Deaths of Irish Civilians Abroad: Analysis of National Mortality Data, 2016-2018

Document Type : Original Article

Authors

1 School of Medicine, National University of Ireland Galway, Ireland

2 School of Medicine, International Medical University, Kuala Lumpur, Malaysia

10.15171/ijtmgh.2018.27

Abstract

Introduction: International travel is increasing, yet few studies have reported on country-level death rates among international travelers. The data regarding the death profiles of overseas Irish travelers is insufficient. The current study examined data obtained from the Irish Department of Foreign Affairs and Trade to profile these deaths.
Methods: Data on Irish civilian citizen deaths occurring abroad was obtained from the Consular Division of the Irish Department of Foreign Affairs and Trade and analyzed based on age, gender, time of death, travel destination, and recorded cause of death.
Results: Between January 2016 and April 2018, the Consular Division received 654 reports of Irish civilians dying abroad, of which 72% (n=469) were males and 23% (n=149) were females; in 6% (n=36) the sex was not recorded. The mean age at death was 58±5 years old (range from 1 to 110, median 62 years). Recorded causes of death were illness (25%; n=162), traumatic deaths including homicides and suicides (24%; n=151), and natural (age-related) (3%; n=19); the rest were classified as unidentified cause (47%; n=309). The majority of deaths (63%; n=309) occurred in European destinations followed by Asia (16%; n=102) and the Americas (12%; n=75).
Conclusion: At least 25% of Irish deaths abroad can be considered preventable. More tailored pre-travel medical interventions may prevent further deaths. In the collection of data, consular services miss the opportunity to acquire valuable information for both travelers and healthcare professionals. The authors recommend the creation of a comprehensive database of international traveler deaths.

