HAL will be down for maintenance from Friday, June 10 at 4pm through Monday, June 13 at 9am. More information
Skip to Main content Skip to Navigation
Journal articles

Travel-Associated Illness in Older Adults (>60 y) for the GeoSentinel Surveillance Network See Appendix 1 for members of the GeoSentinel Surveillance Network

Abstract : Background. Older individuals represent a substantial proportion of international travelers. Because of physiological changes and the increased probability of underlying medical conditions, older travelersmight be at higher risk for at least some travel-associated diseases. Methods. With the aim of describing the epidemiology of travel-associated diseases in older adults,medical data were prospectively collected on ill international travelers presenting to GeoSentinel sites from 1997 to 2009. Seven thousand thirty-four patients aged 60 years and over were identified as older travelers and were compared to 56,042 patients aged 18–45 years, who were used as the young adult reference population. Results. The proportionate morbidity of several etiological diagnoses was higher in older ill travelers compared to younger ill, including notably lower respiratory tract infections, high-altitude pulmonary edema, phlebitis and pulmonary embolism, arthropod bites, severe malaria, rickettsiosis, gastritis, peptic ulcers, esophagitis and gastroesophageal reflux disease, trauma and injuries, urinary tract infections, heart disease, and death. In contrast, acute diarrhea, upper respiratory tract infections, flu and flu-like illnesses, malaria, dengue, genital infections, sexually transmitted diseases, and schistosomiasis proportionate morbidities were lower among the older group. Conclusion. Older ill travelers are more likely to suffer from certain life-threatening diseases and would benefit from reinforcement of specific preventive measures including use of anti-thrombosis compression stockings and sufficient hydration and exercises during long-distance flights, hand hygiene, use of disposable handkerchiefs, consideration of face-masks in crowded conditions, influenza and pneumococcal vaccines, progressive acclimatization to altitude, consideration of acetazolamide, and use of repellents and mosquito nets. Antibiotics for the presumptive treatment of respiratory and urinary tract infections may be considered, as well as antacid medications. At-risk patients should be referred to a specialist for medical evaluation before departing, and optimal control of co-morbidities such as cardiovascular and chronic obstructive pulmonary diseases should be achieved, particularly for high-altitude travel.
Complete list of metadata

Cited literature [40 references]  Display  Hide  Download

Contributor : Jean Gaudart Connect in order to contact the contributor
Submitted on : Friday, May 13, 2016 - 6:04:36 PM
Last modification on : Saturday, May 21, 2022 - 3:42:40 AM
Long-term archiving on: : Tuesday, August 16, 2016 - 10:17:15 AM


Publication funded by an institution


Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives 4.0 International License



Philippe Gautret, Jean Gaudart, Karin Leder, Eli Schwartz, Francesco Castelli, et al.. Travel-Associated Illness in Older Adults (>60 y) for the GeoSentinel Surveillance Network See Appendix 1 for members of the GeoSentinel Surveillance Network. Journal of Travel Medicine, Wiley-Blackwell, 2012, ⟨10.1111/j.1708-8305.2012.00613.x⟩. ⟨hal-01313286⟩



Record views


Files downloads