22 CFR 50.11 - Certificate of identity for travel to the United States to apply for admission.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Certificate of identity for travel to the United States to apply for admission. 50.11 Section 50.11 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES Procedures for Determination of United States Nationality of...

22 CFR 50.11 - Certificate of identity for travel to the United States to apply for admission.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Certificate of identity for travel to the United States to apply for admission. 50.11 Section 50.11 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES Procedures for Determination of United States Nationality of...

22 CFR 50.11 - Certificate of identity for travel to the United States to apply for admission.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Certificate of identity for travel to the United States to apply for admission. 50.11 Section 50.11 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES Procedures for Determination of United States Nationality of...

22 CFR 50.11 - Certificate of identity for travel to the United States to apply for admission.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Certificate of identity for travel to the United States to apply for admission. 50.11 Section 50.11 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES Procedures for Determination of United States Nationality of...

22 CFR 50.11 - Certificate of identity for travel to the United States to apply for admission.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Certificate of identity for travel to the United States to apply for admission. 50.11 Section 50.11 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES Procedures for Determination of United States Nationality of...

31 CFR 515.571 - Certain transactions incident to travel to, from, and within the United States by Cuban nationals.

Code of Federal Regulations, 2010 CFR

2010-07-01

... maintenance within the United States, including the payment of living expenses and the acquisition of goods for personal consumption in the United States; (3) All transactions on behalf of aircraft or vessels... banking transactions involving foreign currency drafts, travelers' checks, or other instruments negotiated...

31 CFR 515.571 - Certain transactions incident to travel to, from, and within the United States by Cuban nationals.

Code of Federal Regulations, 2011 CFR

2011-07-01

... maintenance within the United States, including the payment of living expenses and the acquisition of goods for personal consumption in the United States; (3) All transactions on behalf of aircraft or vessels... banking transactions involving foreign currency drafts, travelers' checks, or other instruments negotiated...

31 CFR 515.571 - Certain transactions incident to travel to, from, and within the United States by Cuban nationals.

Code of Federal Regulations, 2014 CFR

2014-07-01

... maintenance within the United States, including the payment of living expenses and the acquisition of goods for personal consumption in the United States; (3) All transactions on behalf of aircraft or vessels... banking transactions involving foreign currency drafts, travelers' checks, or other instruments negotiated...

31 CFR 515.571 - Certain transactions incident to travel to, from, and within the United States by Cuban nationals.

Code of Federal Regulations, 2012 CFR

2012-07-01

... maintenance within the United States, including the payment of living expenses and the acquisition of goods for personal consumption in the United States; (3) All transactions on behalf of aircraft or vessels... banking transactions involving foreign currency drafts, travelers' checks, or other instruments negotiated...

31 CFR 515.571 - Certain transactions incident to travel to, from, and within the United States by Cuban nationals.

Code of Federal Regulations, 2013 CFR

2013-07-01

... maintenance within the United States, including the payment of living expenses and the acquisition of goods for personal consumption in the United States; (3) All transactions on behalf of aircraft or vessels... banking transactions involving foreign currency drafts, travelers' checks, or other instruments negotiated...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

31 CFR 515.415 - Travel to Cuba; transportation of certain Cuban nationals.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Travel to Cuba; transportation of... CONTROL REGULATIONS Interpretations § 515.415 Travel to Cuba; transportation of certain Cuban nationals... or a returning resident of the United States, from Cuba to the United States, unless otherwise...

22 CFR 3.4 - Restriction on acceptance of gifts and decorations.

Code of Federal Regulations, 2014 CFR

2014-04-01

... the time of acceptance. However, should any dispute result from a difference of opinion concerning the... of the United States. (d) An employee may accept gifts of travel or expenses for travel taking place... favorably affected by employee travel wholly outside the United States, even though it would not normally...

78 FR 31517 - Meeting of the United States Travel and Tourism Advisory Board

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-24

... Tourism Advisory Board AGENCY: International Trade Administration, U.S. Department of Commerce. ACTION... the United States Travel and Tourism Advisory Board (Board). The Board will meet to discuss and... representatives of the U.S. government on the implementation of the National Travel and Tourism Strategy and the...

78 FR 53427 - Meeting of the United States Travel and Tourism Advisory Board

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-29

... Tourism Advisory Board AGENCY: International Trade Administration, U.S. Department of Commerce. ACTION... the United States Travel and Tourism Advisory Board (Board). The Board advises the Secretary of Commerce on matters relating to the U.S. travel and tourism industry. DATES: September 17, 2013, 1:30 p.m...

48 CFR 1852.242-71 - Travel outside of the United States.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 6 2011-10-01 2011-10-01 false Travel outside of the... AERONAUTICS AND SPACE ADMINISTRATION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of Provisions and Clauses 1852.242-71 Travel outside of the United States. As prescribed in 1842.7002, insert...

48 CFR 1852.242-71 - Travel outside of the United States.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Travel outside of the... AERONAUTICS AND SPACE ADMINISTRATION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of Provisions and Clauses 1852.242-71 Travel outside of the United States. As prescribed in 1842.7002, insert...

48 CFR 1852.242-71 - Travel outside of the United States.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Travel outside of the... AERONAUTICS AND SPACE ADMINISTRATION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of Provisions and Clauses 1852.242-71 Travel outside of the United States. As prescribed in 1842.7002, insert...

48 CFR 1852.242-71 - Travel outside of the United States.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false Travel outside of the... AERONAUTICS AND SPACE ADMINISTRATION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of Provisions and Clauses 1852.242-71 Travel outside of the United States. As prescribed in 1842.7002, insert...

48 CFR 1852.242-71 - Travel outside of the United States.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 48 Federal Acquisition Regulations System 6 2014-10-01 2014-10-01 false Travel outside of the... AERONAUTICS AND SPACE ADMINISTRATION CLAUSES AND FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Texts of Provisions and Clauses 1852.242-71 Travel outside of the United States. As prescribed in 1842.7002, insert...

Peripatetic plague.

PubMed

Mann, J M; Schmid, G P; Stoesz, P A; Skinner, M D; Kaufmann, A F

1982-01-01

Cases of plague continue to occur in various parts of the world, including the western United States, where plague is endemic among the wild rodent population. In 1980, a case of plague acquired in New Mexico and hospitalized in Nebraska illustrated the problem of plague occurring in persons traveling from the state in which they become infected to another state. Nine cases of plague in travelers were identified among the 166 cases of plague reported in the United States from 1950 to 1980. Physicians should be aware of natural plague foci in the western United States and should obtain a travel history from patients with an illness clinically compatible with plague.

41 CFR 301-10.136 - What exceptions to the Fly America Act requirements apply when I travel between the United States...

Code of Federal Regulations, 2010 CFR

2010-07-01

... destination, you must use the U.S. flag air carrier service unless such use would extend your travel time... the U.S. by 2 or more; or (2) Extend your travel time by at least 6 hours or more; or (3) Require a... Fly America Act requirements apply when I travel between the United States and another country? 301-10...

