Table 3 Proportionate morbidity per 1,000 ill returned travelers seen at GeoSentinel clinics, for syndrome and diagnostic groupings by region, expatriates versus non-expatriates, March 1997 – May 2011
From: Expatriates ill after travel: Results from the Geosentinel Surveillance Network
AFRICA (n=5575) | ASIA-PACIFIC (n=4200) | LATIN AMERICA (n=2787) | OTHER REGIONS¥ (n=954) | p-value * | |||||
|---|---|---|---|---|---|---|---|---|---|
Expatriate | Non-expatriate | Expatriate | Non-expatriate | Expatriate | Non-expatriate | Expatriate | Non-expatriate | ||
PM per 1,000 | |||||||||
Syndrome Groupings | |||||||||
Acute Diarrhea | 139 | 226 | 147 | 273 | 129 | 240 | 113 | 171 | a,b,c |
Febrile/Systemic Illness | 289 | 263 | 195 | 203 | 95 | 148 | 77 | 103 | c |
Dermatologic | 73 | 111 | 94 | 111 | 103 | 179 | 93 | 122 | a,c |
GI, Other | 101 | 65 | 140 | 68 | 136 | 70 | 124 | 86 | a,b,c |
Respiratory | 45 | 67 | 68 | 104 | 23 | 58 | 88 | 186 | a,b,c,d |
Diagnostic Groupings | |||||||||
Vector-borne | |||||||||
Malaria | 178 | 121 | 51 | 43 | 7 | 16 | 0 | 3 | a |
P.falciparum | 115 | 86 | 9 | 13 | 1 | 4 | 0 | 0 | a |
Malaria, other £ | 56 | 30 | 40 | 31 | 4 | 12 | 0 | 3 | a |
Dengue | 6 | 7 | 52 | 46 | 20 | 36 | 0 | 0 | |
Leishmaniasis | 3 | 3 | 2 | 1 | 15 | 15 | 0 | 12 | |
Rickettsiosis | 4 | 8 | 5 | 1 | 0 | 2 | 0 | 1 | |
Filariasis | 31 | 7 | 6 | 1 | 3 | 3 | 0 | 1 | a,b |
Ingestion | |||||||||
Typhoid & Paratyphoid | 4 | 3 | 10 | 10 | 1 | 3 | 0 | 0 | |
Hepatitis A | 3 | 2 | 6 | 2 | 1 | 1 | 5 | 4 | |
Hepatitis E | 5 | 0.2 | 3 | 1 | 1 | 0 | 0 | 0 | a |
GI (parasitic) | 14 | 8 | 21 | 13 | 14 | 23 | 10 | 8 | |
GI (bacterial) | 9 | 27 | 13 | 39 | 12 | 18 | 5 | 29 | a,b |
Amebiasis | 31 | 16 | 30 | 16 | 42 | 22 | 21 | 17 | a,b,c |
Giardiasis | 33 | 32 | 30 | 37 | 14 | 30 | 10 | 21 | c |
Brucellosis | 2 | 0.2 | 2 | 1 | 4 | 0 | 5 | 3 | c |
Respiratory Contact | |||||||||
Influenza | 6 | 14 | 9 | 22 | 3 | 7 | 21 | 45 | b |
Latent TB | 13 | 4 | 25 | 7 | 15 | 5 | 36 | 21 | a,b,c |
Active TB | 3 | 1 | 3 | 2 | 5 | 2 | 10 | 4 | |
Blood/Body Fluid/Sexual | |||||||||
HIV | 5 | 2 | 5 | 2 | 3 | 3 | 41 | 5 | d |
Hepatitis B | 2 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | |
IMS – EBV/CMV | 5 | 5 | 15 | 9 | 34 | 8 | 26 | 9 | c |
Environmental Contact | |||||||||
Schistosomiasis | 36 | 19 | 1 | 2 | 1 | 2 | 5 | 5 | a |
Strongyloidiasis | 13 | 6 | 16 | 3 | 15 | 6 | 10 | 3 | b |
Ectoparasites | 5 | 10 | 0 | 4 | 7 | 20 | 0 | 7 | c |
Animal Bites | 2 | 3 | 7 | 4 | 0 | 3 | 5 | 3 | |
Non-infectious | |||||||||
Fracture & Dislocation | 0 | 0.4 | 2 | 1 | 0 | 1 | 10 | 0 | d |
Depression | 3 | 3 | 12 | 2 | 8 | 3 | 16 | 7 | b |
Anxiety & Stress | 8 | 4 | 7 | 1 | 4 | 3 | 21 | 5 | b |
Cardiac Disease | 3 | 0.4 | 2 | 0.6 | 0 | 1 | 0 | 1 | |