2014年至2016年期间前往巴西参加世界杯、夏季奥运会和残奥会的旅行者的健康与安全问题。
Health and safety issues for travelers attending the World Cup and Summer Olympic and Paralympic Games in Brazil, 2014 to 2016.
作者信息
Gaines Joanna, Sotir Mark J, Cunningham Timothy J, Harvey Kira A, Lee C Virginia, Stoney Rhett J, Gershman Mark D, Brunette Gary W, Kozarsky Phyllis E
机构信息
Geographic Medicine and Health Promotion Branch, Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia.
Epidemiology and Surveillance Branch, Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia.
出版信息
JAMA Intern Med. 2014 Aug;174(8):1383-90. doi: 10.1001/jamainternmed.2014.2227.
IMPORTANCE
Travelers from around the globe will attend the 2014 Fédération Internationale de Football Association (FIFA) World Cup and the 2016 Olympic and Paralympic Games in Brazil. Travelers to these mass gathering events may be exposed to a range of health risks, including a variety of infectious diseases. Most travelers who become ill will present to their primary care physicians, and thus it is important that clinicians are aware of the risks their patients encountered.
OBJECTIVE
To highlight health and safety concerns for people traveling to these events in Brazil so that health care practitioners can better prepare travelers before they travel and more effectively diagnose and treat travelers after they return.
EVIDENCE REVIEW
We reviewed both peer-reviewed and gray literature to identify health outcomes associated with travel to Brazil and mass gatherings. Thirteen specific infectious diseases are described in terms of signs, symptoms, and treatment. Relevant safety and security concerns are also discussed.
FINDINGS
Travelers to Brazil for mass gathering events face unique health risks associated with their travel.
CONCLUSIONS AND RELEVANCE
Travelers should consult a health care practitioner 4 to 6 weeks before travel to Brazil and seek up-to-date information regarding their specific itineraries. For the most up-to-date information, health care practitioners can visit the Centers for Disease Control and Prevention (CDC) Travelers' Health website (http://wwwnc.cdc.gov/travel) or review CDC's Yellow Book online (http://wwwnc.cdc.gov/travel/page/yellowbook-home-2014).
重要性
来自全球各地的旅行者将参加2014年国际足球联合会(FIFA)世界杯以及2016年在巴西举行的奥运会和残奥会。前往这些大型集会活动的旅行者可能面临一系列健康风险,包括多种传染病。大多数生病的旅行者会去看他们的初级保健医生,因此临床医生了解他们的患者所面临的风险很重要。
目的
强调前往巴西参加这些活动的人们的健康和安全问题,以便医疗保健从业者在旅行者出行前能更好地为他们做好准备,并在他们返回后更有效地诊断和治疗他们。
证据审查
我们查阅了同行评审文献和灰色文献,以确定与前往巴西和大型集会相关的健康结果。描述了13种特定传染病的体征、症状和治疗方法。还讨论了相关的安全和安保问题。
研究结果
前往巴西参加大型集会活动的旅行者面临与旅行相关的独特健康风险。
结论与意义
旅行者应在前往巴西前4至6周咨询医疗保健从业者,并获取有关其具体行程的最新信息。如需最新信息,医疗保健从业者可访问疾病控制与预防中心(CDC)旅行者健康网站(http://wwwnc.cdc.gov/travel)或在线查阅CDC的《黄皮书》(http://wwwnc.cdc.gov/travel/page/yellowbook-home-2014)。