0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Special Communication |

Health and Safety Issues for Travelers Attending the World Cup and Summer Olympic and Paralympic Games in Brazil, 2014 to 2016 ONLINE FIRST

Joanna Gaines, PhD, MPH1; Mark J. Sotir, PhD, MPH1; Timothy J. Cunningham, ScD2; Kira A. Harvey, MPH1; C. Virginia Lee, MD, MPH1; Rhett J. Stoney, MPH1; Mark D. Gershman, MD1; Gary W. Brunette, MD, MS1; Phyllis E. Kozarsky, MD1,3
[+] Author Affiliations
1Geographic Medicine and Health Promotion Branch, Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention (CDC), Atlanta, Georgia
2Epidemiology and Surveillance Branch, Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia
3Emory University School of Medicine, Atlanta, Georgia
JAMA Intern Med. Published online June 02, 2014. doi:10.1001/jamainternmed.2014.2227
Text Size: A A A
Published online

Importance  Travelers from around the globe will attend the 2014 Fédération Internationale de Football Association (FIFA) World Cup and the 2016 Olympic and Paralympic Games in Brazil. Travelers to these mass gathering events may be exposed to a range of health risks, including a variety of infectious diseases. Most travelers who become ill will present to their primary care physicians, and thus it is important that clinicians are aware of the risks their patients encountered.

Objective  To highlight health and safety concerns for people traveling to these events in Brazil so that health care practitioners can better prepare travelers before they travel and more effectively diagnose and treat travelers after they return.

Evidence Review  We reviewed both peer-reviewed and gray literature to identify health outcomes associated with travel to Brazil and mass gatherings. Thirteen specific infectious diseases are described in terms of signs, symptoms, and treatment. Relevant safety and security concerns are also discussed.

Findings  Travelers to Brazil for mass gathering events face unique health risks associated with their travel.

Conclusions and Relevance  Travelers should consult a health care practitioner 4 to 6 weeks before travel to Brazil and seek up-to-date information regarding their specific itineraries. For the most up-to-date information, health care practitioners can visit the Centers for Disease Control and Prevention (CDC) Travelers’ Health website (http://wwwnc.cdc.gov/travel) or review CDC’s Yellow Book online (http://wwwnc.cdc.gov/travel/page/yellowbook-home-2014).

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Place holder to copy figure label and caption
Figure 1.
Venue Maps

A, Fédération Internationale de Football Association (FIFA) World Cup host cities with areas with malaria transmission and where yellow fever vaccine is recommended, Brazil, 2014. B, Venues for 2016 Olympic and Paralympic Games.aCDC Health Information for International Travel, 2014.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.
Dermatologic Conditions Found in Brazil

Crater ulcers of various stages due to cutaneous leishmaniasis on the arm (A) (source: Centers for Disease Control and Prevention/Mae Melvin, MD); cutaneous larva migrans (B) (source: Jay Keystone, University of Toronto); and tungiasis (C) (source: Mohammed Asmal and Rocio M. Hurtado [this image was first published on Partners’ Infectious Disease Images website, whose content is copyrighted by Partners Healthcare System Inc and is used with permission. All rights reserved]).

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
Jobs
brightcove.createExperiences();