Document Detail


Giardiasis in American travelers to Madeira Island, Portugal.
MedLine Citation:
PMID:  727317     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A high incidence of diarrhea was reported in a group of approximately 1,400 Americans who traveled to the Portuguese island of Madeira in October 1976. A mail questionnaire survey revealed that 39% of the responding 859 travelers experienced diarrhea; in 42% of these diarrhea lasted for longer than 1 week. The most frequent accompanying symptoms were abdominal cramps (75%), abdominal distention (72%), nausea (70%), and weight loss (40%). Of all travelers surveyed, 33% developed an illness resembling giardiasis with a median incubation period of 4 days. Of 35 ill patients who had a stool culture, enteric pathogens were recovered from 4 (3 Shigella and 1 Salmonella). On the other hand, of 58 ill patients whose stools were examined for parasites, Giardia lamblia was recovered from 27 (47%). Analysis of the epidemiologic data showed that drinking tap-water on the island was significantly associated with illness; eating ice cream or raw vegetables on the island was also implicated. There was no evidence of continuing transmission of giardiasis in American tourists visiting Madeira 8--12 months after the outbreak.
Authors:
C E Lopez; D D Juranek; S P Sinclair; M G Schultz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of tropical medicine and hygiene     Volume:  27     ISSN:  0002-9637     ISO Abbreviation:  Am. J. Trop. Med. Hyg.     Publication Date:  1978 Nov 
Date Detail:
Created Date:  1979-02-26     Completed Date:  1979-02-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370507     Medline TA:  Am J Trop Med Hyg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1128-32     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Child
Female
Giardiasis / epidemiology*
Humans
Male
Middle Aged
Portugal
Travel*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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