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  Subjects -> RECREATION, TRAVEL AND TOURISM (Total: 139 journals)
    - HOTELS AND RESTAURANTS (1 journals)
    - LEISURE AND RECREATION (20 journals)
    - RECREATION, TRAVEL AND TOURISM (118 journals)

RECREATION, TRAVEL AND TOURISM (118 journals)                     

Showing 1 - 36 of 36 Journals sorted alphabetically
40 [degrees] South     Full-text available via subscription   (Followers: 2)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 5)
Almatourism - Journal of Tourism, Culture and Territorial Development     Open Access   (Followers: 6)
American Journal of Tourism Management     Open Access   (Followers: 4)
American Journal of Tourism Research     Open Access   (Followers: 10)
Anatolia : An International Journal of Tourism and Hospitality Research     Hybrid Journal   (Followers: 5)
Annals of Tourism Research     Hybrid Journal   (Followers: 22)
Asia Pacific Journal of Tourism Research     Hybrid Journal   (Followers: 17)
Australian Antarctic Magazine     Free   (Followers: 4)
Caderno Virtual de Turismo     Open Access  
Cornell Hospitality Quarterly     Hybrid Journal   (Followers: 5)
Craft Research     Hybrid Journal   (Followers: 2)
Cuadernos de Turismo     Open Access   (Followers: 1)
Current Issues in Tourism     Hybrid Journal   (Followers: 13)
Czech Journal of Tourism     Open Access   (Followers: 3)
EchoGéo     Open Access   (Followers: 1)
Educación física y deporte     Open Access  
El Periplo Sustentable     Open Access  
Enlightening Tourism. A Pathmaking Journal     Open Access   (Followers: 4)
Espiga     Open Access  
European Journal of Tourism, Hospitality and Recreation     Open Access   (Followers: 1)
Event Management     Full-text available via subscription   (Followers: 6)
Geofronter     Open Access  
Gestion Turistica     Open Access   (Followers: 1)
Globe, The     Full-text available via subscription   (Followers: 4)
Hospitality & Society     Hybrid Journal   (Followers: 2)
Hospitality Review     Full-text available via subscription   (Followers: 1)
Information Technology & Tourism     Full-text available via subscription   (Followers: 11)
Interaction     Full-text available via subscription   (Followers: 3)
International Journal of Contemporary Hospitality Management     Hybrid Journal   (Followers: 8)
International Journal of Culture Tourism and Hospitality Research     Hybrid Journal   (Followers: 11)
International Journal of Digital Culture and Electronic Tourism     Hybrid Journal   (Followers: 7)
International Journal of Event and Festival Management     Hybrid Journal   (Followers: 6)
International Journal of Hospitality & Tourism Administration     Hybrid Journal   (Followers: 7)
International Journal of Hospitality Management     Hybrid Journal   (Followers: 11)
International Journal of Religious Tourism and Pilgrimage     Open Access   (Followers: 4)
International Journal of Tourism Anthropology     Hybrid Journal   (Followers: 6)
International Journal of Tourism Policy     Hybrid Journal   (Followers: 5)
International Journal of Tourism Research     Hybrid Journal   (Followers: 11)
International Journal of Tourism Sciences     Hybrid Journal  
Journal of Business & Hotel Management     Partially Free  
Journal of China Tourism Research     Hybrid Journal   (Followers: 4)
Journal of Ecotourism     Hybrid Journal   (Followers: 2)
Journal of Environmental Management and Tourism     Open Access   (Followers: 4)
Journal of Franco-Irish Studies     Open Access  
Journal of Gastronomy and Tourism     Hybrid Journal  
Journal of Heritage Tourism     Hybrid Journal   (Followers: 9)
Journal of Hospitality & Tourism Education     Hybrid Journal   (Followers: 4)
Journal of Hospitality & Tourism Research     Hybrid Journal   (Followers: 9)
Journal of Hospitality and Tourism Technology     Hybrid Journal   (Followers: 3)
