La boussole de la santé mondiale: renseigner vos patients sur les risques associés aux voyages et les préoccupations liées aux pandémies
Résumé
Le nombre de voyages à l’étranger effectués par des résidents du Canada a augmenté en 2024 pour atteindre un niveau supérieur de 10,0 % à celui de 2023. Les voyages des résidents canadiens effectués outre-mer ont augmenté de 30,9 % par rapport à 2023 et dépassent à présent les chiffres observés avant la pandémie.
Bien que les voyageurs internationaux représentent un groupe important pour l’économie mondiale, ils sont exposés à un risque accru de maladies infectieuses lorsqu’ils sont en dehors de leur pays d’origine et sont susceptibles de propager ces maladies d’un pays à l’autre. Les virus SRAS-CoV-2, Ebola, Zika et les pathogènes résistants aux agents antimicrobiens sont des exemples de menaces sanitaires dont la propagation a été facilitée par les voyageurs internationaux. Le changement climatique a également une incidence sur le risque de maladies infectieuses. La hausse des températures élargit les régions où les maladies vectorielles (p. ex., dengue, paludisme, chikungunya, Zika) peuvent se développer, tout en augmentant le risque de zoonoses (p. ex., grippe aviaire) et de maladies à transmission hydrique (Vibrio, E. coli, etc.).
Étant donné le nombre croissant de Canadiens qui voyagent, les cliniciens jouent un rôle déterminant dans l’élaboration des recommandations de voyage. Cet article se concentre sur des recommandations simples à formuler pour réduire les risques inhérents aux voyages et souligner les préoccupations potentielles liées à de futures pandémies.
Références
Statistics Canada. The Daily — Travel between Canada and other countries, December 2024. Government of Canada. [updated February 21, 2025; Accessed February 27, 2025]. Available from: https://www150.statcan.gc.ca/n1/daily-quotidien/250221/dq250221b-eng.htm
Walker A, LaRocque R. (2023). Disease Patterns in Travelers. In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/introduction/disease-patterns-in-travellers
Phillips MC, LaRocque RC, Thompson GR 3rd. Infectious diseases in a changing climate. JAMA. 2024;331(15):1318. doi:10.1001/jama.2023.27724
Chen LH, Hochbert L. (2023). The Pretravel Consultation. In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/preparing/pretravel-consultation
Global Affairs Canada. Travel health kit. Travel.gc.ca. [Updated May 15, 2024; Accessed February 27, 2025].Available from: https://travel.gc.ca/travelling/health-safety/kit
Stoney R. (2023). Travel Insurance, Travel Health Insurance & Medical Evacuation Insurance. In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/health-care-abroad/insurance
Gleason B, Hill V, Griffin P. (2023). Food & Water Precautions. In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/preparing/food-and-water-precautions
Ballesteros M, Sauber-Schatz E. (2023). Injury & Trauma. In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/injury-and-trauma
Lehner V. (2023). Safety & Security Overseas. In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/safety-and-security-overseas
Aw B, Boraston S, Botten D, Cherniwchan D, Fazal H, Kelton T, et al. Travel medicine: what’s involved? When to refer? Can Fam Physician. 2014;60(12):1091-1103.
Staples JE, Hills S, Powers A. (2023). Chikungunya. In CDC Yellow Book 2024. Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/chikungunya
IXCHIQ Chikunkunya Vaccine, live, attenuated. Valneva Canada. Kirkland QC: Product Monograph. [Published online June 20, 2024; Accessed February 28, 2025]. Available from: https://pdf.hres.ca/dpd_pm/00076049.PDF
Government of Canada. Hepatitis A Vaccine - Part 4 - Active Vaccines - Canadian Immunization Guide - Public Health Agency of Canada. [Updated November 2021; Accessed August 19, 2024]. Available from: https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-4-active-vaccines/page-6-hepatitis-a-vaccine.html
Nelson N, Weng M. Hepatitis A. (2023). In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/hepatitis-a
Harris A. (2023). Hepatitis B. In CDC Yellow Book 2024;. Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/hepatitis-b
Government of Canada. Hepatitis B Vaccines: Canadian Immunization Guide for Health Professionals. Public Health Agency of Canada. [Updated August 7, 2024; Accessed August 14, 2024]. Available from: https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-4-active-vaccines/page-7-hepatitis-b-vaccine.html
Centers for Disease Control for Disease Control and Prevention (CDC.) Japanese Encephalitis. CDC Yellow Book 2024: Health Information for International Travel. Oxford University Press. Available from: http://wwwnc.cdc.gov/travel/yellowbook/2012/chapter-3-infectious-diseases-related-to-travel/japanese-encephalitis.htm
Government of Canada . Advisory Committee Statements and Supplements to the CCDR. CCDR. 2011; Volume 37. [Updated January 18, 2012; Accessed March 3, 2025]. Available from: https://www.canada.ca/en/public-health/services/reports-publications/canada-communicable-disease-report-ccdr/monthly-issue/2011-37.html
McNamara L, Blain A. (2023). Meningococcal Disease. In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/meningococcal-disease
Government of Canada. Meningococcal Vaccines: Canadian Immunization Guide For Health Professionals. Public Health Agency of Canada. [Updated July 22, 2024; Accessed November 17, 2024]. Available from: https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-4-active-vaccines/page-13-meningococcal-vaccine.html
Wallace R, Petersen BW, Shlim D. (2023). Rabies. In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/rabies
Government of Canada. Typhoid Vaccines: Canadian Immunization Guide For Health Professionals. Public Health Agency of Canada. [Updated September 8, 2023; Accessed August 19, 2024]. Available from: https://www.canada.ca/en/public-health/services/publications/healthy-living/canadian-immunization-guide-part-4-active-vaccines/page-23-typhoid-vaccine.html
Hughes M, Appiah G, Watkins LF. (2023). Typhoid & Paratyphoid Fever. In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/infections-diseases/typhoid-and-paratyphoid-fever
Mutebi JP, Gimnig J. (2023). Mosquitoes, Ticks & Other Arthropods In CDC Yellow Book 2024; Health Information for International Travel. Available from: https://wwwnc.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/mosquitoes-ticks-and-other-arthropods
Public Health Agency of Canada. Statement on Personal Protective Measures to Prevent Arthropod Bites. November 2012;CCDR. Voume.38 ACS-13. https://doi.org/10.14745/ccdr.v38i00a03
Government of Canada. Avian influenza A(H5N1): For health professionals. Public Health Agency of Canada. [Updated November 20, 2024; Accessed February 28, 2025]. Available from: https://www.canada.ca/en/public-health/services/diseases/avian-influenza-h5n1/health-professionals.html
Cheng A. What pathogen might spark the next pandemic? PreventionWeb. [Updated September 26, 2024; Accessed February 28, 2025]. Available from: https://www.preventionweb.net/news/what-pathogen-might-spark-next-pandemic-how-scientists-are-preparing-disease-x
Ridpath A, Wallender E. Malaria. Yellow Book. April 21, 2025. Accessed April 27, 2025. https://www.cdc.gov/yellow-book/hcp/travel-associated-infections-diseases/malaria.html
Publié
Comment citer
Numéro
Rubrique
Licence
© Canadian Primary Care Today 2025

Cette œuvre est sous licence Creative Commons Attribution - Pas d'Utilisation Commerciale - Pas de Modification 4.0 International.