Volume 15, Number 11—November 2009
CME ACTIVITY - Research
Multicenter GeoSentinel Analysis of Rickettsial Diseases in International Travelers, 1996–2008
, Xiaohong Davis, Frank von Sonnenburg, Eli Schwartz, Jay S. Keystone, Karin Leder, Rogelio Lopéz-Véléz, Eric Caumes, Jakob P. Cramer, Lin Chen, Philippe Parola, and for the GeoSentinel Surveillance Network
Table 1
Travel destinations of 280 travelers with rickettsial diseases, by destination and disease, as reported to GeoSentinel, 1996–2008*
| Destination | No. travelers |
||||||
|---|---|---|---|---|---|---|---|
| SFG rickettsiosis | TG rickettsiosis | Indeterminate SFG/TG rickettsiosis | Scrub typhus | Anaplasmosis | Acute Q fever | Bartonellosis | |
| Western Europe | 7 | 1 | 1 | 2 | 1 | ||
| Eastern Europe | 1 | ||||||
| North Africa | 3 | ||||||
| Sub-Saharan Africa | 197 | 1 | 5 | 1 | |||
| Middle East | 1 | 2 | 1 | ||||
| Northeast Asia | 2 | 1 | 1 | ||||
| South-central Asia | 5 | 1 | 1 | 5 | |||
| Southeast Asia | 3 | 6 | 2 | 9 | 1 | ||
| Australia/New Zealand | 1 | 1 | |||||
| Oceania | 1 | ||||||
| North America | 1 | ||||||
| Central America | 3 | ||||||
| Caribbean | 1 | 3 | |||||
| South America | |||||||
| Unknown |
6 |
1 |
1 |
||||
| Total | 231 | 10 | 4 | 16 | 1 | 11 | 7 |
*SFG, spotted fever group; TG, typhus group.
In addition to the authors, the following members of the GeoSentinel Surveillance Network contributed data: Kevin C. Kain, University of Toronto, Toronto, Ontario, Canada; Phyllis E. Kozarsky and Carlos Franco-Paredes, Emory University, Atlanta, Georgia, USA; Louis Loutan and François Chappuis, University of Geneva, Geneva, Switzerland; Joseph Torresi and Graham Brown, Royal Melbourne Hospital, Melbourne, Victoria, Australia; DeVon C. Hale and Stefanie S. Gelman, University of Utah, Salt Lake City, Utah, USA; Alice Pérignon, Hôpital Pitié-Salpêtrière, Paris, France; Gerd-Dieter Burchard, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany; Mary E. Wilson, Harvard University, Cambridge, Massachusetts, USA; Fabrice Simon and Jean Delmont, Hôpital Nord, Marseille, France; William M. Stauffer and Patricia F. Walker, University of Minnesota, Minneapolis, Minnesota, USA; Poh Lian Lim and Annelies Wilder-Smith, Tan Tock Seng Hospital, Singapore; Jose Antonio Perez Molina, Hospital Ramon y Cajal, Madrid, Spain; Bradley A. Connor, Cornell University, Ithaca, New York, USA; Carmelo Licitra and Antonio Crespo, Orlando Regional Health Center, Orlando, Florida, USA; David O. Freedman, University of Alabama at Birmingham, Birmingham, Alabama, USA; Effrossyni Gkrania-Klotsas, Addenbrooke's Hospital, Cambridge, UK; Giampiero Carosi and Francesco Castelli, University of Brescia, Brescia, Italy; Marc Shaw, Worldwise Travelers Health and Vaccination Centre, Auckland, New Zealand; Prativa Pandey, CIWEC Clinic Travel Medicine Center, Kathmandu, Nepal; R. Bradley Sack and Robin McKenzie, Johns Hopkins University, Baltimore, Maryland, USA (Dec 1997–Aug 2007); Elizabeth D. Barnett, Boston University, Boston, Massachusetts, USA; Christina M. Coyle and Murray Wittner, Albert Einstein School of Medicine, Bronx, New York, USA; Stefan Hagmann and Andy Miller, Bronx-Lebanon Hospital Center, Bronx; Michael W. Lynch, Fresno International Travel Medical Center, Fresno, California, USA; Vanessa Field, InterHealth, London, UK; Michael D. Libman and J. Dick Maclean, McGill University, Montreal, Quebec, Canada; Alejandra Gurtman, Mount Sinai Medical Center, New York, New York, USA (Oct 2002–Aug 2005); Shuzo Kanagawa and Yasuyuki Kato, International Medical Center of Japan, Tokyo, Japan; and Patricia Schlagenhauf, Rainer Weber, and Robert Steffen, University of Zürich, Zürich, Switzerland.