{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T03:30:15Z","timestamp":1791603015400,"version":"4.3.4"},"reference-count":61,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100023961","name":"CIBERINFEC","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100023961","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Instituto de Salud P\u00fablica Carlos III"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>High-speed global travel, increased trade, world population growth, migration, urbanization and climate change have favoured the emergence and spread of pathogens. We aimed to analyse the evolution of imported infections in Spain during 2012\u20132022 and the potential impact of some of the abovementioned factors on differential morbidity patterns.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In this retrospective study (January 2012 to December 2022), we analysed data collected by the +Redivi network across 25 health centres. The network\u2019s standardised database records new cases of imported infections, including patient demographics, travel history, pre-travel advice and diagnostic information. To assess outcome rates over time and potential interactions, we constructed penalized weighted models to reduce the bias related to a low event rate and used weighted logistic regression for morbidity outcomes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>We recorded 25\u2009632 episodes, comprising 13\u2009913 migrants, 4047 visiting friends and relatives (VFR) immigrants, 392 VFR travellers and 7280 travellers. Most immigrants came from South America (48.3%), Sub-Saharan Africa (28.5%), North Africa (6.6%), South Central Asia (5.4%) and Central America\/Caribbean (5.3%). The most common regions visited by travellers were Sub-Saharan Africa (33.5%), South America (24.5%), Central America\/Caribbean (13.5%), Southeast Asia (12%) and South Central Asia (10%). The proportion of diagnoses of malaria, strongyloidiasis and unspecified self-limiting febrile syndrome &amp;lt;\u20093\u00a0weeks remained unchanged during the study period. An increased frequency of diagnosis was reported for schistosomiasis, blastocystosis, giardiasis, dengue, diarrhoea, new cases of HIV, latent and pulmonary tuberculosis, whereas a decrease was reported for syphilis, chikungunya fever, Chagas disease and eosinophilia. We detected interactions between time and sex or type of participant across the different diagnoses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Our study underscores the importance of epidemiological data in understanding infectious diseases dynamics among travellers and migrants, emphasizing how demographic shifts, migration trends and healthcare policies affect disease profiles. Comprehensive data play an essential role in enhancing public health policies and travel advice.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jtm\/taae067","type":"journal-article","created":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T16:21:55Z","timestamp":1714580515000},"source":"Crossref","is-referenced-by-count":16,"title":["Trends in imported infections among migrants and travellers to Spain: a decade of analysis through the +Redivi network (2012\u20132022)"],"prefix":"10.1093","volume":"31","author":[{"given":"Yam","family":"Alkaissy","sequence":"first","affiliation":[{"name":"Vrije Universiteit Amsterdam , De Boelelaan 1105, 1081 HV Amsterdam , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nuria","family":"Serre-Delcor","sequence":"additional","affiliation":[{"name":"International Health Unit Vall d\u2019Hebron-Drassanes, Infectious Diseases Department, Vall d\u2019Hebron University Hospital, PROSICS , Calle de San Oleguer, 17, 08001 Barcelona , Spain"},{"name":"CIBERINFEC. Instituto de Salud Carlos III , Av. Monforte de Lemos, 3-5, Pabell\u00f3n 11, Planta baja, 28029 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta Arsuaga","family":"Vicente","sequence":"additional","affiliation":[{"name":"CIBERINFEC. Instituto de Salud Carlos III , Av. Monforte de Lemos, 3-5, Pabell\u00f3n 11, Planta baja, 28029 Madrid , Spain"},{"name":"National Referral Unit for Imported Infectious Diseases, Hospital La Paz-Carlos III , Paseo de la Castellana, 261, 28046 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israel","family":"Molina","sequence":"additional","affiliation":[{"name":"CIBERINFEC. Instituto