41 CFR 301-10.136 - What exceptions to the Fly America Act requirements apply when I travel between the United States...

Code of Federal Regulations, 2012 CFR

2012-07-01

... destination, you must use the U.S. flag air carrier service unless such use would extend your travel time... the U.S. by 2 or more; or (2) Extend your travel time by at least 6 hours or more; or (3) Require a... Fly America Act requirements apply when I travel between the United States and another country? 301-10...

41 CFR 301-10.136 - What exceptions to the Fly America Act requirements apply when I travel between the United States...

Code of Federal Regulations, 2013 CFR

2013-07-01

... destination, you must use the U.S. flag air carrier service unless such use would extend your travel time... the U.S. by 2 or more; or (2) Extend your travel time by at least 6 hours or more; or (3) Require a... Fly America Act requirements apply when I travel between the United States and another country? 301-10...

41 CFR 301-10.136 - What exceptions to the Fly America Act requirements apply when I travel between the United States...

Code of Federal Regulations, 2014 CFR

2014-07-01

... destination, you must use the U.S. flag air carrier service unless such use would extend your travel time... the U.S. by 2 or more; or (2) Extend your travel time by at least 6 hours or more; or (3) Require a... Fly America Act requirements apply when I travel between the United States and another country? 301-10...

41 CFR 301-10.136 - What exceptions to the Fly America Act requirements apply when I travel between the United States...

Code of Federal Regulations, 2011 CFR

2011-07-01

... destination, you must use the U.S. flag air carrier service unless such use would extend your travel time... the U.S. by 2 or more; or (2) Extend your travel time by at least 6 hours or more; or (3) Require a... Fly America Act requirements apply when I travel between the United States and another country? 301-10...

American Trypanosomiasis (Also Known as Chagas Disease) Diagnosis

MedlinePlus

... Parasite That Causes Chagas Disease Among United States Blood Donors Information For: Adoption: Agencies & Parents Blood Banks Travelers ... Parasite That Causes Chagas Disease Among United States Blood Donors Information For: Adoption: Agencies & Parents Blood Banks Travelers ...

American Trypanosomiasis (Also Known as Chagas Disease) Treatment

MedlinePlus

... Parasite That Causes Chagas Disease Among United States Blood Donors Information For: Adoption: Agencies & Parents Blood Banks Travelers ... Parasite That Causes Chagas Disease Among United States Blood Donors Information For: Adoption: Agencies & Parents Blood Banks Travelers ...

76 FR 44751 - Suspension of Entry of Aliens Subject to United Nations Security Council Travel Bans and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-27

... immigrants or nonimmigrants, of aliens who are subject to United Nations Security Council travel bans as of... served by suspending the entry into the United States, as immigrants or nonimmigrants, of aliens whose... find that the unrestricted immigrant and nonimmigrant entry into the United States of persons described...

Time series analysis of travel trends in Vermont

Treesearch

Varna M. Ramaswamy; Walter F. Kuentzel

1995-01-01

Vermont's travel and tourism industry is not keeping pace with the nation-wide growth in the travel industry. While travel indicators such as domestic travel expenditures, tourism generated employment, payroll and tax receipts have been steadily increasing across the United States, these indicators in Vermont peaked in 1978 and have declined ever since. The state...

41 CFR 301-10.137 - What exceptions to the Fly America Act requirements apply when I travel solely outside the United...

Code of Federal Regulations, 2014 CFR

2014-07-01

... or more; or (b) Extend your travel time by 6 hours or more; or (c) Require a connecting time of 4... Fly America Act requirements apply when I travel solely outside the United States, and a U.S. flag air... Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES...

41 CFR 301-10.137 - What exceptions to the Fly America Act requirements apply when I travel solely outside the United...

Code of Federal Regulations, 2013 CFR

2013-07-01

... or more; or (b) Extend your travel time by 6 hours or more; or (c) Require a connecting time of 4... Fly America Act requirements apply when I travel solely outside the United States, and a U.S. flag air... Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES...

41 CFR 301-10.137 - What exceptions to the Fly America Act requirements apply when I travel solely outside the United...

Code of Federal Regulations, 2010 CFR

2010-07-01

... or more; or (b) Extend your travel time by 6 hours or more; or (c) Require a connecting time of 4... Fly America Act requirements apply when I travel solely outside the United States, and a U.S. flag air... Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES...

41 CFR 301-10.137 - What exceptions to the Fly America Act requirements apply when I travel solely outside the United...

Code of Federal Regulations, 2011 CFR

2011-07-01

... or more; or (b) Extend your travel time by 6 hours or more; or (c) Require a connecting time of 4... Fly America Act requirements apply when I travel solely outside the United States, and a U.S. flag air... Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES...

41 CFR 301-10.137 - What exceptions to the Fly America Act requirements apply when I travel solely outside the United...

Code of Federal Regulations, 2012 CFR

2012-07-01

... or more; or (b) Extend your travel time by 6 hours or more; or (c) Require a connecting time of 4... Fly America Act requirements apply when I travel solely outside the United States, and a U.S. flag air... Contracts and Property Management Federal Travel Regulation System TEMPORARY DUTY (TDY) TRAVEL ALLOWANCES...

Epidemiology and Antimicrobial Resistance of International Travel-Associated Campylobacter Infections in the United States, 2005–2011

PubMed Central

Palmer, Amanda; Wymore, Katie; Clogher, Paula; Oosmanally, Nadine; Robinson, Trisha; Lathrop, Sarah; Karr, Jillian; Hatch, Julie; Dunn, John; Ryan, Patricia; Blythe, David

2014-01-01

Objectives. The objective of this study was to determine the role international travel plays in US Campylobacter epidemiology and antimicrobial resistance. Methods. In this study, epidemiological and antimicrobial resistance data, encompassing the years 2005 to 2011, from 10 sites participating in the Foodborne Diseases Active Surveillance Network were linked. The 10 sites are represented by 7 states that conducted surveillance on a statewide level, and 3 states which conducted county-level surveillance. Cases of Campylobacter among persons with history of international travel in the week prior to illness were compared with cases among individuals with no international travel. Results. Approximately 18% of Campylobacter infections were estimated to be associated with international travel, and 60% of international travel-associated infections had a quinolone-resistant Campylobacter isolate. Conclusions. We confirm that international travel plays a significant role in campylobacteriosis diagnosed in the United States. Recognizing this is important to both medical management decisions and understanding burden and attribution estimates of US campylobacteriosis and antibiotic-resistant campylobacteriosis. PMID:24832415

77 FR 20009 - Meeting of the United States Travel and Tourism Advisory Board

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-03

... Tourism Advisory Board AGENCY: International Trade Administration, U.S. Department of Commerce. ACTION... the United States Travel and Tourism Advisory Board (Board). The agenda may change to accommodate... and Tourism Advisory Board, Room 4043, 1401 Constitution Avenue NW., Washington, DC 20230, telephone...

