Evaluation of potential rabies exposure among Japanese international travelers : A retrospective descriptive study
Copyright: © 2023 Nomoto et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited..
BACKGROUND: Although Japan has been a rabies-free country for >50 years, a few cases have been reported among people traveling abroad. This study aimed to investigate animal exposure among Japanese travelers using the Japanese Registry for Infectious Diseases from Abroad (J-RIDA).
METHOD: In this retrospective analysis, we examined Japanese overseas travelers with animal exposure, as included the J-RIDA database, reported from October 1, 2017, to October 31, 2019, with a focus on pre-exposure prophylaxis (PrEP) administration and the animals to which the patients were exposed.
RESULTS: Among the 322 cases included in the analysis, 19 (5.9%) patients received PrEP and 303 did not. The most common purpose of travel was a non-package tour (n = 175, 54.3%). Most trips (n = 213, 66.1%) were to a single country for <2 weeks. Most patients (n = 286, 87.9%) traveled to countries with a rabies risk. The majority of patients with and without PrEP were injured in rabies-risk countries [n = 270 (89.1%) for non-PrEP and n = 16 (84.2%) for PrEP]. Animals associated with injuries included dogs (55.0%), cats (25.5%), and monkeys (15.5%). Most patients were classified as World Health Organization Category II/III for contact with suspected rabid animals (39.5% and 44.1% for categories II and III, respectively) and had exposure within 5 days of travel. Southeast Asia (n = 180, 55.9%) was the most common region in which travelers were exposed to animals.
CONCLUSIONS: Japanese overseas travelers had contact with animals that could possibly transmit the rabies virus, even on short trips. Promoting pre-travel consultation and increasing awareness of the potential for rabies exposure are important for prevention of rabies among Japanese international travelers.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:18 |
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| Enthalten in: |
PloS one - 18(2023), 8 vom: 14., Seite e0287838 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Nomoto, Hidetoshi [VerfasserIn] |
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| Anmerkungen: |
Date Completed 21.08.2023 Date Revised 23.08.2023 published: Electronic-eCollection Citation Status MEDLINE |
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| doi: |
10.1371/journal.pone.0287838 |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Nomoto, Hidetoshi |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Evaluation of potential rabies exposure among Japanese international travelers |b A retrospective descriptive study |
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| 520 | |a Copyright: © 2023 Nomoto et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | ||
| 520 | |a BACKGROUND: Although Japan has been a rabies-free country for >50 years, a few cases have been reported among people traveling abroad. This study aimed to investigate animal exposure among Japanese travelers using the Japanese Registry for Infectious Diseases from Abroad (J-RIDA) | ||
| 520 | |a METHOD: In this retrospective analysis, we examined Japanese overseas travelers with animal exposure, as included the J-RIDA database, reported from October 1, 2017, to October 31, 2019, with a focus on pre-exposure prophylaxis (PrEP) administration and the animals to which the patients were exposed | ||
| 520 | |a RESULTS: Among the 322 cases included in the analysis, 19 (5.9%) patients received PrEP and 303 did not. The most common purpose of travel was a non-package tour (n = 175, 54.3%). Most trips (n = 213, 66.1%) were to a single country for <2 weeks. Most patients (n = 286, 87.9%) traveled to countries with a rabies risk. The majority of patients with and without PrEP were injured in rabies-risk countries [n = 270 (89.1%) for non-PrEP and n = 16 (84.2%) for PrEP]. Animals associated with injuries included dogs (55.0%), cats (25.5%), and monkeys (15.5%). Most patients were classified as World Health Organization Category II/III for contact with suspected rabid animals (39.5% and 44.1% for categories II and III, respectively) and had exposure within 5 days of travel. Southeast Asia (n = 180, 55.9%) was the most common region in which travelers were exposed to animals | ||
| 520 | |a CONCLUSIONS: Japanese overseas travelers had contact with animals that could possibly transmit the rabies virus, even on short trips. Promoting pre-travel consultation and increasing awareness of the potential for rabies exposure are important for prevention of rabies among Japanese international travelers | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 700 | 1 | |a Yamamoto, Kei |e verfasserin |4 aut | |
| 700 | 1 | |a Kutsuna, Satoshi |e verfasserin |4 aut | |
| 700 | 1 | |a Asai, Yusuke |e verfasserin |4 aut | |
| 700 | 1 | |a Kasamatsu, Yu |e verfasserin |4 aut | |
| 700 | 1 | |a Shirano, Michinori |e verfasserin |4 aut | |
| 700 | 1 | |a Sahara, Toshinori |e verfasserin |4 aut | |
| 700 | 1 | |a Nakamura, Fukumi |e verfasserin |4 aut | |
| 700 | 1 | |a Katsuragi, Yukiko |e verfasserin |4 aut | |
| 700 | 1 | |a Yamato, Masaya |e verfasserin |4 aut | |
| 700 | 1 | |a Shinohara, Koh |e verfasserin |4 aut | |
| 700 | 1 | |a Sakamoto, Naoya |e verfasserin |4 aut | |
| 700 | 1 | |a Hase, Ryota |e verfasserin |4 aut | |
| 700 | 1 | |a Ogawa, Taku |e verfasserin |4 aut | |
| 700 | 1 | |a Nagasaka, Atsushi |e verfasserin |4 aut | |
| 700 | 1 | |a Miyata, Nobuyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Ohmagari, Norio |e verfasserin |4 aut | |
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