Global TravEpiNet: Global Travelers' Health National Research Center Consortium

Summary

Principal Investigator: Edward T Ryan
Abstract: Ryan, Edward T. PROJECT SUMMARY/ABSTRACT International travel may not only increase the risk of infection for an individual traveler, but may also contribute to the global spread of infections. Despite this, there are limited recent health-related data concerning individuals traveling internationally from the United States. There are limited health-related data on destination, duration, seasonality, and type of travel; there are also limited data on the role, efficacy, and attitudes regarding preventative strategies, including immunization, education, and chemoprophylaxis. We hypothesize that research focusing on promotion of the health of international travelers could improve our understanding of health interventions for this important global sub-population, could promote the health of individual international travelers (and thus may subsequently diminish the likelihood of spread of infections within new communities), and may lead to improved interventions. To focus this research, we propose to form a national travel clinic research consortium (Global TravEpiNet: Global Travelers'Epidemiology Network-Travelers'Health National Research Center Consortium) comprised of travel clinics geographically spread across the United States. For this project, this consortium would focus on three specific aims. #1: To assess current clinical practices regarding preventative strategies for international travelers, and to estimate national vaccine coverage rates (and other preventative strategies) using these data. #2: To assess knowledge, attitudes, and practices of travel health providers, focusing on knowledge, attitudes, and practices regarding special category or high-risk international travelers, including the elderly, the immunosuppressed, individuals visiting friends and relatives overseas (VRFs), and travelers to areas of the world at high risk for malaria, yellow fever, dengue or other communicable diseases. #3: To assess the attitudes and beliefs of international travelers regarding preventative health strategies. For this last specific aim, we would focus our efforts on two populations of international travelers: the first would be among travelers presenting to a consortium site prior to international travel;the second would be among international travelers who did not made contact with the healthcare system prior to high-risk international travel. For this latter sub-aim, we would work in collaboration with officials at Logan International Airport, Boston, Massachusetts. Identification of major impediments to interactions with the healthcare system prior to high-risk international travel could lead to improved interventions that would increase the use and effectiveness of preventative strategies among this population.
Funding Period: ----------------2007 - ---------------2011-
more information: NIH RePORT

Top Publications

  1. pmc Pre-travel health care of immigrants returning home to visit friends and relatives
    Regina C LaRocque
    Travelers Advice and Immunization Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Am J Trop Med Hyg 88:376-80. 2013
  2. pmc Travel characteristics and yellow fever vaccine usage among US Global TravEpiNet travelers visiting countries with risk of yellow fever virus transmission, 2009-2011
    Emily S Jentes
    Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
    Am J Trop Med Hyg 88:954-61. 2013
  3. pmc Economics of malaria prevention in US travelers to West Africa
    Kenji Adachi
    Divisions of Global Migration and Quarantine
    Clin Infect Dis 58:11-21. 2014
  4. pmc Pre-exposure rabies vaccination among US international travelers: findings from the global TravEpiNet consortium
    Samantha B Dolan
    1 Travelers Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia
    Vector Borne Zoonotic Dis 14:160-7. 2014
  5. pmc Pre-travel preparation of US travelers going abroad to provide humanitarian service, Global TravEpiNet 2009-2011
    Rhett J Stoney
    Travelers Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts Center for Healthcare Organization and Implementation Research CHOIR, Bedford Veteran Affairs Medical Center, Bedford, Massachusetts Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts Department of Medicine, Harvard Medical School, Boston, Massachusetts
    Am J Trop Med Hyg 90:553-9. 2014
  6. ncbi Pre-travel health advice-seeking behavior among US international travelers departing from Boston Logan International Airport
    Regina C LaRocque
    Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA 02114, USA
    J Travel Med 17:387-91. 2010
  7. ncbi Health recommendations for international travel: a review of the evidence base of travel medicine
    Regina C LaRocque
    Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Curr Opin Infect Dis 24:403-9. 2011
  8. ncbi Global TravEpiNet: a national consortium of clinics providing care to international travelers--analysis of demographic characteristics, travel destinations, and pretravel healthcare of high-risk US international travelers, 2009-2011
    Regina C LaRocque
    Travelers Advice and Immunization Center, Massachusetts General Hospital, Boston, USA
    Clin Infect Dis 54:455-62. 2012