48 CFR 3452.247-70 - Foreign travel.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Foreign travel. 3452.247-70 Section 3452.247-70 Federal Acquisition Regulations System DEPARTMENT OF EDUCATION ACQUISITION... travel” means travel outside the fifty States comprising the United States, the District of Columbia, and...

Passenger Travel Facts and Figures 2016

DOT National Transportation Integrated Search

2016-08-10

Passenger Travel Facts and Figures 2016 is a snapshot of the characteristics and trends of personal travel in the United States; the network over which passenger travel takes place; and the related economic, safety, and environmental aspects of passe...

Passenger Travel Facts and Figures 2014

DOT National Transportation Integrated Search

2014-12-17

Passenger Travel Facts and Figures 2014 is a snapshot of the characteristics and trends of personal travel in the United States; the network over which passenger travel takes place; and the related economic, safety, and environmental implications. An...

Passenger Travel Facts and Figures 2015

DOT National Transportation Integrated Search

2015-09-16

Passenger Travel Facts and Figures 2015 is a snapshot of the characteristics and trends of personal travel in the United States; the network over which passenger travel takes place; and the related economic, safety, and environmental aspects of passe...

31 CFR 560.507 - Accompanied baggage authorized.

Code of Federal Regulations, 2011 CFR

2011-07-01

... the United States directly or indirectly from Iran are authorized to import into the United States... Iran are authorized to export from the United States accompanied baggage normally incident to travel...

31 CFR 560.507 - Accompanied baggage authorized.

Code of Federal Regulations, 2010 CFR

2010-07-01

... the United States directly or indirectly from Iran are authorized to import into the United States... Iran are authorized to export from the United States accompanied baggage normally incident to travel...

8 CFR 245a.35 - Travel outside the United States.

Code of Federal Regulations, 2012 CFR

2012-01-01

... will be denied. (b) An alien granted Family Unity benefits under the LIFE Act Amendments who intends to... the LIFE Act Amendments rests solely with the Service. An alien who is granted advance authorization... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Travel outside the United States. 245a.35...

8 CFR 245a.35 - Travel outside the United States.

Code of Federal Regulations, 2014 CFR

2014-01-01

... will be denied. (b) An alien granted Family Unity benefits under the LIFE Act Amendments who intends to... the LIFE Act Amendments rests solely with the Service. An alien who is granted advance authorization... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Travel outside the United States. 245a.35...

8 CFR 245a.35 - Travel outside the United States.

Code of Federal Regulations, 2010 CFR

2010-01-01

... application will be denied. (b) An alien granted Family Unity benefits under the LIFE Act Amendments who... benefits under the LIFE Act Amendments rests solely with the Service. An alien who is granted advance... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Travel outside the United States. 245a.35...

8 CFR 245a.35 - Travel outside the United States.

Code of Federal Regulations, 2011 CFR

2011-01-01

... application will be denied. (b) An alien granted Family Unity benefits under the LIFE Act Amendments who... benefits under the LIFE Act Amendments rests solely with the Service. An alien who is granted advance... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Travel outside the United States. 245a.35...

8 CFR 245a.35 - Travel outside the United States.

Code of Federal Regulations, 2013 CFR

2013-01-01

... will be denied. (b) An alien granted Family Unity benefits under the LIFE Act Amendments who intends to... the LIFE Act Amendments rests solely with the Service. An alien who is granted advance authorization... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Travel outside the United States. 245a.35...

Living in the United States. A Brief Introduction to the Culture for Visitors, Students and Business Travelers.

ERIC Educational Resources Information Center

Hawkinson, Anni; Clark, Raymond C.

The guide provides a brief introduction to the culture and language of the United States, and is designed for visitors, students, and business travelers. It offers practical information on various aspects of daily living, including: money and banks; food; restaurants; drinking and smoking laws; hotels; postal and telecommunications services;…

31 CFR 500.518 - Payments for living, traveling, and similar personal expenses in the United States.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 3 2010-07-01 2010-07-01 false Payments for living, traveling, and similar personal expenses in the United States. 500.518 Section 500.518 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF FOREIGN ASSETS CONTROL, DEPARTMENT OF THE...

78 FR 1307 - Privacy Act of 1974; Systems of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-08

.... Table of Contents United States Mint UNITED STATES MINT .001--Cash Receivable Accounting Information System. UNITED STATES MINT .003--Employee and Former Employee Travel and Training Accounting Information... Mint [[Page 1308

Deconstructing the risk for malaria in United States donors deferred for travel to Mexico.

PubMed

Spencer, Bryan; Kleinman, Steven; Custer, Brian; Cable, Ritchard; Wilkinson, Susan L; Steele, Whitney; High, Patrick M; Wright, David

2011-11-01

More than 66,000 blood donors are deferred annually in the United States due to travel to malaria-endemic areas of Mexico. Mexico accounts for the largest share of malaria travel deferrals, yet it has extremely low risk for malaria transmission throughout most of its national territory, suggesting a suboptimal balance between blood safety and availability. This study sought to determine whether donor deferral requirements might be relaxed for parts of Mexico without compromising blood safety. Travel destination was recorded from a representative sample of presenting blood donors deferred for malaria travel from six blood centers during 2006. We imputed to these donors reporting Mexican travel a risk for acquiring malaria equivalent to Mexican residents in the destination location, adjusted for length of stay. We extrapolated these results to the overall US blood donor population. Risk for malaria in Mexico varies significantly across endemic areas and is greatest in areas infrequently visited by study donors. More than 70% of blood donor deferrals were triggered by travel to the state of Quintana Roo on the Yucatán Peninsula, an area of very low malaria transmission. Eliminating the travel deferral requirement for all areas except the state of Oaxaca might result in the recovery of almost 65,000 blood donors annually at risk of approximately one contaminated unit collected every 20 years. Deferral requirements should be relaxed for presenting donors who traveled to areas within Mexico that confer exceptionally small risks for malaria, such as Quintana Roo. © 2011 American Association of Blood Banks.

An Analysis of Mathematical Models to Improve Counter-Drug Smuggling Operations

DTIC Science & Technology

2014-09-01

users. The target input file for the optimization algorithm has one segment of one target path on each row. Thus, if a target travels along a path...organization TOS time on station TSP Travelling Salesperson Problem USCG United States Coast Guard USN United States Navy UCONN University...of Connecticut UNCLOS United Nations Convention on Law of the Sea xv EXECUTIVE SUMMARY This research is motivated by the ongoing efforts of the

Summary of National and Regional Travel Trends : 1970-1995

DOT National Transportation Integrated Search

1996-05-01

This paper summarizes travel trends in the United States and five regional areas for the period 1970-1995. Travel is summarized at the annual, monthly, weekly, and daily time scales. Data sources for this study included the annual automobile travel e...

Medical tourism: the trend toward outsourcing medical procedures to foreign countries.

