International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis A

The State of Ohio led the United States in measles in 2014, ostensibly related to international air travel (IAT), and ranked lower than 43 other states in infectious disease outbreak preparedness. We conducted a retrospective cohort study using surveillance data of the total Ohio population of 11 mi...

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Main Authors: Donald E. Brannen, Ali Alhammad, Melissa Branum, Amy Schmitt
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Scientifica
Online Access:http://dx.doi.org/10.1155/2016/8258946
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author Donald E. Brannen
Ali Alhammad
Melissa Branum
Amy Schmitt
author_facet Donald E. Brannen
Ali Alhammad
Melissa Branum
Amy Schmitt
author_sort Donald E. Brannen
collection DOAJ
description The State of Ohio led the United States in measles in 2014, ostensibly related to international air travel (IAT), and ranked lower than 43 other states in infectious disease outbreak preparedness. We conducted a retrospective cohort study using surveillance data of the total Ohio population of 11 million from 2010 through 2014 with a nested case control of air travelers to determine the risk of malaria, seasonal influenza hospitalizations (IH), and hepatitis A (HA) disease related to international travel and to estimate the association with domestic enplanement. IAT appeared protective for HA and IH with a risk of 0.031 (.02–.04) but for malaria was 2.7 (2.07–3.62). Enplanement increased the risk for nonendemic M 3.5 (2.5–4.9) and for HA and IH 1.39 (1.34–1.44). IAT’s ratio of relative risk (RRR) of malaria to HA and IH was 87.1 (55.8–136) greater than 219 times versus domestic enplanement which was protective for malaria at 0.397 (0.282–0.559). Malaria is correlated with IAT with cases increasing by 6.9 for every 10,000 passports issued.
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spelling doaj-art-c6253c5a8bfe41318a10aedb4f8b22b02025-08-20T03:23:19ZengWileyScientifica2090-908X2016-01-01201610.1155/2016/82589468258946International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis ADonald E. Brannen0Ali Alhammad1Melissa Branum2Amy Schmitt3Greene County Public Health, 360 Wilson Drive, Xenia, OH 45385, USAWright State University, Dayton, OH 45435, USAGreene County Public Health, 360 Wilson Drive, Xenia, OH 45385, USAGreene County Public Health, 360 Wilson Drive, Xenia, OH 45385, USAThe State of Ohio led the United States in measles in 2014, ostensibly related to international air travel (IAT), and ranked lower than 43 other states in infectious disease outbreak preparedness. We conducted a retrospective cohort study using surveillance data of the total Ohio population of 11 million from 2010 through 2014 with a nested case control of air travelers to determine the risk of malaria, seasonal influenza hospitalizations (IH), and hepatitis A (HA) disease related to international travel and to estimate the association with domestic enplanement. IAT appeared protective for HA and IH with a risk of 0.031 (.02–.04) but for malaria was 2.7 (2.07–3.62). Enplanement increased the risk for nonendemic M 3.5 (2.5–4.9) and for HA and IH 1.39 (1.34–1.44). IAT’s ratio of relative risk (RRR) of malaria to HA and IH was 87.1 (55.8–136) greater than 219 times versus domestic enplanement which was protective for malaria at 0.397 (0.282–0.559). Malaria is correlated with IAT with cases increasing by 6.9 for every 10,000 passports issued.http://dx.doi.org/10.1155/2016/8258946
spellingShingle Donald E. Brannen
Ali Alhammad
Melissa Branum
Amy Schmitt
International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis A
Scientifica
title International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis A
title_full International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis A
title_fullStr International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis A
title_full_unstemmed International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis A
title_short International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis A
title_sort international air travel to ohio usa and the impact on malaria influenza and hepatitis a
url http://dx.doi.org/10.1155/2016/8258946
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