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Volume 30, Supplement—October 2024
SUPPLEMENT ISSUE
Articles

Etiology and Epidemiology of Travelers’ Diarrhea among US Military and Adult Travelers, 2018–2023

Melissa S. Anderson, Evelyn W. Mahugu, Hayley R. Ashbaugh, Aaron G. Wellbrock, Maia Nozadze, Sanjaya K. Shrestha, Giselle M. Soto, Rania A. Nada, Prativa Pandey, Mathew D. Esona, Daniel J. Crouch, Michelle Hartman-Lane, and Hunter J. SmithComments to Author 
Author affiliation: Naval Health Research Center, San Diego, California, USA (M.S. Anderson, A.G. Wellbrock, M.D. Esona, D.J. Crouch, M. Hartman-Lane); General Dynamics Information Technology, San Diego (M.S. Anderson, A.G. Wellbrock); Armed Forces Health Surveillance Division, Silver Spring, Maryland, USA (E.W. Mahugu, H.J. Smith); General Dynamics, Silver Spring (E.W. Mahugu); US Food and Drug Administration, Silver Spring (H.R. Ashbaugh); Walter Reed Army Institute of Research Europe-Middle East, Tbilisi, Georgia (M. Nozadze); Walter Reed Armed Forces Research Institute of Medical Sciences Research Unit Nepal, Kathmandu, Nepal (S.K. Shrestha); US Naval Medical Research Unit SOUTH, Lima, Peru (G.M. Soto); US Naval Medical Research Unit EURAFCENT, Cairo, Egypt (R.A. Nada); Canadian International Water and Energy Consultants Clinic, Kathmandu (P. Pandey).

Main Article

Table 1

Characteristics among acute diarrhea and acute gastroenteritis cases by geographic region and country, reported by participants in a study of etiology and epidemiology of travelers’ diarrhea among US military personnel and adult travelers, 2018–2023*

Characteristics Geographic region and country
 Total
South and Central America
 Northern Africa
 Sub-Saharan Africa
 Southern Asia
 Eastern Europe
Honduras Peru Egypt Djibouti Nepal Georgia
Enrollments 107 (21) 15 (3) 17 (3) 200 (39) 133 (26) 40 (8) 512 (100)
Average age, y (SD) 34 (9) NA 33 (6) 35 (11) 33 (14) 38 (16) 34 (12)
Unknown age
 13 (12)
 15 (100)
0
132 (66)
0
2 (5)
 162 (32)
Sex
F 26 (24) 10 (67) 3 (18) 38 (19) 84 (63) 17 (43) 178 (35)
M 81 (76) 5 (33) 14 (82) 131 (66) 49 (37) 23 (58) 303 (59)
Unknown
 0
 0
0
31 (16)
0
0
 31 (6)
Birth region
East Asia 0 0 0 0 6 (5) 0 6 (1)
North America 100 (93) 5 (33) 17 (100) 64 (32) 37 (28) 6 (15) 229 (45)
Europe 2 (2) 10 (67) 0 2 (1) 71 (53) 26 (65) 111 (22)
Oceania 0 0 0 0 11 (8) 0 11 (2)
Middle East 0 0 0 0 1 (1) 1 (3) 2 (<1)
Unknown
 5 (5)
 0
0
134 (67)
7 (5)
7 (18)
 153 (30)
Traveler type
US military 105 (98) 0 17 (100) 200 (100) 0 7 (18) 299 (58)
Government, US or non-US 2 (2) 0 0 0 0 2 (5) 4 (1)
Nongovernmental 
organization or aid worker 0 0 0 0 9 (7) 2 (5) 11 (2)
Tourist 0 0 0 0 85 (64) 19 (48) 104 (20)
Student 0 15 (100) 0 0 10 (8) 1 (3) 26 (5)
Other 0 0 0 0 29 (22) 2 (5) 31 (8)
Unknown 0 0 0 0 0 7 (18) 37 (6)

*Values are no. (%), except as indicated. Percentages may not total 100% because of rounding.

Main Article

Page created: October 01, 2024
Page updated: November 11, 2024
Page reviewed: November 11, 2024
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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