PubMed

York, Diane

2008-01-01

The rising costs of medical treatment in the United States are fueling a movement to outsource medical treatment. Estimates of the number of Americans traveling overseas for treatment range from 50,000 to 500,000. Charges for common procedures such as heart bypass can be $11,000 in Thailand compared to $130,000 in the United States. Knee replacement in the United States can cost $40,000 compared to $13,000 in Singapore.A new industry, medical tourism, has been created to advise patients on the appropriate facility in the right country for their condition, handle all travel arrangements, teleconference with physicians, and send medical records. To respond to the growth in medical travel, the Joint Commission (formerly the Joint Commission on Accreditation of Health Care Organizations) initiated the Joint Commission International (JCI) to accredit hospitals worldwide. Although outcome statistics from hospitals outside the United States are rare, first-person reports on quality are numerous. Making surgery possible for uninsured and underinsured individuals or self-insured state, municipal, and private entities is a major benefit of medical tourism. Mitigating against medical travel are the lack of legal remedies in place for malpractice and the possibility that travel itself can impose risk to patients. For example, lengthy air flights where the patient is in a fixed position for hours at a time can cause embolisms. If the trend toward medical tourism continues, continuing education, credentialing, and certification services may be required to help assure patient safety.

2010-2012 California Household Travel Survey | Transportation Secure Data

Science.gov Websites

Center | NREL 0-2012 California Household Travel Survey 2010-2012 California Household Travel Survey The 2010-2012 California Household Travel Survey (CHTS) collected demographics and travel behavior regional or statewide survey ever conducted in the United States. Data Collection Agency The California

28 CFR 2.41 - Travel approval.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Travel approval. 2.41 Section 2.41..., YOUTH OFFENDERS, AND JUVENILE DELINQUENTS United States Code Prisoners and Parolees § 2.41 Travel approval. (a) The probation officer may approve travel outside the district without approval of the...

North American trade and travel trends

DOT National Transportation Integrated Search

2001-03-01

Canada and Mexico are the United States largest trading and travel partnersaccounting for one-third of the value of U.S. international tradeand are the top destinations for Americans traveling abroad. Since the North American Free Trade Agre...

32 CFR 516.54 - Witnesses for the United States.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 3 2010-07-01 2010-07-01 true Witnesses for the United States. 516.54 Section..., Travel, and Expenses of Witnesses § 516.54 Witnesses for the United States. (a) Status of witness. A military member authorized to appear as a witness for the United States, including those authorized to...

32 CFR 516.54 - Witnesses for the United States.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 32 National Defense 3 2013-07-01 2013-07-01 false Witnesses for the United States. 516.54 Section..., Travel, and Expenses of Witnesses § 516.54 Witnesses for the United States. (a) Status of witness. A military member authorized to appear as a witness for the United States, including those authorized to...

32 CFR 516.54 - Witnesses for the United States.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 3 2011-07-01 2009-07-01 true Witnesses for the United States. 516.54 Section..., Travel, and Expenses of Witnesses § 516.54 Witnesses for the United States. (a) Status of witness. A military member authorized to appear as a witness for the United States, including those authorized to...

26 CFR 49.4261-5 - Payments made outside the United States.

Code of Federal Regulations, 2010 CFR

2010-04-01

... travel under section 4262(b), the tax imposed by section 4261(b), shall not apply unless the... made outside the United States for one-way or round-trip transportation between a point within the United States and a point outside the United States. (b) Transportation between two or more points in the...

5 CFR 630.207 - Travel time.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Travel time. 630.207 Section 630.207... and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title 5, United States Code, is inclusive of the time necessarily...

5 CFR 630.207 - Travel time.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Travel time. 630.207 Section 630.207... and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title 5, United States Code, is inclusive of the time necessarily...

5 CFR 630.207 - Travel time.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Travel time. 630.207 Section 630.207... and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title 5, United States Code, is inclusive of the time necessarily...

5 CFR 630.207 - Travel time.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Travel time. 630.207 Section 630.207... and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title 5, United States Code, is inclusive of the time necessarily...

5 CFR 630.207 - Travel time.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Travel time. 630.207 Section 630.207... and General Provisions for Annual and Sick Leave § 630.207 Travel time. The travel time granted an employee under section 6303(d) of title 5, United States Code, is inclusive of the time necessarily...

77 FR 5681 - Establishment of Global Entry Program

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-06

... Joint Declaration between DHS and the Secretariat of Governance of the United Mexican States, through... Global Entry, including airlines, hotels, travel and tourism companies, national business travelers... Nationals DHS, through CBP, has issued a Joint Declaration with the Secretariat of Governance of the United...

Pupil transportation : travel behavior, traffic impacts, and potentials for improvement.

DOT National Transportation Integrated Search

2010-11-24

"Although the student transportation industry has been the largest single carrier of passengers in the United States for several decades, there is very limited information on student travel behavior and preferences, impacts of student travel mode cho...

First confirmed cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection in the United States, updated information on the epidemiology of MERS-CoV infection, and guidance for the public, clinicians, and public health authorities - May 2014.

PubMed

Bialek, Stephanie R; Allen, Donna; Alvarado-Ramy, Francisco; Arthur, Ray; Balajee, Arunmozhi; Bell, David; Best, Susan; Blackmore, Carina; Breakwell, Lucy; Cannons, Andrew; Brown, Clive; Cetron, Martin; Chea, Nora; Chommanard, Christina; Cohen, Nicole; Conover, Craig; Crespo, Antonio; Creviston, Jeanean; Curns, Aaron T; Dahl, Rebecca; Dearth, Stephanie; DeMaria, Alfred; Echols, Fred; Erdman, Dean D; Feikin, Daniel; Frias, Mabel; Gerber, Susan I; Gulati, Reena; Hale, Christa; Haynes, Lia M; Heberlein-Larson, Lea; Holton, Kelly; Ijaz, Kashef; Kapoor, Minal; Kohl, Katrin; Kuhar, David T; Kumar, Alan M; Kundich, Marianne; Lippold, Susan; Liu, Lixia; Lovchik, Judith C; Madoff, Larry; Martell, Sandra; Matthews, Sarah; Moore, Jessica; Murray, Linda R; Onofrey, Shauna; Pallansch, Mark A; Pesik, Nicki; Pham, Huong; Pillai, Satish; Pontones, Pam; Pringle, Kimberly; Pritchard, Scott; Rasmussen, Sonja; Richards, Shawn; Sandoval, Michelle; Schneider, Eileen; Schuchat, Anne; Sheedy, Kristine; Sherin, Kevin; Swerdlow, David L; Tappero, Jordan W; Vernon, Michael O; Watkins, Sharon; Watson, John

2014-05-16

Since mid-March 2014, the frequency with which cases of Middle East respiratory syndrome coronavirus (MERS-CoV) infection have been reported has increased, with the majority of recent cases reported from Saudi Arabia and United Arab Emirates (UAE). In addition, the frequency with which travel-associated MERS cases have been reported and the number of countries that have reported them to the World Health Organization (WHO) have also increased. The first case of MERS in the United States, identified in a traveler recently returned from Saudi Arabia, was reported to CDC by the Indiana State Department of Health on May 1, 2014, and confirmed by CDC on May 2. A second imported case of MERS in the United States, identified in a traveler from Saudi Arabia having no connection with the first case, was reported to CDC by the Florida Department of Health on May 11, 2014. The purpose of this report is to alert clinicians, health officials, and others to increase awareness of the need to consider MERS-CoV infection in persons who have recently traveled from countries in or near the Arabian Peninsula. This report summarizes recent epidemiologic information, provides preliminary descriptions of the cases reported from Indiana and Florida, and updates CDC guidance about patient evaluation, home care and isolation, specimen collection, and travel as of May 13, 2014.

