Global TravEpiNet: Global Travelers' Health Surveillance, Applications, and Cons

项目总结/摘要 国际旅行不仅可能增加个人旅行者的感染风险， 但也可能导致感染的全球传播。更好地理解本 流行病学上重要的人群可能会导致改善干预措施，以促进 国际旅行者的健康，并减少感染在其家中的传播 社区.此更新应用程序的重点是全球旅行EpiNet-一个诊所联盟 提供旅行前的健康建议。在TravEpiNet中，旅行者的数据是通过小说收集的。 网络工具，同时收集数据，并帮助卫生保健从业人员提供 重要建议。自2009年开始收集数据以来， 已经收集了超过11,000次美国国际旅行，并对子集进行了分析 高风险旅行者、干预措施和成本分析正在进行中。我们建议建立在 在这个更新的应用程序的基础。具体而言，我们现在提出四个具体目标。 在具体目标#1中，我们建议（a）维护、改进和更新全球旅行网 网络工具，重点是优化其功能，（一）最新的互动黄色 图书实践指导工具和（ii）数据收集监督系统， 卫生保健提供者的反应，以协助实践指导，（B）评估的影响， TravEpiNet网络工具和系统，以促进最佳做法，以及（c）与疾病预防控制中心合作， 最大限度地利用旅行前和旅行后监测数据系统的比较。在特定 目标#2，我们建议（a）收集和分析全球国际旅行者的数据，包括 旅行人口统计和预防策略，特别是关注高风险旅行者，以及 (b)通过互动式网络调查评估国际旅行者的疾病风险 系统在具体目标3中，我们建议（a）维持、改善和扩大全球 TravEpiNet联盟，特别注重扩大提供护理的诊所的成员 VFR旅行者、高风险旅行者、学生和当地卫生部门，以及（B）扩大 访问TravEpiNet网络工具，以指导联盟成员以外的最佳做法， 特别是在初级保健提供者和非专业从业人员中。在具体目标#4中， 建议开发新的方法来增加旅行前的医疗保健寻求行为， 高风险旅行者，特别是，我们建议开发，测试，部署和评估旅行者- 面向网络的工具，告知旅行者与旅行有关的潜在健康风险， 国际旅行者与他们的医疗保健提供者的互动。

PROJECT SUMMARY/ABSTRACT International travel may not only increase the risk of infection for an individual traveler, but may also contribute to the global spread of infections. A better understanding of this epidemiologically important population could lead to improved interventions to promote the health of international travelers, and to diminish the spread of infections within their home communities. This renewal application focuses on Global TravEpiNet -- a consortium of clinics providing pre-travel health advice. In TravEpiNet, data on travelers are collected via a novel web-tool that simultaneously collects data, and aids health care practitioners in providing essential recommendations. Since beginning data collection in 2009, information regarding more than 11,000 U.S. international trips has been collected, and analyses focusing on subsets of high-risk travelers, interventions, and cost-analyses are ongoing. We propose to build upon this foundation in this renewal application. Specifically, we now propose four Specific Aims. In Specific Aim #1, we propose to (a) maintain, improve, and update the Global TravEpiNet web-tool, focusing on optimizing its ability to function as (i) an up-to-date interactive Yellow Book practice guidance tool and (ii) data collection surveillance system that (iii) integrates health care provider responses to assist practice guidance, (b) assess the impact of the TravEpiNet web-tool and system to facilitate optimal practice, and (c) work with CDC to maximize utility of comparisons of pre and post-travel surveillance data systems. In Specific Aim #2, we propose to (a) collect and analyze data on global international travelers, including travel demographics and preventative strategies, particularly focusing on high-risk travelers, and (b) assess the risk of illness in international travelers through an interactive web-based survey system. In Specific Aim #3, we propose to (a) maintain, improve and expand the Global TravEpiNet Consortium, especially focusing on expanding membership of clinics providing care to VFR travelers, high-risk travelers, students, and local health departments, and (b) expand access to the TravEpiNet web-tool to guide optimal practice beyond consortium membership, especially among primary care providers and non-expert practitioners. In Specific Aim #4, we propose to develop new approaches to increase pre-travel health-care seeking behavior by high-risk travelers, specifically, we propose to develop, test, deploy, and assess a traveler- oriented web-tool to inform travelers of potential travel-related health risks, and to facilitate interaction of international travelers with their health care providers.