Journal of Hospitality Financial Management     Open Access   (Followers: 1)
Journal of Hospitality Management and Tourism     Open Access  
Journal of Hospitality Marketing & Management     Hybrid Journal   (Followers: 9)
Journal of Hospitality, Leisure, Sport & Tourism Education     Full-text available via subscription  
Journal of Indonesian Tourism and Development Studies     Open Access   (Followers: 1)
Journal of Outdoor Recreation and Tourism     Hybrid Journal   (Followers: 3)
Journal of Park and Recreation Administration     Full-text available via subscription   (Followers: 3)
Journal of Place Management and Development     Hybrid Journal   (Followers: 2)
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: 10)
Journal of Tourism & Hospitality     Open Access   (Followers: 2)
Journal of Tourism and Cultural Change     Hybrid Journal   (Followers: 7)
Journal of Tourism and Recreation     Open Access   (Followers: 5)
Journal of Tourism Insights     Open Access   (Followers: 4)
Journal of Tourism Research & Hospitality     Hybrid Journal   (Followers: 3)
Journal of Travel & Tourism Marketing     Hybrid Journal   (Followers: 12)
Journal of Travel Medicine     Hybrid Journal   (Followers: 3)
Journal of Travel Research     Hybrid Journal   (Followers: 15)
Journal of Unconventional Parks, Tourism & Recreation Research     Open Access   (Followers: 4)
Journal of Vacation Marketing     Hybrid Journal   (Followers: 3)
Jurnal Manajemen, Strategi Bisnis dan Kewirausahaan     Open Access  
Mobilities     Hybrid Journal   (Followers: 5)
Mondes du Tourisme     Open Access  
Multiciencias     Open Access  
PASOS Revista de Turismo y Patrimonio Cultural     Open Access   (Followers: 1)
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)
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 Interamericana de Ambiente y Turismo     Open Access  
Revista Portuguesa e Brasileira de Gestão     Open Access  
Revista Rosa dos Ventos     Open Access   (Followers: 1)
Scandinavian Journal of Hospitality and Tourism     Hybrid Journal   (Followers: 3)
Space and Culture     Hybrid Journal   (Followers: 6)
Studies in Travel Writing     Hybrid Journal   (Followers: 6)
Téoros     Open Access  
The Rangeland Journal     Hybrid Journal   (Followers: 2)
Tourism     Open Access   (Followers: 7)
Tourism & Management Studies     Open Access   (Followers: 6)
Tourism Analysis     Full-text available via subscription   (Followers: 10)
Tourism and Cultural Heritage     Open Access   (Followers: 3)
Tourism and Hospitality Research     Hybrid Journal   (Followers: 7)
Tourism Culture & Communication     Full-text available via subscription   (Followers: 6)
Tourism Economics     Full-text available via subscription   (Followers: 5)
Tourism Geographies: An International Journal of Tourism Space, Place and Environment     Hybrid Journal   (Followers: 13)
Tourism in Marine Environments     Full-text available via subscription   (Followers: 2)
Tourism Management     Hybrid Journal   (Followers: 14)
Tourism Management Perspectives     Hybrid Journal   (Followers: 2)
Tourism Planning & Development     Hybrid Journal   (Followers: 6)
Tourism Recreation Research     Hybrid Journal   (Followers: 3)
Tourism Review     Hybrid Journal   (Followers: 3)
Tourism Review International     Full-text available via subscription   (Followers: 3)
Tourism, Leisure and Global Change     Open Access   (Followers: 1)
Tourist Studies     Hybrid Journal   (Followers: 6)
TRANSIT     Open Access  
Translation Studies     Hybrid Journal   (Followers: 19)
Turystyka Kulturowa     Open Access  
Visitor Studies     Hybrid Journal   (Followers: 6)
Worldwide Hospitality and Tourism Themes     Hybrid Journal   (Followers: 2)
Современные проблемы сервиса и туризма     Full-text available via subscription   (Followers: 1)

           

