International travel may not only increase the risk of infection for an individual traveler,but may also contribute to the global spread of infections. Despite this, there are limited recenthealth-related data concerning individuals traveling internationally from the United States.There are limited health-related data on destination, duration, seasonality, and type of travel;there are also limited data on the role, efficacy, and attitudes regarding preventative strategies,including immunization, education, and chemoprophylaxis. We hypothesize that researchfocusing on promotion of the health of international travelers could improve our understanding ofhealth interventions for this important global sub-population, could promote the health ofindividual international travelers (and thus may subsequently diminish the likelihood of spread ofinfections within new communities), and may lead to improved interventions. To focus thisresearch, we propose to form a national travel clinic research consortium (Global TravEpiNet:Global Travelers' Epidemiology Network-Travelers' Health National Research CenterConsortium) comprised of travel clinics geographically spread across the United States. Forthis project, this consortium would focus on three specific aims. #1: To assess current clinicalpractices regarding preventative strategies for international travelers, and to estimate nationalvaccine coverage rates (and other preventative strategies) using these data. #2: To assessknowledge, attitudes, and practices of travel health providers, focusing on knowledge, attitudes,and practices regarding special category or high-risk international travelers, including theelderly, the immunosuppressed, individuals visiting friends and relatives overseas (VRFs), andtravelers to areas of the world at high risk for malaria, yellow fever, dengue or othercommunicable diseases. #3: To assess the attitudes and beliefs of international travelersregarding preventative health strategies. For this last specific aim, we would focus our effortson two populations of international travelers: the first would be among travelers presenting to aconsortium site prior to international travel; the second would be among international travelerswho did not made contact with the healthcare system prior to high-risk international travel. Forthis latter sub-aim, we would work in collaboration with officials at Logan International Airport,Boston, Massachusetts. Identification of major impediments to interactions with the healthcaresystem prior to high-risk international travel could lead to improved interventions that wouldincrease the use and effectiveness of preventative strategies among this population.
Ryan, Edward T. PROJECT NARRATIVE International travel may not only increase the risk of infection for an individual traveler, but may also contribute to the global spread of infections. We propose to form a national travel clinic research consortium (Global TravEpiNet: Global Travelers' Epidemiology Network-Travelers'Health National Research Center Consortium) comprised of travel clinics geographically spread across the United States. This consortium would focus on assessing current clinical practices, attitudes and beliefs regarding preventative strategies for international travelers. We would use data generated through this network in an attempt to estimate national vaccine coverage rates (and other preventative strategies) among international travelers.