Scientific Experts

  • R C Larocque
  • Emily S Jentes
  • Sowmya R Rao
  • Edward T Ryan
  • Mark J Sotir
  • Samantha B Dolan
  • Rhett J Stoney
  • Kenji Adachi
  • Phyllis Kozarsky
  • Pauline Han
  • John Cahill
  • Johnnie A Yates
  • Stefan Hagmann
  • Joseph Vinetz
  • Roger Pasinski
  • Jessica Rosen
  • Mark Knouse
  • Rone Dosunmu
  • Jeffrey A Goad
  • Devon Hale
  • Margaret S Coleman
  • William Stauffer
  • Salvador Alvarez
  • Patricia Walker
  • Susan McLellan
  • Frederique Jacquerioz
  • Elisha H Atkins
  • Jennifer Lee
  • Amy E Wheeler
  • Nomana Khan
  • Vernon Ansdell
  • Noreen A Hynes
  • Hanna Demeke
  • Bradley A Connor
  • George M Abraham
  • Martin I Meltzer
  • Dagmar Vitek
  • Jesse D Blanton
  • Brian S Schwartz
  • Holly K Birich
  • Roberta Dismukes
  • Gary Brunette
  • Alawode Oladele
  • Paul Arguin
  • Mark D Gershman
  • J Erin Staples

Detail Information

Publications9

  1. pmc Pre-travel health care of immigrants returning home to visit friends and relatives
    Regina C LaRocque
    Travelers Advice and Immunization Center, Massachusetts General Hospital, Boston, MA 02114, USA
    Am J Trop Med Hyg 88:376-80. 2013
    ..Making pre-travel health care available in primary care settings may be one step to this goal...
  2. pmc Travel characteristics and yellow fever vaccine usage among US Global TravEpiNet travelers visiting countries with risk of yellow fever virus transmission, 2009-2011
    Emily S Jentes
    Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA
    Am J Trop Med Hyg 88:954-61. 2013
    ..To optimize YF vaccine use, clinicians should discuss an individual's risk-benefit assessment of vaccination and close knowledge gaps regarding vaccine use among at-risk populations...
  3. pmc Economics of malaria prevention in US travelers to West Africa
    Kenji Adachi
    Divisions of Global Migration and Quarantine
    Clin Infect Dis 58:11-21. 2014
    ..This study evaluated costs and benefits of that portion of the health consultation associated with malaria prevention provided to US travelers bound for West Africa...
  4. pmc Pre-exposure rabies vaccination among US international travelers: findings from the global TravEpiNet consortium
    Samantha B Dolan
    1 Travelers Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia
    Vector Borne Zoonotic Dis 14:160-7. 2014
    ..We examined characteristics of international travelers queried regarding rabies vaccination during pretravel consultations at Global TravEpiNet (GTEN) practices during 2009-2010...
  5. pmc Pre-travel preparation of US travelers going abroad to provide humanitarian service, Global TravEpiNet 2009-2011
    Rhett J Stoney
    Travelers Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia Department of Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts Center for Healthcare Organization and Implementation Research CHOIR, Bedford Veteran Affairs Medical Center, Bedford, Massachusetts Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts Department of Medicine, Harvard Medical School, Boston, Massachusetts
    Am J Trop Med Hyg 90:553-9. 2014
    ..Of HSWs traveling to Haiti during 2010, 5% of travelers did not receive malaria chemoprophylaxis. Coordinated efforts from HSWs, HSW agencies, and clinicians could reduce vaccine coverage gaps and improve use of malaria chemoprophylaxis...
  6. ncbi Pre-travel health advice-seeking behavior among US international travelers departing from Boston Logan International Airport
    Regina C LaRocque
    Division of Infectious Diseases, Massachusetts General Hospital, Boston, MA 02114, USA
    J Travel Med 17:387-91. 2010
    ..Despite this, data about sources of health information used by international travelers are limited...
  7. ncbi Health recommendations for international travel: a review of the evidence base of travel medicine
    Regina C LaRocque
    Division of Infectious Diseases, Massachusetts General Hospital, Boston, Massachusetts 02114, USA
    Curr Opin Infect Dis 24:403-9. 2011
    ..This review will describe the evidence base underlying travel medicine, highlight recently updated travel medicine guidelines, and outline future research priorities...
  8. ncbi Global TravEpiNet: a national consortium of clinics providing care to international travelers--analysis of demographic characteristics, travel destinations, and pretravel healthcare of high-risk US international travelers, 2009-2011
    Regina C LaRocque
    Travelers Advice and Immunization Center, Massachusetts General Hospital, Boston, USA
    Clin Infect Dis 54:455-62. 2012
    ..Despite this, little is known about the health characteristics and pretravel healthcare of US international travelers, particularly those at higher risk of travel-associated illness...