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Volume 15, Number 11—November 2009

CME ACTIVITY

Multicenter GeoSentinel Analysis of Rickettsial Diseases in International Travelers, 1996–2008

Mogens JenseniusComments to Author , Xiaohong Davis, Frank von Sonnenburg, Eli Schwartz, Jay S. Keystone, Karin Leder, Rogelio Lopéz-Véléz, Eric Caumes, Jakob P. Cramer, Lin Chen, Philippe Parola, and for the GeoSentinel Surveillance Network
Author affiliations: Oslo University Hospital, Oslo, Norway (M. Jensenius); University of Oslo, Oslo (M. Jensenius); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (X. Davis); University of Munich, Munich, Germany (F. von Sonnenburg); Chaim Sheba Medical Centre, Tel Hashomer, Israel (E. Schwartz); Toronto General Hospital, Toronto, Ontario, Canada (J.S. Keystone); Royal Melbourne Hospital, Parkville, Victoria, Australia (K. Leder); Ramón y Cajal Hospital, Madrid, Spain (R. Lopéz-Véléz); Hôpital Pitié-Salpêtrière, Paris, France (E. Caumes); Bernhard-Nocht-Clinic for Tropical Medicine, Hamburg, Germany (J.P. Cramer); Harvard Medical School, Boston, Massachusetts, USA (L. Chen); WHO Collaborative Center for Rickettsioses and Other Arthropod Borne Bacterial Diseases, Marseille, France (P. Parola); Hôpital Nord, Marseille (P. Parola); 1Additional members of the GeoSentinal Surveillance Network who contributed data are listed at the end of this article.

Main Article

Table 1

Travel destinations of 280 travelers with rickettsial diseases, by destination and disease, as reported to GeoSentinel, 1996–2008*

Destination No. travelers
SFG rickettsiosis TG rickettsiosis Indeterminate SFG/TG rickettsiosis Scrub typhus Anaplasmosis Acute Q fever Bartonellosis
Western Europe 7 1 1 2 1
Eastern Europe 1
North Africa 3
Sub-Saharan Africa 197 1 5 1
Middle East 1 2 1
Northeast Asia 2 1 1
South-central Asia 5 1 1 5
Southeast Asia 3 6 2 9 1
Australia/New Zealand 1 1
Oceania 1
North America 1
Central America 3
Caribbean 1 3
South America
Unknown
6


1

1

Total 231 10 4 16 1 11 7

*SFG, spotted fever group; TG, typhus group.

Main Article

In addition to the authors, the following members of the GeoSentinel Surveillance Network contributed data: Kevin C. Kain, University of Toronto, Toronto, Ontario, Canada; Phyllis E. Kozarsky and Carlos Franco-Paredes, Emory University, Atlanta, Georgia, USA; Louis Loutan and François Chappuis, University of Geneva, Geneva, Switzerland; Joseph Torresi and Graham Brown, Royal Melbourne Hospital, Melbourne, Victoria, Australia; DeVon C. Hale and Stefanie S. Gelman, University of Utah, Salt Lake City, Utah, USA; Alice Pérignon, Hôpital Pitié-Salpêtrière, Paris, France; Gerd-Dieter Burchard, Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany; Mary E. Wilson, Harvard University, Cambridge, Massachusetts, USA; Fabrice Simon and Jean Delmont, Hôpital Nord, Marseille, France; William M. Stauffer and Patricia F. Walker, University of Minnesota, Minneapolis, Minnesota, USA; Poh Lian Lim and Annelies Wilder-Smith, Tan Tock Seng Hospital, Singapore; Jose Antonio Perez Molina, Hospital Ramon y Cajal, Madrid, Spain; Bradley A. Connor, Cornell University, Ithaca, New York, USA; Carmelo Licitra and Antonio Crespo, Orlando Regional Health Center, Orlando, Florida, USA; David O. Freedman, University of Alabama at Birmingham, Birmingham, Alabama, USA; Effrossyni Gkrania-Klotsas, Addenbrooke's Hospital, Cambridge, UK; Giampiero Carosi and Francesco Castelli, University of Brescia, Brescia, Italy; Marc Shaw, Worldwise Travelers Health and Vaccination Centre, Auckland, New Zealand; Prativa Pandey, CIWEC Clinic Travel Medicine Center, Kathmandu, Nepal; R. Bradley Sack and Robin McKenzie, Johns Hopkins University, Baltimore, Maryland, USA (Dec 1997–Aug 2007); Elizabeth D. Barnett, Boston University, Boston, Massachusetts, USA; Christina M. Coyle and Murray Wittner, Albert Einstein School of Medicine, Bronx, New York, USA; Stefan Hagmann and Andy Miller, Bronx-Lebanon Hospital Center, Bronx; Michael W. Lynch, Fresno International Travel Medical Center, Fresno, California, USA; Vanessa Field, InterHealth, London, UK; Michael D. Libman and J. Dick Maclean, McGill University, Montreal, Quebec, Canada; Alejandra Gurtman, Mount Sinai Medical Center, New York, New York, USA (Oct 2002–Aug 2005); Shuzo Kanagawa and Yasuyuki Kato, International Medical Center of Japan, Tokyo, Japan; and Patricia Schlagenhauf, Rainer Weber, and Robert Steffen, University of Zürich, Zürich, Switzerland.

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