Prophylaxis of infectious diseases among Polish population travelling abroad
DOI:
https://doi.org/10.12775/JEHS.2023.19.01.016Keywords
Travel medicine, International travel, Immunization, Vaccination, Malaria prophylaxisAbstract
Introduction and purpose of the study: With the gradual increase in travel, new challenges are arising in the health sector, especially with regard to infectious diseases. Growing number of Poles choose countries on other continents as their holiday destination. The aim of this study was to examine the health behaviour of Poles in relation to their travel destinations within Europe, Asia and Africa. Of particular importance were pre-travel consultations, awareness of recommended and mandatory vaccinations and malaria prevention.
Material and method: The study was based on an analysis of data from a specially constructed, online questionnaire. It was completed by 237 people. Pearson’s χ2 test, T-student and ANOVA were used to analyse the survey results. The processing of the data obtained, statistical calculations and graphs were performed using the R programme.
Results and conclusions: Travellers to Asian or African countries were significantly more likely to seek information on the infectious diseases their travel destination was at risk of than travellers to European countries. In addition, recommended vaccinations were significantly more frequently administered prior to travelling to Africa or Asia than before travelling within Europe. No statistically significant differences were found between travellers to Asia or Africa in terms of seeking information on the infectious diseases, having a pre-travel consultation or being administered recommended vaccinations. With regards to malaria-prone regions, travellers to Africa were more than twice as likely to take antimalarial drugs than travellers to Asia. Mandatory vaccinations were significantly more common than recommended vaccinations, although despite the obligation some travellers still chose not to receive them.
References
[1] World Tourism Organization, “UNWTO World Tourism Barometer - May 2023” Volume 21, Issue 2, May 2023. [Online]. Available: www.unwto.org/market-intelligence. Accessed August 19, 2023
[2] Mondial Assistance, “Plany Wakacyjne Polaków 2023 – Jak wygląda rynek turystyczny po pandemii?; Jun. 2023 Available: https://mondial-assistance.pl/centrum-prasowe/aktualnosci/plany-wakacyjne-polakow-2023-jak-wyglada-rynek-turystyczny-po-pandemii Accessed August 19, 2023
[3] European Travel Commission, „Monitoring Sentiment for Domestic and Intra-european Travel - Wave 15”, Apr. 2023, Available: https://etc-corporate.org/reports/monitoring-sentiment-for-domestic-and-intra-european-travel-wave-15/, Accessed August 19, 2023
[4] ARC Rynek i Opinia na zlecenie Kiwi.com, „Balans między atrakcyjnością miejsca pobytu, a budżetem - tym Polacy będą się kierować planując wakacje.”, Jun 2022
[5] A. D. Joudrey and J. E. Wallace, “Leisure as a coping resource: A test of the job demand-control-support model,” Human Relations, vol. 62, no. 2, pp. 195–217, Feb. 2009, doi: 10.1177/0018726708100357.
[6] M. Hilbrecht and B. Smale, “The contribution of paid vacation time to wellbeing among employed Canadians,” Leisure/ Loisir, vol. 40, no. 1, pp. 31–54, Jan. 2016, doi: 10.1080/14927713.2016.1144964.
[7] D. O. Freedman, L. H. Chen, and P. E. Kozarsky, “Medical Considerations before International Travel,” New England Journal of Medicine, vol. 375, no. 3, pp. 247–260, Jul. 2016, doi: 10.1056/nejmra1508815.
[8] Dick L. „Travel medicine: helping patients prepare for trips abroad.”, Am Fam Physician 1998;58(2):383–98, 401–2.
[9] S. V. Mahadevan and M. C. Strehlow, “Preparing for International Travel and Global Medical Care,” Emergency Medicine Clinics of North America, vol. 35, no. 2. W.B. Saunders, pp. 465–484, May 01, 2017. doi: 10.1016/j.emc.2017.01.006.
[10] H. W. Murray, “The Pretravel Consultation: Recent Updates,” American Journal of Medicine, vol. 133, no. 8. Elsevier Inc., pp. 916-923.e2, Aug. 01, 2020. doi: 10.1016/j.amjmed.2020.02.005.
