nmarano{at}cdc.gov

{dagger} In addition to the named authors, members of the GeoSentinel Surveillance Network include the following: Anne Anglim, University of Southern California, Los Angeles, California; Vernon Ansdell, Kaiser Permanente, Honolulu, Hawaii (Oct. 1997–Jan. 2003 only); Graham Brown and Joseph Torresi, Royal Melbourne Hospital, Melbourne, Australia; Gerd-Dieter Burchard, Bernhard-Nocht Institute for Tropical Medicine, Hamburg, Germany; Lin H. Chen, Mount Auburn Hospital, Harvard University, Cambridge, Massachusetts; Bradley A. Connor, Cornell University, New York City, New York,; Jean Delmont, Philippe Parola, and Fabrice Simon, Hôpital Nord, Marseille, France; Vanessa Field, InterHealth, London, UK; Alejandra Gurtman, Mount Sinai Medical Center, New York City, New York (Oct. 2002–Aug. 2005); Devon C. Hale and Stefanie S. Gelman, University of Utah, Salt Lake City, Utah; Elaine C. Jong, N. Jean Haulman, and David Roesel, University of Washington, Seattle, Washington; Shuzo Kanagawa, International Medical Center of Japan, Tokyo, Japan; Kevin C. Kain, University of Toronto, Toronto, Canada; Carlos Franco-Paredes, Emory University, Atlanta, Georgia; Michael D. Libman and J. Dick MacLean, McGill University, Montreal, Canada; Annelies Wilder-Smith, Tan Tock Seng Hospital, Singapore; Louis Loutan and François Chappuis, Geneva University Hospitals, Geneva, Switzerland; Michael W. Lynch, Fresno International Travel Medical Center, Fresno, California; Anne McCarthy, University of Ottawa, Ottawa, Canada; Susan McLellan, Tulane University, New Orleans, Louisiana (Dec. 1999–Aug. 2005); Thomas B. Nutman and Amy D. Klion, National Institutes of Health, Bethesda, Maryland; Prativa Pandey, CIWEC Clinic Travel Medicine Center, Kathmandu, Nepal; Watcharapong Piyaphanee and Udomsak Silachamroon, Mahidol University, Bangkok, Thailand; R. Bradley Sack and Robin McKenzie, Johns Hopkins University, Baltimore, Maryland (Dec. 1997–Aug. 2007); Hiroko Sagara, Yokohama Municipal Citizen’s Hospital, Yokohama, Japan; Eli Schwartz, Sheba Medical Center, Tel Hashomer, Israel; Marc Shaw, Worldwise Travellers Health and Vaccination Centre, Auckland, New Zealand; William M. Stauffer and Patricia F. Walker, University of Minnesota, Minneapolis, Minnesota; Robert Steffen, Patricia Schlagenhauf, and Rainer Weber, University of Zurich, Zurich, Switzerland; Mary E. Wilson, Harvard University, Cambridge, Massachusetts.

Authors’ addresses: Xiaohong M. Davis and Nina Marano, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 1600 Clifton Road, MS E-03, Atlanta, GA 30333, Tel: 404-639-1757, Fax: 404-639-4441, E-mails: xdavis{at}cdc.gov, nmarano{at}cdc.gov. Susan MacDonald, Department of Primary Care, Beijing United Family Hospital and Clinics, #2 Jiang Tai Lu, Chaoyang District, Beijing 100016, China, Tel: 8610-6433-3963, Fax: 8610-6433-3963, E-mail: susan.macdonald{at}ufh.com.cn. Sarah Borwein, Central Health Medical Practice, 3F Baskerville House, 13 Duddell Street, Central, Hong Kong SAR, China, Tel: 852-2824-0822, Fax: 852-2824-0822, E-mail: stborwein{at}netvigator.com. David O. Freedman, W. C. Gorgas Center for Geographic Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, 1530 3rd Avenue South, BBRB 203, Birmingham, AL 35294-2170, Tel: 205-934-1630, Fax: 205-934-5600, E-mail: freedman{at}uab.edu. Phyllis E. Kozarsky, 550 Peachtree Street, MOT 7th Floor, Atlanta, GA 30308, Tel: 404-686-5885, Fax: 404-686-4508, E-mail: pkozars{at}emory.edu. Frank von Sonnenburg, Department of Infectious Diseases and Tropical Medicine, University of Munich, Georgenstrasse 5, 80799 Munich, Germany, Tel: 49-89-2180-3830, Fax: 49-89-336038, E-mail: sonnenburg{at}lrz.uni-muenchen.de. Jay S. Keystone, Tropical Disease Unit, Toronto General Hospital, 200 Elizabeth Street 13N-1347, Toronto, Ontario, Canada M5G 2C4, Tel: 416-340-3671, Fax: 416-340-3260, E-mail: jay.keystone{at}utoronto.ca. Poh Lian Lim, Department of Infectious Diseases, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore, Tel: 65-6357-7919, Fax: 65-6252-4056, E-mail: poh_lian_lim{at}ttsh.com.sg.






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Copyright © 2008 by the American Society of Tropical Medicine and Hygiene.