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  Subjects -> RECREATION, TRAVEL AND TOURISM (Total: 162 journals)
    - LEISURE AND RECREATION (19 journals)
    - RECREATION, TRAVEL AND TOURISM (143 journals)

RECREATION, TRAVEL AND TOURISM (143 journals)                     

Showing 1 - 36 of 36 Journals sorted alphabetically
40 [degrees] South     Full-text available via subscription   (Followers: 2)
Acta Economica Et Turistica     Open Access  
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 6)
Almatourism - Journal of Tourism, Culture and Territorial Development     Open Access   (Followers: 11)
American Journal of Tourism Management     Open Access   (Followers: 8)
American Journal of Tourism Research     Open Access   (Followers: 12)
Anatolia : An International Journal of Tourism and Hospitality Research     Hybrid Journal   (Followers: 9)
Annals of Tourism Research     Hybrid Journal   (Followers: 33)
Applied Tourism     Open Access   (Followers: 1)
Asia Pacific Journal of Tourism Research     Hybrid Journal   (Followers: 21)
Australian Antarctic Magazine     Free   (Followers: 4)
Caderno Virtual de Turismo     Open Access   (Followers: 1)
Cornell Hospitality Quarterly     Hybrid Journal   (Followers: 8)
Craft Research     Hybrid Journal   (Followers: 3)
Cuadernos de Turismo     Open Access   (Followers: 2)
Current Issues in Tourism     Hybrid Journal   (Followers: 21)
Czech Journal of Tourism     Open Access   (Followers: 3)
Desafio Online     Open Access  
E-Journal of Tourism     Open Access   (Followers: 6)
EchoGéo     Open Access  
Educación física y deporte     Open Access   (Followers: 1)
El Periplo Sustentable     Open Access  
Enlightening Tourism. A Pathmaking Journal     Open Access   (Followers: 5)
Espiga     Open Access  
European Journal of Tourism, Hospitality and Recreation     Open Access   (Followers: 5)
Event Management     Full-text available via subscription   (Followers: 6)
Geofronter     Open Access  
Geotourism/Geoturystyka     Open Access   (Followers: 1)
Gestion Turistica     Open Access   (Followers: 1)
Globe, The     Full-text available via subscription   (Followers: 3)
Hospitality & Society     Hybrid Journal   (Followers: 4)
Hospitality Review     Full-text available via subscription   (Followers: 2)
Information Technology & Tourism     Full-text available via subscription   (Followers: 8)
Interaction     Full-text available via subscription   (Followers: 3)
International Journal of Applied Sciences in Tourism and Events     Open Access   (Followers: 1)
International Journal of Contemporary Hospitality Management     Hybrid Journal   (Followers: 12)
International Journal of Culture Tourism and Hospitality Research     Hybrid Journal   (Followers: 18)
International Journal of Digital Culture and Electronic Tourism     Hybrid Journal   (Followers: 5)
International Journal of Event and Festival Management     Hybrid Journal   (Followers: 5)
International Journal of Hospitality & Tourism Administration     Hybrid Journal   (Followers: 14)
International Journal of Hospitality and Event Management     Hybrid Journal   (Followers: 4)
International Journal of Hospitality Management     Hybrid Journal   (Followers: 19)
International Journal of Knowledge Management in Tourism and Hospitality     Hybrid Journal   (Followers: 2)
International Journal of Religious Tourism and Pilgrimage     Open Access   (Followers: 5)
International Journal of Tourism Anthropology     Hybrid Journal   (Followers: 9)
International Journal of Tourism Cities     Hybrid Journal   (Followers: 2)
International Journal of Tourism Policy     Hybrid Journal   (Followers: 8)
International Journal of Tourism Research     Hybrid Journal   (Followers: 16)
International Journal of Tourism Sciences     Hybrid Journal   (Followers: 5)
International Journal of Travel Medicine and Global Health     Open Access  
Journal of Business & Hotel Management     Partially Free   (Followers: 3)
Journal of China Tourism Research     Hybrid Journal   (Followers: 4)
Journal of Ecotourism     Hybrid Journal   (Followers: 3)
Journal of Environmental Management and Tourism     Open Access   (Followers: 10)
Journal of Franco-Irish Studies     Open Access   (Followers: 1)
Journal of Gastronomy and Tourism     Hybrid Journal   (Followers: 2)
Journal of Heritage Tourism     Hybrid Journal   (Followers: 12)
Journal of Hospitality & Tourism Education     Hybrid Journal   (Followers: 8)
Journal of Hospitality & Tourism Research     Hybrid Journal   (Followers: 14)
Journal of Hospitality and Tourism Management     Full-text available via subscription   (Followers: 14)
Journal of Hospitality and Tourism Technology     Hybrid Journal   (Followers: 4)
Journal of Hospitality Financial Management     Open Access   (Followers: 1)
Journal of Hospitality Management and Tourism     Open Access   (Followers: 5)
Journal of Hospitality Marketing & Management     Hybrid Journal   (Followers: 10)
Journal of Hospitality, Leisure, Sport & Tourism Education     Full-text available via subscription   (Followers: 1)
Journal of Indonesian Tourism and Development Studies     Open Access   (Followers: 1)
