Figure 2Age dependence of selected travel-associated
diseases (number of cases per 100 ill travelers) of 63,076
ill travelers seen in GeoSentinel clinics between 1997 and
2008. LRTI=lower respiratory tract infection; P falciparum
malaria=all cases including complicated malaria. Only
significant trends are presented.
targeted pre-travel advice based on reliable data should
be provided. We observed that older ill travelers
returning to GeoSentinel sites conducted short-term, pre-arranged, and organized tourism trips more
frequently, traveled more frequently to Europe and
the United States, and consequently sought pre-travel
advice less frequently than their younger counterparts.
This lower proportion who sought pre-travel advice
may also possibly reflect that they were more often
experienced travelers. While ideally all travelers should
be encouraged to receive apre-travelmedical evaluation,
tour operators should particularly encourage this for
their older travelers, and should encourage this to occur
in a timely manner.
In our study, the spectrum of illness differed signif-icantly based on the age of ill travelers after eliminating
confounding factors including travel destination. As
expected, the proportionatemorbidity of age-associated
conditions was significantly higher in the older group.
This observation confirms that travel health advisors
or general practitioners who counsel older individu-als at pre-travel consultations have to consider their
pre-travel health status and anticipate potential exac-erbations, in particular by minimizing venous throm-boembolism during travel through recommendation of
the use of anti-thrombosis compression stockings, suf-ficient hydration and exercises during long-distance
flights, and by optimizing control of cardiovascular
diseases and referring at-risk patients to a cardiologist
for medical evaluation before departure.
Figure 2Age dependence of selected travel-associated
diseases (number of cases per 100 ill travelers) of 63,076
ill travelers seen in GeoSentinel clinics between 1997 and
2008. LRTI=lower respiratory tract infection; P falciparum
malaria=all cases including complicated malaria. Only
significant trends are presented.
targeted pre-travel advice based on reliable data should
be provided. We observed that older ill travelers
returning to GeoSentinel sites conducted short-term, pre-arranged, and organized tourism trips more
frequently, traveled more frequently to Europe and
the United States, and consequently sought pre-travel
advice less frequently than their younger counterparts.
This lower proportion who sought pre-travel advice
may also possibly reflect that they were more often
experienced travelers. While ideally all travelers should
be encouraged to receive apre-travelmedical evaluation,
tour operators should particularly encourage this for
their older travelers, and should encourage this to occur
in a timely manner.
In our study, the spectrum of illness differed signif-icantly based on the age of ill travelers after eliminating
confounding factors including travel destination. As
expected, the proportionatemorbidity of age-associated
conditions was significantly higher in the older group.
This observation confirms that travel health advisors
or general practitioners who counsel older individu-als at pre-travel consultations have to consider their
pre-travel health status and anticipate potential exac-erbations, in particular by minimizing venous throm-boembolism during travel through recommendation of
the use of anti-thrombosis compression stockings, suf-ficient hydration and exercises during long-distance
flights, and by optimizing control of cardiovascular
diseases and referring at-risk patients to a cardiologist
for medical evaluation before departure.
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