Adam Dillon Charles, Bui Chau Minh, Heywood Anita Elizabeth, Kunasekaran Mohana, Sheikh Mohamud, Narasimhan Padmanesan, MacIntyre Chandini Raina
Kirby Institute, University of New South Wales (UNSW) Sydney, Sydney, Australia.
School of Public Health & Community Medicine, University of New South Wales (UNSW) Sydney, Sydney, Australia.
BMC Res Notes. 2018 Aug 14;11(1):590. doi: 10.1186/s13104-018-3695-9.
Compare the adoption and adherence to health protection behaviours prior to and during travel among international Australian travellers who return to Australia with notified chikungunya or malaria infection. This information could inform targeted health promotion and intervention strategies to limit the establishment of these diseases within Australia.
Seeking travel advice prior to departure was moderate (46%, N = 21/46) yet compliance with a range of recommended anti-vectorial prevention measures was low among both chikungunya and malaria infected groups (16%, N = 7/45). Reasons for not seeking advice between groups was similar and included 'previous overseas travel with no problems' (45%, N = 9/20) and 'no perceived risk of disease' (20%, N = 4/20). Most chikungunya cases (65%, N = 13/20) travelled to Indonesia and a further 25% (N = 5/20) visited India, however most malaria cases (62%, N = 16/26) travelled to continental Africa with only 12% (N = 3/26) travelling to India. The majority (50%, N = 10/20) of chikungunya cases reported 'holiday' as their primary purpose of travel, compared to malaria cases who most frequently reported travel to visit friends and family (VFR; 42%, N = 11/26). These results provide import data that may be used to support distinct public health promotion and intervention strategies of two important vector-borne infectious diseases of concern for Australia.
比较感染基孔肯雅热或疟疾并返回澳大利亚的澳大利亚国际旅行者在旅行前和旅行期间采取和坚持健康保护行为的情况。这些信息可为有针对性的健康促进和干预策略提供参考，以限制这些疾病在澳大利亚境内传播。
出发前寻求旅行建议的比例适中（46%，N = 21/46），但基孔肯雅热和疟疾感染组对一系列推荐的防媒介预防措施的依从性较低（16%，N = 7/45）。两组未寻求建议的原因相似，包括“以前海外旅行无问题”（45%，N = 9/20）和“未意识到患病风险”（20%，N = 4/20）。大多数基孔肯雅热病例（65%，N = 13/20）前往印度尼西亚，另有25%（N = 5/20）前往印度，然而大多数疟疾病例（62%，N = 16/26）前往非洲大陆，只有12%（N = 3/26）前往印度。大多数（50%，N = 10/20）基孔肯雅热病例报告“度假”是其旅行的主要目的，相比之下，疟疾病例最常报告旅行目的是探访朋友和家人（探亲访友；42%，N = 11/26）。这些结果提供了重要数据，可用于支持针对澳大利亚关注的两种重要媒介传播传染病的不同公共卫生促进和干预策略。
