Transmission of zoonoses through immigration and tourism.
More than 200 of the documented zoonoses represent a high proportion of the infectious diseases that cause cases of morbidity and mortality and almost 75% are emerging infections. Immigration and tourism are human activities that are included in the broader field of human migration and travel. Travel plays a significant role in the emergence and spread of disease. The migration of humans has provided the route of spread for infectious diseases and zoonoses (for example, plague, yellow fever, monkey pox and severe acute respiratory syndrome). Tourism constitutes a small fraction of overall movements of humans but a point worthy of note is the number of international travellers has increased by more than 1 300% over the last 50 years. In addition, over 80 million people, mostly from developing countries, are legal or illegal immigrants. The consequences of travel extend beyond the traveller to the population visited and the ecosystem. Tourism and immigration may constitute an interface for mixing different genetic and ecological profiles, as well as cultural and social aspects, which is of particular interest in regard to zoonoses. Primary prevention, epidemiological surveillance and health education in the framework of intersectoral and international collaboration remain the cornerstone for response to and control of zoonoses in the context of tourism and immigration.
Mavroidi
Nikoletta
N
Mediterranean Zoonoses Control Centre of the World Health Organization, Athens, Greece. mavroidi@mzcp-zoonoses.gr