Hepatitis B vaccination coverage among adults aged ≥18 years traveling to a country of high or intermediate endemicity, United States, 2015.

PubMed

Lu, Peng-Jun; O'Halloran, Alissa C; Williams, Walter W; Nelson, Noele P

2018-04-28

Persons from the United States who travel to developing countries are at substantial risk for hepatitis B virus (HBV) infection. Hepatitis B vaccine has been recommended for adults at increased risk for infection, including travelers to high or intermediate hepatitis B endemic countries. To assess hepatitis B vaccination coverage among adults ≥18 years traveling to a country of high or intermediate endemicity from the United States. Data from the 2015 National Health Interview Survey (NHIS) were analyzed to determine hepatitis B vaccination coverage (≥1 dose) and series completion (≥3 doses) among persons aged ≥18 years who reported traveling to a country of high or intermediate hepatitis B endemicity. Multivariable logistic regression and predictive marginal analyses were conducted to identify factors independently associated with hepatitis B vaccination. In 2015, hepatitis B vaccination coverage (≥1 dose) among adults aged ≥18 years who reported traveling to high or intermediate hepatitis B endemic countries was 38.6%, significantly higher compared with 25.9% among non-travelers. Series completion (≥3 doses) was 31.7% and 21.2%, respectively (P < 0.05). On multivariable analysis among all respondents, travel status was significantly associated with hepatitis B vaccination coverage and series completion. Other characteristics independently associated with vaccination (≥1 dose, and ≥3 doses) among travelers included age, race/ethnicity, educational level, duration of US residence, number of physician contacts in the past year, status of ever being tested for HIV, and healthcare personnel status. Although travel to a country of high or intermediate hepatitis B endemicity was associated with higher likelihood of hepatitis B vaccination, hepatitis B vaccination coverage was low among adult travelers to these areas. Healthcare providers should ask their patients about travel plans and recommend and offer travel related vaccinations to their patients or refer them to alternate sites for vaccination. Published by Elsevier Ltd.

Hepatitis B vaccination coverage among adults aged ≥ 18 years traveling to a country of high or intermediate endemicity, United States, 2015.

PubMed

Lu, Peng-Jun; O'Halloran, Alissa C; Williams, Walter W; Nelson, Noele P

2018-04-25

Persons from the United States who travel to developing countries are at substantial risk for hepatitis B virus (HBV) infection. Hepatitis B vaccine has been recommended for adults at increased risk for infection, including travelers to high or intermediate hepatitis B endemic countries. To assess hepatitis B vaccination coverage among adults ≥ 18 years traveling to a country of high or intermediate endemicity from the United States. Data from the 2015 National Health Interview Survey (NHIS) were analyzed to determine hepatitis B vaccination coverage (≥1 dose) and series completion (≥3 doses) among persons aged ≥ 18 years who reported traveling to a country of high or intermediate hepatitis B endemicity. Multivariable logistic regression and predictive marginal analyses were conducted to identify factors independently associated with hepatitis B vaccination. In 2015, hepatitis B vaccination coverage (≥1 dose) among adults aged ≥ 18 years who reported traveling to high or intermediate hepatitis B endemic countries was 38.6%, significantly higher compared with 25.9% among non-travelers. Series completion (≥3 doses) was 31.7% and 21.2%, respectively (P < 0.05). On multivariable analysis among all respondents, travel status was significantly associated with hepatitis B vaccination coverage and series completion. Other characteristics independently associated with vaccination (≥1 dose, and ≥ 3 doses) among travelers included age, race/ethnicity, educational level, duration of U.S. residence, number of physician contacts in the past year, status of ever being tested for HIV, and healthcare personnel status. Although travel to a country of high or intermediate hepatitis B endemicity was associated with higher likelihood of hepatitis B vaccination, hepatitis B vaccination coverage was low among adult travelers to these areas. Healthcare providers should ask their patients about travel plans and recommend and offer travel related vaccinations to their patients or refer them to alternate sites for vaccination. Published by Elsevier Ltd.

Cholera in the United States, 1965-1991. Risks at home and abroad.

PubMed

Weber, J T; Levine, W C; Hopkins, D P; Tauxe, R V

1994-03-14

To assess risks for cholera in the United States. Review of published reports of cholera outbreaks and sporadic cases and Centers for Disease Control and Prevention (CDC) memoranda and laboratory reports. Persons with symptomatic laboratory-diagnosed cholera treated in the United States and territories. From 1965 through 1991, 136 cases of cholera were reported. Fifty-three percent of the patients were hospitalized and three persons died (case-fatality rate, 0.02). Ninety-three infections were acquired in the United States and 42 overseas; for one case the source was unknown. Domestically acquired cholera was largely related to the endemic Gulf Coast focus of Vibrio cholerae 01 (56 cases). The major domestic food vehicle was shellfish, particularly crabs harvested from the Gulf of Mexico or nearby estuaries. In 1991, 14 (54%) of 26 domestically acquired cases were caused by food from Ecuador (n = 11) and Thailand (n = 3). During 1991, the first cases of cholera in travelers returning from South America were reported. In 1991, the rate of cholera among air travelers returning from South America was estimated as 0.3 per 100,000; among air travelers returning from Ecuador, 2.6 per 100,000. Cholera remains a small but persistent risk in the United States and for travelers. An endemic focus on the Gulf Coast, the continuing global pandemic, and the epidemic in South America make this likely to continue for years to come. Physicians should know how to diagnose and treat cholera and should report all suspected cases to their state health departments.

511, America's traveler information number. Deployment assistance report #4, 511 regional interoperability issues

DOT National Transportation Integrated Search

2003-03-01

On July 21, 2000, the FCC designated 511 as the United States' national travel information telephone number. The FCC ruling leaves nearly all implementation issues and schedules to state and local agencies and telecommunications carriers. In early 20...

Hepatitis A vaccination coverage among adults 18-49 years traveling to a country of high or intermediate endemicity, United States.

