Vfr

Question 1

Intern’l travel
Percent based on purpose of travel

Answer 1

Leisure/holiday, 40 to 50%
VF R, approximately 30%
Business, 10 to 20%
Conference 3%
Study/teach 3% 

Question 2

VFR travelers increased burden of disease from travel?

Answer 2

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

Question 3

Malaria and VFR travelers

Answer 3

73% of US civilians, who got malaria were VFR, our travelers

93% of residence who got malaria had not taken prophylaxis 

Question 4

Typhoid and VFR traveler 

Answer 4

85 to 95% travel associated
95% of cases were not immunized
VFR most common reason for travel

Question 5

Perspective on risk of international travel

Answer 5

No difference between VFR and other travelers. Most cited reason was didn’t think there was risk enough to seek a visit. 

Question 6

Age of the FR children

Answer 6

-<1 yo 7% vs 0.4 non VFR
1-5. 39% vs 4% non VFR
6-18 54% vs 95% non VFR

Question 7

Heading home healthy

Answer 7

Focused on VFR travelers
Use posters videos, and travel related items to encourage travel health interventions
Supported by CDC

Question 8

VFR malaria project
MN, NY, uniformed services univ. and CDC

Answer 8

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