Advice on malaria and yellow fever prevention provided at travel agencies in cuzco, peru

Pablo G. Villanueva-Meyer, Carlos A. Garcia-Jasso, Chelsea A. Springer, Jenna K. Lane, Bonny S. Su, Idania S. Hidalgo, Mary R. Goodrich, Emily L. Deichsel, A. Clinton White, Miguel Cabada

Research output: Contribution to journalArticle

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Abstract

Background Travelers receive medical advice from a variety of sources, including travel agencies. The aim of this study is to describe the quality of pre-travel advice provided by travel agencies in Cuzco to travelers interested in visiting malaria and yellow fever endemic areas. Methods Trained medical students posed as tourists and visited travel agencies in Cuzco requesting travel advice for a trip to the southern Amazon of Peru, recording advice regarding risk and prevention of malaria and yellow fever. Results A total of 163 registered travel agencies were included in the study. The mean proposed tour duration was 6.8days (±1.4days) with a median time to departure of 3days and a median tour cost of 805US dollars (USD) [interquartile range (IQR) 580-1,095]. Overall, 45% employees failed to mention the risk for any illness. Eighteen percent of the employees acknowledged risk of malaria and 53% risk of yellow fever. However, 36% denied malaria risk and 2% denied risk of yellow fever in the region. The price of tours from travel agencies that did not mention any health risk was significantly lower [1,009.6±500.5 vs 783.9±402USD, t (152)=3, p<0.01] compared with the price from agencies that did mention health risks. Almost all who acknowledged malaria (97%) and/or yellow fever (100%) were able to provide at least one recommendation for prevention. However, advice was not always accurate or spontaneously volunteered. Only 7% of the employees provided both correct scheduling and location information for administration of the yellow fever vaccine. Conclusions The majority of registered travel agencies in Cuzco did not provide sufficient and accurate information regarding risk and prevention of malaria and yellow fever to travelers inquiring about trips to the southern Amazon of Peru.

Original languageEnglish (US)
Pages (from-to)26-30
Number of pages5
JournalJournal of Travel Medicine
Volume22
Issue number1
DOIs
StatePublished - Jan 1 2015

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Yellow Fever
Peru
Malaria
Yellow Fever Vaccine
Health
Medical Students
Costs and Cost Analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Cite this

Villanueva-Meyer, P. G., Garcia-Jasso, C. A., Springer, C. A., Lane, J. K., Su, B. S., Hidalgo, I. S., ... Cabada, M. (2015). Advice on malaria and yellow fever prevention provided at travel agencies in cuzco, peru. Journal of Travel Medicine, 22(1), 26-30. https://doi.org/10.1111/jtm.12149

Advice on malaria and yellow fever prevention provided at travel agencies in cuzco, peru. / Villanueva-Meyer, Pablo G.; Garcia-Jasso, Carlos A.; Springer, Chelsea A.; Lane, Jenna K.; Su, Bonny S.; Hidalgo, Idania S.; Goodrich, Mary R.; Deichsel, Emily L.; White, A. Clinton; Cabada, Miguel.

In: Journal of Travel Medicine, Vol. 22, No. 1, 01.01.2015, p. 26-30.

Research output: Contribution to journalArticle

Villanueva-Meyer, PG, Garcia-Jasso, CA, Springer, CA, Lane, JK, Su, BS, Hidalgo, IS, Goodrich, MR, Deichsel, EL, White, AC & Cabada, M 2015, 'Advice on malaria and yellow fever prevention provided at travel agencies in cuzco, peru', Journal of Travel Medicine, vol. 22, no. 1, pp. 26-30. https://doi.org/10.1111/jtm.12149
Villanueva-Meyer PG, Garcia-Jasso CA, Springer CA, Lane JK, Su BS, Hidalgo IS et al. Advice on malaria and yellow fever prevention provided at travel agencies in cuzco, peru. Journal of Travel Medicine. 2015 Jan 1;22(1):26-30. https://doi.org/10.1111/jtm.12149
Villanueva-Meyer, Pablo G. ; Garcia-Jasso, Carlos A. ; Springer, Chelsea A. ; Lane, Jenna K. ; Su, Bonny S. ; Hidalgo, Idania S. ; Goodrich, Mary R. ; Deichsel, Emily L. ; White, A. Clinton ; Cabada, Miguel. / Advice on malaria and yellow fever prevention provided at travel agencies in cuzco, peru. In: Journal of Travel Medicine. 2015 ; Vol. 22, No. 1. pp. 26-30.
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abstract = "Background Travelers receive medical advice from a variety of sources, including travel agencies. The aim of this study is to describe the quality of pre-travel advice provided by travel agencies in Cuzco to travelers interested in visiting malaria and yellow fever endemic areas. Methods Trained medical students posed as tourists and visited travel agencies in Cuzco requesting travel advice for a trip to the southern Amazon of Peru, recording advice regarding risk and prevention of malaria and yellow fever. Results A total of 163 registered travel agencies were included in the study. The mean proposed tour duration was 6.8days (±1.4days) with a median time to departure of 3days and a median tour cost of 805US dollars (USD) [interquartile range (IQR) 580-1,095]. Overall, 45{\%} employees failed to mention the risk for any illness. Eighteen percent of the employees acknowledged risk of malaria and 53{\%} risk of yellow fever. However, 36{\%} denied malaria risk and 2{\%} denied risk of yellow fever in the region. The price of tours from travel agencies that did not mention any health risk was significantly lower [1,009.6±500.5 vs 783.9±402USD, t (152)=3, p<0.01] compared with the price from agencies that did mention health risks. Almost all who acknowledged malaria (97{\%}) and/or yellow fever (100{\%}) were able to provide at least one recommendation for prevention. However, advice was not always accurate or spontaneously volunteered. Only 7{\%} of the employees provided both correct scheduling and location information for administration of the yellow fever vaccine. Conclusions The majority of registered travel agencies in Cuzco did not provide sufficient and accurate information regarding risk and prevention of malaria and yellow fever to travelers inquiring about trips to the southern Amazon of Peru.",
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AU - Su, Bonny S.