Journal of Outdoor Recreation and Tourism     Hybrid Journal   (Followers: 5)
Journal of Park and Recreation Administration     Full-text available via subscription   (Followers: 2)
Journal of Place Management and Development     Hybrid Journal   (Followers: 1)
Journal of Policy Research in Tourism, Leisure and Events     Hybrid Journal   (Followers: 8)
Journal of Quality Assurance in Hospitality & Tourism     Hybrid Journal   (Followers: 6)
Journal of Sport & Tourism     Hybrid Journal   (Followers: 6)
Journal of Sustainable Tourism     Hybrid Journal   (Followers: 14)
Journal of Tourism & Hospitality     Open Access   (Followers: 6)
Journal of Tourism and Cultural Change     Hybrid Journal   (Followers: 8)
Journal of Tourism and Recreation     Open Access   (Followers: 6)
Journal of Tourism Futures     Open Access   (Followers: 2)
Journal of Tourism Insights     Open Access   (Followers: 6)
Journal of Tourism Research & Hospitality     Hybrid Journal   (Followers: 7)
Journal of Tourism, Hospitality and Sports     Open Access   (Followers: 2)
Journal of Travel & Tourism Marketing     Hybrid Journal   (Followers: 15)
Journal of Travel Medicine     Hybrid Journal   (Followers: 3)
Journal of Travel Research     Hybrid Journal   (Followers: 13)
Journal of Vacation Marketing     Hybrid Journal   (Followers: 4)
Journeys     Full-text available via subscription  
Jurnal Manajemen, Strategi Bisnis dan Kewirausahaan     Open Access   (Followers: 6)
Jurnal Master Pariwisata (Journal Master in Tourism Studies)     Open Access   (Followers: 1)
Jurnal Pariwisata Pesona     Open Access  
Marketing & Tourism Review     Open Access  
Mobilities     Hybrid Journal   (Followers: 6)
Mondes du Tourisme     Open Access  
Multiciencias     Open Access  
PASOS Revista de Turismo y Patrimonio Cultural     Open Access   (Followers: 2)
Podium Sport, Leisure and Tourism Review     Open Access   (Followers: 2)
Polish Journal of Sport and Tourism     Open Access  
Provincia     Open Access  
RACE - Revista de Administração, Contabilidade e Economia     Open Access   (Followers: 1)
Rangeland Journal     Hybrid Journal   (Followers: 3)
Recreational Sport Journal     Hybrid Journal   (Followers: 5)
ReiseRecht aktuell : Zeitschrift für das Tourismusrecht     Hybrid Journal  
Research in Hospitality Management     Full-text available via subscription  
Revista de Gestão Ambiental e Sustentabilidade - GeAS     Open Access  
Revista de turism - studii si cercetari in turism     Open Access  
Revista de Turismo Contemporâneo     Open Access   (Followers: 1)
Revista Eletrônica Academicus     Open Access  
Revista Eletrônica de Administração e Turismo     Open Access  
Revista Iberoamericana de Ciencias de la Actividad Física y el Deporte     Open Access  
Revista Interamericana de Ambiente y Turismo     Open Access   (Followers: 1)
Revista Organizações em Contexto     Open Access  
Revista Portuguesa e Brasileira de Gestão     Open Access  
Revista Rosa dos Ventos     Open Access   (Followers: 1)
ROTUR : Revista de Ocio y Turismo     Open Access  
Scandinavian Journal of Hospitality and Tourism     Hybrid Journal   (Followers: 3)
South African Journal of Wildlife Research     Open Access   (Followers: 1)
Space and Culture     Hybrid Journal   (Followers: 5)
Studies in Travel Writing     Hybrid Journal   (Followers: 6)
Téoros     Open Access  
Tourism     Open Access   (Followers: 9)
Tourism & Hospitality Essentials Journal     Open Access   (Followers: 1)
Tourism & Management Studies     Open Access   (Followers: 7)
Tourism Analysis     Full-text available via subscription   (Followers: 13)
Tourism and Cultural Heritage     Open Access   (Followers: 6)
Tourism and Hospitality Research     Hybrid Journal   (Followers: 7)
Tourism Culture & Communication     Full-text available via subscription   (Followers: 6)
Tourism Geographies: An International Journal of Tourism Space, Place and Environment     Hybrid Journal   (Followers: 17)
Tourism in Marine Environments     Full-text available via subscription   (Followers: 2)
Tourism Management     Hybrid Journal   (Followers: 20)
Tourism Management Perspectives     Hybrid Journal   (Followers: 8)
Tourism Planning & Development     Hybrid Journal   (Followers: 7)
Tourism Recreation Research     Hybrid Journal   (Followers: 5)
Tourism Review     Hybrid Journal   (Followers: 7)
Tourism Review International     Full-text available via subscription   (Followers: 6)
Tourism, Leisure and Global Change     Open Access   (Followers: 2)
Tourist Studies     Hybrid Journal   (Followers: 5)
TRANSIT     Open Access  
Translation Studies     Hybrid Journal   (Followers: 20)
Turismo y Sociedad     Open Access   (Followers: 1)
Turismo y Sociedad     Open Access   (Followers: 1)
Turystyka Kulturowa     Open Access  
Visitor Studies     Hybrid Journal   (Followers: 5)
Worldwide Hospitality and Tourism Themes     Hybrid Journal   (Followers: 2)
Zeitschrift für Tourismuswissenschaft     Full-text available via subscription  
Современные проблемы сервиса и туризма     Full-text available via subscription   (Followers: 2)

