{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:05Z","timestamp":1753877225499,"version":"3.41.2"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T00:00:00Z","timestamp":1711670400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Humanitarian aid workers are exposed to deployment-related health threats. Identifying subgroups at a higher risk of infection in this diverse population could help optimize prevention.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We carried out a retrospective study based on anonymized data of humanitarian aid workers that visited our clinic for a post-deployment visit between 1 January 2018 and 31 December 2021. We conducted a descriptive analysis of basic demographic data, self-reported risk exposure and health problems encountered during deployment extracted from a standard questionnaire.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The questionnaire was administered to 1238 aid workers during 1529 post-deployment medical consultations. The median age was 37.2\u00a0years (IQR 31.7\u201344.3), and 718\/1529 (47.0%) were female aid workers. The median duration of deployment was 6\u00a0months (IQR 3\u201312\u00a0months). Most deployments (1321\/1529 (86.4%)) were for a medical organization and in Sub-Saharan Africa (73.2%). The most common risk exposures were contact with freshwater in schistosomiasis endemic regions (187\/1308 (14.3%)), unprotected sexual contact with a person other than a regular partner (138\/1529 (9.0%)), suspected rabies exposure (56\/1529 (3.7%)) and accidental exposure to blood (44\/1529 (2.9%)). Gastrointestinal problems (487\/1529 (31.9%)), malaria (237\/1529 (15.5%)) and respiratory tract infections (94\/1529 (6,2%)) were the most encountered health problems. Fifteen volunteers (1%) were hospitalized during deployment and 19 (1.2%) repatriated due to health problems. Adherence to malaria chemoprophylaxis was poor, only taken according to the prescription in 355 out of 1225 (29.0%) of aid workers for whom prophylaxis was indicated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Humanitarian aid workers deployed abroad encounter significant rates of health problems and report a high level of risk exposure during their deployment, with the risks being greatest among younger people, those deployed to rural areas, and those working for non-medical organizations. These findings help guide future pre-deployment consultations, to increase awareness and reduce risk behaviour during deployment, as well as focus on adherence to medical advice such as malaria chemoprophylaxis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jtm\/taae050","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T23:37:54Z","timestamp":1711582674000},"source":"Crossref","is-referenced-by-count":0,"title":["Health problems and exposure to infectious risks in returning humanitarian aid workers"],"prefix":"10.1093","volume":"31","author":[{"given":"Ghania","family":"Benabdelmoumen","sequence":"first","affiliation":[{"name":"Institut Pasteur, Centre M\u00e9dical , 75015 Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rob W","family":"Van der Pluijm","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Centre M\u00e9dical , 75015 Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabien","family":"Taieb","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Centre M\u00e9dical , 75015 Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaoutar","family":"Jidar","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Centre M\u00e9dical , 75015 Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucie","family":"Kuhmel","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Centre M\u00e9dical , 75015 Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cora","family":"Lucet","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Centre M\u00e9dical , 75015 Paris , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Buffet","sequence":"additional","affiliation":[{"name":"Institut Pasteur, Centre M\u00e9dical , 75015 Paris , 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