scholarly journals Pretravel consultation on COVID-19 testing before international travel: lessons learnt from the Thai Travel Clinic, Bangkok, Thailand

Author(s):  
Wasin Matsee ◽  
Phimphan Pisutsan ◽  
Watcharapong Piyaphanee

AbstractThe demand for COVID-19 testing has been on the rise after many countries have eased travel restrictions for essential travel to aid their economy. Thus, we discuss our lessons learnt of the crucial points that need to be considered by the clinicians when dealing with individuals seeking COVID-19 testing before international travel.

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Steve J. Bickley ◽  
Ho Fai Chan ◽  
Ahmed Skali ◽  
David Stadelmann ◽  
Benno Torgler

Abstract Background The ongoing COVID-19 pandemic has highlighted the vast differences in approaches to the control and containment of coronavirus across the world and has demonstrated the varied success of such approaches in minimizing the transmission of coronavirus. While previous studies have demonstrated high predictive power of incorporating air travel data and governmental policy responses in global disease transmission modelling, factors influencing the decision to implement travel and border restriction policies have attracted relatively less attention. This paper examines the role of globalization on the pace of adoption of international travel-related non-pharmaceutical interventions (NPIs) during the coronavirus pandemic. This study aims to offer advice on how to improve the global planning, preparation, and coordination of actions and policy responses during future infectious disease outbreaks with empirical evidence. Methods and data We analyzed data on international travel restrictions in response to COVID-19 of 185 countries from January to October 2020. We applied time-to-event analysis to examine the relationship between globalization and the timing of travel restrictions implementation. Results The results of our survival analysis suggest that, in general, more globalized countries, accounting for the country-specific timing of the virus outbreak and other factors, are more likely to adopt international travel restrictions policies. However, countries with high government effectiveness and globalization were more cautious in implementing travel restrictions, particularly if through formal political and trade policy integration. This finding is supported by a placebo analysis of domestic NPIs, where such a relationship is absent. Additionally, we find that globalized countries with high state capacity are more likely to have higher numbers of confirmed cases by the time a first restriction policy measure was taken. Conclusions The findings highlight the dynamic relationship between globalization and protectionism when governments respond to significant global events such as a public health crisis. We suggest that the observed caution of policy implementation by countries with high government efficiency and globalization is a by-product of commitment to existing trade agreements, a greater desire to ‘learn from others’ and also perhaps of ‘confidence’ in a government’s ability to deal with a pandemic through its health system and state capacity. Our results suggest further research is warranted to explore whether global infectious disease forecasting could be improved by including the globalization index and in particular, the de jure economic and political, and de facto social dimensions of globalization, while accounting for the mediating role of government effectiveness. By acting as proxies for a countries’ likelihood and speed of implementation for international travel restriction policies, such measures may predict the likely time delays in disease emergence and transmission across national borders.


International tourism shows slight recovery in June and July 2021 driven by vaccinations and border reopening International tourist arrivals (overnight visitors) in the first seven months of 2021 were 40% below the levels of 2020, and still 80% down when compared to the same period of pre-pandemic year 2019. After a weak start of the year, international tourism saw a modest improvement during the months of June and July 2021. The small improvement in June and July was underpinned by the reopening of many destinations to international travel, mostly in Europe and the Americas. The relaxation of travel restrictions to vaccinated travellers, coupled with progress made in the roll-out of COVID-19 vaccines, contributed to ease travel restrictions, lift consumer confidence and gradually restore safe mobility in Europe and other parts of the world. Small islands in the Caribbean, Africa, and Asia and the Pacific, together with a few small European destinations recorded the best performance in June and July, with arrivals coming close to, or sometimes exceeding pre-pandemic levels. July (-67%) saw comparatively better performance than June (-77%), making it the best month so far since April 2020. Asia and the Pacific continued to suffer the weakest results in January-July 2021, with a 95% drop in international arrivals compared to the same period in 2019. The Middle East (-82%) recorded the second largest decline, followed by Europe and Africa (both -77%). The Americas (-68%) saw a comparatively smaller decrease. Although destinations continued to report very weak international tourism revenues in the first seven months of 2021, several countries recorded a modest improvement in the months of June and July, and some even surpassed the earnings of 2019. The same is true for outbound travel. Among the larger source markets, France (-35% over 2019) and the United States (-49%) saw a small rebound in expenditure in July. Despite the relative improvement over the low levels of 2020, international tourism remained well below 2019 levels. This is also reflected in the evaluation made by the UNWTO Panel of Experts in the September survey, showing mixed results for the period May-August 2021. Looking ahead, most experts continue to expect a rebound in 2022, driven by unleashed pent-up demand, mostly during the second and third quarter of that year. Nearly one-third of respondents expect a potential rebound in 2023. Almost half of all experts continue to see a return of international arrivals to 2019 levels in 2024 or later.


