Table 3

Proportionate morbidity per 1,000 ill returned travelers seen at GeoSentinel clinics, for syndrome and diagnostic groupings by region, expatriates versus non-expatriates, March 1997 – May 2011
  AFRICA (n=5575) ASIA-PACIFIC (n=4200) LATIN AMERICA (n=2787) OTHER REGIONS¥(n=954) p-value *
Expatriate Non-expatriate Expatriate Non-expatriate Expatriate Non-expatriate Expatriate Non-expatriate
PM per 1,000
Syndrome Groupings
Acute Diarrhea 139 226 147 273 129 240 113 171 a,b,c
Febrile/Systemic Illness 289 263 195 203 95 148 77 103 c
Dermatologic 73 111 94 111 103 179 93 122 a,c
GI, Other 101 65 140 68 136 70 124 86 a,b,c
Respiratory 45 67 68 104 23 58 88 186 a,b,c,d
Diagnostic Groupings
Vector-borne
Malaria 178 121 51 43 7 16 0 3 a
P.falciparum 115 86 9 13 1 4 0 0 a
Malaria, other£ 56 30 40 31 4 12 0 3 a
Dengue 6 7 52 46 20 36 0 0
Leishmaniasis 3 3 2 1 15 15 0 12
Rickettsiosis 4 8 5 1 0 2 0 1
Filariasis 31 7 6 1 3 3 0 1 a,b
Ingestion
Typhoid & Paratyphoid 4 3 10 10 1 3 0 0
Hepatitis A 3 2 6 2 1 1 5 4
Hepatitis E 5 0.2 3 1 1 0 0 0 a
GI (parasitic) 14 8 21 13 14 23 10 8
GI (bacterial) 9 27 13 39 12 18 5 29 a,b
Amebiasis 31 16 30 16 42 22 21 17 a,b,c
Giardiasis 33 32 30 37 14 30 10 21 c
Brucellosis 2 0.2 2 1 4 0 5 3 c
Respiratory Contact
Influenza 6 14 9 22 3 7 21 45 b
Latent TB 13 4 25 7 15 5 36 21 a,b,c
Active TB 3 1 3 2 5 2 10 4
Blood/Body Fluid/Sexual
HIV 5 2 5 2 3 3 41 5 d
Hepatitis B 2 0 0 1 0 0 0 1
IMS – EBV/CMV 5 5 15 9 34 8 26 9 c
Environmental Contact
Schistosomiasis 36 19 1 2 1 2 5 5 a
Strongyloidiasis 13 6 16 3 15 6 10 3 b
Ectoparasites 5 10 0 4 7 20 0 7 c
Animal Bites 2 3 7 4 0 3 5 3
Non-infectious
Fracture & Dislocation 0 0.4 2 1 0 1 10 0 d
Depression 3 3 12 2 8 3 16 7 b
Anxiety & Stress 8 4 7 1 4 3 21 5 b
Cardiac Disease 3 0.4 2 0.6 0 1 0 1

* Comparing expatriate to non-expatriate, if p-value < 0.01, denoted a for Africa, b - Asia-Pacific, c - Latin America, d - Other.

¥ Other regions include Europe, Middle East, and North America and does not include unknown region (n=1277).

£ Malaria, other includes species unknown, P. vivax, P. malariae, P. ovale, P.v., and mefloquine-resistant.

Lim et al.

Lim et al. BMC Infectious Diseases 2012 12:386   doi:10.1186/1471-2334-12-386

Open Data