PubMed

Lu, Peng-Jun; Byrd, Kathy K; Murphy, Trudy V

2013-05-01

Since 1996, hepatitis A vaccine (HepA) has been recommended for adults at increased risk for infection including travelers to high or intermediate hepatitis A endemic countries. In 2009, travel outside the United States and Canada was the most common exposure nationally reported for persons with hepatitis A virus (HAV) infection. To assess HepA vaccination coverage among adults 18-49 years traveling to a country of high or intermediate endemicity in the United States. We analyzed data from the 2010 National Health Interview Survey (NHIS), to determine self-reported HepA vaccination coverage (≥1 dose) and series completion (≥2 dose) among persons 18-49 years who traveled, since 1995, to a country of high or intermediate HAV endemicity. Multivariable logistic regression and predictive marginal analyses were conducted to identify factors independently associated with HepA vaccine receipt. In 2010, approximately 36.6% of adults 18-49 years reported traveling to high or intermediate hepatitis A endemic countries; among this group unadjusted HepA vaccination coverage was 26.6% compared to 12.7% among non-travelers (P-values<0.001) and series completion were 16.9% and 7.6%, respectively (P-values<0.001). On multivariable analysis among all respondents, travel status was an independent predictor of HepA coverage and series completion (both P-values<0.001). Among travelers, HepA coverage and series completion (≥2 doses) were higher for travelers 18-25 years (prevalence ratios 2.3, 2.8, respectively, P-values<0.001) and for travelers 26-39 years (prevalence ratios 1.5, 1.5, respectively, P-value<0.001, P-value=0.002, respectively) compared to travelers 40-49 years. Other characteristics independently associated with a higher likelihood of HepA receipt among travelers included Asian race/ethnicity, male sex, never having been married, having a high school or higher education, living in the western United States, having greater number of physician contacts or receipt of influenza vaccination in the previous year. HepB vaccination was excluded from the model because of the significant correlation between receipt of HepA vaccination and HepB vaccination could distort the model. Although travel to a country of high or intermediate hepatitis A endemicity was associated with higher likelihood of HepA vaccination in 2010 among adults 18-49 years, self-reported HepA vaccination coverage was low among adult travelers to these areas. Healthcare providers should ask their patients' upcoming travel plans and recommend and offer travel related vaccinations to their patients. Published by Elsevier Ltd.

Hepatitis A vaccination coverage among adults 18–49 years traveling to a country of high or intermediate endemicity, United States

PubMed Central

Lu, Peng-jun; Byrd, Kathy K.; Murphy, Trudy V.

2018-01-01

Background Since 1996, hepatitis A vaccine (HepA) has been recommended for adults at increased risk for infection including travelers to high or intermediate hepatitis A endemic countries. In 2009, travel outside the United States and Canada was the most common exposure nationally reported for persons with hepatitis A virus (HAV) infection. Objective To assess HepA vaccination coverage among adults 18–49 years traveling to a country of high or intermediate endemicity in the United States. Methods We analyzed data from the 2010 National Health Interview Survey (NHIS), to determine self-reported HepA vaccination coverage (≥1 dose) and series completion (≥2 dose) among persons 18–49 years who traveled, since 1995, to a country of high or intermediate HAV endemicity. Multivariable logistic regression and predictive marginal analyses were conducted to identify factors independently associated with HepA vaccine receipt. Results In 2010, approximately 36.6% of adults 18–49 years reported traveling to high or intermediate hepatitis A endemic countries; among this group unadjusted HepA vaccination coverage was 26.6% compared to 12.7% among non-travelers (P-values < 0.001) and series completion were 16.9% and 7.6%, respectively (P-values < 0.001). On multivariable analysis among all respondents, travel status was an independent predictor of HepA coverage and series completion (both P-values < 0.001). Among travelers, HepA coverage and series completion (≥2 doses) were higher for travelers 18–25 years (prevalence ratios 2.3, 2.8, respectively, P-values < 0.001) and for travelers 26–39 years (prevalence ratios 1.5, 1.5, respectively, P-value < 0.001, P-value = 0.002, respectively) compared to travelers 40–49 years. Other characteristics independently associated with a higher likelihood of HepA receipt among travelers included Asian race/ethnicity, male sex, never having been married, having a high school or higher education, living in the western United States, having greater number of physician contacts or receipt of influenza vaccination in the previous year. HepB vaccination was excluded from the model because of the significant correlation between receipt of HepA vaccination and HepB vaccination could distort the model. Conclusions Although travel to a country of high or intermediate hepatitis A endemicity was associated with higher likelihood of HepA vaccination in 2010 among adults 18–49 years, self-reported HepA vaccination coverage was low among adult travelers to these areas. Healthcare providers should ask their patients’ upcoming travel plans and recommend and offer travel related vaccinations to their patients. PMID:23523408

50 CFR 23.49 - What are the requirements for an exhibition traveling internationally?

Code of Federal Regulations, 2014 CFR

2014-10-01

... exhibition traveling internationally? 23.49 Section 23.49 Wildlife and Fisheries UNITED STATES FISH AND... Conditions § 23.49 What are the requirements for an exhibition traveling internationally? (a) Purpose..., artificially propagated, or pre-Convention and are part of a traveling exhibition. (b) U.S. and foreign general...

78 FR 10608 - David Grant United States Air Force Medical Center Specialty Care Travel Reimbursement...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-14

... appropriately trained provider within 4 weeks or sooner, if required, and within 1-hour travel time from the beneficiary's residence. The geographic area that represents 1-hour travel time surrounding an MTF is referred... Specialty Care Travel Reimbursement Demonstration Project AGENCY: Department of Defense. ACTION: Notice of...

U.S. international travel and transportation trends : 2006 update

DOT National Transportation Integrated Search

2006-09-01

This report presents data on international travel to and from the United States. It combines data from a variety of sources (see box) to provide a more complete picture of U.S.-international travel than is available from individual sources. This repo...

Empirical Evidence for the Effect of Airline Travel on Inter-Regional Influenza Spread in the United States

PubMed Central

Brownstein, John S; Wolfe, Cecily J; Mandl, Kenneth D

2006-01-01

Background The influence of air travel on influenza spread has been the subject of numerous investigations using simulation, but very little empirical evidence has been provided. Understanding the role of airline travel in large-scale influenza spread is especially important given the mounting threat of an influenza pandemic. Several recent simulation studies have concluded that air travel restrictions may not have a significant impact on the course of a pandemic. Here, we assess, with empirical data, the role of airline volume on the yearly inter-regional spread of influenza in the United States. Methods and Findings We measured rate of inter-regional spread and timing of influenza in the United States for nine seasons, from 1996 to 2005 using weekly influenza and pneumonia mortality from the Centers for Disease Control and Prevention. Seasonality was characterized by band-pass filtering. We found that domestic airline travel volume in November (mostly surrounding the Thanksgiving holiday) predicts the rate of influenza spread (r 2 = 0.60; p = 0.014). We also found that international airline travel influences the timing of influenza mortality (r 2 = 0.59; p = 0.016). The flight ban in the US after the terrorist attack on September 11, 2001, and the subsequent depression of the air travel market, provided a natural experiment for the evaluation of flight restrictions; the decrease in air travel was associated with a delayed and prolonged influenza season. Conclusions We provide the first empirical evidence for the role of airline travel in long-range dissemination of influenza. Our results suggest an important influence of international air travel on the timing of influenza introduction, as well as an influence of domestic air travel on the rate of inter-regional influenza spread in the US. Pandemic preparedness strategies should account for a possible benefit of airline travel restrictions on influenza spread. PMID:16968115

Flu Symptoms & Complications

MedlinePlus

... Travelers Flu Activity & Surveillance CDC's WHO Collaborating Center Situation Update: Summary of Weekly FluView Overview of Influenza Surveillance in the United States Current United States Flu Activity Map Weekly U.S. Influenza ...