2020 ◽  
Vol 18 (6) ◽  
pp. 1-36 ◽  

International travel plunges 70% in the first eight months of 2020 International tourist arrivals (overnight visitors) declined 70% in the first eight months of 2020 over the same period of last year, amid global travel restrictions including many borders fully closed, to contain the ongoing COVID-19 pandemic. International arrivals plunged 81% in July and 79% in August, traditionally the two busiest months of the year and the peak of the Northern Hemisphere summer season. Despite such large declines, this represents a relative improvement over the 90% or greater decreases of the previous months, as some destinations started to reopen to international tourism, mostly in the European Union. The decline in January-August 2020 represents 700 million fewer international tourist arrivals compared to the same period in 2019, and translates into a loss of US$ 730 billion in export revenues from international tourism, more than 8 times the loss in 2009 under the impact of the global economic crisis. Asia and the Pacific, the first region to suffer the impact of the pandemic, saw a 79% decrease in arrivals in January-August 2020. Africa and the Middle East both recorded a 69% drop this eight-month period, while Europe saw a 68% decline and the Americas 65%. Data on international tourism expenditure continues to reflect very weak demand for outbound travel, though in several large markets such as the United States, Germany and Italy there is a small uptick in spending in the months of July and August. Based on latest trends, a 75% decrease in international arrivals is estimated for the month of September and a drop of close to 70% for the whole of 2020. While demand for international travel remains subdued, domestic tourism is strengthening recovery in several large markets such as China and Russia. The UNWTO Confidence Index continues at record lows. Most UNWTO Panel Experts expect a rebound in international tourism by the third quarter of 2021 and a return to pre-pandemic 2019 levels not before 2023. Experts consider travel restrictions as the main barrier weighing on the recovery of international tourism, along with slow virus containment and low consumer confidence.


Author(s):  
Thai Quang Pham ◽  
Maia Rabaa ◽  
Luong Huy Duong ◽  
Tan Quang Dang ◽  
Quang Dai Tran ◽  
...  

Background: One hundred days after SARS-CoV-2 was first reported in Vietnam on January 23rd, 270 cases have been confirmed, with no deaths. We describe the control measures used and their relationship with imported and domestically-acquired case numbers. Methods: Data on the first 270 SARS-CoV-2 infected cases and the timing and nature of control measures were captured by Vietnam's National Steering Committee for COVID-19 response. Apple and Google mobility data provided population movement proxies. Serial intervals were calculated from 33 infector-infectee pairs and used to estimate the proportion of pre-symptomatic transmission events and time-varying reproduction numbers. Results: After the first confirmed case on January 23rd, the Vietnamese Government initiated mass communications measures, contact tracing, mandatory 14-day quarantine, school and university closures, and progressive flight restrictions. A national lockdown was implemented between April 1st and 22nd. Around 200,000 people were quarantined and 266,122 RT-PCR tests conducted. Population mobility decreased progressively before lockdown. 60% (163/270) of cases were imported; 43% (89/208) of resolved infections were asymptomatic. 21 developed severe disease, with no deaths. The serial interval was 3.24 days, and 27.5% (95% confidence interval, 15.7%-40.0%) of transmissions occurred pre-symptomatically. Limited transmission amounted to a maximum reproduction number of 1.15 (95% confidence interval, 0.37-2.36). No community transmission has been detected since April 15th. Conclusions: Vietnam has controlled SARS-CoV-2 spread through the early introduction of communication, contact-tracing, quarantine, and international travel restrictions. The value of these interventions is supported by the high proportion of asymptomatic cases and imported cases, and evidence for substantial pre-symptomatic transmission.


