Adherence to stand-by emergency treatment and mosquito protection measures in short-term travellers to moderate malaria risk areas
Background: Malaria remains a threat to travellers to (sub)tropical regions. This study assessed adherence to malaria prevention measures among travellers to moderate-risk malaria areas, including the use of standby emergency treatment (SBET), healthcare-seeking behaviour during fever, and mosquito...
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Elsevier
2025-02-01
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| Series: | New Microbes and New Infections |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2052297524003457 |
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| author | Daniel Julien Franken Vita Willemijn Jongen Anna Rooyakkers Martin Peter Grobusch Jelte Elsinga Margarita Boering Maria Prins Brigitte Antonia Geertruida Lucía van Cleef |
| author_facet | Daniel Julien Franken Vita Willemijn Jongen Anna Rooyakkers Martin Peter Grobusch Jelte Elsinga Margarita Boering Maria Prins Brigitte Antonia Geertruida Lucía van Cleef |
| author_sort | Daniel Julien Franken |
| collection | DOAJ |
| description | Background: Malaria remains a threat to travellers to (sub)tropical regions. This study assessed adherence to malaria prevention measures among travellers to moderate-risk malaria areas, including the use of standby emergency treatment (SBET), healthcare-seeking behaviour during fever, and mosquito protection measures. Methods: We analysed data from adult travellers to moderate-risk malaria areas participating in a prospective study (2018–2023) at the Public Health Service of Amsterdam, the Netherlands. Participants maintained a daily diary during travel, recording questions about adherence to mosquito protection measures, symptoms, SBET use, and seeking medical help. In case of fever, participants were instructed to measure their temperature, use SBET if in a remote area, and seek medical help. We used Poisson regression to assess determinants for adherence to mosquito protection measures. Results: Of 686 recruited travellers, 405 (59 %) completed the diary. Of these travellers 44 % received a pre-travel SBET prescription, although presumably only a small fraction of them actually travelled remotely. None of the 25 travellers who reported fever used the prescribed SBET and five sought medical care. Thirty-five percent of participants used DEET and 5 % used a mosquito net on ≥75 % of the nights with malaria risk. Longer travel duration was associated with lower adherence to DEET use. Conclusions: Few travellers with fever used SBET or sought medical care, despite their pre-travel advice. To reduce costs and medication spillage, SBET should only be advised to travellers who travel to very remote regions where medical help is inaccessible. Further research should focus on the behavioural concepts underlying these choices. |
| format | Article |
| id | doaj-art-f084ccc2f7c34c1e9513cf4f59286a4f |
| institution | Kabale University |
| issn | 2052-2975 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | New Microbes and New Infections |
| spelling | doaj-art-f084ccc2f7c34c1e9513cf4f59286a4f2025-01-24T04:44:55ZengElsevierNew Microbes and New Infections2052-29752025-02-0163101561Adherence to stand-by emergency treatment and mosquito protection measures in short-term travellers to moderate malaria risk areasDaniel Julien Franken0Vita Willemijn Jongen1Anna Rooyakkers2Martin Peter Grobusch3Jelte Elsinga4Margarita Boering5Maria Prins6Brigitte Antonia Geertruida Lucía van Cleef7Public Health Service of Amsterdam, Department of Infectious Diseases, Nieuwe Achtergracht 100, Amsterdam, the Netherlands; Amsterdam UMC Location University of Amsterdam, Department of Infectious Diseases, Meibergdreef 9, Amsterdam, the Netherlands; Dutch Coordination Centre for Travellers' Health Advice (LCR), Nieuwe Achtergracht 100, Amsterdam, the Netherlands; Corresponding author. Public Health Service of Amsterdam, Department of Infectious Diseases, Nieuwe Achtergracht 100, Amsterdam, the Netherlands.Public Health Service of Amsterdam, Department of Infectious Diseases, Nieuwe Achtergracht 100, Amsterdam, the Netherlands; Stichting Hiv Monitoring, Tafelbergweg 51, Amsterdam, the Netherlands; Amsterdam UMC Location University of Amsterdam, Institute for Immunology and Infectious Diseases (AI&I), Meibergdreef 9, Amsterdam, the NetherlandsPublic Health Service of Amsterdam, Department of Infectious Diseases, Nieuwe Achtergracht 100, Amsterdam, the NetherlandsAmsterdam UMC Location University of Amsterdam, Institute for Immunology and