Shaw Marc T, Leggat Peter A, Weld Leisa H, Williams Megan L, Cetron Martin S
Worldwise Travellers Health Centres of New Zealand, 72 Remuera Road, Newmarket, Auckland, New Zealand.
Aust N Z J Public Health. 2003;27(1):82-6. doi: 10.1111/j.1467-842x.2003.tb00386.x.
To describe illnesses of returned travellers presenting at GeoSentinel sites in New Zealand.
Record data for all patients presenting for travel-related illnesses seen at two GeoSentinel sites, operating as commercial travel clinics, in Auckland and Hamilton, NZ, were extracted for the period November 1997 to December 2001.
205 patients were identified with 262 diagnoses. Just over half were females (54.21%) and nearly half were in the 25-35 years age group (47.3%). About two-fifths of patients reported a pre-travel health consultation (41.0%). The commonest diseases diagnosed were diarrhoeal illnesses (23%), dermatological diagnoses (16%, excluding animal bites), animal bites (10%), and non-specific viral illnesses (8%), many of which manifest as respiratory infections. Tropical diseases, such as schistosomiasis (4%) malaria (2%) and dengue fever (0.5%), were not common.
Information on travel-related illnesses, when reported through a global reporting system, can be useful for the travel health adviser in identifying issues of current concern. Although the frequency of tropical disease is low, it remains important to prevent these potentially fatal diseases.
GeoSentinel makes a global contribution to the surveillance of emerging and re-emerging infectious diseases through a network of individual sites in various countries including New Zealand. This information can be used to help provide preventive advice for travellers as well as help in assessing illness in post-travel patients and potentially assist in preventing the secondary spread of some diseases acquired abroad following return.
描述在新西兰地理哨兵监测点就诊的归国旅行者的疾病情况。
提取1997年11月至2001年12月期间在新西兰奥克兰和汉密尔顿作为商业旅行诊所运营的两个地理哨兵监测点，因旅行相关疾病就诊的所有患者的记录数据。
共识别出205例患者，有262个诊断结果。略超过一半为女性（54.21%），近一半在25 - 35岁年龄组（47.3%）。约五分之二的患者报告旅行前进行过健康咨询（41.0%）。诊断出的最常见疾病为腹泻病（23%）、皮肤病诊断（16%，不包括动物咬伤）、动物咬伤（10%）和非特异性病毒疾病（8%），其中许多表现为呼吸道感染。热带疾病，如血吸虫病（4%）、疟疾（2%）和登革热（0.5%）并不常见。
通过全球报告系统报告的旅行相关疾病信息，对旅行健康顾问识别当前关注的问题可能有用。尽管热带疾病的发病率较低，但预防这些潜在致命疾病仍然很重要。
地理哨兵通过包括新西兰在内的各国单个监测点网络，为新兴和再发传染病的监测做出全球贡献。这些信息可用于为旅行者提供预防性建议，以及帮助评估旅行后患者的疾病情况，并可能有助于预防归国后在国外感染的一些疾病的二次传播。