2021 ◽  
Vol 39 (1) ◽  
pp. 32-48
Author(s):  
Kate Ogg ◽  
Chanelle Taoi

Abstract COVID-19 has presented a number of challenges for the international refugee protection regime. An issue that has received little attention is the relationship between states tightening their borders in an effort to reduce the spread of COVID-19 and their non-refoulement obligations. This raises the question of how international law responds when non-refoulement obligations may conflict with other international human rights such as the rights to life and health. Further, the legal analysis of whether a particular COVID-19 border policy is in violation of non-refoulement obligations must take into account how the travel restriction will be implemented. This article provides an overarching analysis of non-refoulement provisions in international refugee and human rights law and which COVID-19 international travel restrictions may be in breach of these obligations. We examine different types of COVID-19 travel restrictions and argue that many are undoubtedly violations of non-refoulement, but others raise unsettled questions of international law. Nevertheless, there is jurisprudence and scholarship to support the proposition that a state’s non-refoulement obligations can be triggered even in these more contested scenarios.


2021 ◽  
Vol 19 (5) ◽  
pp. 1-40

International tourism shows slight recovery in June and July 2021 driven by vaccinations and border reopening International tourist arrivals (overnight visitors) in the first seven months of 2021 were 40% below the levels of 2020, and still 80% down when compared to the same period of pre-pandemic year 2019. After a weak start of the year, international tourism saw a modest improvement during the months of June and July 2021. The small improvement in June and July was underpinned by the reopening of many destinations to international travel, mostly in Europe and the Americas. The relaxation of travel restrictions to vaccinated travellers, coupled with progress made in the roll-out of COVID-19 vaccines, contributed to ease travel restrictions, lift consumer confidence and gradually restore safe mobility in Europe and other parts of the world. Small islands in the Caribbean, Africa, and Asia and the Pacific, together with a few small European destinations recorded the best performance in June and July, with arrivals coming close to, or sometimes exceeding pre-pandemic levels. July (-67%) saw comparatively better performance than June (-77%), making it the best month so far since April 2020. Asia and the Pacific continued to suffer the weakest results in January-July 2021, with a 95% drop in international arrivals compared to the same period in 2019. The Middle East (-82%) recorded the second largest decline, followed by Europe and Africa (both -77%). The Americas (-68%) saw a comparatively smaller decrease. Although destinations continued to report very weak international tourism revenues in the first seven months of 2021, several countries recorded a modest improvement in the months of June and July, and some even surpassed the earnings of 2019. The same is true for outbound travel. Among the larger source markets, France (-35% over 2019) and the United States (-49%) saw a small rebound in expenditure in July. Despite the relative improvement over the low levels of 2020, international tourism remained well below 2019 levels. This is also reflected in the evaluation made by the UNWTO Panel of Experts in the September survey, showing mixed results for the period May-August 2021. Looking ahead, most experts continue to expect a rebound in 2022, driven by unleashed pent-up demand, mostly during the second and third quarter of that year. Nearly one-third of respondents expect a potential rebound in 2023. Almost half of all experts continue to see a return of international arrivals to 2019 levels in 2024 or later.