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  [362 journals]
  • Effectiveness of twice a week prophylaxis with atovaquone-proguanil
           (Malarone(R)) in long-term travellers to West Africa
    • Authors: Lachish, T; Bar-Meir, M, Eisenberg, N, Schwartz, E.
      Abstract: Background: Current guidelines recommend daily dosing of atovaquone–proguanil (AP), beginning a day before travel to endemic areas and continuing for 7 days after departure. Adherence of long-term travellers to daily malaria chemoprophylaxis tends to be poor, even when residing in highly endemic malaria regions. Evidence from a volunteer challenging study suggests that non-daily, longer intervals dosing of AP provides effective protection against Plasmodium falciparum. This study examines the effectiveness of twice weekly AP prophylaxis in long-term travellers to highly endemic P. falciparum areas in West Africa. Methods: An observational surveillance study aimed to detect prophylactic failures associated with twice weekly AP, during the years 2013–2014, among long-term expatriates in two sites in West Africa. The expatriates were divided according to the malaria prophylaxis regimen taken: AP twice weekly; mefloquine once weekly and a group refusing to take prophylaxis. Malaria events were recorded for each group. The incidence-density of malaria was calculated by dividing malaria events per number of person-months at risk. Results: Among 122 expatriates to West Africa the malaria rates were: 11.7/1000 person-months in the group with no-prophylaxis (n = 63); 2.06/1000 person-months in the 40 expatriates taking mefloquine (P = 0.006) and no cases of malaria (0/391 person-months, P = 0.01) in the twice weekly AP group (n = 33). Conclusions: No prophylaxis failures were detected among the group of expatriates taking AP prophylaxis twice weekly compared with 11.7/1000 person-months among the no-prophylaxis group. Twice weekly AP prophylaxis may be an acceptable approach for long-term travellers who are unwilling to adhere to malaria chemoprophylaxis guidelines.
      PubDate: 2016-09-13T08:41:35-07:00
      DOI: 10.1093/jtm/taw064
      Issue No: Vol. 23, No. 6 (2016)
       
  • Evidence-based risk assessment and communication: a new global dengue-risk
           map for travellers and clinicians#
    • Authors: Jentes, E. S; Lash, R. R, Johansson, M. A, Sharp, T. M, Henry, R, Brady, O. J, Sotir, M. J, Hay, S. I, Margolis, H. S, Brunette, G. W.
      Abstract: Background: International travel can expose travellers to pathogens not commonly found in their countries of residence, like dengue virus. Travellers and the clinicians who advise and treat them have unique needs for understanding the geographic extent of risk for dengue. Specifically, they should assess the need for prevention measures before travel and ensure appropriate treatment of illness post-travel. Previous dengue-risk maps published in the Centers for Disease Control and Prevention’s Yellow Book lacked specificity, as there was a binary (risk, no risk) classification. We developed a process to compile evidence, evaluate it and apply more informative risk classifications. Methods: We collected more than 839 observations from official reports, ProMED reports and published scientific research for the period 2005–2014. We classified each location as frequent/continuous risk if there was evidence of more than 10 dengue cases in at least three of the previous 10 years. For locations that did not fit this criterion, we classified locations as sporadic/uncertain risk if the location had evidence of at least one locally acquired dengue case during the last 10 years. We used expert opinion in limited instances to augment available data in areas where data were sparse. Results: Initial categorizations classified 134 areas as frequent/continuous and 140 areas as sporadic/uncertain. CDC subject matter experts reviewed all initial frequent/continuous and sporadic/uncertain categorizations and the previously uncategorized areas. From this review, most categorizations stayed the same; however, 11 categorizations changed from the initial determinations. Conclusions: These new risk classifications enable detailed consideration of dengue risk, with clearer meaning and a direct link to the evidence that supports the specific classification. Since many infectious diseases have dynamic risk, strong geographical heterogeneities and varying data quality and availability, using this approach for other diseases can improve the accuracy, clarity and transparency of risk communication.
      PubDate: 2016-09-13T08:41:35-07:00
      DOI: 10.1093/jtm/taw062
      Issue No: Vol. 23, No. 6 (2016)
       
