International Journal of Travel Medicine and Global Health

International Journal of Travel Medicine and Global Health

The impact of traveling on infectious diseases transmission with a focus on air travel: A Narrative Review

Document Type : Review Article

Authors
1 Department of Veterinary Medicine, Shabestar Branch, Islamic Azad University, Shabestar, Iran
2 Department of Microbiology, Faculty of Medicine, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.
Abstract
The global tourism industry has experienced significant growth from 2009 to 2014, with international tourist arrivals increasing from 25.3 million in 1950 to 1.138 billion in 2014. This surge in travel, projected to grow at an annual rate of 6%, has implications for public health, particularly concerning the spread of infectious diseases. Travelers can act as carriers of pathogens, introducing them to new regions, often without showing symptoms. EIDs pose a considerable threat, exacerbated by increased global mobility and urbanization. Air travel, in particular, has facilitated the rapid transmission of diseases like SARS and influenza, highlighting the need for effective public health measures to mitigate risks. The interconnectedness of travel networks and infectious disease dynamics is evident, as pathogens can be transported across vast distances, leading to outbreaks in previously unaffected areas. Factors influencing disease transmission include human demographics, environmental changes, and technological advancements. The introduction of pathogens into new populations can lead to outbreaks, especially when immunity is lacking. Understanding the interplay between human mobility and infectious disease transmission is crucial for developing strategies to prevent and control outbreaks in an increasingly mobile world.
Keywords

