Zika among international travellers presenting to GeoSentinel sites, 2012-2019: implications for clinical practice

被引：23

作者：

Angelo, Kristina M. ^{[1
]}

Stoney, Rhett J. ^{[1
]}

Brun-Cottan, Gaelle ^{[2
,3
]}

Leder, Karin ^{[3
]}

Grobusch, Martin P. ^{[4
]}

Hochberg, Natasha ^{[5
]}

Kuhn, Susan ^{[6
]}

Bottieau, Emmanuel ^{[7
]}

Schlagenhauf, Patricia ^{[8
]}

Chen, Lin ^{[9
,10
]}

Hynes, Noreen A. ^{[11
]}

Perez, Cecilia Perret ^{[12
]}

Mockenhaupt, Frank P.

Molina, Israel ^{[13
]}

Crespillo-Andujar, Clara ^{[14
]}

Malvy, Denis ^{[15
,16
]}

Caumes, Eric ^{[17
]}

Plourde, Pierre ^{[18
]}

Shaw, Marc ^{[19
,20
]}

McCarthy, Anne E. ^{[21
]}

Piper-Jenks, Nancy ^{[22
]}

Connor, Bradley A. ^{[23
]}

Hamer, Davidson H. ^{[24
,25
]}

Wilder-Smith, Annelies ^{[26
,27
]}

机构：

[1] Ctr Dis Control & Prevent, Div Global Migrat & Quarantine, 1600 Clifton Rd NE, Atlanta, GA 30329 USA

[2] Boston Univ, Dept Med, Sch Med, 72 E Concord St, Boston, MA 02118 USA

[3] Boston Univ, Dept Med, Sch Med, 72 E Concord St, Boston, MA 02118 USA

[4] Univ Amsterdam, Amsterdam Univ Med Ctr, Ctr Trop Med & Travel Med, NL-1012 WX Amsterdam, Netherlands

[5] Boston Univ, Dept Pediat, Sch Med, 72 E Concord St, Boston, MA 02118 USA

[6] Alberta Hlth Serv, Dept Pediat, 10101 Southport Rd SW, Calgary, AB T2W 3N2, Canada

[7] Inst Trop Med, Dept Clin Sci, Kronenburgstr 43, B-2000 Antwerp, Belgium

[8] Univ Zurich, WHO Collaborating Ctr Travellers Hlth, Epidemiol Biostat & Prevent Inst, Ramistr 71, CH-8006 Zurich, Switzerland

[9] Mt Auburn Hosp, Div Infect Dis & Travel Med, Cambridge, MA USA

[10] Harvard Med Sch, 25 Shattuck St, Boston, MA 02115 USA

[11] Johns Hopkins Univ, Sch Med, 733 N Broadway, Baltimore, MD 21205 USA

[12] Univ Catolica Chile, Sch Med, Av Libertador Bernardo OHiggins 340, Santiago, Santiago Metrop, Chile

[13] Univ Autonoma Barcelona, Vall dHebron Univ Hosp, Dept Infect Dis, Campus UAB,Placa Civ, Barcelona 08193, Spain

[14] Univ Hosp La Paz Carlos III, Dept Internal Med, Natl Referral Unit Trop & Travel Med, Paseo Castellana 261, Madrid 28046, Spain

[15] Univ Bordeaux, Univ Hosp Ctr Bordeaux, Dept Infect Dis & Trop Med, 146 Rue Leo Saignat, F-33076 Bordeaux, France

[16] Univ Bordeaux, Inserm 1219, 146 Rue Leo Saignat, F-33076 Bordeaux, France

[17] Hop La Pitie Salpetriere, 47-83 Blvd Hop, F-75013 Paris, France

[18] Univ Manitoba, 66 Chancellors Cir, Winnipeg, MB R3T 2N2, Canada

[19] James Cook Univ, 1 James Cook Dr, Townsville, Qld 4811, Australia

[20] Worldwise Travellers Hlth Ctr, 18 St Marks Rd, Auckland 1050, New Zealand

[21] Univ Ottawa, Ottawa Hosp, Dept Med, 75 Laurier Ave E, Ottawa, ON K1N 6N5, Canada

[22] HRH Care, 1037 Main St, Peekskill, NY 10566 USA

[23] Weill Cornell Med Coll, New York Ctr Travel & Trop Med, 1300 York Ave, New York, NY 10065 USA

[24] Boston Univ, Dept Global Hlth, Sch Publ Hlth, 715 Albany St, Boston, MA 02118 USA

[25] Boston Med Ctr, Dept Med, Sect Infect Dis, One Boston Med Ctr Pl, Boston, MA 02118 USA

[26] Univ Umea, Dept Epidemiol & Global Hlth, S-90187 Umea, Sweden

[27] London Sch Hyg & Trop Med, Dept Dis Control, Keppel St, London WC1E 7HT, England

来源：

JOURNAL OF TRAVEL MEDICINE | 2020年 / 27卷 / 04期

基金：

欧盟地平线“2020”;

关键词：

Survey; Guillain-Barre syndrome; declining epidemic; sentinel surveillance; Zika diagnostics; VIRUS-INFECTION; TRANSMISSION; COUNTRIES; DIAGNOSIS; OUTBREAK; AMERICA;

D O I：

10.1093/jtm/taaa061

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Introduction: International travellers contribute to the rapid spread of Zika virus (ZIKV) and its sentinel identification globally. We describe ZIKV infections among international travellers seen at GeoSentinel sites with a focus on ZIKV acquired in the Americas and the Caribbean, describe countries of exposure and traveller characteristics, and assess ZIKV diagnostic testing by site. Methods: Records with an international travel-related diagnosis of confirmed or probable ZIKV from January 2012 through December 2019 reported to GeoSentinel with a recorded illness onset date were included to show reported cases over time. Records from March 2016 through December 2019 with an exposure region of the Americas or the Caribbean were included in the descriptive analysis. A survey was conducted to assess the availability, accessibility and utilization of ZIKV diagnostic tests at GeoSentinel sites. Results: GeoSentinel sites reported 525 ZIKV cases from 2012 through 2019. Between 2012 and 2014, eight cases were reported, and all were acquired in Asia or Oceania. After 2014, most cases were acquired in the Americas or the Caribbean, a large decline in ZIKV cases occurred in 2018-19. Between March 2016 and December 2019, 423 patients acquired ZIKV in the Americas or the Caribbean, peak reporting to these regions occurred in 2016 [330 cases (78%)]. The median age was 36 years (range: 3-92); 63% were female. The most frequent region of exposure was the Caribbean (60%). Thirteen travellers were pregnant during or after travel; one had a sexually acquired ZIKV infection. There was one case of fetal anomaly and two travellers with Guillain-Barre syndrome. GeoSentinel sites reported various challenges to diagnose ZIKV effectively. Conclusion: ZIKV should remain a consideration for travellers returning from areas with risk of ZIKV transmission. Travellers should discuss their travel plans with their healthcare providers to ensure ZIKV prevention measures are taken.

引用

页数：9

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