7 In comparison, the rates among US, Asian/Australian, and Japanese

travelers using chemoprophylaxis were 46.2%,6 41.7%,7 and 20.0%, respectively.10 Further investigation detected some confusion about the concepts of prevention and treatment. Some of the travelers seemed to be misled, as they were told that if any one in a group had a “presumed” case of malaria, the standby treatment doses had to be taken by the entire group for prevention of an outbreak. This reflects buy AZD2281 that the general practitioners may lack training and knowledge of travel medicine. Some travelers thought that in case of illness visiting a physician would be better than self-treatment. This belief matched the high acceptance of malaria treatment in case of infection during the trip. In conclusion, over the last 10 years, Chinese outbound travel and export of labor services have grown dramatically. Our data indicate a profound lack of KAP with respect to prevention of malaria in at-risk travelers. There is an urgent need for public education in malaria prevention for this population; also it must become a common find more knowledge that pre-travel health consultations are essential. Additionally, professional training of medical providers in travel medicine must be intensified. Moreover, more research is needed to develop

effective measures to improve malaria prevention among Chinese international travelers. We thank Ms Assunta Marcolongo of IAMAT for her encouragement during the survey. We appreciate and thank all CIQ staff members at the international airports for their contributions. Data entry was performed by a working group at Guangdong International Travel Healthcare Center (GD ITHC). The authors state they have no conflicts of interest to declare. “
“Age distribution Dehydratase of 4,986 cases of influenza A (H1N1) 2009 in Japan was analyzed. Cases with a travel history within 10 days preceding the illness onset were significantly

older than indigenous cases (p < 0.01) reflecting age-specific travel patterns. Border controls should account for the high frequency of infection among adults. The importance of age specificity in influenza A (H1N1) 2009 virus infection has been increasingly recognized. The infection is most frequently seen among those aged <20 years,1,2 and severe cases accumulate in young adults, reflecting the second highest frequency of infection in this group.3 While these patterns evoke the concept of age-related disease control policies, including school closures, and treatment and prevention in relation to preexisting immunity,4,5 the impact of human travel and age, and implications for preventing widespread pandemics have yet to be clarified.6 This article reports the age specificity of imported and indigenous cases in Japan. All confirmed cases of H1N1 2009 virus infection were mandatorily reported to the Japanese Government by the end of July 2009.