           

Journal Cover Journal of Travel Medicine
  [SJR: 0.946]   [H-I: 45]   [3 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1195-1982 - ISSN (Online) 1708-8305
   Published by Oxford University Press Homepage  [372 journals]
  • Reply to comment ‘Tabanus bovinus in Bolivia'’ by Stephen
           M Smith
    • Authors: Veraldi S.
      PubDate: Wed, 07 Feb 2018 00:00:00 GMT
      DOI: 10.1093/jtm/tay001
      Issue No: Vol. 25, No. 1 (2018)
       
  • Business travel-associated illness: a GeoSentinel analysis†
    • Authors: Chen L; Leder K, Barbre K, et al.
      Abstract: BackgroundAnalysis of a large cohort of business travelers will help clinicians focus on frequent and serious illnesses. We aimed to describe travel-related health problems in business travelers.MethodsGeoSentinel Surveillance Network consists of 64 travel and tropical medicine clinics in 29 countries; descriptive analysis was performed on ill business travelers, defined as persons traveling for work, evaluated after international travel 1 January 1997 through 31 December 2014.ResultsAmong 12 203 business travelers seen 1997–2014 (14 045 eligible diagnoses), the majority (97%) were adults aged 20–64 years; most (74%) reported from Western Europe or North America; two-thirds were male. Most (86%) were outpatients. Fewer than half (45%) reported a pre-travel healthcare encounter. Frequent regions of exposure were sub-Saharan Africa (37%), Southeast Asia (15%) and South Central Asia (14%). The most frequent diagnoses were malaria (9%), acute unspecified diarrhea (8%), viral syndrome (6%), acute bacterial diarrhea (5%) and chronic diarrhea (4%). Species was reported for 973 (90%) of 1079 patients with malaria, predominantly Plasmodium falciparum acquired in sub-Saharan Africa. Of 584 (54%) with malaria chemoprophylaxis information, 92% took none or incomplete courses. Thirteen deaths were reported, over half of which were due to malaria; others succumbed to pneumonia, typhoid fever, rabies, melioidosis and pyogenic abscess.ConclusionsDiarrheal illness was a major cause of morbidity. Malaria contributed substantial morbidity and mortality, particularly among business travelers to sub-Saharan Africa. Underuse or non-use of chemoprophylaxis contributed to malaria cases. Deaths in business travelers could be reduced by improving adherence to malaria chemoprophylaxis and targeted vaccination for vaccine-preventable diseases. Pre-travel advice is indicated for business travelers and is currently under-utilized and needs improvement.
      PubDate: Wed, 07 Feb 2018 00:00:00 GMT
      DOI: 10.1093/jtm/tax097
      Issue No: Vol. 25, No. 1 (2018)
       
  • Female genital mutilation: an evaluation of the knowledge of French
           general and specialized travel medicine practitioners
    • Authors: Tantet C; Aupiais C, Bourdon M, et al.
      Abstract: We investigated the knowledge of female genital mutilation (FGM) among 60 general and 52 specialized travel medicine practitioners. Less than 50% of these practitioners had adequate knowledge of FGM. Only 42.9% declared having encountered FGM. FGM is likely underestimated in health facilities. Medical education and supporting information should be developed to better address and prevent FGM.
      PubDate: Mon, 22 Jan 2018 00:00:00 GMT
      DOI: 10.1093/jtm/tax090
      Issue No: Vol. 25, No. 1 (2018)
       
