Missed Opportunities for Measles, Mumps, Rubella Vaccination Among Departing U.S. Adult Travelers Receiving Pretravel Health Consultations

Annals of Internal Medicine
Emily P HyleRegina C LaRocque

Abstract

Measles outbreaks continue to occur in the United States and are mostly due to infections in returning travelers. To describe how providers assessed the measles immunity status of departing U.S. adult travelers seeking pretravel consultation and to assess reasons given for nonvaccination among those considered eligible to receive the measles, mumps, rubella (MMR) vaccine. Observational study in U.S. pretravel clinics. 24 sites associated with Global TravEpiNet (GTEN), a Centers for Disease Control and Prevention-funded consortium. Adults (born in or after 1957) attending pretravel consultations at GTEN sites (2009 to 2014). Structured questionnaire completed by traveler and provider during pretravel consultation. 40 810 adult travelers were included; providers considered 6612 (16%) to be eligible for MMR vaccine at the time of pretravel consultation. Of the MMR-eligible, 3477 (53%) were not vaccinated at the visit; of these, 1689 (48%) were not vaccinated because of traveler refusal, 966 (28%) because of provider decision, and 822 (24%) because of health systems barriers. Most MMR-eligible travelers who were not vaccinated were evaluated in the South (2262 travelers [65%]) or at nonacademic centers (1777 travelers [51%]). Nonva...Continue Reading

Citations

Oct 19, 2017·Expert Review of Vaccines·James L GoodsonWalter A Orenstein
Nov 6, 2018·Journal of Travel Medicine·Anita E Heywood
Oct 13, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Emily P HyleRochelle P Walensky
Dec 12, 2018·The Journal of Infectious Diseases·Adria D LeePaul A Gastañaduy
Oct 24, 2018·Expert Review of Vaccines·Roy K PhilipPier Luigi Lopalco
Dec 26, 2018·Médecine et maladies infectieuses·Y T AbaE Botelho-Nevers
Jun 19, 2019·Pediatrics·Kristina M AngeloJeffrey Nemhauser

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