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

Global TravEpiNet：全球旅行者的健康监测、应用程序和缺点

• 批准号: 8203914
• 负责人: REGINA C LAROCQUE
• 金额: $ 76万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-30 至 2016-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8203914
• 关键词: Global; TravEpiNet; Travelers; Health; Surveillance

DESCRIPTION (provided by applicant): 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. PUBLIC HEALTH RELEVANCE: International travel may not only increase the risk of infection for an individual traveler, but may also contribute to the global spread of infections. This renewal application focuses on Global TravEpiNet -- a consortium of clinics providing pre-travel health advice, and uses a novel web-tool that simultaneously collects data, and aids health care practitioners in providing essential recommendations. We propose to build upon the foundation provided by TravEpiNet to (1) maintain, enhance, expand access to, and assess impact of the TravEpiNet web-tool and consortium, (2) develop and assess a web-tool to assess risks of international travel, especially among high-risk travelers, (3) develop and assses a traveler-oriented web-tool to minimize health risks associated with international travel, and (4) analyze and communicate data to inform public health recommendations for international travelers, particularly regarding high-risk travelers, with the goal of preserving and advancing the health of the American public.

描述（由申请人提供）：国际旅行不仅可能增加单个旅行者的感染风险，而且还可能有助于全球感染的传播。对这一流行病学上重要的人群的更好理解可能会改善干预措施，以促进国际旅行者的健康，并减少在其家庭社区中感染的传播。该更新申请的重点是全球Travepinet-提供旅行前健康建议的诊所财团。在Travepinet中，通过新颖的网络工具收集数据，该数据同时收集数据，并帮助医疗保健从业人员提供基本建议。自2009年开始数据收集以来，已经收集了有关11,000多次美国国际旅行的信息，并正在进行关注高危旅行者，干预和成本分析的子集的分析。我们建议在此续签应用中以此基础为基础。具体来说，我们现在提出了四个具体目标。 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最大程度地利用了旅行前和旅行后监视数据系统的比较效用。在特定的目标＃2中，我们建议（a）收集和分析有关全球国际旅行者的数据，包括旅行人口统计和预防策略，尤其是专注于高风险旅行者，以及（b）通过基于网络的互动网络调查系统评估国际旅行者中疾病的风险。在特定的目标＃3中，我们建议（a）维护，改善和扩展全球Travepinet Consortium，特别是专注于扩大诊所的会员身份，为VFR旅行者，高风险的旅行者，学生和当地卫生部门提供护理，以及（b）扩大对TravePinet Web-Tool的访问权限，以指导最佳的实践，以指导Cemptal Insportium成员超越主要的专家，尤其是Experters练习。在特定的目标＃4中，我们建议开发新的方法，以增加高危旅客的旅行前寻求医疗保健行为，尤其是我们建议开发，测试，部署和评估面向旅行者的网络工具，以告知旅行者潜在的与旅行有关的健康风险，并促进国际旅行者与卫生保健提供者的互动。 公共卫生相关性：国际旅行不仅可能增加单个旅行者的感染风险，而且还可能导致全球感染的传播。该更新申请的重点是全球Travepinet-提供旅行前健康建议的诊所联盟，并使用新颖的网络工具同时收集数据，并帮助医疗保健从业人员提供基本建议。我们建议在Travepinet提供的基础上以（1）维护，增强，扩大访问和评估Travepinet网络工具和财团的影响，（2）开发和评估网络工具，以评估国际旅行的风险，评估高风险旅行者的风险，尤其是在高风险旅行者中，（3）与旅行者的公共发展相关，以使与旅行者的健康风险相关，并将其与国际健康相关联，并将（4）与范围的健康相关联（4），以及4），（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）（4）对于国际旅行者，特别是关于高风险旅客的旅行者，其目标是维护和推动美国公众的健康。