  • Travel vaccination recommendations and endemic infection risks in solid
           organ transplantation recipients
    • Authors: Trubiano, J. A; Johnson, D, Sohail, A, Torresi, J.
      Abstract: Background: Solid organ transplant (SOT) recipients are often heavily immunosuppressed and consequently at risk of serious illness from vaccine preventable viral and bacterial infections or with endemic fungal and parasitic infections. We review the literature to provide guidance regarding the timing and appropriateness of vaccination and pathogen avoidance related to the immunological status of SOT recipients. Methods: A PUBMED search ([Vaccination OR vaccine] AND/OR ["specific vaccine"] AND/OR [immunology OR immune response OR cytokine OR T lymphocyte] AND transplant was performed. A review of the literature was performed in order to develop recommendations on vaccination for SOT recipients travelling to high-risk destinations. Results: Whilst immunological failure of vaccination in SOT is primarily the result of impaired B-cell responses, the role of T-cells in vaccine failure and success remains unknown. Vaccination should be initiated at least 4 weeks prior to SOT or more than 6 months post-SOT. Avoidance of live vaccination is generally recommended, although some live vaccines may be considered in the specific situations (e.g. yellow fever). The practicing physician requires a detailed understanding of region-specific endemic pathogen risks. Conclusions: We provide a vaccination and endemic pathogen guide for physicians and travel clinics involved in the care of SOT recipients. In addition, recommendations based on timing of anticipated immunological recovery and available evidence regarding vaccine immunogenicity in SOT recipients are provided to help guide pre-travel consultations.
      PubDate: 2016-09-13T08:41:35-07:00
      DOI: 10.1093/jtm/taw058
      Issue No: Vol. 23, No. 6 (2016)
       
  • Fulminant high altitude blindness
    • Authors: Mashkovskiy, E; Szawarski, P, Ryzhkov, P, Goslar, T, Mrak, I.
      Abstract: Prolonged altitude exposure even with acclimatization continues to present a physiological challenge to all organ systems including the central nervous system. We describe a case of a 41-year-old Caucasian female climber who suffered severe visual loss that was due to possible optic nerve pathology occurring during a high altitude expedition in the Himalayas. This case is atypical of classic high altitude cerebral oedema and highlights yet another danger of prolonged sojourn at extreme altitudes.
      PubDate: 2016-09-05T23:04:54-07:00
      DOI: 10.1093/jtm/taw057
      Issue No: Vol. 23, No. 6 (2016)
       
  • Estimated global exportations of Zika virus infections via travellers from
           Brazil from 2014 to 2015
    • Authors: Quam, M. B; Wilder-Smith, A.
      Abstract: The ongoing Zika pandemic in Latin America illustrates a potential source for further globalized spread. Here, we assessed global travel-related Zika virus exportations from Brazil during the initial year of the epidemic. Similar to subsequent national notifications, we estimated 584–1786 exported Zika cases from Brazil occurred September 2014–August 2015.
      PubDate: 2016-09-05T23:04:54-07:00
      DOI: 10.1093/jtm/taw059
      Issue No: Vol. 23, No. 6 (2016)
       
  • Research on the move: the potential applications of mobile health
           technology in travel medicine
    • Authors: Flaherty; G. T.
      PubDate: 2016-09-05T23:04:54-07:00
      DOI: 10.1093/jtm/taw061
      Issue No: Vol. 23, No. 6 (2016)
       
