Characteristics and spectrum of disease among ill returned travelers from pre- and post-earthquake Haiti: The geosentinel experience

Academic Article

Abstract

  • To describe patient characteristics and disease spectrum among foreign visitors to Haiti before and after the 2010 earthquake, we used GeoSentinel Global Surveillance Network data and compared 1 year post-earthquake versus 3 years pre-earthquake. Post-earthquake travelers were younger, predominantly from the United States, more frequently international assistance workers, and more often medically counseled before their trip than pre-earthquake travelers. Work-related stress and upper respiratory tract infections were more frequent post-earthquake; acute diarrhea, dengue, and Plasmodium falciparum malaria were important contributors of morbidity both pre- and post-earthquake. These data highlight the importance of providing destination- and disaster-specific pre-travel counseling and post-travel evaluation and medical management to persons traveling to or returning from a disaster location, and evaluations should include attention to the psychological wellbeing of these travelers. For travel to Haiti, focus should be on mosquito-borne illnesses (dengue and P. falciparum malaria) and travelers' diarrhea. Copyright © 2012 by The American Society of Tropical Medicine and Hygiene.
  • Authors

    Digital Object Identifier (doi)

    Author List

  • Esposito DH; Han PV; Kozarsky PE; Walker PF; Gkrania-Klotsas E; Barnett ED; Libman M; McCarthy AE; Field V; Connor BA
  • Start Page

  • 23
  • End Page

  • 28
  • Volume

  • 86
  • Issue

  • 1