  • Travelers’ diarrhea in children: a blind spot in the expert panel
           guidelines on prevention and treatment
    • Authors: Hagmann S; Christenson J, Fischer P, et al.
      Abstract: To the Editor-in-Chief:
      PubDate: Mon, 22 Jan 2018 00:00:00 GMT
      DOI: 10.1093/jtm/tax075
      Issue No: Vol. 25, No. 1 (2018)
       
  • Rickettsia sibirica mongolitimonae infection in a woman travelling from
           Cameroon: a case report and review of the literature
    • Authors: Nouchi A; Monsel G, Jaspard M, et al.
      Abstract: Rickettsia sibirica mongolitimonae is now a well-known cause of human rickettsial infection, with 52 reported cases, including 47 in southern Europe and one in South Africa. We report the first case of R. sibirica mongolitimonae in Central Africa, likely a sentinel case for a more common disease than originally suspected.
      PubDate: Wed, 27 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax074
      Issue No: Vol. 25, No. 1 (2017)
       
  • Blackwater fever in a non-immune patient with Plasmodium falciparum
           malaria after intravenous artesunate
    • Authors: Rodriguez-Valero N; Castro P, Martinez G, et al.
      Abstract: Blackwater fever was typically reported after quinine administration, although it is poor recognized in patients receiving artesunate. This case describes a blackwater fever in a non-immune patient after artesunate for severe malaria. It highlights the importance of monitoring haemolytic parameters in severe malaria to avoid renal impairment or severe anaemia.
      PubDate: Wed, 27 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax094
      Issue No: Vol. 25, No. 1 (2017)
       
  • Severe post-artesunate delayed onset anaemia responding to corticotherapy:
           a case report
    • Authors: Lebrun D; Floch T, Brunet A, et al.
      Abstract: Delayed onset haemolysis occurring post-artesunate and post-artemisinin combination therapy is secondary to delayed clearance of infected erythrocytes spared by pitting during treatment. We report a case of severe post-treatment delayed haemolytic anaemia with a positive direct antiglobulin test and a positive response to corticosteroid therapy, suggesting an associated immune mechanism.
      PubDate: Wed, 27 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax091
      Issue No: Vol. 25, No. 1 (2017)
       
  • Multiplex PCR for determining aetiology of travellers’ diarrhoea: too
           much information or too little'
    • Authors: Hamer D.
      PubDate: Wed, 27 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax089
      Issue No: Vol. 25, No. 1 (2017)
       
  • Reply to Comment 'Nocturnal decrease of arterial oxygen content—hidden
           stimulus for erythropoietin secretion at altitude by Böning et al. on
           Oxygen saturation increases over the course of the night in mountaineers
           at high altitude (3050m–6354 m) by Tannheimer et al.'
    • Authors: Tannheimer M; van der Spek R, Lechner R, et al.
      PubDate: Wed, 27 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax093
      Issue No: Vol. 25, No. 1 (2017)
       
  • Use of a multiplex DNA extraction PCR in the identification of pathogens
           in travelers’ diarrhea
    • Authors: Connor B; Rogova M, Whyte O.
      Abstract: BackgroundDiarrhea is one of the most common ailments afflicting travelers with attack rates of 30–40% for medium to high-risk destinations. As travelers’ diarrhea (TD) is syndromic and caused by a wide range of pathogens, including bacteria, parasites and viruses, multiplex deoxyribonucleic acid (DNA) extraction polymerase chain reaction (PCR) technology can be useful for determining the etiology of TD pathogens.ObjectiveThe goal of this retrospective study was to produce clinically relevant and useful data on gastrointestinal illness related to travel identified by culture-independent methods of diagnosis—use of the multiplex DNA extraction PCR platform (BioFire FilmArray GI Panel) and to describe the use of this technology in detection of enteric pathogens.MethodWe reviewed our data in returned travelers from May 2014 to March 2017, looking at demographics, country of travel, number of pathogens found and pathogens by specific region.ResultsStool analysis by DNA extraction PCR was obtained in 388 post-travel patients. Three hundred and twenty-seven of these had diarrhea or other enteric symptoms. Sixty-one travelers presented with enteric symptoms and were diagnosed with post infectious irritable bowel syndrome (PI-IBS) after stool analyses were negative. Of those with diarrhea or gastrointestinal (GI) symptoms and excluding those diagnosed with PI-IBS, 207 patients tested positive for at least 1 enteric pathogen (63.4%). Eighty of those patients were found to have multiple pathogens. Viral pathogens were identified in 38 patients, 18% of the total number of cases.ConclusionThe BioFire FilmArray GI Panel was associated with better detection of pathogens than historical controls while also allowing prompt and accurate diagnosis and potential treatment. A higher proportion of viral pathogens compared with historical assumptions was identified as well as mixed infections with multiple pathogens, a phenomenon largely unknown to clinicians before this technology became available.
      PubDate: Wed, 27 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax087
      Issue No: Vol. 25, No. 1 (2017)
       
