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Schistosomiasis in European travelers and migrants: analysis of 14 years TropNet Surveillance Data

Lingscheid, Tilman and Kurth, Florian and Clerinx, Jan and Marocco, Stefania and Trevino, Begoña and Schunk, Mirjam and Muñoz, José and Gjørup, Ida E. and Jelinek, Tomas and Develoux, Michel and Fry, Graham and Jänisch, Thomas and Schmid, Matthias L. and Bouchaud, Olivier and Puente, Sabino and Zammarchi, Lorenzo and Mørch, Kristine and Björkman, Anders and Siikamäki, Heli and Neumayr, Andreas and Nielsen, Henrik and Hellgren, Urban and Paul, Malgorzata and Calleri, Guido and Kosina, Pavel and Myrvang, Bjørn and Ramos, José M. and Just-Nübling, Gudrun and Beltrame, Anna and Saraiva da Cunha, José and Kern, Peter and Rochat, Laurence and Stich, August and Pongratz, Peter and Grobusch, Martin P. and Suttorp, Norbert and Witzenrath, Martin and Hatz, Christoph and Zoller, Thomas and TropNet Schistosomiasis Investigator Group, . (2017) Schistosomiasis in European travelers and migrants: analysis of 14 years TropNet Surveillance Data. American Journal of Tropical Medicine and Hygiene, 97 (2). pp. 567-574.

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Official URL: http://edoc.unibas.ch/56138/

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Abstract

Schistosomiasis remains one of the most prevalent parasitic diseases worldwide and the infection is frequently found in travelers and migrants. The European Network for Tropical Medicine and Travel Health conducted a sentinel surveillance study on imported schistosomiasis between 1997 and 2010. This report summarizes epidemiological and clinical data from 1,465 cases of imported schistosomiasis. Direct pathogen detection and serology were the main diagnostic tools applied. Of these, 486 (33%) cases were identified among European travelers, 231 (16%) among long-term expatriates, and 748 (51%) among non-European immigrants. Overall, only 18.6% of travelers had received pretravel advice; 95% of infections were acquired in the African region. On species level, Schistosoma mansoni was identified in 570 (39%) and Schistosoma haematobium in 318 (22%) cases; 57.5% of patients were symptomatic. Acute symptoms were reported in 27% of patients leading to earlier presentation within 3 months. Praziquantel was used in all patients to treat schistosomiasis. Many infections were detected in asymptomatic patients. In 47.4% of asymptomatic patients infection was detected by microscopy and in 39% by serology or antigen testing. Schistosomiasis remains a frequent infection in travelers and migrants to Europe. Travelers should be made aware of the risk of schistosomiasis infection when traveling to sub-Saharan Africa. Posttravel consultations particularly for returning expatriates are useful given the high potential for detecting asymptomatic infections.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Sozial- und Präventivmedizin > Medicines Development (Paris)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Medicine (MED) > Medicines Development (Paris)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
UniBasel Contributors:Neumayr, Andreas and Hatz, Christoph
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Williams and Wilkins
ISSN:0002-9637
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:03 Oct 2017 14:20
Deposited On:03 Oct 2017 14:20

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