  • Risk of global spread of Middle East respiratory syndrome coronavirus
           (MERS-CoV) via the air transport network
    • Authors: Gardner, L. M; Chughtai, A. A, MacIntyre, C. R.
      Abstract: Background: Middle East respiratory syndrome coronavirus (MERS-CoV) emerged from the Kingdom of Saudi Arabia (KSA) in 2012 and has since spread to 26 countries. All cases reported so far have either been in the Middle East or linked to the region through passenger air travel, with the largest outbreak outside KSA occurring in South Korea. Further international spread is likely due to the high travel volumes of global travel, as well as the occurrence of large annual mass gathering such as the Haj and Umrah pilgrimages that take place in the region. Methods: In this study, a transport network modelling framework was used to quantify the risk of MERS-CoV spreading internationally via air travellers. All regions connected to MERS-CoV affected countries via air travel are considered, and the countries at highest risk of travel-related importations of MERS-CoV were identified, ranked and compared with actual spread of MERS cases. Results: The model identifies all countries that have previously reported a travel acquired case to be in the top 50 at-risk countries. India, Pakistan and Bangladesh are the highest risk countries which have yet to report a case, and should be prepared for the possibility of (pilgrims and general) travellers returning infected with MERS-CoV. In addition, the UK, Egypt, Turkey and the USA are at risk of more cases. Conclusions: We have demonstrated a risk-analysis approach, using travel patterns, to prioritize countries at highest risk for MERS-CoV importations. In order to prevent global outbreaks such as the one seen in South Korea, it is critical for high-risk countries to be prepared and have appropriate screening and triage protocols in place to identify travel-related cases of MERS-CoV. The results from the model can be used by countries to prioritize their airport and hospital screening and triage protocols.
      PubDate: 2016-09-05T23:04:54-07:00
      DOI: 10.1093/jtm/taw063
      Issue No: Vol. 23, No. 6 (2016)
       
  • Epidemiology and clinical features of imported malaria in East London
    • Authors: Francis, B. C; Gonzalo, X, Duggineni, S, Thomas, J. M, NicFhogartaigh, C, Babiker, Z. O. E.
      Abstract: Background: Malaria is the most common imported tropical disease in the United Kingdom (UK). The overall mortality is low but inter-regional differences have been observed. Methods: We conducted a 2-year retrospective review of clinical and laboratory records of patients with malaria attending three acute hospitals in East London from 1 April 2013 through 31 March 2015. Epidemiological and clinical characteristics of imported malaria were described and risk factors associated with severe falciparum malaria were explored. Results: In total, 133 patients with laboratory-confirmed malaria were identified including three requiring critical care admission but no deaths. The median age at presentation was 41 years (IQR 30–50). The majority of patients were males (64.7%, 86/133) and had Black or Black British ethnicity (67.5%, 79/117). West Africa was the most frequent region of travel (70.4%, 76/108). Chemoprophylaxis use was poor (25.3%, 20/79). The interval between arriving in the UK and presenting to hospital was short (median 10 days; IQR 5–15.5, n = 84). July–September was the peak season of presentation (34.6%, 46/133). Plasmodium falciparum was the commonest species (76.7%, 102/133) and 31.4% (32/102) of these patients had parasitaemia >2%. Severe falciparum malaria was documented in 36.3% (37/102) of patients and the October–March season presentation was associated with an increased risk of severity (OR 3.00; 95% CI 1.30–6.93). Black patients appeared to have reduced risk of severe falciparum malaria (OR 0.46; 95% CI 0.16–1.35) but this was not statistically significant. HIV sero-status was determined in only 27.1% (36/133) of cases. Only 8.5% (10/117) of all malaria patients were treated as outpatients. Conclusion: Clinicians need to raise awareness on malaria prevention strategies, improve rates of HIV testing in tropical travellers, and familiarise themselves with ambulatory management of malaria. The relationship between season of presentation, ethnicity and severity of falciparum malaria should be explored further.
      PubDate: 2016-09-05T23:04:54-07:00
      DOI: 10.1093/jtm/taw060
      Issue No: Vol. 23, No. 6 (2016)
       