2021 ◽  
Vol 19 (1) ◽  
pp. 1-42

Tourism suffers its deepest crisis with a drop of 74% in 2020 in international arrivals Tourism suffered the greatest crisis on record in 2020 following an unprecedented health, social and economic emergency amid the outbreak of the COVID-19 pandemic. International tourist arrivals (overnight visitors) plunged by 74% in 2020 over the previous year due to widespread travel restrictions and a massive drop in demand. The collapse in international travel represents an estimated loss of USD 1.3 trillion in export revenues - more than 11 times the loss recorded during the 2009 global economic crisis. Asia and the Pacific saw an 84% decrease in international arrivals in 2020, about 300 million less than in the previous year. The Middle East and Africa both recorded a 75% drop in arrivals. In Europe arrivals declined by 70%, representing over 500 million fewer international tourists, while the Americas saw a drop of 69%. The latest UNWTO Panel of Experts survey shows a mixed outlook for 2021. Almost half of respondents (45%) envisaged better prospects for 2021 compared to last year, while 25% expect a similar performance and 30% foresee a worsening of results. The overall prospects for a rebound in 2021 seem to have worsened. 50% of respondents now expect a rebound to occur only in 2022 as compared to 21% in October 2020. The remaining half of respondents still see a potential rebound in 2021, though below the expectations shown in the October 2020 survey (79% expected a recovery in 2021). Experts foresee growing demand for open-air and nature-based tourism activities, with domestic tourism and ‘slow travel’ experiences gaining increasing interest. Looking further ahead, most experts do not to see a return to pre-pandemic levels happening before 2023. In fact, 43% of respondents point to 2023, while 41% expect a return to 2019 levels in 2024 or later. UNWTO’s extended scenarios for 2021-2024 indicate that it could take between two-and-a-half and four years for international tourism to return to 2019 levels. The gradual rollout of a COVID-19 vaccine is expected to help restore consumer confidence, contribute to ease travel restrictions and slowly normalize travel during the year ahead.


2020 ◽  
Vol 28 (02) ◽  
pp. 431-452 ◽  
Author(s):  
NOURRIDINE SIEWE ◽  
SUZANNE LENHART ◽  
ABDUL-AZIZ YAKUBU

Ebola outbreaks in Africa have occurred mostly in the Central and West Africa regions that are politically identified as the Economic Community of Central African States (ECCAS) and Economic Community of Western African States (ECOWAS), respectively. In the ECOWAS region, people and goods are allowed to travel freely across national borders of all the 15 member countries, but in the ECCAS region such regional travel across the national borders of its 10 member countries is limited. In this paper, we use parameterized mathematical models of Ebola to investigate the effects of free international travel, and the timing of border closings, on the high number of Ebola infection cases and deaths of the recent 2014–2016 Ebola outbreaks in Guinea, Liberia and Sierra Leone (ECOWAS); as compared to previous and current outbreaks in Democratic Republic of Congo (ECCAS, 1976–2018). Simulations of our single-patch Ebola model without movement of humans across international borders are shown to capture the recorded numbers of Ebola infections and deaths in the ECCAS region, and simulations of our 3-patch model with interpatch movements capture that of the ECOWAS region. We obtain that international travel restrictions and timing of border closings can play important roles in mitigating against the spread of future fatal infectious disease outbreaks.


2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Sheryl L. Chang ◽  
Nathan Harding ◽  
Cameron Zachreson ◽  
Oliver M. Cliff ◽  
Mikhail Prokopenko

Abstract There is a continuing debate on relative benefits of various mitigation and suppression strategies aimed to control the spread of COVID-19. Here we report the results of agent-based modelling using a fine-grained computational simulation of the ongoing COVID-19 pandemic in Australia. This model is calibrated to match key characteristics of COVID-19 transmission. An important calibration outcome is the age-dependent fraction of symptomatic cases, with this fraction for children found to be one-fifth of such fraction for adults. We apply the model to compare several intervention strategies, including restrictions on international air travel, case isolation, home quarantine, social distancing with varying levels of compliance, and school closures. School closures are not found to bring decisive benefits unless coupled with high level of social distancing compliance. We report several trade-offs, and an important transition across the levels of social distancing compliance, in the range between 70% and 80% levels, with compliance at the 90% level found to control the disease within 13–14 weeks, when coupled with effective case isolation and international travel restrictions.


Sign in / Sign up

Export Citation Format

Share Document