Vfr Flashcards
Intern’l travel
Percent based on purpose of travel
Leisure/holiday, 40 to 50%
VF R, approximately 30%
Business, 10 to 20%
Conference 3%
Study/teach 3% 
VFR travelers increased burden of disease from travel?
Malaria, yes
Typhoid yes
Hepatitis A varies
G.I. infection varies
G.I. parasites, more common in immigrant VFR’s
Acute and bacterial diarrhea, less common in immigrant VFR’s
Malaria and VFR travelers
73% of US civilians, who got malaria were VFR, our travelers
93% of residence who got malaria had not taken prophylaxis 
Typhoid and VFR traveler 
85 to 95% travel associated
95% of cases were not immunized
VFR most common reason for travel
Perspective on risk of international travel
No difference between VFR and other travelers. Most cited reason was didn’t think there was risk enough to seek a visit. 
Age of the FR children
-<1 yo 7% vs 0.4 non VFR
1-5. 39% vs 4% non VFR
6-18 54% vs 95% non VFR
Heading home healthy
Focused on VFR travelers
Use posters videos, and travel related items to encourage travel health interventions
Supported by CDC
VFR malaria project
MN, NY, uniformed services univ. and CDC
Novel barriers identified for VFR
Negative healthcare experience in the past
Competing pre-travel tasks and priorities
Tablets ran out too early
If cost prohibitive, then purchase at destination or treat, went ill
Skepticism about getting advice from practitioner, who is never seen malaria and looks things up in books