Department of Disease Control, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK.
Institute for Global Health, University College London, London WC1E 6BT, UK.
J Travel Med. 2024 Jan 28;31(1). doi: 10.1093/jtm/taad163.
The wellbeing and safety of international tourists is a paramount concern for governments and stakeholders. Mortality among travellers and the causes of death serve as a significant metric of destination safety. We describe the epidemiology and causes of death among international travellers in Peru.
Data retrieved from the Peruvian government's deaths certificates registry included all non-residents who died between January 2017 and December 2021. We analysed the national incidence and causes of death among international travellers in Peru. Causes of death were classified into non-communicable diseases (NCD), communicable diseases and injuries. We classified fatalities according to the existence of preventive measures that could be provided during the travel medicine consultation to decrease the risk.
We obtained records from 1514 deaths among international travellers (973 males, 64%). The incidence increased from 0.2 deaths per 10 000 travellers in 2017 to 9.9 in 2021. NCDs were the most common causes of death (n = 560, 37%), followed by communicable diseases (n = 487, 32%), and injuries (n = 321, 21%). Causes of death were unknown in 9.7% of the records. The leading causes of death in these categories were cancer, cardiovascular disease, COVID-19 and trauma. We found similar sex distribution of NCDs in travellers aged >50 years and higher rates of communicable diseases among males across all ages. Injury-associated deaths were significantly higher among males aged 18-29 years (P < 0.001) compared with other sex-age groups. We estimated that for 57.7% of deaths risk could have been decreased through pre-travel advice.
Rates of deaths among travellers to Peru increased over time. Most deaths were due to NCDs, followed by communicable diseases and injuries. Pre-travel medical optimization and effective advice focused on age-sex and destination specific risks could reduce risk among travellers. Increased awareness among travel medicine practitioners and improvement of emergency medical response systems in Peru could decrease mortality.
国际游客的健康和安全是政府和利益相关者的首要关注点。旅行者的死亡率和死因是衡量目的地安全性的重要指标。我们描述了秘鲁国际旅行者的流行病学和死因。
从秘鲁政府的死亡证明登记处获取的数据包括 2017 年 1 月至 2021 年 12 月期间死亡的所有非居民。我们分析了秘鲁国际旅行者的全国发病率和死因。死因分为非传染性疾病（NCD）、传染性疾病和伤害。我们根据旅行医学咨询中可提供的降低风险的预防措施，对死亡进行分类。
我们从 1514 名国际旅行者（973 名男性，64%）的死亡记录中获得了数据。发病率从 2017 年的每 10000 名旅行者 0.2 例增加到 2021 年的 9.9 例。NCD 是最常见的死因（n=560，37%），其次是传染性疾病（n=487，32%）和伤害（n=321，21%）。9.7%的记录死因未知。这些类别中导致死亡的主要原因是癌症、心血管疾病、COVID-19 和创伤。我们发现，50 岁以上旅行者的 NCD 性别分布相似，各年龄段男性的传染性疾病发病率更高。18-29 岁男性的伤害相关死亡明显高于其他性别年龄组（P<0.001）。我们估计，57.7%的死亡风险可以通过旅行前咨询降低。
秘鲁旅行者的死亡率随时间增加。大多数死亡是由于 NCD 引起的，其次是传染性疾病和伤害。旅行前医疗优化和针对年龄-性别和目的地特定风险的有效咨询可以降低旅行者的风险。提高旅行医学从业者的认识并改善秘鲁的紧急医疗响应系统，可以降低死亡率。
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