1. Characteristics and preparation of the last-minute traveler: analysis of vaccine usage in the Global TravEpiNet Consortium
- Author
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Yates, Johnnie A, Rao, Sowmya R, Walker, Allison Taylor, Esposito, Douglas H, Sotir, Mark, LaRocque, Regina C, Ryan, Edward T, Abraham, George M, Alvarez, Salvador, Ansdell, Vernon, Atkins, Elisha H, Birich, Holly K, Vitek, Dagmar, Cahill, John, Chen, Lin, Connor, Bradley A, Dismukes, Roberta, Kozarsky, Phyllis, Wu, Henry, Dosunmu, Ronke, Goad, Jeffrey A, Mirzaian, Edith, Agudelo Higuita, Nelson Iván, Hess, Karl, Hynes, Noreen A, Jacquerioz, Frederique, McLellan, Susan, Katsolis, Jenn, Kelly, Paul, Knouse, Mark, Lee, Jennifer, Leung, Daniel, Oladele, Alawode, Demeke, Hanna, Otuata, Althea, Pasinski, Roger, Wheeler, Amy E, Showler, Adrienne, Coster, Laura, Rosen, Jessica, Schwartz, Brian S, Stauffer, William, Walker, Patricia, and Vinetz, Joseph
- Subjects
Adult ,Male ,Health Knowledge, Attitudes, Practice ,medicine.medical_specialty ,Time Factors ,Adolescent ,030231 tropical medicine ,Psychological intervention ,Late presentation ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Rabies vaccine ,Health care ,medicine ,Humans ,Travel medicine ,030212 general & internal medicine ,Japanese encephalitis vaccine ,Child ,Aged ,Travel ,Vaccines ,business.industry ,General Medicine ,Middle Aged ,medicine.disease ,United States ,3. Good health ,Vaccination ,Case-Control Studies ,Child, Preschool ,Family medicine ,Female ,Rabies ,business ,Travel Medicine ,medicine.drug - Abstract
Background Last-minute travellers (LMTs) present challenges for health care providers because they may have insufficient time for recommended vaccinations or pre-travel preparation. Our objective was to obtain a better understanding of LMTs in order to help travel medicine providers develop improved strategies to decrease the number of LMTs and potentially reduce travel-related morbidity. Methods We defined LMTs as travellers with a departure date of 7 days or fewer from the medical encounter. We analysed the characteristics and health preparation of 12 494 LMTs who presented to a network of US clinical practices for pre-travel health advice between January 2009 and December 2015. Results LMTs comprised 16% of all travellers. More LMTs than non-LMTs travelled for business or to visit friends and relatives (VFR) (26% vs 16% and 15% vs 8%, respectively; P Conclusion Interventions to improve the timing of pre-travel health consultations should be developed, particularly for business and VFR travellers. Recently endorsed accelerated vaccine schedules for Japanese encephalitis and rabies may help some LMTs receive protection against these infections despite late presentation for pre-travel health care.
- Published
- 2019