Health risks, travel preparation, and illness among public health professionals during international travel

Travel Med Infect Dis. 2014 Jul-Aug;12(4):349-54. doi: 10.1016/j.tmaid.2014.01.007. Epub 2014 Feb 12.

Abstract

Background: Few data currently exist on health risks faced by public health professionals (PHP) during international travel. We conducted pre- and post-travel health surveys to assess knowledge, attitudes, and practices (KAP), and illnesses among PHP international travelers.

Method: Anonymous surveys were completed by PHP from a large American public health agency who sought a pre-travel medical consult from September 1, 2009, to September 30, 2010.

Results: Surveys were completed by 122 participants; travelers went to 163 countries. Of the 122 respondents, 97 (80%) reported at least one planned health risk activity (visiting rural areas, handling animals, contact with blood or body fluids, visiting malarious areas), and 50 (41%) reported exposure to unanticipated health risks. Of the 62 travelers who visited malarious areas, 14 (23%) reported inconsistent or no use of malaria prophylaxis. Illness during travel was reported by 33 (27%) respondents.

Conclusions: Most of the PHP travelers in our study reported at least one planned health risk activity, and almost half reported exposure to unanticipated health risks, and one-quarter of travelers to malarious areas reported inconsistent or no use of malaria chemoprophylaxis. Our findings highlight that communication and education outreach for PHP to prevent travel-associated illnesses can be improved.

Keywords: Health risks; International travel; Occupational travel medicine; Pre-travel consultations; Public health professionals.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Antimalarials / therapeutic use
  • Communicable Diseases
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Malaria / drug therapy
  • Malaria / epidemiology
  • Malaria / prevention & control
  • Male
  • Middle Aged
  • Occupational Medicine*
  • Patient Acceptance of Health Care
  • Public Health Administration / statistics & numerical data*
  • Risk
  • Stress, Physiological
  • Stress, Psychological
  • Surveys and Questionnaires
  • Travel / statistics & numerical data*
  • Travel Medicine*

Substances

  • Antimalarials