  • Protecting the health of medical students on international electives in
           low-resource settings
    • Authors: Johnston N; Sandys N, Geoghegan R, et al.
      Abstract: BackgroundIncreasingly, medical students from developed countries are undertaking international medical electives in developing countries. Medical students understand the many benefits of these electives, such as the opportunity to develop clinical skills, to gain insight into global health issues and to travel to interesting regions of the world. However, they may be much less aware of the risk to their health and wellbeing while abroad. Compounding this problem, medical students may not seek advice from travel medicine practitioners and often receive inadequate or no information from their medical school prior to departure.MethodsThe PubMed database was searched for relevant literature relating to the health of medical elective students. Combinations of the following key words were used as search terms: ‘international health elective’, ‘medical student’ and ‘health risks’. Articles were restricted to those published in English from 1997 through June 2017. A secondary review of the reference lists of these articles was performed. The grey literature was also searched for relevant material.ResultsThis narrative literature review outlines the risks of clinical electives in resource-poor settings which include exposure to infectious illness, trauma, sexual health problems, excessive sun exposure, mental health issues and crime. Medical students may mitigate these health risks by being informed and well prepared for high-risk situations. The authors provide evidence-based travel advice which aims to improve pre-travel preparation and maximize student traveller safety. A safer and more enjoyable elective may be achieved if students follow road safety advice, take personal safety measures, demonstrate cultural awareness, attend to their psychological wellbeing and avoid risk-taking behaviours.ConclusionThis article may benefit global health educators, international elective coordinators and travel medicine practitioners. For students, a comprehensive elective checklist, an inventory of health kit items and useful web-based educational resources are provided to help prepare for electives abroad.
      PubDate: Wed, 27 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax092
      Issue No: Vol. 25, No. 1 (2017)
       
  • A summary of the imported cases of Chikungunya fever in Japan from 2006 to
           June 2016
    • Authors: Nakayama E; Tajima S, Kotaki A, et al.
      Abstract: BackgroundDue to the huge 2-way human traffic between Japan and Chikungunya (CHIK) fever-endemic regions, 89 imported cases of CHIK fever were confirmed in Japan from January 2006 to June 2016. Fifty-four of 89 cases were confirmed virologically and serologically at the National Institute of Infectious Diseases, Japan and we present the demographic profiles of the patients and the phylogenetic features of 14 CHIK virus (CHIKV) isolates.MethodsPatients were diagnosed with CHIK fever by a combination of virus isolation, viral RNA amplification, IgM antibody-, IgG antibody-, and/or neutralizing antibody detection. The whole-genome sequences of the CHIKV isolates were determined by next-generation sequencing.ResultsPrior to 2014, the source countries of the imported CHIK fever cases were limited to South and Southeast Asian countries. After 2014, when outbreaks occurred in the Pacific and Caribbean Islands and Latin American countries, there was an increase in the number of imported cases from these regions. A phylogenetic analysis of 14 isolates revealed that four isolates recovered from three patients who returned from Sri Lanka, Malaysia and Angola, belonged to the East/Central/South African genotype, while 10 isolates from 10 patients who returned from Indonesia, the Philippines, Tonga, the Commonwealth of Dominica, Colombia and Cuba, belonged to the Asian genotype.ConclusionThrough the phylogenetic analysis of the isolates, we could predict the situations of the CHIK fever epidemics in Indonesia, Angola and Cuba. Although Japan has not yet experienced an autochthonous outbreak of CHIK fever, the possibility of the future introduction of CHIKV through an imported case and subsequent local transmission should be considered, especially during the mosquito-active season. The monitoring and reporting of imported cases will be useful to understand the situation of the global epidemic, to increase awareness of and facilitate the diagnosis of CHIK fever, and to identify a future CHIK fever outbreak in Japan.
      PubDate: Wed, 20 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax072
      Issue No: Vol. 25, No. 1 (2017)
       