  1. Ala'a A, Albattat A. Current issue in tourism: Disease transmission as a potential risk for travellers. Review of Integrative Business and Economics Research. 2019;8:103- 114.
  2. Wilson ME. The traveller and emerging infections: sentinel, courier, transmitter. Journal of applied microbiology. 2003;94(s1):1-11. Doi:10.1046/j.1365-2672.94.s1.1.x.
  3. Vignier N, Bouchaud O. Travel, migration and emerging infectious diseases. EJIFCC. 2018;29(3):175.
  4. Torresi J, Steffen R. Redefining priorities towards graded travel-related infectious disease research. Journal of travel medicine. 2017;24(6):tax064. Doi:10.1093/jtm/tax064.
  5. John RS, Miller JC, Muylaert RL, Hayman DT. High connectivity and human movement limits the impact of travel time on infectious disease transmission. Journal of the Royal Society Interface. 2024;21(210):20230425. Doi:10.1098/rsif.2023.0425.
  6. Wilson ME. Travel and the emergence of infectious diseases. Emerging infectious diseases. 1995;1(2):39. Doi:10.3201/eid0102.950201.
  7. Huizer Y, Swaan C, Leitmeyer K, Timen A. Usefulness and applicability of infectious disease control measures in air travel: a review. Travel medicine and infectious disease. 2015;13(1):19-30. Doi:10.1016/j.tmaid.2014.11.008.
  8. Findlater A, Bogoch II. Human mobility and the global spread of infectious diseases: a focus on air travel. Trends in parasitology. 2018;34(9):772-783. Doi:10.1016/j.pt.2018.07.004.
  9. Mangili A, Gendreau MA. Transmission of infectious diseases during commercial air travel. The Lancet. 2005;365(9463):989-996. Doi:10.1016/S0140- 6736(05)71089-8.
  10. Tatem A, Huang Z, Das A, Qi Q, Roth J, Qiu Y. Air travel and vector-borne disease movement. Parasitology. 2012;139(14):1816-1830. Doi:10.1017/S0031182012000352.
  11. Vata A, Miftode L, Obreja M, Miftode R, Vata LG. Infectious diseases and the air travel—A‎ new‎ pandora’s‎ box.‎ Rom. J. Infect. Dis. 2020;23:5-12. Doi:10.37897/RJID.2020.1.1.
  12. Tatem AJ, Rogers DJ, Hay SI. Global transport networks and infectious disease spread. Advances in parasitology. 2006;62:293-343. Doi:10.1016/S0065-308X(05)62009-X.
  13. Muley D, Shahin M, Dias C, Abdullah M. Role of transport during outbreak of infectious diseases: evidence from the past. Sustainability. 2020;12(18):7367. Doi:10.3390/su12187367.
  14. Field V, Gautret P, Schlagenhauf P, et al. Travel and migration associated infectious diseases morbidity in Europe, 2008. BMC Infectious Diseases. 2010;10:1-12. Doi:10.1186/1471-2334-10-330.
  15. Budd L, Bell M, Brown T. Of plagues, planes and politics: Controlling the global spread of infectious diseases by air. Political Geography. 2009;28(7):426-435. Doi:10.1016/j.polgeo.2009.10.006.
  16. Giles JR, zu Erbach-Schoenberg E, Tatem AJ, et al. The duration of travel impacts the spatial dynamics of infectious diseases. Proceedings of the National Academy of Sciences. 2020;117(36):22572-22579. Doi:10.1073/pnas.1922663117.
  17. Buckee C, Noor A, Sattenspiel L. Thinking clearly about social aspects of infectious disease transmission. Nature. 2021;595(7866):205-213. Doi:10.1038/s41586-021-03694-x.
  18. Provenzano D, Barocio S. Infectious Disease Transmission by Arline Travel. Biomed J Sci & Tech Res. 2021. doi:10.26717/BJSTR.2021.35.005772.
  19. Kraemer MU, Golding N, Bisanzio D, et al. Utilizing general human movement models to predict the spread of emerging infectious diseases in resource poor settings. Scientific reports. 2019;9(1):5151. Doi:10.1038/s41598-019-41192-3.
  20. Namilae S, Derjany P, Mubayi A, Scotch M, Srinivasan A. Multiscale model for pedestrian and infection dynamics during air travel. Physical review E. 2017;95(5):052320. Doi:10.1103/PhysRevE.95.052320.
  21. Hertzberg VS, Weiss H, Elon L, Si W, Norris SL, Team FR. Behaviors, movements, and transmission of droplet-mediated respiratory diseases during transcontinental airline flights. Proceedings of the National Academy of Sciences. 2018;115(14):3623-3627. Doi:10.1073/pnas.1711611115.
  22. Leder K, Newman D. Respiratory infections during air travel. Internal medicine journal. 2005;35(1):50-55. Doi:10.1111/j.1445-5994.2004.00696.x.
  23. Al-Jahdali H, Memish ZA, Menzies D. Tuberculosis in association with travel. International journal of antimicrobial agents. 2003;21(2):125-130. Doi:10.1016/S0924- 8579(02)00283-2.
  24. Rieder HL. Risk of travel-associated tuberculosis. Clinical infectious diseases. 2001;33(8):1393-1396. Doi:10.1086/323127.
  25. Johnston VJ, Grant AD. Tuberculosis in travellers. Travel medicine and infectious disease. 2003;1(4):205-212. Doi:10.1016/j.tmaid.2003.11.002.
  26. Denholm JT, Thevarajan I. Tuberculosis and the traveller: evaluating and reducing risk through travel consultation. Journal of Travel Medicine. 2016;23(3):taw008. Doi:10.1093/jtm/taw008.
  27. Belderok S-M, Rimmelzwaan GF, van den Hoek A, Sonder GJ. Effect of travel on influenza epidemiology. Emerging infectious diseases. 2013;19(6):925. Doi:10.3201/eid1906.111864.
  28. Goeijenbier M, Van Genderen P, Ward B, Wilder-Smith A, Steffen R, Osterhaus A. Travellers and influenza: risks and prevention. Journal of travel medicine. 2017;24(1):taw078. Doi:10.1093/jtm/taw078.
  29. Browne A, St-Onge Ahmad S, Beck CR, Nguyen-Van-Tam JS. The roles of transportation and transportation hubs in the propagation of influenza and coronaviruses: a systematic review. Journal of travel medicine. 2016;23(1):tav002. Doi:10.1093/jtm/tav002.
  30. Kakoullis L, Steffen R, Osterhaus A, et al. Influenza: seasonality and travel-related considerations. Journal of travel medicine. 2023;30(5):taad102. Doi:10.1093/jtm/taad102.
  31. Ryu S, Gao H, Wong JY, et al. Nonpharmaceutical measures for pandemic influenza in nonhealthcare settings— international travel-related measures. Emerging infectious diseases. 2020;26(5):961. Doi:10.3201/eid2605.190993.
  32. Wilder-Smith A. The severe acute respiratory syndrome: impact on travel and tourism. Travel medicine and infectious disease. 2006;4(2):53-60. doi:10.1016/j.tmaid.2005.04.004.
  33. Ruan S, Wang W, Levin SA. The effect of global travel on the spread of SARS. Mathematical Biosciences & Engineering. 2005;3(1):205-218. Doi:10.3934/mbe.2006.3.205.
  34. Venkatesh S, Memish Z. SARS: the new challenge to international health and travel medicine. EMHJ-Eastern Mediterranean Health Journal, 10 (4-5), 655-662, 2004. 2004.
  35. Breugelmans JG, Zucs P, Porten K, et al. SARS transmission and commercial aircraft. Emerging infectious diseases. 2004;10(8):1502. Doi:10.3201/eid1008.040093.
  36. Chan‐Yeung‎M,‎Xu‎RH.‎ SARS:‎ epidemiology.‎Respirology. 2003;8:S9-S14. Doi: 10.1046/j.1440-1843.2003.00518.x.
  37. Zhang S, Yang Y, Zhen F, Lobsang T, Li Z. Understanding the travel behaviors and activity patterns of the vulnerable population using smart card data: An activity space-based approach. Journal of Transport Geography. 2021;90:102938. Doi:10.1016/j.jtrangeo.2020.102938.
  38. McGuinness SL, Steffen R. Vulnerable groups and travel health considerations. Tourist Health, Safety and Wellbeing in the New Normal: Springer; 2021:71-112. Doi:10.1007/978- 981-16-5415-2_4.
  39. Rothe C, Jong EC. Emerging infectious diseases and the international traveler. The Travel and Tropical Medicine Manual. 2017:27.Doi:10.1016/B978-0-323-37506-1.00003-9.
  40. Viasus D, Buendia E, Carratalà J. Travel and Risk of Infections. Infectious Complications in Biologic and Targeted Therapies: Springer; 2022:49-65. Doi:10.1007/978-3-031- 11363-5_4.
  41. Goswami NK, Chaturvedi A. Analysis of Mathematical Modeling of Vector Born Infectious Diseases. Global Journal of Pure and Applied Mathematics. 2015;11(6):4469-4478.
  42. Mossong J, Hens N, Jit M, et al. Social contacts and mixing patterns relevant to the spread of infectious diseases. PLoS medicine. 2008;5(3):e74. Doi:10.1371/journal.pmed.0050074.
  43. Siettos CI, Russo L. Mathematical modeling of infectious disease dynamics. Virulence. 2013;4(4):295-306. Doi:10.4161/viru.24041.
  44. Selvanathan EA, Jayasinghe M, Selvanathan S. International tourism and infectious disease transmission nexus: a crosscountry and regional study. Journal of Travel Research. 2022;61(8):1910-1927. Doi:10.1177/0047287521104893.
Volume 13, Issue 1
2025
Pages 33-41

  • Receive Date 28 October 2024
  • Revise Date 13 November 2024
  • Accept Date 15 November 2024