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: 8535149
• 负责人: REGINA C LAROCQUE
• 金额: $ 75.5万
• 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/8535149
• 关键词: Global; TravEpiNet; Travelers; Health; Surveillance

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.

项目摘要/摘要 国际旅行不仅可能增加个人旅行者感染的风险，还可以 但也可能有助于全球感染的传播。对此有更好的理解 流行病学上重要的人群可能会改善干预措施，以促进 国际旅行者的健康，并减少家中感染的传播 社区。该更新申请的重点是全球Travepinet-诊所财团 提供旅行前健康建议。在Travepinet中，旅行者的数据是通过小说收集的 同时收集数据的网络工具，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，有关 已收集了11,000多次美国国际旅行，并分析着重于子集 高危旅行者，干预措施和成本量正在进行中。我们建议以 此续签应用中的基础。具体来说，我们现在提出了四个具体目标。 在特定的目标＃1中，我们建议（a）维护，改进和更新全局travepinet 网络工具，重点是优化其功能作为（i）最新的交互式黄色 （iii）集成的数据练习指导工具和（ii）数据收集监视系统 医疗保健提供者的回应以协助实践指导，（b）评估 Travepinet网络工具和系统以促进最佳实践，（c）与CDC合作 最大化旅行前和旅行后监视数据系统比较的效用。具体 AIM＃2，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， （b）通过一项基于网络的调查评估国际旅行者中疾病的风险 系统。在特定目标3中，我们建议（a）维护，改善和扩展全球 Travepinet联盟，特别是专注于扩大提供护理的诊所的会员资格 向VFR旅行者，高风险旅行者，学生和地方卫生部门，（b）扩展 访问Travepinet网络工具，以指导财团会员资格以外的最佳实践， 特别是在初级保健提供者和非专家从业者中。在特定的目标＃4中，我们 建议开发新方法，以增加旅行前的保健寻求行为 特别是高危旅客，我们建议开发，测试，部署和评估旅行者 - 定向网络工具向旅客告知潜在的旅行有关健康风险，并促进 国际旅行者与其医疗保健提供者的互动。