{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T08:59:35Z","timestamp":1791536375838,"version":"4.3.4"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2018,2,7]],"date-time":"2018-02-07T00:00:00Z","timestamp":1517961600000},"content-version":"vor","delay-in-days":37,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Global Surveillance Network of the International Society of Travel Medicine","award":["U50CK00189"],"award-info":[{"award-number":["U50CK00189"]}]},{"name":"International Society of Travel Medicine, and Public Health Agency of Canada"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Analysis of a large cohort of business travelers will help clinicians focus on frequent and serious illnesses. We aimed to describe travel-related health problems in business travelers.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>GeoSentinel Surveillance Network consists of 64 travel and tropical medicine clinics in 29 countries; descriptive analysis was performed on ill business travelers, defined as persons traveling for work, evaluated after international travel 1 January 1997 through 31 December 2014.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 12 203 business travelers seen 1997\u20132014 (14 045 eligible diagnoses), the majority (97%) were adults aged 20\u201364 years; most (74%) reported from Western Europe or North America; two-thirds were male. Most (86%) were outpatients. Fewer than half (45%) reported a pre-travel healthcare encounter. Frequent regions of exposure were sub-Saharan Africa (37%), Southeast Asia (15%) and South Central Asia (14%). The most frequent diagnoses were malaria (9%), acute unspecified diarrhea (8%), viral syndrome (6%), acute bacterial diarrhea (5%) and chronic diarrhea (4%). Species was reported for 973 (90%) of 1079 patients with malaria, predominantly Plasmodium falciparum acquired in sub-Saharan Africa. Of 584 (54%) with malaria chemoprophylaxis information, 92% took none or incomplete courses. Thirteen deaths were reported, over half of which were due to malaria; others succumbed to pneumonia, typhoid fever, rabies, melioidosis and pyogenic abscess.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Diarrheal illness was a major cause of morbidity. Malaria contributed substantial morbidity and mortality, particularly among business travelers to sub-Saharan Africa. Underuse or non-use of chemoprophylaxis contributed to malaria cases. Deaths in business travelers could be reduced by improving adherence to malaria chemoprophylaxis and targeted vaccination for vaccine-preventable diseases. Pre-travel advice is indicated for business travelers and is currently under-utilized and needs improvement.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jtm\/tax097","type":"journal-article","created":{"date-parts":[[2018,1,3]],"date-time":"2018-01-03T04:19:11Z","timestamp":1514953151000},"source":"Crossref","is-referenced-by-count":42,"title":["Business travel-associated illness: a GeoSentinel analysis\u2020"],"prefix":"10.1093","volume":"25","author":[{"given":"Lin H","family":"Chen","sequence":"first","affiliation":[{"name":"Mount Auburn Hospital, Cambridge, Massachusetts, and Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Leder","sequence":"additional","affiliation":[{"name":"Royal Melbourne Hospital and School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kira A","family":"Barbre","sequence":"additional","affiliation":[{"name":"Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Schlagenhauf","sequence":"additional","affiliation":[{"name":"University of Z\u00fcrich Centre for Travel Medicine, WHO Collaborating Centre for Travellers\u2019 Health, Epidemiology, Biostatistics and Prevention Institute, Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Libman","sequence":"additional","affiliation":[{"name":"Montreal General Hospital and McGill University, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Keystone","sequence":"additional","affiliation":[{"name":"Toronto General Hospital and University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Mendelson","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases & HIV Medicine, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Gautret","sequence":"additional","affiliation":[{"name":"Aix Marseille Universit\u00e9, IHU\u2014M\u00e9diterran\u00e9e Infection, Marseille, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli","family":"Schwartz","sequence":"additional","affiliation":[{"name":"The Chaim Sheba Medical Center, Tel Hashomer, and Sackler Faculty of Medicine Tel-Aviv University, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Shaw","sequence":"additional","affiliation":[{"name":"Worldwise Travellers Health Centres New Zealand and James Cook University, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Medicine and Quality, Interior Health, and University of British Columbia, Kelowna, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Ottawa Hospital and University of Ottawa, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley A","family":"Connor","sequence":"additional","affiliation":[{"name":"The New York Center for Travel and Tropical Medicine and Weill Medical College of Cornell University, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas H","family":"Esposito","sequence":"additional","affiliation":[{"name":"Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davidson","family":"Hamer","sequence":"additional","affiliation":[{"name":"Center for Global Health and Development, Boston University School of Public Health, and Boston University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary E","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Global Health and Population, Harvard T.H. 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