  • Safety of live vaccines on immunosuppressive or immunomodulatory
           therapy—a retrospective study in three Swiss Travel Clinics
    • Authors: Huber F; Ehrensperger B, Hatz C, et al.
      Abstract: BackgroundPatients increasingly benefit from immunosuppressive/immunomodulatory medications for a range of conditions allowing them a lifestyle similar to healthy individuals, including travel. However, the administration of live vaccines to immunodeficient patients bears the risk of replication of the attenuated vaccine microorganism. Therefore, live vaccines are generally contraindicated on immunosuppression. Data on live vaccinations on immunosuppressive/immunomodulatory medication are scarce. We identified all travellers seeking pre-travel advice in three Swiss travel clinics with a live vaccine during immunosuppressive/immunomodulatory therapy to ascertain experienced side effects. A retrospective and multi-centre study design was chosen to increase the sample size.MethodsThis study was conducted in the travel clinics of the University of Zurich; the Swiss TPH, Basel; and Geneva University Hospitals. Travellers on immunosuppressive/immunomodulatory therapy who received live vaccines [yellow fever vaccination (YFV), measles/mumps/rubella (MMR), varicella and/ or oral typhoid vaccination (OTV)] between 2008 and 2015 were identified and interviewed. A total of 60 age- and sex-matched controls (matched to Basel/Zurich travel clinics travellers) were included.ResultsOverall, 197 patients were identified. And 116 patients (59%) and 60 controls were interviewed. YFV was administered 92 times, MMR 21 times, varicella 4 times and OTV 6 times to patients on immunosuppressive/immunomodulatory therapy. Most common medications were corticosteroids (n = 45), mesalazine (n = 28) and methotrexate (n = 19). Live vaccines were also administered on biological treatment, e.g. TNF-alpha inhibitors (n = 8). Systemic reactions were observed in 12.2% of the immunosuppressed vs 13.3% of controls; local reactions in 7.8% of the immunosuppressed vs 11.7% of controls. In controls, all reactions were mild/moderate. In the immunosuppressed, 2/21 severe reactions occurred: severe local pain on interferon-beta and severe muscle/joint pain on sulfasalazine.ConclusionSafety of live vaccines given to immunosuppressed patients cannot be concluded. However, it is re-assuring that in the examined patient groups no serious side effects or infections by the attenuated vaccine strain occurred.
      PubDate: Wed, 20 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax082
      Issue No: Vol. 25, No. 1 (2017)
       
  • Case report of the patient source of the Babesia microti R1 reference
           strain and implications for travelers
    • Authors: Stahl P; Poinsignon Y, Pouedras P, et al.
      Abstract: BackgroundIn 2002, a previously healthy 69-year-old man travelled to France from the United States and presented to our hospital with a febrile illness that subsequently was determined to be babesiosis. The blood isolated from this patient served as a source for propagation of the Babesia microti R1 strain with subsequent sequencing and annotation of the parasite genome.MethodsUpon admission, we obtained a medical history, performed a physical examination, and examined his blood for the presence of a blood borne pathogen by microscopy, PCR and indirect immunofluorescence antibody testing. Once the diagnosis of babesiosis was made, we reviewed the literature to assess the distribution of B. microti-associated babesiosis cases in immunocompetent patients from outside the USA.ResultsThe patient recalled a tick bite during the previous month on Cape Cod, Massachusetts. The diagnosis was confirmed by identification of Babesia-infected red blood cells on blood smears, amplification of B. microti DNA in blood by PCR and the presence of B. microti antibody in the serum. This strain was the first isolate of B. microti to be fully sequenced and its annotated genome serves as a reference for molecular and cell biology studies aimed at understanding B. microti pathophysiology and developing diagnostic tests and therapies. A review of babesiosis cases demonstrates a worldwide distribution of B. microti and identifies potential emerging endemic areas where travelers may be at risk of contracting B. microti infection.ConclusionThis case provides clinical information about the patient infected with the R1 isolate and a review of travel risk, diagnosis and treatment of babesiosis in endemic and non-endemic areas.
      PubDate: Mon, 11 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax073
      Issue No: Vol. 25, No. 1 (2017)
       
  • Definitive diagnosis in suspected Middle East Respiratory Syndrome
           Coronavirus cases
    • Authors: Rubio E; Martínez M, Gonzalo V, et al.
      Abstract: We evaluated the microbiological diagnosis in 14 patients with epidemiological and clinical suspicion of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) attended in a non-endemic area between June 2015 and January 2017. While no MERS-CoV was detected, other respiratory viruses were identified in 12 cases and Mycoplasma pneumoniae in 1 case.
      PubDate: Fri, 08 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax084
      Issue No: Vol. 25, No. 1 (2017)
       
  • Empiric treatment for persistent abdominal symptoms after travel: a
           practical option for a protracted problem'
    • Authors: Shlim D.
      PubDate: Fri, 08 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax078
      Issue No: Vol. 25, No. 1 (2017)
       