  • The incidence of breast cancer among female flight attendants: an updated
           meta-analysis
    • Authors: Liu, T; Zhang, C, Liu, C.
      Abstract: Background: Several studies have indicated an increased risk of breast cancer (BC) among female flight attendants (FFAs); however, the results from epidemiological studies were not consistent. We thus conducted an updated meta-analysis to re-assess the risk of BC among FFAs, according to the MOOSE guideline. Methods: A systematical search of PubMed and Embase for relevant observational studies up to March 2016 was performed, supplemented by manual reviews of bibliographies in relevant studies. A random effect model was conducted to calculate the combined standard incidence ratio (SIR) and 95% confidence interval (95% CI) in BC risk. Results: Of the 719 citations retrieved, 10 were included, with more than 31 679 participants and 821 new cases. The combined SIR (95% CI) for BC in FFAs was 1.40 (95%CI 1.30–1.50), with no significant heterogeneity (P = 0.744; I 2 = 0.0%) or publication bias (Begg’s test: z = 0.72, P = 0.474; Egger’s test: t = 0.25, P = 0.805) among the included studies. The results were not significantly modified by publication year, geographic area, study quality or whether the fertility variables were adjusted. Conclusions: Our meta-analysis suggests that FFAs have a higher risk of BC compared with the general population. More vigorous studies with larger sample sizes based on other populations, including the Chinese, are needed.
      PubDate: 2016-09-05T23:04:54-07:00
      DOI: 10.1093/jtm/taw055
      Issue No: Vol. 23, No. 6 (2016)
       
  • Travel medicine and mHealth technology: a study using smartphones to
           collect health data during travel
    • Authors: Farnham, A; Blanke, U, Stone, E, Puhan, M. A, Hatz, C.
      Abstract: Background: mHealth methodology such as smartphone applications offers new opportunities to capture the full range of health risks during travel in real time. Our study aims to widen the scope of travel health research in tropical and subtropical destinations by using a smartphone application to collect detailed information on health behaviours, clinical symptoms, accidents and environmental factors during travel. Methods: We enrolled travel clinic clients in Zurich and Basel ≥18 years of age travelling to Thailand for
      PubDate: 2016-09-04T09:37:23-07:00
      DOI: 10.1093/jtm/taw056
      Issue No: Vol. 23, No. 6 (2016)
       
  • Use of antimicrobial agents for treatment and prevention of travellers
           diarrhoea in the face of enhanced risk of transient fecal carriage of
           multi-drug resistant enterobacteriaceae: setting the stage for consensus
           recommendations
    • Authors: DuPont, H. L; Steffen, R.
      Abstract: Background: The recommendation that antibiotics should be used for routine therapy of travellers’ diarrhoea is being reconsidered in view of growing evidence that the therapy may lead to intestinal carriage of multi-drug resistant (MDR) colonic microbiota. This review attempts to put the issues of therapy and MDR acquisition in perspective to help in the establishment of therapeutic recommendations for travellers’ diarrhoea. Methods: The existing literature showing the risk and consequences of acquisition of MDR microbiota in antibiotic-treated travellers was reviewed. Issues important to the development of firm evidence-based recommendations for antibiotics use for treatment and prevention of travellers’ diarrhoea were researched. Results: Six areas of research needed to allow the development of evidence-based recommendations for antibiotic-treatment and -prevention of travellers’ diarrhoea were identified. Conclusions: Increasing worldwide occurrence of antibiotic resistance should alert public health officials of the importance of encouraging local antibiotic stewardship guidelines. Six areas to research are identified in this review to allow the development of evidence-based recommendations for use of antibiotics for treatment and selective prevention of travellers’ diarrhoea. An interdisciplinary ISTM Consensus group will consider the data available and develop current recommendations for therapy and chemoprevention of travellers’ diarrhoea considering groups who would benefit the most from antimicrobials while recognizing the hazards associated with broad use of these drugs. With interim recommendations and ultimately evidence-based recommendations, guidelines can be developed for management of travellers’ diarrhoea considering populations and destinations.
      PubDate: 2016-08-08T00:50:21-07:00
      DOI: 10.1093/jtm/taw054
      Issue No: Vol. 23, No. 6 (2016)
       
