Characteristics and spectrum of disease among ill returned travelers from pre- and post-earthquake Haiti: The geosentinel experience

Douglas H. Esposito*, Pauline V. Han, Phyllis E. Kozarsky, Patricia F. Walker, Effrossyni Gkrania-Klotsas, Elizabeth D. Barnett, Michael Libman, Anne E. McCarthy, Vanessa Field, Bradley A. Connor, Eli Schwartz, Susan MacDonald, Mark J. Sotir, Brian Ward, J. Dick Maclean, Louis Loutan, François Chappuis, William M. Stauffer, John D. Cahill, George McKinleyCarmelo Licitra, Antonio Crespo, Jessica Fairley, Carlos Franco-Paredes, Eric Caumes, Alice Pérignon, Jay S. Keystone, Kevin C. Kain, Noreen Hynes, R. Bradley Sack, Robin McKenzie, Frank Von Sonnenburg, Christina M. Coyle, Murray Wittner, David O. Freedman, Gerd Dieter Burchard, Christophe Rapp, Olivier Aoun, N. Jean Haulman, David Roesel, Elaine C. Jong, Peter De Vries, Kartini Gadroen, Lin H. Chen, Cecilia Perret, Marc Mendelson, Peter Vincent, Michael W. Lynch, Shuzo Kanagawa, Yasuyuki Kato, De Von C. Hale, Rahul Anand, Stefanie S. Gelman

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


To describe patient characteristics and disease spectrum among foreign visitors to Haiti before and after the 2010 earthquake, we used GeoSentinel Global Surveillance Network data and compared 1 year post-earthquake versus 3 years pre-earthquake. Post-earthquake travelers were younger, predominantly from the United States, more frequently international assistance workers, and more often medically counseled before their trip than pre-earthquake travelers. Work-related stress and upper respiratory tract infections were more frequent post-earthquake; acute diarrhea, dengue, and Plasmodium falciparum malaria were important contributors of morbidity both pre- and post-earthquake. These data highlight the importance of providing destination- and disaster-specific pre-travel counseling and post-travel evaluation and medical management to persons traveling to or returning from a disaster location, and evaluations should include attention to the psychological wellbeing of these travelers. For travel to Haiti, focus should be on mosquito-borne illnesses (dengue and P. falciparum malaria) and travelers' diarrhea.

Original languageEnglish
Pages (from-to)23-28
Number of pages6
JournalAmerican Journal of Tropical Medicine and Hygiene
Issue number1
StatePublished - Jan 2012


FundersFunder number
National Institutes of HealthU50CI000359
National Institutes of Health


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