  • Tabanus bovinus in Bolivia'
    • Authors: Smith S.
      PubDate: Fri, 08 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax088
      Issue No: Vol. 25, No. 1 (2017)
       
  • Nocturnal decrease of arterial oxygen content—hidden stimulus for
           erythropoietin secretion at altitude
    • Authors: Böning D; Cristancho E, Sanchez A, et al.
      PubDate: Fri, 08 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax079
      Issue No: Vol. 25, No. 1 (2017)
       
  • Imported malaria in northern Italy: epidemiology and clinical features
           observed over 18 years in the Teaching Hospital of Brescia
    • Authors: Zanotti P; Odolini S, Tomasoni L, et al.
      Abstract: BackgroundEven though malaria incidence is decreasing worldwide, travel-related cases reported in Europe have remained stable in recent years. In Italy, incidence had increased in the 1990s, reaching a peak in 1999; a slow decline was then reported over the subsequent decade. To our knowledge, few published data are available on imported malaria in Italy since 2010. In this article we aimed to analyse trends in imported malaria in the teaching hospital of Brescia, northern Italy, over the last 18 years.MethodsAll malaria cases diagnosed from 1999 to 2016 in Spedali Civili Hospital, Brescia, were retrospectively identified. Demographic, clinical and travel-related data were described.ResultsA total of 1200 cases of imported malaria were diagnosed in Brescia during the study period. Among them, 225 were children. A trend of increasing paediatric cases was identified over the study period, while cases in adults were stable. Most cases were diagnosed between August and October. Patients were most likely exposed in sub-Saharan Africa (87.2%). The main reported travel reason was travelling to visit friends and relatives (66.0%). A significantly higher risk of severe malaria was observed in non-immune patients and children visiting friend and relatives (P < 0.001 and P = 0.006, respectively).ConclusionsOur study reveals a relatively stable incidence in imported malaria cases with a peak during the summertime. A large and increasing paediatric burden of disease was identified. Imported malaria requires attention since in Italy a potential reappearance of autochthonous Plasmodium vivax malaria transmission cannot be excluded. Preventive action and physician awareness should be especially directed to children visiting friends and relatives in endemic countries and to non-immune patients since they both represent high-risk groups for severe malaria.
      PubDate: Fri, 08 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax081
      Issue No: Vol. 25, No. 1 (2017)
       
  • Incidence and spectrum of health problems among travellers to Myanmar
    • Authors: Olanwijitwong J; Lawpoolsri S, Ponam T, et al.
      Abstract: BackgroundThe number of international travellers visiting Myanmar increases each year. However, information about pre-travel preparation and incidence of health problems among these travellers is limited.MethodsThis cross-sectional study was conducted at three international airports in Thailand. Travellers returning from Myanmar completed questionnaires querying demographic profile, pre-travel health preparations and health problems during their stay in Myanmar.ResultsFrom March 2015 to May 2017, we collected and analysed questionnaires completed by 397 Thai and 467 non-Thai travellers (total: 50.1% men, median age 37 years). Non-Thai travellers were from Europe (59%), Northern America (21.4%), Asia (16.5%) and Australia or New Zealand (3.0%). Approximately 74% of non-Thais sought pre-travel health information; only 36% of Thais did so. Tourism was the main purpose for travel among both Thais (58.4%) and non-Thais (85.2%). Non-Thais were more likely than Thais to travel as backpackers and perform outdoor activities such as trekking, cycling or swimming. The average length of stay in Myanmar among non-Thais was significantly longer than that of Thais (26.58 days vs 7.08 days, P < 0.001). Health problems were reported by 22.9% of non-Thais; the most common was diarrhoea (21.0%) followed by upper respiratory tract symptoms (9.2%), fever (3.4%) and skin problems (3.0%). Only 12.6% of Thais reported health problems, the most common being upper respiratory tract symptoms (7.6%), followed by diarrhoea (3.1%), fever (2.8%) and skin problems (2.0%). Most health problems were mild and self-limited in both groups. Only one Thai and eight non-Thai travellers required a doctor’s visit during their trip to Myanmar, and two non-Thais required hospitalization.ConclusionsHealth problems are not very common among travellers to Myanmar. Overall, health problems were reported among 18.2% of travellers in our study. Most problems were mild, with spontaneous recovery. Only two foreign travellers required hospitalization.
      PubDate: Fri, 08 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax077
      Issue No: Vol. 25, No. 1 (2017)
       
