Table 5.
Cases of acute and potentially life-threatening protozoan diseases (N = 2,827) among 82,825 ill western travelers to the tropics: data from the GeoSentinel surveillance network, 1996–2011
Falciparum malaria | Knowlesi malaria | East African trypanosomiasis | |
---|---|---|---|
Total number of cases | 2,820 | 1 | 6 |
Age (median; range in years) | 37 (0–80) | 40 (NA) | 45.5 (31–71) |
Time to presentation (median; range in days)* | 10 (1–341) | 22 (NA) | 6 (1–38) |
Males (n, %) | 1,890 (67) | 1 | 3 (50) |
Reason for travel (n, %) | |||
Tourism | 541 (19) | 0 | 5 (83) |
Business | 381 (14) | 1 | 1 (17) |
VFR | 1572 (56) | 0 | 0 (0) |
Other | 323 (11) | 0 | 0 (0) |
Pre-travel consultation (n, %) | 879 (33) | 0 | 2 (33) |
Exposure region (n, %) | |||
Caribbean | 43 (2) | 0 | 0 (0) |
Central America | 5 (< 1) | 0 | 0 (0) |
Middle East | 1 (< 1) | 0 | 0 (0) |
North Africa | 23 (1) | 0 | 0 (0) |
Northeast Asia | 1 (< 1) | 0 | 0 (0) |
Oceania | 26 (1) | 0 | 0 (0) |
South America | 17 (1) | 0 | 0 (0) |
South Central Asia | 33 (1) | 0 | 0 (0) |
Southeast Asia | 38 (1) | 1 | 0 (0) |
Sub-Saharan Africa† | 2,633 (93) | 0 | 6 (100) |
Western Africa | 1,527 | ||
Central Africa | 349 | ||
Eastern Africa | 286 | ||
Northern Africa | 23 | ||
Southern Africa | 11 | ||
Hospitalizations (n, %) | 1,765 (63) | 0 | 5 (83) |
Complicated malaria‡ (n, %) | 177 (6) | 1 | NA |
Deaths (n, %) | 10 (< 1) | 0 | 0 (0) |
NA = not applicable.
For cases seen post-travel only.
Sub-Saharan Africa categories based on United Nations region.
WHO criteria.9