AU - Hidalgo, Idania S.

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AU - Deichsel, Emily L.

AU - White, A. Clinton

AU - Cabada, Miguel

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N2 - Background Travelers receive medical advice from a variety of sources, including travel agencies. The aim of this study is to describe the quality of pre-travel advice provided by travel agencies in Cuzco to travelers interested in visiting malaria and yellow fever endemic areas. Methods Trained medical students posed as tourists and visited travel agencies in Cuzco requesting travel advice for a trip to the southern Amazon of Peru, recording advice regarding risk and prevention of malaria and yellow fever. Results A total of 163 registered travel agencies were included in the study. The mean proposed tour duration was 6.8days (±1.4days) with a median time to departure of 3days and a median tour cost of 805US dollars (USD) [interquartile range (IQR) 580-1,095]. Overall, 45% employees failed to mention the risk for any illness. Eighteen percent of the employees acknowledged risk of malaria and 53% risk of yellow fever. However, 36% denied malaria risk and 2% denied risk of yellow fever in the region. The price of tours from travel agencies that did not mention any health risk was significantly lower [1,009.6±500.5 vs 783.9±402USD, t (152)=3, p<0.01] compared with the price from agencies that did mention health risks. Almost all who acknowledged malaria (97%) and/or yellow fever (100%) were able to provide at least one recommendation for prevention. However, advice was not always accurate or spontaneously volunteered. Only 7% of the employees provided both correct scheduling and location information for administration of the yellow fever vaccine. Conclusions The majority of registered travel agencies in Cuzco did not provide sufficient and accurate information regarding risk and prevention of malaria and yellow fever to travelers inquiring about trips to the southern Amazon of Peru.

AB - Background Travelers receive medical advice from a variety of sources, including travel agencies. The aim of this study is to describe the quality of pre-travel advice provided by travel agencies in Cuzco to travelers interested in visiting malaria and yellow fever endemic areas. Methods Trained medical students posed as tourists and visited travel agencies in Cuzco requesting travel advice for a trip to the southern Amazon of Peru, recording advice regarding risk and prevention of malaria and yellow fever. Results A total of 163 registered travel agencies were included in the study. The mean proposed tour duration was 6.8days (±1.4days) with a median time to departure of 3days and a median tour cost of 805US dollars (USD) [interquartile range (IQR) 580-1,095]. Overall, 45% employees failed to mention the risk for any illness. Eighteen percent of the employees acknowledged risk of malaria and 53% risk of yellow fever. However, 36% denied malaria risk and 2% denied risk of yellow fever in the region. The price of tours from travel agencies that did not mention any health risk was significantly lower [1,009.6±500.5 vs 783.9±402USD, t (152)=3, p<0.01] compared with the price from agencies that did mention health risks. Almost all who acknowledged malaria (97%) and/or yellow fever (100%) were able to provide at least one recommendation for prevention. However, advice was not always accurate or spontaneously volunteered. Only 7% of the employees provided both correct scheduling and location information for administration of the yellow fever vaccine. Conclusions The majority of registered travel agencies in Cuzco did not provide sufficient and accurate information regarding risk and prevention of malaria and yellow fever to travelers inquiring about trips to the southern Amazon of Peru.

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