Aggregate travel vs. single trip assessment: Arguments for cumulative risk analysis

被引:34
作者
Leder, K. [1 ,2 ]
Chen, L. H. [3 ,4 ]
Wilson, M. E. [5 ]
机构
[1] Monash Univ, Dept Epidemiol & Prevent Med, Alfred Ctr, Melbourne, Vic 3004, Australia
[2] Royal Melbourne Hosp, Victorian Infect Dis Serv, Parkville, Vic 3050, Australia
[3] Mt Auburn Hosp, Cambridge, MA USA
[4] Harvard Univ, Sch Med, Boston, MA USA
[5] Harvard Univ, Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA 02115 USA
关键词
Travellers; Pre-travel vaccines; Cumulative risks; GEOSENTINEL SURVEILLANCE NETWORK; RABIES POSTEXPOSURE PROPHYLAXIS; JAPANESE ENCEPHALITIS VACCINE; HEPATITIS-B; VISITING FRIENDS; IMMUNIZATION PRACTICES; ADVISORY-COMMITTEE; UNITED-STATES; TYPHOID-FEVER; YELLOW-FEVER;
D O I
10.1016/j.vaccine.2011.12.133
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Vaccine recommendations for travellers are based on individual risk assessments of multiple factors, most importantly the destination and duration of the impending trip. Many people undertake frequent trips, but existing WHO, CDC and national advisory board recommendations do not explicitly consider cumulative travel-associated risks. Given the period of protection provided by many vaccines, in particular rabies, hepatitis A. hepatitis B and yellow fever vaccines, an aggregate multi-trip risk assessment which views vaccines as an investment for future travel health may be more appropriate than separately evaluating the risks for each trip. (C) 2012 Elsevier Ltd. All rights reserved.
引用
收藏
页码:2600 / 2604
页数:5
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