Table 3.
Top 5 countries of exposure by travel reason for 955 returned travellers or new immigrants presenting at a GeoSentinel Surveillance Network site for travel-acquired cutaneous or mucocutaneous leishmaniasis, 1997–2017
| Country of exposure | Travel unrelated to migration | ||||||
|---|---|---|---|---|---|---|---|
| Rank | Recent migration travel; country: n (%); n = 97 |
All non-migration travellers; country: n (%); n = 858 | Tourism; country: n (%); n = 501 | Visiting friends and relatives; country: n (%); n = 119 | Missionary, volunteer, researcher and aid; country: n (%); n = 88 | Business; country: n (%); n = 72 | Othera; country: n (%); n = 78 |
| 1 | Syria: 34 (35.0) |
Bolivia: 156 (18.2) |
Bolivia: 147 (29.3) |
Tunisia: 26 (21.8) |
Peru: 15 (17.0) |
Peru: 7 (9.7) |
Afghanistan: 21 (26.9) |
| 2 | Afghanistan: 22 (22.7) |
Costa Rica: 97 (11.3) |
Costa Rica: 75 (15.0) |
Morocco: 16 (13.4) |
Ecuador: 14 (15.9) |
Costa Rica: 5 (6.9) |
French Guiana: 19 (24.4) |
| 3 | Burkina Faso: 4 (4.1) |
Afghanistan: 60 (7.0) |
Spain: 51 (10.2) |
Afghanistan: 13 (10.9) |
Costa Rica: 12 (13.6) |
French Guiana: 5 (6.9) |
Belize: 8 (10.3) |
| 4 | El Salvador: 3 (3.1) |
Spain: 54 (6.3) |
Israel: 21 (4.2) |
Iran: 8 (6.7) |
Brazil: 6 (6.8) |
Morocco: 5 (6.9) |
Ecuador: 5 (6.4) |
| 5 | Pakistan: 3 (3.1) |
Peru: 49 (5.7) |
Peru: 19 (3.8) |
Algeria: 6 (5.0) |
Bolivia: 5 (5.7); Sudan: 5 (5.7) |
Suriname: 5 (6.9) |
Peru: 4 (5.1) |
aIncludes 52 military personnel, 25 students, and 1 medical tourist