RESEARCH: An Ecoregional Approach to the Economic Valuation of Land- and Water-Based Recreation in the United States

PubMed

Bhat; Bergstrom; Teasley; Bowker; Cordell

1998-01-01

/ This paper describes a framework for estimating the economic value of outdoor recreation across different ecoregions. Ten ecoregions in the continental United States were defined based on similarly functioning ecosystem characters. The individual travel cost method was employed to estimate recreation demand functions for activities such as motor boating and waterskiing, developed and primitive camping, coldwater fishing, sightseeing and pleasure driving, and big game hunting for each ecoregion. While our ecoregional approach differs conceptually from previous work, our results appear consistent with the previous travel cost method valuation studies.KEY WORDS: Recreation; Ecoregion; Travel cost method; Truncated Poisson model

Prevention and control of rabies in an age of global travel: a review of travel- and trade-associated rabies events--United States, 1986-2012.

PubMed

Lankau, E W; Cohen, N J; Jentes, E S; Adams, L E; Bell, T R; Blanton, J D; Buttke, D; Galland, G G; Maxted, A M; Tack, D M; Waterman, S H; Rupprecht, C E; Marano, N

2014-08-01

Rabies prevention and control efforts have been successful in reducing or eliminating virus circulation regionally through vaccination of specific reservoir populations. A notable example of this success is the elimination of canine rabies virus variant from the United States and many other countries. However, increased international travel and trade can pose risks for rapid, long-distance movements of ill or infected persons or animals. Such travel and trade can result in human exposures to rabies virus during travel or transit and could contribute to the re-introduction of canine rabies variant or transmission of other viral variants among animal host populations. We present a review of travel- and trade-associated rabies events that highlight international public health obligations and collaborative opportunities for rabies prevention and control in an age of global travel. Rabies is a fatal disease that warrants proactive coordination among international public health and travel industry partners (such as travel agents, tour companies and airlines) to protect human lives and to prevent the movement of viral variants among host populations. Published 2013. This article is a U.S. Government work and is in the public domain in the USA.

2012 household travel survey symposium : conference summary and final report.

DOT National Transportation Integrated Search

2013-12-01

The SWUTC Travel Survey Symposium was held in Dallas on November 8 and 9. More than 70 travel : survey professionals attended this event from across the United States, from Florida to Alaska, with one : attendee from the City of Calgary (Canada), rep...

Army Support to the United States Border Patrol in the 21st Century

DTIC Science & Technology

2011-05-19

and Lieutenant Colonel (Promotable) Clifford J. Weinstein (United States Marine Corps). Thank you for letting me travel this important journey and...Operating Bases in Deming and Playas , New Mexico. The 4-14 CAV was preparing for its deployment to the Joint Readiness Training Center (JRTC) at Fort Polk...write strategic policy. Once a suitable bench of key planners comes back to USBP, they can travel throughout the UCs and train other agents across the

8 CFR 207.1 - Eligibility.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., such as (i) right to property ownership, (ii) travel documentation, (iii) education, (iv) public... United States and has travelled to and entered that country as a consequence of his/her flight from...

28 CFR 0.76 - Specific functions.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., promulgation of policies for travel, transportation, and relocation expenses, and issuance of necessary...) Approving per diem allowances for travel by airplane, train or boat outside the continental United States in accordance with paragraph 1-7.2 of the Federal Travel Regulations (FPMR 101-7). (d) Exercising the claims...

A travel clinic in your office: grow your practice and protect international travelers.

PubMed

Kirsch, Michael

2009-01-01

Medical practices today face economic challenges from declining reimbursements and rising overhead costs. Physicians need to develop new income sources to invigorate their practices and remain viable. Travel medicine-advising and immunizing international travelers-is a rapidly growing specialty in the United States that generates substantial cash reimbursements and professional satisfaction. Travel Clinics of America, a physician-operated company, specializes in helping physicians to incorporate travel medicine into their existing practices.

20 CFR 655.535 - The second attestation element for locations in Alaska: Employment of United States longshore...

Code of Federal Regulations, 2011 CFR

2011-04-01

...)(A) Travel time to the vessel does not exceed one-half hour each way; and (B) Travel distance to the..., and Klawock/Craig, Alaska, travel time does not exceed 45 minutes each way and travel distance to the... shall develop and maintain documentation to meet the employer's burden of proof. Such documentation...

77 FR 3373 - Establishing Visa and Foreign Visitor Processing Goals and the Task Force On Travel and...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-24

... follows: Section 1. Policy. The travel and tourism industry is one of our Nation's leading service sectors... requirements imposed after 2001. Given the importance of the travel and tourism industry to the U.S. economy... support a prosperous and secure travel and tourism industry in the United States. Steady progress has been...

User group deployment : Puget Sound Help Me (PuSHMe) Operational Test. Task 3 technical memorandum

DOT National Transportation Integrated Search

1996-05-01

This paper summarizes travel trends in the United States and five regional areas for the period 1970-1995. Travel is summarized at the annual, monthly, weekly, and daily time scales. Data sources for this study included the annual automobile travel e...

Cuba: Issues for the 109th Congress

DTIC Science & Technology

2006-12-19

from Cuban nationals outside of the United States. CRS-4 On January 23, 2006, OFAC suspended a South Florida travel agency, La Estrella de Cuba...one of the largest licensed travel service providers in Florida, La Estrella de Cuba, from booking travel to Cuba. Another three agencies had their

The case for moderate growth in vehicle miles of travel : a critical juncture in U.S. travel behavior trends

DOT National Transportation Integrated Search

2006-04-01

This report hypothesizes that the United States has reached a critical juncture in terms of national mobility trends and underlying socio-demographic conditions and travel behavior that will result in more moderate rates of annual vehicle miles of tr...

Aviation Careers Series: Pilots and Flight Engineers

DOT National Transportation Integrated Search

1996-01-31

Increasing travel in the United States is threatening the mobility the nations surface transportation system provides. Congestion, particularly in urbanized areas and along heavily traveled intercity corridors, is increasing dramatically. The cost...

Rural ITS

DOT National Transportation Integrated Search

1999-04-01

Rural intelligent transportation systems (ITS) refers to that portion of the ITS program that focuses on travelers' and operators' needs in non-urbanized areas of the United States. As such, it involves interurban/interstate travel, small communities...

A patient mobility framework that travels: European and United States-Mexican comparisons.