  • Susceptibility to measles in migrant population: implication for policy
           makers
    • Authors: Ceccarelli G; Vita S, Riva E, et al.
      Abstract: BackgroundDespite a large measles outbreak is taking place in WHO European region, currently no data are available on measles immunization coverage in the asylum seeker and migrants hosted in this area.MethodsTwo hundred and fifty-six migrants upon their arrival in Italy on March, April and May 2016 were screened for measles virus IgG antibodies by chemiluminescence immunoassay (Liaison XL analyzer, Diasorin, Italy). The virus susceptibility in this cohort, the differences between the official country reported and the observed measles immunization coverage and the impact of current measles outbreak on the asylum seekers hosted in the largest Asylum Seeker centres of Italy, were evaluated.ResultsThe prevalence of subjects with positive result for measles IgG antibodies ranged between 79.9% and 100%. In Senegal, Mali, Nigeria, Pakistan and Bangladesh, the measles IgG seroprevalence observed was greater than the vaccinal coverage reported by WHO after I dose of vaccine. Based on data regarding the II dose coverage, the ASs population presented a seroprevalence greater to that expected.ConclusionOn the basis of the results obtained, extraordinary screening and vaccination campaigns in the migrant population, especially in the course of large outbreaks, could represent a resource to reach an adequate measles immunization coverage and to control this infectious disease.
      PubDate: Fri, 08 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax080
      Issue No: Vol. 25, No. 1 (2017)
       
  • The effectiveness of empirical anti-parasitic treatment in returning
           travellers with persistent abdominal symptoms
    • Authors: Nissan B; Lachish T, Schwartz E.
      Abstract: BackgroundPersistent abdominal symptoms (PAS) are common among returning-travellers. In the absence of sensitive tests to identify intestinal parasites, gastrointestinal (GI) symptoms often remain a diagnostic challenge. In this study we examined the effectiveness of empirical anti-parasitic treatment in returning-travellers with PAS despite no positive stool-test.MethodsA retrospective study among returning travellers who approached the clinic between the years 2014 and 2016 with GI complaints without a positive stool-test. The empirical treatment included broad-spectrum anti-parasitic agents—oral Tinidazole and Albendazole. A follow-up questionnaire was performed at least 6 months post-treatment.ResultsA total of 102 patients responded the questionnaire—50% women; average age 31.14 (±12.20) years. The average duration of complaints before treatment was 16.52 (±30.06) months. Common GI symptoms included abdominal pain (83.3%) and diarrhoea (78.4%); 67.6% of the patients complained of extreme fatigue.Overall, 69% of the patients reported an improvement in GI symptoms, 37% of them reported full recovery within a few weeks post-treatment. Furthermore, there was an improvement in the energy level and general well-being in 68% and 70% of the patients, respectively. Only 33% of the patients reported minor side effects related to the treatment.ConclusionsThe improvement in GI symptoms, energy level and general well-being shortly after anti-parasitic treatment justifies this empirical approach in returning-travellers with PAS despite negative stool-tests. The association between fatigue and PAS post-travel and the improvement in both as a response to treatment defines fatigue as part of a new syndrome—‘Post-travel fatigue and abdominal symptoms’.
      PubDate: Fri, 08 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax083
      Issue No: Vol. 25, No. 1 (2017)
       
  • Travel with CPAP machines: how frequent and what are the problems'
    • Authors: Bodington R; Johnson O, Carveth-Johnson P, et al.
      Abstract: BackgroundObstructive sleep apnoea syndrome is a common condition for which continuous positive airways pressure (CPAP) is the standard treatment. The condition affects a population of which a substantial proportion will be travelling.MethodsWe use a questionnaire survey of CPAP users to gain understanding regarding the behaviours, attitudes and problems surrounding travel with CPAP machines during travel and while abroad. All CPAP patients on our database at a UK district general hospital reviewed over a period of 4 years were sent a postal questionnaire.ResultsA response rate of 53% was achieved giving data on 588 trips. In the last 2 years, 63.7% of respondents had travelled; reasons for not travelling were CPAP related in only five cases. Travellers took their CPAP machines on 81% of trips. A similar proportion of patients took their CPAP machines regardless of the mode of travel, destination or length of holiday. Problems with checking in the CPAP machine were encountered in 4% of trips, all as part of air travel. Just over a third of patients faced problems either with the power cord, adapter or transport of the CPAP machine. Of those taking overnight flights, half did not sleep and none used their CPAP machines in flight. CPAP usage while away did not differ to usage at home.ConclusionsThis is the first report to describe in some detail CPAP machine use and associated problems in travel and while away. The data may aid the targeting of brief interventions in CPAP clinics as well as helping to standardize the process of check-in in order to help travellers with CPAP machines.
      PubDate: Fri, 08 Dec 2017 00:00:00 GMT
      DOI: 10.1093/jtm/tax085
      Issue No: Vol. 25, No. 1 (2017)
       
 
 
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