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Volume 20, Number 4—April 2014

Research

Regional Variation in Travel-related Illness acquired in Africa, March 1997–May 2011

Marc MendelsonComments to Author , Pauline V. Han, Peter Vincent, Frank von Sonnenburg, Jakob P. Cramer, Louis Loutan, Kevin C. Kain, Philippe Parola, Stefan Hagmann, Effrossyni Gkrania-Klotsas, Mark Sotir, Patricia Schlagenhauf, and for the GeoSentinel Surveillance Network
Author affiliations: University of Cape Town Groote Schuur Hospital, Cape Town, South Africa (M. Mendelson); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (P.V. Han, M. Sotir); Tokai Medicross Travel Clinic, Cape Town (P. Vincent); University of Munich, Munich, Germany (F. von Sonnenburg); University Medical Center, Hamburg-Eppendorf, Germany (J.P. Cramer); University of Geneva, Geneva, Switzerland (L. Loutan); University of Toronto, Toronto, Ontario, Canada (K.C. Kain); Assitance Publique Hôpitaux de Marseille–North University Hospital, Marseille, France (P. Parola); Yeshiva University Bronx-Lebanon Hospital Center, Bronx, New York, USA (S. Hagmann); Cambridge University Hospitals National Health Service Trust, Cambridge, UK (E. Gkrania-Klotsas); University of Zurich Centre for Travel Medicine, Zurich, Switzerland (P. Schlagenhauf)

Main Article

Table 2

Deaths of ill travelers returning from Africa who were seen at GeoSentinel clinic sites, March 1997–May 2011*

Patient no.
Age, y/sex
Diagnosis
Region
Exposure country
Travel reason
Expatriate
1 66/M Malaria, Plasmodium falciparum. Severe and complicated, noncerebral Western Burkina Faso Business No
2 68/M Malaria, P. falciparum. Severe and complicated, cerebral Eastern Kenya Tourism No
3 50/M Malaria, P. falciparum. Severe and complicated, cerebral Western Ghana Business Yes
4 61/M Malaria, P. falciparum. Severe and complicated, cerebral Western Sierra Leone Business No
5 4/M Pneumonia, bacterial, lobar Eastern Tanzania, Accompanying parent on business No
6 48/M Malaria, P. falciparum. Severe and complicated, cerebral Western Ghana VFR No
7 47/M Mycobacterium tuberculosis, pulmonary and extrapulmonary Western Unknown VFR No
8 57/M Malaria, P. falciparum. Severe and complicated, cerebral Western Liberia Missionary/volunteer/ researcher/aid worker No
9 30/F Malaria, P. falciparum. Severe and complicated, cerebral Central Equatorial Guinea Business Yes
10 53/M Malaria, P. falciparum. Severe and complicated, noncerebral Central Angola Business No
11
40/M
Malaria, P. falciparum. Severe and complicated, cerebral
Central
Angola
Business
No
*Three patients with malaria who died did not receive chemoprophylaxis, 1 received mefloquine, and data were missing for the remaining 5 travelers. The United Nations geoscheme was used to classify Africa into subregions (5). VFR, visiting friends or relatives.

Main Article

1Contributing members of the GeoSentinel Surveillance Network are listed at the end of this article.

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