Diseases and injuries associated with travel among students, employees and teachers of the Central University of Venezuela during the national summer vacations☆
Received 2 May 2009; received in revised form 26 October 2009; accepted 27 October 2009. published online 23 November 2009.
Summary
The objective of this study was to describe the incidence of disease and injuries associated with travel, etiology, risk factors and medical management in a cross-sectional evaluation of university students, employees and teachers of the Central University of Venezuela, Caracas, Venezuela, who returned from domestic travel. A questionnaire completed by 500 individuals was used to evaluate the incidence of disease and injuries associated with travel, the etiology, risk factors and medical management in university students, employees and teachers of Caracas, Venezuela. From the total who accepted and responded to the interview (460, 92%), 50.8% were females. Almost half of them had some vaccination before travel for: measles 78%, rubella 73.6%, hepatitis B 57%, Yellow fever 53.7%. After travel, 53.9% of the individuals reported disease or injury related with travel, including insect bites (22%), which was reported most commonly. Occurrence of disease and injuries was higher for those who traveled to the jungle (OR=5.23, 95% CI 0.62–43.80), followed by those who travel to two areas (OR=1.82, 95% CI 1.06–3.13). Drinking alcohol during travel was identified in 73.8%, was significantly higher in men (p<0.01), and was associated with car accidents. Finally, 14.8% required medical attention during travel. The results indicated the importance of education and training in travel medicine, a relatively new medical discipline in Venezuela. Venezuela has a significant number of people visiting areas at risk for the acquisition of tropical and non-tropical conditions. Occasionally, travelers were without adequate preventive measures and pre-travel advice which is considered of utmost importance.
aDivision of Public Health, Department of Preventive and Social Medicine, Universidad Central de Venezuela, Caracas, Venezuela
bSchool of Medicine Luis Razetti, Faculty of Medicine, Universidad Central de Venezuela, Caracas, Venezuela
cTropical Medicine Institute, Universidad Central de Venezuela, Caracas, Venezuela
dInstituto Experimental Jose Witremundo Torrealba, Universidad de Los Andes, Trujillo, Venezuela
Corresponding author at: Tropical Medicine Institute, Universidad Central de Venezuela, Caracas, Venezuela. Tel.: +58 416 826 9482; fax: +58 212 605 3647.
☆ This paper was presented previously in part as a poster at the 1st Latin American Congress of Travel Medicine (SLAMVI), Buenos Aires, Argentina, April 10–11, 2008 (Poster Presentation No. 22711).