Travel-related infections in mainland China, 2014-16: an active surveillance study

The Lancet. Public Health
Li-Qun FangWu-Chun Cao

Abstract

Transmission of infection through international travel is a growing health issue, and the frequency of imported infection is increasing in China. We aimed to quantify the total number of infections imported into mainland China by arriving travellers. We actively surveyed arriving travellers at all 272 international entry-exit ports in mainland China. Suspected cases were detected through fever screening, medical inspection, self-declaration, and reporting by on-board staff. Participants completed a standardised questionnaire with questions about demographics, their travel itinerary (including detailed information about all countries or regions visited), and clinical manifestations. Nasopharyngeal swabs, sputum samples, faecal samples, vomitus, blood, and serum were collected as appropriate for diagnoses. Diagnosis was made by specific laboratory tests according to the national technical guidelines. Infections were classified as respiratory, gastrointestinal, vector-borne, blood-transmitted and sex-transmitted, or mucocutaneous. We divided arriving travellers into two groups: travellers coming from countries other than China, and travellers coming from Hong Kong, Macau, and Taiwan. We integrated surveillance data for 2014-16, ca...Continue Reading

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Citations

Aug 23, 2019·PLoS Neglected Tropical Diseases·Xin-Yu WangWen-Hong Zhang
Jan 22, 2020·PLoS Neglected Tropical Diseases·Jian ChengWenbiao Hu
Aug 21, 2020·The American Journal of Tropical Medicine and Hygiene·José Franco MartinsMateusz M Plucinski
Dec 8, 2020·Journal of Travel Medicine·Yang WuWei Liu
Dec 10, 2020·Tropical Diseases, Travel Medicine and Vaccines·Timothy Siliang LuGerard Thomas Flaherty
Jul 24, 2018·The Lancet. Public Health·Karin Leder, Mary E Wilson

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