de Salud Carlos III , Av. Monforte de Lemos, 3-5, Pabell\u00f3n 11, Planta baja, 28029 Madrid , Spain"},{"name":"Tropical Medicine Unit Vall d'Hebron-Drassanes, Infectious Diseases Department, Vall d'Hebron University Hospital, PROSICS , Paseo de la Vall d'Hebron, 119-129, 08035 Barcelona , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca F","family":"Norman","sequence":"additional","affiliation":[{"name":"CIBERINFEC. Instituto de Salud Carlos III , Av. Monforte de Lemos, 3-5, Pabell\u00f3n 11, Planta baja, 28029 Madrid , Spain"},{"name":"National Reference Centre for Imported Tropical Diseases. Infectious Diseases Department, Hospital Universitario Ram\u00f3n y Cajal, IRYCIS , Carretera de Colmenar Km 9.1, 28034 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ane Josune","family":"Goikoetxea","sequence":"additional","affiliation":[{"name":"Cruces University Hospital , Plaza Cruces, s\/n, 48903 Barakaldo , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bego\u00f1a","family":"de Dios","sequence":"additional","affiliation":[{"name":"Hospital Universitario 12 de Octubre Department of Internal Medicine. , Avenida de C\u00f3rdoba, s\/n, 28041 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Torr\u00fas","sequence":"additional","affiliation":[{"name":"Unidad de Referencia de Enfermedades Importadas y Salud Internacional, Unidad de Enfermedades Infecciosas, Hospital General Universitario Dr. Balmis de Alicante , Alicante , Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria y Biom\u00e9dica de Alicante (ISABIAL) , Alicante , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel Nicol\u00e1s","family":"Navarrete Lorite","sequence":"additional","affiliation":[{"name":"Unidad Cl\u00ednica de Enfermedades Infecciosas y Microbiologia del Hospital Universitario Virgen Macarena , Avenida Dr. Fedriani, 3, 41009 Sevilla , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azucena","family":"Rodr\u00edguez-Guardado","sequence":"additional","affiliation":[{"name":"\u00c1rea de Gesti\u00f3n Cl\u00ednica Medicina Interna. Hospital Universitario Central de Asturias , Avenida de Roma, s\/n, 33011 Oviedo , Spain"},{"name":"Grupo de Microbiolog\u00eda Traslacional, Instituto de Investigaci\u00f3n del Principado de Asturias , Avenida Hospital Universitario s\/n, 33011 Oviedo , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Itxaso","family":"Lombide","sequence":"additional","affiliation":[{"name":"Basurto University Hospital , Avenida de Montevideo, 18, 48013 Bilbao , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Calabuig","sequence":"additional","affiliation":[{"name":"La Fe University and Polytechnic Hospital, University of Valencia , Avenida de Fernando Abril Martorell, 106, 46026 Val\u00e8ncia , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfonso","family":"Muriel","sequence":"additional","affiliation":[{"name":"Clinical Biostatistic Unit, Hospital Universitario Ram\u00f3n y Cajal, IRYCIS , Carretera de Colmenar Km 9.1, 28034 Madrid , Spain"},{"name":"CIBERESP, Instituto de Salud Carlos III , Calle Monforte de Lemos, 3-5, Pabell\u00f3n 11, Planta baja, 28029 Madrid , Spain"},{"name":"Universidad de Alcal\u00e1 , Plaza de San Diego, s\/n, 28801 Alcal\u00e1 de Henares , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose A","family":"Perez-Molina","sequence":"additional","affiliation":[{"name":"CIBERINFEC. Instituto de Salud Carlos III , Av. Monforte de Lemos, 3-5, Pabell\u00f3n 11, Planta baja, 28029 Madrid , Spain"},{"name":"National Reference Centre for Imported Tropical Diseases. Infectious Diseases Department, Hospital Universitario Ram\u00f3n y Cajal, IRYCIS , Carretera de Colmenar Km 9.1, 28034 Madrid , Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of +Redivi network","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,1]]},"reference":[{"key":"2024080411370237700_ref1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.2500\/108854192778817040","article-title":"The role of epidemic infectious diseases in the discovery of America","volume":"13","author":"Bianchine","year":"1992","journal-title":"Allergy Proc"},{"key":"2024080411370237700_ref2","first-page":"325","article-title":"Epidemia Americana de influenza en 1943","volume":"45","author":"La Guerra","year":"1985","journal-title":"Revista de 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