Evidence map›Paper›PMID 39209328›Full record

ArticleJournal of travel medicine2025

Fatal journeys: causes of death in international travellers in South America.

Kasim Allel, Miguel M Cabada, Behzad Kiani, Beatris Mario Martin, Melinda Tanabe, Angela Cadavid Restrepo, Gabriela De Souza Dos Santos, Susana Lloveras, Wondimeneh Shiferaw, Benn Sartorius and 3 more

Abstract read
In one paragraph

Article in Journal of travel medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Kasim AllelHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Old Road Campus, OX3 7LF, Oxfordshire, UK.
Miguel M CabadaDivision of Infectious Diseases, University of Texas Medical Branch, 1000 Strand Street Galveston, Texas 77550, USA.
Behzad KianiUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane City QLD 4006, Queensland, Australia.
Beatris Mario MartinUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane City QLD 4006, Queensland, Australia.
Melinda TanabeDivision of Infectious Diseases, University of Texas Medical Branch, 1000 Strand Street Galveston, Texas 77550, USA.
Angela Cadavid RestrepoSchool of Public Health, Faculty of Medicine, The University of Queensland, 266 Herston Rd, Herston QLD 4006, Queensland, Australia.
Gabriela De Souza Dos SantosState Health Department of Parana, 828230-140, Curitiba, Brazil.
Susana LloverasHospital de Enfermedades Infecciosas F. J. Muñiz, Uspallata 2272, C1282A, Buenos Aires, Argentina.
Wondimeneh ShiferawUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane City QLD 4006, Queensland, Australia.
Benn SartoriusUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane City QLD 4006, Queensland, Australia.
Deborah J MillsUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane City QLD 4006, Queensland, Australia.
Colleen L LauUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane City QLD 4006, Queensland, Australia.
Luis Furuya-KanamoriUQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Building 71/918 RBWH Herston, Brisbane City QLD 4006, Queensland, Australia.

Funding

Australian Infectious Diseases Research CentreNHMRC APP1193826
6 · The paper itself

Abstract

backgroundUnderstanding mortality among travellers is essential for mitigating risks and enhancing travel safety. However, limited evidence exists on severe illnesses and injuries leading to death among travellers, particularly in low- and middle-income countries and remote regions.

methodsWe conducted a retrospective census study using country-level observational data from death certificates of travellers of seven South American countries (Argentina, Brazil, Chile, Colombia, Ecuador, Peru and Uruguay) from 2017 to 2021. Causes of death were evaluated using ICD-10 codes, categorized into non-communicable diseases (NCDs), communicable diseases and injuries. We quantified causes of death by demographic characteristics (e.g. age, sex) and geographical variables. Chi-square tests were used to assess differences between categories. We calculated crude mortality rates and incidence rate ratios (IRRs) per country's subregions.

resultsA total of 17 245 deaths were reported. NCDs (55%) were the most common cause of death, followed by communicable diseases (23.4%) and injuries (18.1%). NCD-associated deaths increased after age 55 years and were highest among ≥85 years. Communicable diseases were more common at younger age (<20 years). Injury-associated deaths were more common in men (79.9%) and 25-29-year-olds (17.1%). Most deaths (68.2%) could have been avoided by prevention or treatment. Mortality risk was higher among travellers in bordering regions between countries. In Roraima (Brazil) and Norte de Santander (Colombia), locations bordering Venezuela, the death IRR was 863 and 60, respectively. These countries' reference mortality rates in those regions were much lower. More than 80% of the deaths in these border regions of Brazil and Colombia involved Venezuelan citizens.

conclusionThe study identified risk factors and high-risk locations for deaths among travellers in seven countries of South America. Our findings underscore the need for specific health interventions tailored to traveller demographics and destination to optimize prevention of avoidable deaths in South America.

Indexed as

Communicable DiseasesNoncommunicable DiseasesTravelWounds and InjuriesAdolescentAdultAgedAged, 80 and overCause of DeathChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedAmericascommunicablediseasesinjuriesmigrantmortalitynon-communicablepreventiontravel

Identifiers

PMID39209328
PMCPMC11789196

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.