g k brink - mm3 admin · jan feb mar apr may jun jul aug sep oct travellers. age distribution ......

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G K Brink Durban, South Africa, South African Society of Travel Medicine. www.sastm.org.za

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Page 1: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

G K BrinkDurban, South Africa,

South African Society of Travel Medicine.

www.sastm.org.za

Page 2: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Conflict of Interests

SASTM Project Manager

Convenor, Travel Health

Africa, September 2016

www.sastm.org.za

Page 3: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Little, if any, data are available

on travellers and encounters with

travel health providers

Page 4: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

To provide appropriate advice knowledge

of traveller demographics is important

Page 5: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Recording of information can be

painstaking and is prone to error

Page 6: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

An on-line system that captures

information and provides monthly

reports would be ideal

Page 7: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Through the SaNTHNet platform, a

Vaccine Electronic Record System

was developed to meet these needs

Page 8: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Vaccine electronic record system(VERS)

Rationale

How it operates

Results

Limitations

Future developments

Page 9: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

A brief overview of VERS is

necessary so as to understand the

data

The form provides easy capturing of

data

Page 10: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39
Page 11: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39
Page 12: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39
Page 13: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39
Page 14: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39
Page 15: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39
Page 16: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39
Page 17: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Let’s examine the

results from January

to 31 October 2015

Page 18: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Traveller demographicsN = 7694

2699

4950

0

1000

2000

3000

4000

5000

6000

Female Male

35%

65%

Page 19: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

578658

813712 743

900969

908

718650

0

200

400

600

800

1000

1200

Jan Feb Mar Apr May Jun Jul Aug Sep Oct

Travellers

Page 20: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Age distribution1% 1% 2% 3%

22%

29%

21%

14%

6%

1% 0%

1 2-5 6-12 13-19 20-29 30-39

40-49 50-59 60-69 70-79 80-89

20 - 29

30 - 39

50 - 59

40 - 49

Page 21: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Reason for travelAid worker/missionary 181Business 5005Ecotourism 38Expatriate 91Leisure 2509Sport participation 69Sporting event 43Student 93Visiting friends and relatives 202Voluntourism 25Pilgrimage Muslim 9Pilgrimage Christian 9PilgrimageOther 10

Page 22: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

824

1664 1633

404

194 15659 36 25

208 177

49

2220

0

500

1000

1500

2000

2500

Duration of travel

Average days to departure

17

Page 23: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

974578

5084

1648

Group

Organised

Single

Spouse

61%

20% 12%

7%

Travelling companion

Page 24: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Destinations

780

675602

443398 381 369 360

324

242 214 198

0100200300400500600700800900

Africa: 65%

Page 25: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Vaccinations

YELLOW FEVER

Administered 5786Declined 8Waiver certificate 3

Page 26: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Other vaccinationsN= 3098

1050

769669

0

200

400

600

800

1000

1200

Diphtheria, Polio,Pertussis, Tetanus

Typhoid MeningitisACW135Y

34% 25%22%

Page 27: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Malaria chemoprophylaxisN=2965

No %

Atovaquone/proguanil 1936 65

Doxycycline 561 19

Mefloquine 468 16

Total 2965

Page 28: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Monthly chemoprophylaxis trend

224259

282312 313

350383

365

244 233

0

50

100

150

200

250

300

350

400

450

Jan Feb Mar Apr May Jun Jul Aug Sep Oct

Page 29: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Monthly trend: travellers and malaria chemoprophylaxis

0

200

400

600

800

1000

1200

Jan Feb Mar Apr May Jun Jul Aug Sep Oct

Travellers

Malariachemo

Page 30: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

0

2

4

6

8

10

12

14

Jan Feb Mar Apr May Jun Jul Aug Sep Oct

Travellers

Chemo

Monthly trend: travellers and malaria chemoprophylaxis

Page 31: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

But there are limitations

Limited users

Private sector only

Missing travellers

Booster vaccinations

Mostly YF vaccination

Capturing of data twice

Page 32: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Further developments are in the

pipeline

To include booster vaccinations

To provide information on the returning traveller

To integrate with other systems

To expand into the public sector

Page 33: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Conclusion

Definite benefits

Distinct limitations (at present)

Future development

Page 34: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Acknowledgements

SASTM Executive

The clinics who are using the system

The developer, Shaun Janke

Sanofi pasteur for the unconditional grant for SaNTHnet

Marion Blewett for her support

www.sastm.org.za

Page 35: G K Brink - MM3 Admin · Jan Feb Mar Apr May Jun Jul Aug Sep Oct Travellers. Age distribution ... 1% 0% 1 2-5 6-12 13-19 20-29 30-39 40-49 50-59 60-69 70-79 80-89 20 - 29 30 - 39

Guiding the Profession

Protecting the Public