Abstract

To understand geographic variation in travel-related illness acquired in distinct African regions, we used the GeoSentinel Surveillance Network database to analyze records for 16,893 ill travelers returning from Africa over a 14-year period. Travelers to northern Africa most commonly reported gastrointestinal illnesses and dog bites. Febrile illnesses were more common in travelers returning from sub-Saharan countries. Eleven travelers died, 9 of malaria; these deaths occurred mainly among male business travelers to sub-Saharan Africa. The profile of illness varied substantially by region: malaria predominated in travelers returning from Central and Western Africa; schistosomiasis, strongyloidiasis, and dengue from Eastern and Western Africa; and loaisis from Central Africa. There were few reports of vaccine-preventable infections, HIV infection, and tuberculosis. Geographic profiling of illness acquired during travel to Africa guides targeted pretravel advice, expedites diagnosis in ill returning travelers, and may influence destination choices in tourism.

Highlights

  • ─ UNAIDS estimates that a total of 2.5 million deaths have been averted in lowand middle-income countries since 1995 due to the roll out of antiretroviral therapy

  • The proportion of women living with HIV has remained stable at 50% globally, women are more affected in sub-Saharan Africa (59% of all people living with HIV)

  • In 2010, 48% of pregnant women living with HIV received effective regimens to prevent new HIV infections among children

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Summary

New HIV infections

34 million [26.7-30.9 million] [29.2-32.7 million] [30.4-33.8 million] [31.0-34.4 million] [31.6-35.2 million]. 1.76 million deaths [1.67-2.16 million] [2.07-2.48 million] [1.87-2.21 million] [1.72-2.05 million] [1.59-1.91 million]

The global epidemic
Findings
Women and children
Full Text
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