[11] C. A. Sanford and E. C. Jong, “Immunizations,” Medical Clinics of North America, vol. 100, no. 2. W.B. Saunders, pp. 247–259, Mar. 01, 2016. doi: 10.1016/j.mcna.2015.08.018.
[12] Sanford C, McConnell A, Osborn J. The pretravel consultation. Am Fam Physician 2016;94(8):620–7.
[13] K. Leder et al., “Illness in Travelers Visiting Friends and Relatives: A Review of the GeoSentinel Surveillance Network Downloaded from,” 2006. Available: http://cid.oxfordjournals.org/ Accessed August 19, 2023
[14] E. Dubé, C. Laberge, M. Guay, P. Bramadat, R. Roy, and J. Bettinger, “Vaccine hesitancy: An overview,” Human Vaccines and Immunotherapeutics, vol. 9, no. 8. pp. 1763–1773, Aug. 2013. doi: 10.4161/hv.24657.
[15] K. Gawłowska-Lichota and M. Płatek, “Analiza wyszczepialności dzieci wybranymi szczepionkami na terenie Zakładu Opieki Zdrowotnej w Polanowie w latach 2004–2008”, Problemy Pielęgniarstwa 2011; 19 (1): 34–38
[16] Narodowy Instytut Zdrowia Publicznego, Państwowy Zakład Higieny – Państwowy Instytut Badawczy, “Historyczne Programy Szczepień Ochronnych,” 2023. Available: https://szczepienia.pzh.gov.pl/kalendarz-szczepien/ Accessed August 19, 2023
[17] World Health Organisation, “Table 1: Summary of WHO Position Papers-Recommendations for Routine Immunization Adolescents Adults Considerations Recommendations for certain regions.” Mar 2023, Available: http://www.who.int/immunization/documents/positionpapers Accessed August 19, 2023
[18] Główny Inspektor Sanitarny, „Kominukat Głównego Inspektora Sanitarnego z dnia 28 października 2022 r. w sprawie Programu Szczepień Ochronnych na rok 2023”, Dziennik Urzędowy Ministra Zdrowia, Oct. 28, 2022.
[19] D. O. Freedman and L. H. Chen, “Vaccines for International Travel,” Mayo Clinic Proceedings, vol. 94, no. 11. Elsevier Ltd, pp. 2314–2339, Nov. 01, 2019. doi: 10.1016/j.mayocp.2019.02.025.
[20] K. Korzeniewski, „Szczepienia”, Medycyna podróży, Available: https://medycynatropikalna.pl/szczepienia Accessed August 19, 2023
[21] World Health Organisation, „Countries with risk of yellow fever transmission and countries requiring proof of vaccination against yellow fever”, International Travel and Health, Annex 1-18 November 2022 (Revised on 3 January 2023), Jan. 03, 2023
[22] B. Lüthi and P. Schlagenhauf, “Risk factors associated with malaria deaths in travellers: A literature review,” Travel Medicine and Infectious Disease, vol. 13, no. 1. Elsevier USA, pp. 48–60, Jan. 01, 2015. doi: 10.1016/j.tmaid.2014.04.014.
[23] World Health Organization, „Framework for the allocation of limited malaria vaccine supply” Jul. 2022 Available: https://www.who.int/initiatives/malaria-vaccine-implementation-programme Accessed August 19, 2023
[24] K. Tan, F. Abanyie, „Malaria” In: CDC Yellow Book 2024: Section 5: Travel-Associated Infections & Diseases - Parasitic, New York, NY: Oxford University Press. Available: https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/malaria Accessed August 19, 2023
[25] U. Department of Health, H. Services, and C. for Disease Control, “MOSQUITO BITE PREVENTION HOW TO PROTECT AGAINST MOSQUITO BITES,” 2020. Available: www.epa.gov/insect-repellents/find-insect-repellent-right-you, Accessed August 19, 2023
[26] S. S. Ahmad, M. Rahi, V. Ranjan, and A. Sharma, “Mefloquine as a prophylaxis for malaria needs to be revisited,” Int J Parasitol Drugs Drug Resist, vol. 17, pp. 23–26, Dec. 2021, doi: 10.1016/j.ijpddr.2021.06.003.
[27] World Health Organization., „Chapter 7 - Malaria (2020 update)”, International Travel and Health (ISBN 978-92-4-158047-2) World Health Organization 2020
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