Risk Assessment and Travelers Characteristics: 6-Month Travel Clinic Experience From Qatar

Document Type : Original Article


1 Division of Infectious Disease, Department of Medicine, Hamad General Hospital, Doha, Qatar

2 Communicable Disease Center (CDC), Doha, Qatar



Introduction: The number of international travelers is increasing, yet currently, there is no data on risk assessment and travelers’ characteristics from Qatar. To identify and minimize the risks associated with travel, a detailed knowledge of travelers’ characteristics is needed.
Methods: This retrospective descriptive study was conducted in a travel clinic in the Communicable Disease Center, Qatar. All patients seen in the clinic from February 2017 to August 2017 were included. Data was analyzed using SPSS version 22 software.
Results: A total of 279 travelers were included in this study. The top 2 most visited countries were Tanzania and Kenya. Tourism (57.3%) was the number one purpose for travel, while travelers visiting friends and relatives (VFRs) accounted for 10.7% of travel. Among the study population, 21% of participants had pre-existing medical conditions with hypertension and diabetes as the most common comorbidities. Mean travel duration was 46.5 days (range = 3 to 90 days). Vaccinations were required by 97% of the study population with the most commonly prescribed vaccines being the typhoid (69%), Tdap (62%), hepatitis A (55%), flu (49.3%), and yellow fever (39%) vaccines.
Conclusion: Travelers from Qatar tend to visit high-risk destinations; the lack of proper travel medicine services and awareness among travelers may increase the risk of illness, especially in Qatar where a large number of expatriates reside and travel frequently to and from their home countries (VFRs).


  1. UNWTO world tourism barometer. United Nations World Tourist Organization; January 2018. http://cf.cdn.unwto.org/sites/all/files/ pdf/unwto_barom18_01_january_excerpt_hr.pdf.
  2. World Economic Forum. Travel and tourism competitiveness report 2017. http://reports.weforum.org/travel-and-tourism-competitiveness-report-2017/?doing_wp_cron=1546882732.266 8380737304687500000.
  3. Qatar Ministry of Development Planning and Statistics. Labor Force web report Q4 2017.xlsx
  4. Gulf Labour Markets and Migration in Qatar GLMM - EN - No. 8/2014.
  5. Hamad International Airport (HIA) media center report. https://dohahamadairport.com/media/record-373-million-passengers-welcomed-hamad-international-airport-2016.
  6. Van Herck K, Van Damme P, Castelli F, et al. Knowledge, attitudes and practices in travel-related infectious diseases: the European airport survey. J Travel Med. 2004;11(1):3-8. doi:10.2310/7060.2004.13609.
  7. Aubry C, Gaudart J, Gaillard C, et al. Demographics, health and travel characteristics of international travellers at a pre-travel clinic in Marseille, France. Travel Med Infect Dis. 2012;10(5-6):247-256. doi:10.1016/j.tmaid.2012.09.004.
  8. Valerio L, Martinez O, Sabria M, Esteve M, Urbiztondo L, Roca C. High-risk travel abroad overtook low-risk travel from 1999 to 2004: characterization and trends in 2,622 Spanish travelers. J Travel Med. 2005;12(6):327-331. doi:10.2310/7060.2005.12605.
  9. Mwangangi JM, Midega J, Kahindi S, et al. Mosquito species abundance and diversity in Malindi, Kenya and their potential implication in pathogen transmission. Parasitol Res. 2012;110(1):61-71. doi:10.1007/s00436-011-2449-6.
  10. Angelin M, Evengard B, Palmgren H. Travel and vaccination patterns: a report from a travel medicine clinic in northern Sweden. Scand J Infect Dis. 2011;43(9):714-720. doi:10.3109/00365548.2011.581306.
  11. LaRocque RC, Rao SR, Lee J, et al. Global TravEpiNet: a national consortium of clinics providing care to international travelers-- analysis of demographic characteristics, travel destinations, and pretravel healthcare of high-risk US international travelers, 2009- 2011. Clin Infect Dis. 2012;54(4):455-462. doi:10.1093/cid/cir839.
  12. Lee VJ, Wilder-Smith A. Travel characteristics and health practices among travellers at the travellers’ health and vaccination clinic in Singapore. Ann Acad Med Singapore. 2006;35(10):667-673.
  13. Qatar Population 2018. World Population Review website.
  14. http://worldpopulationreview.com/countries/qatar-population/. Published October 1, 2018.
  15. Khan FY, Lutof AK, Yassin MA, et al. Imported malaria in Qatar: a one year hospital-based study in 2005. Travel Med Infect Dis. 2009;7(2):111-117. doi:10.1016/j.tmaid.2009.01.003.
  16. Mali S, Tan KR, Arguin PM. Malaria surveillance--United States, 2009. MMWR Surveill Summ. 2011;60(3):1-15.
  17. Ackers ML, Puhr ND, Tauxe RV, Mintz ED. Laboratory-based surveillance of Salmonella serotype Typhi infections in the United States: antimicrobial resistance on the rise. JAMA. 2000;283(20):2668-2673. doi:10.1001/jama.283.20.2668.
  18. Riddle MS, Connor BA, Beeching NJ, et al. Guidelines for the prevention and treatment of travelers’ diarrhea: a graded expert panel report. J Travel Med. 2017;24(suppl 1): S63-S80. doi:10.1093/jtm/tax026.