Keywords

References

  1. Centers for Disease Control and Prevention CDC, Brunette GW. CDC Yellow Book 2018: health information for international travel. Oxford University Press; 2017.
  2. Heckmann JG, Stemper B, Ringwald J, Nixdorff U, Neundorfer B. Economy class stroke syndrome. Cerebrovasc Dis. 2004;17(1):88. doi:10.1159/000073908.
  3. Lazicic-Putnik L, Rac OD, Lazaric-Zec D. Causes of death of foreign tourists in the county of Istria during the summer holiday season from 2000 to 2004. Int Marit Health. 2005;56(1-4):129- 134.
  4. Newman RD, Parise ME, Barber AM, Steketee RW. Malaria-related deaths among U.S. travelers, 1963-2001. Ann Intern Med. 2004;141(7):547-555. doi:10.7326/0003-4819-141-7-200410050-00012.
  5. Cortes LM, Hargarten SW, Hennes HM. Recommendations for water safety and drowning prevention for travelers. J Travel Med. 2006;13(1):21-34. doi:10.1111/j.1708-8305.2006.00002.x.
  6. Tonellato DJ, Guse CE, Hargarten SW. Injury deaths of US citizens abroad: new data source, old travel problem. J Travel Med. 2009;16(5):304-310. doi:10.1111/j.1708-8305.2009.00318.x.
  7. Shaw MT, Leggat PA. Life and death on the Amazon: illness and injury to travelers on a South American expedition. J Travel Med. 2003;10(5):268-271. doi:10.2310/7060.2003.2694.
  8. Long IJ, Flaherty GT. Silent killer-the dangers of carbon monoxide poisoning during international travel. J Travel Med. 2017;24(3). doi:10.1093/jtm/tax002.
  9. Fenner PJ. Dangers in the ocean: the traveler and marine envenomation. I. jellyfish. J Travel Med. 1998;5(3):135-141. doi:10.1111/j.1708-8305.1998.tb00487.x.
  10. Leggat PA, Fischer PR. Accidents and repatriation. Travel Med Infect Dis. 2006;4(3-4):135-146. doi:10.1016/j.tmaid.2005.06.008.
  11. van der Wal MF, van Weert-Waltman ML, Reijneveld SA. [Causes of death in Amsterdam children who died abroad, 1982-1993; potential for prevention]. Ned Tijdschr Geneeskd. 1996;140(14):777-781.
  12. Prociv P. Deaths of Australian travellers overseas. Med J Aust. 1995;163(1):27-30.
  13. Steffen R. Travel medicine--prevention based on epidemiological data. Trans R Soc Trop Med Hyg. 1991;85(2):156-162. doi:10.1016/0035-9203(91)90005-J.
  14. Baker TD, Hargarten SW, Guptill KS. The uncounted dead- -American civilians dying overseas. Public Health Rep. 1992;107(2):155-159.
  15. MacPherson DW, Guerillot F, Streiner DL, Ahmed K, Gushulak BD, Pardy G. Death and dying abroad: the Canadian experience. J Travel Med. 2000;7(5):227-233. doi:10.2310/7060.2000.00070.
  16. Redman CA, MacLennan A, Walker E. Causes of death abroad: analysis of data on bodies returned for cremation to Scotland. J Travel Med. 2011;18(2):96-101. doi:10.1111/j.1708-8305.2010.00486.x.
  17. Freedman DO, Weld LH, Kozarsky PE, et al. Spectrum of disease and relation to place of exposure among ill returned travelers. N Engl J Med. 2006;354(2):119-130. doi:10.1056/NEJMoa051331.
  18. Han CT, Flaherty G. Profile of Travelers With Preexisting Medical Conditions Attending a Specialist Travel Medicine Clinic in Ireland. J Travel Med. 2015;22(5):312-317. doi:10.1111/jtm.12221.
  19. World Health Organization (WHO). WHO Member States. Geneva: WHO; 2018. http://www.who.int/about/regions/en/. Updated July 28, 2018. Accessed August 4, 2018.
  20. Department of Foreign Affairs and Trade. Assistance to Irish citizens abroad. Dublin: 2018. https://www.dfa.ie/travel/statistics/. Updated August 4, 2018. Accessed August 5, 2018.
  21. Partridge R, Bouslough D, Proano L. Disaster-related fatalities among US citizens traveling abroad. Am J Disaster Med. 2013;8(2):123-126. doi:10.5055/ajdm.2013.0118.
  22. Vidua RK, Dubey N, Pramanik P, Mattoo SK, Jakher N. A Representative Study of Deaths of North Indian Migrants and Its Medical Certification Across the World. J Immigr Minor Health. 2018;20(1):73-82. doi:10.1007/s10903-016-0504-1.
  23. Gaikwad PB, Khandare KP, Dan A, Jalaluddeen M, Pasi AR, Singh SK. Profile of Indians died abroad: analysis of secondary data of human remains arrived at point of entry in Mumbai. Int J Community Med Public Health. 2018;5(8):5. doi:10.18203/2394-6040.ijcmph20183101.
  24. Lawson CJ, Dykewicz CA, Molinari NA, Lipman H, Alvarado- Ramy F. Deaths in international travelers arriving in the United States, July 1, 2005 to June 30, 2008. J Travel Med. 2012;19(2):96- 103. doi:10.1111/j.1708-8305.2011.00586.x.
  25. Central Statistics Office (CSO). Overseas Travel. Cork: CSO; 2018. https://www.cso.ie/en/statistics/tourismandtravel/overseastravel/. Updated August 2, 2018. Accessed August 5, 2018.
  26. Lunetta P. Injury deaths among Finnish residents travelling abroad. Int J Inj Contr Saf Promot. 2010;17(3):161-168. doi:10.1080/17457300903453112.
  27. Flaherty G, Hession M, Cuggy C. Hotel fire safety for international travellers. Travel Med Infect Dis. 2016;14(5):529-530. doi:10.1016/j.tmaid.2016.05.011.
  28. Cornall P, Howie S, Mughal A, et al. Drowning of British children abroad. Child Care Health Dev. 2005;31(5):611-613. doi:10.1111/j.1365-2214.2005.00534.x.
  29. Guse CE, Cortes LM, Hargarten SW, Hennes HM. Fatal injuries of US citizens abroad. J Travel Med. 2007;14(5):279-287. doi:10.1111/j.1708-8305.2007.00133.x.
  30. Bunn WB. Knowledge, attitudes, and practices of US practitioners who provide pre-travel advice. J Travel Med. 2015;22(1):70-71. doi:10.1111/jtm.12169.
  31. Wadhwaniya S, Hyder AA. Pre-travel consultation without injury prevention is incomplete. J Travel Med. 2013;20(4):217-220. doi:10.1111/jtm.12041.
  32. Nikku BR. Migration and worker fatalities abroad. Transnational Social Review. 2018;8(2):218-220. doi:10.1080/21931674.2018.1463050.
  33. Connolly R, Prendiville R, Cusack D, Flaherty G. Repatriation of human remains following death in international travellers. J Travel Med. 2017;24(2). doi:10.1093/jtm/taw082.
International Journal of Travel Medicine and Global Health
Volume 6, Issue 4 - Serial Number 23
December 2018
Pages 149-153

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History

  • Receive Date: 09 October 2018
  • Revise Date: 02 November 2018
  • Accept Date: 04 November 2018
  • First Publish Date: 01 December 2018

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