Infectious Diseases (AI&I), Meibergdreef 9, Amsterdam, the Netherlands; Amsterdam UMC Location University of Amsterdam, Centre of Tropical and Travel Medicine, Department of Infectious Diseases, Meibergdreef 9, Amsterdam, the Netherlands; Amsterdam Public Health Research Institute (APH), Meibergdreef 9, Amsterdam, the NetherlandsAmsterdam UMC Location University of Amsterdam, Department of Medical Microbiology and Infection Prevention, Meibergdreef 9, Amsterdam, the NetherlandsDutch Coordination Centre for Travellers' Health Advice (LCR), Nieuwe Achtergracht 100, Amsterdam, the NetherlandsPublic Health Service of Amsterdam, Department of Infectious Diseases, Nieuwe Achtergracht 100, Amsterdam, the Netherlands; Amsterdam UMC Location University of Amsterdam, Department of Infectious Diseases, Meibergdreef 9, Amsterdam, the Netherlands; Amsterdam UMC Location University of Amsterdam, Institute for Immunology and Infectious Diseases (AI&I), Meibergdreef 9, Amsterdam, the NetherlandsPublic Health Service of Amsterdam, Department of Infectious Diseases, Nieuwe Achtergracht 100, Amsterdam, the NetherlandsBackground: Malaria remains a threat to travellers to (sub)tropical regions. This study assessed adherence to malaria prevention measures among travellers to moderate-risk malaria areas, including the use of standby emergency treatment (SBET), healthcare-seeking behaviour during fever, and mosquito protection measures. Methods: We analysed data from adult travellers to moderate-risk malaria areas participating in a prospective study (2018–2023) at the Public Health Service of Amsterdam, the Netherlands. Participants maintained a daily diary during travel, recording questions about adherence to mosquito protection measures, symptoms, SBET use, and seeking medical help. In case of fever, participants were instructed to measure their temperature, use SBET if in a remote area, and seek medical help. We used Poisson regression to assess determinants for adherence to mosquito protection measures. Results: Of 686 recruited travellers, 405 (59 %) completed the diary. Of these travellers 44 % received a pre-travel SBET prescription, although presumably only a small fraction of them actually travelled remotely. None of the 25 travellers who reported fever used the prescribed SBET and five sought medical care. Thirty-five percent of participants used DEET and 5 % used a mosquito net on ≥75 % of the nights with malaria risk. Longer travel duration was associated with lower adherence to DEET use. Conclusions: Few travellers with fever used SBET or sought medical care, despite their pre-travel advice. To reduce costs and medication spillage, SBET should only be advised to travellers who travel to very remote regions where medical help is inaccessible. Further research should focus on the behavioural concepts underlying these choices.http://www.sciencedirect.com/science/article/pii/S2052297524003457MalariaPrevention and controlMosquito netsMosquito controlMosquito-borne diseasesTravel-related illness |
| spellingShingle | Daniel Julien Franken Vita Willemijn Jongen Anna Rooyakkers Martin Peter Grobusch Jelte Elsinga Margarita Boering Maria Prins Brigitte Antonia Geertruida Lucía van Cleef Adherence to stand-by emergency treatment and mosquito protection measures in short-term travellers to moderate malaria risk areas New Microbes and New Infections Malaria Prevention and control Mosquito nets Mosquito control Mosquito-borne diseases Travel-related illness |
| title | Adherence to stand-by emergency treatment and mosquito protection measures in short-term travellers to moderate malaria risk areas |
| title_full | Adherence to stand-by emergency treatment and mosquito protection measures in short-term travellers to moderate malaria risk areas |
| title_fullStr | Adherence to stand-by emergency treatment and mosquito protection measures in short-term travellers to moderate malaria risk areas |
| title_full_unstemmed | Adherence to stand-by emergency treatment and mosquito protection measures in short-term travellers to moderate malaria risk areas |
| title_short | Adherence to stand-by emergency treatment and mosquito protection measures in short-term travellers to moderate malaria risk areas |
| title_sort | adherence to stand by emergency treatment and mosquito protection measures in short term travellers to moderate malaria risk areas |
| topic | Malaria Prevention and control Mosquito nets Mosquito control Mosquito-borne diseases Travel-related illness |
| url | http://www.sciencedirect.com/science/article/pii/S2052297524003457 |
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