  • Vaccination knowledge, attitude and practice among Chinese travelers who
           visit travel clinics in Preparation for international travel
    • Authors: Zhang, M; Zhang, J, Hao, Y, Fan, Z, Li, L, Li, Y, Ju, W, Zhang, H, Liu, W, Zhang, M, Wu, D, He, H.
      Abstract: Background. Although international travel has become increasingly more common in main land China, few data are available on vaccination knowledge, attitude and practice (KAP) among Chinese travelers. Method. In each of 14 International Travel Healthcare Centers (ITHCs) situated in mainland China 200 volunteers were recruited for a cross-sectional investigation by questionnaire on KAP related to travel vaccinations. For the evaluation the study subjects were grouped by demographic data, past travel experience, travel destination, duration of stay abroad, purpose of travel. Results. Among the 2,800 Chinese travelers who participated in the study, 67.1% were aware of national and travel vaccination recommendations. The knowledge about vaccine preventable diseases was low. The most common sources (73.4%) of information were requirements by destination countries obtained in connection with the visa application, Chinese companies employing workers/laborers for assignments overseas, and foreign schools. The overall acceptance rate of recommended vaccines was 68.7%, but yellow fever was accepted by 99.8% of the participants when recommended. Among 81.1% respondents who recalled to have received vaccinations in the past, only 25.9% of them brought the old vaccination records with them to their ITHC consultations. Conclusion. The results indicate that increased awareness of the importance of pre-travel vaccination is needed among the travellers in order to improve their KAP.
      PubDate: 2016-08-08T00:50:21-07:00
      DOI: 10.1093/jtm/taw051
      Issue No: Vol. 23, No. 6 (2016)
       
  • Older age, chronic medical conditions and polypharmacy in Himalayan
           trekkers in Nepal: an epidemiologic survey and case series
    • Authors: Keyes, L. E; Mather, L, Duke, C, Regmi, N, Phelan, B, Pant, S, Starling, J, McElwee, M, Cole, D, McConnell, T, Paudel, P, Sallade, T. D, Sheets, A, Twillman, D, Young, D. S, Basnyat, B.
      Abstract: Background: The number of tourists in Nepal doubled between 2003 and 2013 is nearly 800 000. With the increased popularity of trekking, the number of those with pre-existing medical conditions requiring access to healthcare is likely to increase. We therefore sought to characterize the demographics and health status of trekkers on the Everest Base Camp route in the Solukhumbu Valley. In addition, we report cases that illustrate the potential complications of an ageing and medicated population of trekkers with underlying diseases. Methods: Trekkers over 18 years were enrolled in a larger observational cohort study on blood pressure at high altitude at 2860 m. They answered a questionnaire regarding demographics, medical history and current medications. Acute medical problems relating to medication use that were brought to the attention of investigators were documented and are presented as case reports. Results: We enrolled 670 trekkers, 394 (59%) male, with a mean age of 48 years (range 18–76). Pre-existing medical conditions were reported by 223 participants (33%). The most frequent conditions included hypertension, hypercholesterolemia, migraines and thyroid dysfunction. A total of 276 participants (41%) reported taking one or more medications. The most common medications were acetazolamide (79, 12%), antihypertensives (50, 8%) and NSAIDs (47, 7%), with 30 classes of drugs represented. Excluding acetazolamide, older trekkers (age >50 years) were more likely than younger ones to take medications (OR = 2.17; 95% CI 1.57–3.00; P
      PubDate: 2016-08-08T00:50:21-07:00
      DOI: 10.1093/jtm/taw052
      Issue No: Vol. 23, No. 6 (2016)
       
  • Infectious disease following travel to developed regions: a snapshot of
           presentations to an Australian travel medicine clinic
    • Authors: Drewett, G; Leder, K.
      Abstract: Much of the travel medicine literature focuses on travel to ‘developing’ regions by travellers from ‘developed’ regions; however literature about travel to developed regions is scarce. This article examines presentations to a travel medicine clinic over a 17-year period with illnesses resulting from travel to developed regions. From a cohort of general presentations to the clinic of 1077 patients, 85 patients acquired infections due to travel to developed regions, with a total of 99 infectious diagnoses made. This serves to highlight the risk of infectious disease even among travel to only developed regions, and the importance of travel advice in these situations.
      PubDate: 2016-08-05T01:23:26-07:00
      DOI: 10.1093/jtm/taw053
      Issue No: Vol. 23, No. 6 (2016)
       
 
 
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