From: Malaria after international travel: a GeoSentinel analysis, 2003–2016
Characteristic | All travellers (n = 5689) | No species diagnosis (n = 443) | P. falciparum (n = 4011) | P. vivax (n = 857) | P. ovale (n = 251) | P. malariae (n = 124) | P. knowlesi (n = 3) |
---|---|---|---|---|---|---|---|
Median age, years (range) | 37 (0–88) | 38 (0–87) | 30 (1–88) | 36 (2–73) | 39 (4–76) | 40 (35–52) | |
Male, n (%)a | 3918 (69) | 304 (69) | 2712 (68) | 632 (74) | 179 (71) | 89 (72) | 2 (67) |
Travellers without pre-travel visit, n (%)b | 2891 (53) | 229 (54) | 2173 (57) | 373 (47) | 69 (29) | 46 (39) | 1 (50) |
Reason for travel, n (%)c | |||||||
VFRs | 3017 (53) | 178 (40) | 2422 (60) | 277 (32) | 90 (36) | 50 (40) | 0 (0) |
Business | 967 (17) | 124 (26) | 623 (16) | 127 (15) | 60 (24) | 32 (26) | 1 (33) |
Tourism | 918 (16) | 87 (20) | 530 (13) | 247 (29) | 34 (14) | 19 (15) | 1 (33) |
Missionaryd | 514 (9) | 49 (11) | 330 (8) | 74 (9) | 40 (16) | 20 (16) | 1 (33) |
Military | 184 (3) | 8 (2) | 44 (1) | 108 (13) | 23 (9) | 1 (1) | 0 (0) |
Student | 77 (1) | 6 (1) | 50 (1) | 18 (2) | 1 (<1) | 2 (2) | 0 (0) |
Migrant worker | 11 (<1) | 0 (0) | 7 (<1) | 2 (<1) | 2 (1) | 0 (0) | 0 (0) |
Planned medical care | 4 (<1) | 1 (<1) | 2 (<1) | 1 (<1) | 0 (0) | 0 (0) | 0 (0) |
Research | 3 (<1) | 0 (0) | 0 (0) | 2 (0.2) | 1 (<1) | 0 (0) | 0 (0) |
Region of exposure, n (%) | |||||||
Sub-Saharan Africa | 4705 (83) | 404 (91) | 3771 (94) | 167 (20) | 244 (97) | 119 (96) | N/A |
South Central Asia | 309 (5) | 6 (1) | 28 (1) | 272 (32) | 2 (1) | 1 (1) | N/A |
Southeast Asia | 266 (5) | 17 (4) | 112 (3) | 133 (15) | N/A | 1 (1) | 3 (100) |
South America | 195 (3) | 6 (1) | 16 (<1) | 171 (20) | 1 (<1) | 1 (1) | 0 (0) |
Oceania | 96 (2) | 3 (1) | 13 (<1) | 77 (9) | 2 (1) | 1 (1) | 0 (0) |
Caribbean | 45 (1) | 2 (<1) | 42 (1) | 1 (<1) | 0 (0) | 0 (0) | 0 (0) |
North Africa | 39 (1) | 2 (<1) | 26 (1) | 8 (1) | 2 (1) | 1 (1) | 0 (0) |
Central America | 30 (<1) | 3 (1) | 2 (<1) | 25 (3) | 0 (0) | 0 (0) | 0 (0) |
Northeast Asia | 3 (<1) | 0 (0) | 0 (0) | 3 (<1) | 0 (0) | 0 (0) | 0 (0) |
Middle East | 1 (<1) | 0 (0) | 1 (<1) | 0 (0) | 0 (0) | 0 (0) | 0 (0) |
Median trip duration, days (IQR) | 32 (20–75) | 31 (17–76) | 31 (20–63) | 36 (18–101) | 56 (22–156) | 34 (26–95) | 21 (21–52) |
Median days between return and presenting to a site (IQR) | 11 (6–21) | 10 (5–17) | 10 (5–16) | 30 (13–76) | 52 (16–98) | 35 (15–64) | 21 (2–23) |
Hospitalized, n (%)e | 3523 (62) | 345 (78) | 2537 (63) | 477 (56) | 105 (41) | 59 (48) | 0 (0) |