PubMed

Laugesen, Miriam J; Vargas-Bustamante, Arturo

2010-10-01

To develop a framework that parsimoniously explains divergent patient mobility in the United States and Europe. Review of studies of patient mobility; data from the 2007 Flash Eurobarometer and the 2001 California Health Interview Survey was analyzed; and we reviewed government policies and documents in the United States and Europe. Four types of patient mobility are defined: primary, complementary, duplicative, and institutionalized. Primary exit occurs when people without comprehensive insurance travel because they cannot afford to pay for health insurance or directly finance care, as in the United States and Mexico. Second, people will exit to buy complementary services not covered, or partially covered by domestic health insurance, in both the United States and Europe. Third, in Europe, patient mobility for duplicative services provides faster or better quality treatment. Finally, governments and insurers can encourage institutionalized exit through expanded delivery options and financing. Institutionalized exit is developing in Europe, but uncoordinated and geographically limited in the United States. This parsimonious framework explains patient mobility by considering domestic health system characteristics relating to cost and quality. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.

Synthesis of Kentucky's traveler information systems.

DOT National Transportation Integrated Search

2016-08-01

After the United States Department of Transportation (USDOT) petitioned the Federal Communications Commission (FCC) to establish a dedicated phone number for real-time travel information services, the abbreviated 511 dialing code was founded in July ...

Synthesis of Kentucky's traveler information systems.

DOT National Transportation Integrated Search

2016-08-01

After the United States Department of Transportation (USDOT) petitioned the Federal Communications Commission (FCC) to establish : a dedicated phone number for real-time travel information services, the abbreviated 511 dialing code was founded in Jul...

Interim Procedures Safeguarding Mobile Devices during International Travel

EPA Pesticide Factsheets

This procedure is for safeguarding EPA information and systems for all employees, contractors, and other users while on international travel or to specifically designated locations within the United States and foreign embassies.

22 CFR 53.2 - Exceptions.

Code of Federal Regulations, 2011 CFR

2011-04-01

... DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.2 Exceptions. (a) U.S. citizens, as defined in § 41.0 of this chapter, are not required to bear U.S. passports when traveling... required to bear a valid U.S. passport to enter or depart the United States: (1) When traveling as a member...

22 CFR 53.2 - Exceptions.

Code of Federal Regulations, 2012 CFR

2012-04-01

... DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.2 Exceptions. (a) U.S. citizens, as defined in § 41.0 of this chapter, are not required to bear U.S. passports when traveling... required to bear a valid U.S. passport to enter or depart the United States: (1) When traveling as a member...

22 CFR 53.2 - Exceptions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.2 Exceptions. (a) U.S. citizens, as defined in § 41.0 of this chapter, are not required to bear U.S. passports when traveling... required to bear a valid U.S. passport to enter or depart the United States: (1) When traveling as a member...

22 CFR 53.2 - Exceptions.

Code of Federal Regulations, 2013 CFR

2013-04-01

... DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.2 Exceptions. (a) U.S. citizens, as defined in § 41.0 of this chapter, are not required to bear U.S. passports when traveling... required to bear a valid U.S. passport to enter or depart the United States: (1) When traveling as a member...

22 CFR 53.2 - Exceptions.

Code of Federal Regulations, 2014 CFR

2014-04-01

... DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.2 Exceptions. (a) U.S. citizens, as defined in § 41.0 of this chapter, are not required to bear U.S. passports when traveling... required to bear a valid U.S. passport to enter or depart the United States: (1) When traveling as a member...

On the trail of preventing meningococcal disease: a survey of students planning to travel to the United States.

PubMed

Huang, Hsien-Liang; Cheng, Shao-Yi; Lee, Long-Teng; Yao, Chien-An; Chu, Chia-Wei; Lu, Chia-Wen; Chiu, Tai-Yuan; Huang, Kuo-Chin

2013-01-01

College freshmen living in dormitories are at increased risk for meningococcal disease. Many students become a high-risk population when they travel to the United States. This study surveyed the knowledge, attitudes toward, and behavior surrounding the disease among Taiwanese college students planning to study in the United States, and to identify factors that may affect willingness to accept meningococcal vaccination. A cross-sectional survey of college students going to study in the United States was conducted in a medical center-based travel medicine clinic. Background information, attitudes, general knowledge, preventive or postexposure management, and individual preventive practices were collected through a structured questionnaire. A total of 358 students were included in the final analysis. More than 90% of participants believed that preventing meningococcal disease was important. However, fewer than 50% of students accurately answered six of nine questions exploring knowledge of the disease, and only 17.3% of students knew the correct management strategy after close contact with patients. Logistic regression analysis showed that students who understood the mode of transmission (odds ratio: 3.21, 95% CI = 1.117-9.229), medication management (1.88, 1.045-3.38), and epidemiology (2.735, 1.478-5.061) tended to be vaccinated. Despite an overall positive attitude toward meningococcal vaccination, there was poor knowledge about meningococcal disease. Promoting education on the mode of transmission, epidemiology, and pharmacological management of the disease could increase vaccination rates. Both the governments and travel medicine specialists should work together on developing an education program for this high-risk group other than just requiring vaccination. © 2013 International Society of Travel Medicine.

Risk factors for infections in international travelers: an analysis of travel-related notifiable communicable diseases.

PubMed

Baer, Atar; Libassi, Lisa; Lloyd, Jennifer K; Benoliel, Eileen; Brucker, Rachel; Jones, Megan Q; Kwan-Gett, Tao Sheng; McKeirnan, Shelly; Pecha, Monica; Rietberg, Krista; Serafin, Lauri; Walkinshaw, Lina P; Duchin, Jeffrey S

2014-01-01

We sought to describe travel-related illness among our residents and gain insight into targeting pre-travel health advice to prevent travel-related illness. A supplemental travel questionnaire was developed and administered for cases with a legally notifiable communicable disease reported in 2011-2012, who spent at least part of their exposure period outside the United States. Among 451 cases meeting the eligibility criteria, 259 were interviewed. Forty four percent reported receiving pre-travel advice. Two-thirds adhered fully with risk behavior recommendations; 94% followed immunization recommendations partially or fully; and 84% adhered fully with malaria prophylaxis recommendations. The primary reasons for not obtaining pre-travel advice were being unaware of the need (47.5%), or believing they already knew what to do (34.5%). Adults (OR = 2.8, 95% CI = 1.4-5.5), males (OR = 1.8, 95% CI = 1.1-3.0), those born outside the United States (OR = 2.0, 95% CI = 1.1-3.7), and those with planning time under two weeks (OR = 4.8, 95% CI = 1.5-15.9) or travel duration less than 7 days (OR = 7.9, 95% CI = 3.0-20.9) were more likely to travel without seeking pre-travel advice. The majority of cases reported not receiving pre-travel advice. Understanding the predictors of failure to receive pre-travel advice may help target public health prevention efforts. Copyright © 2014 Elsevier Ltd. All rights reserved.

20 CFR 655.535 - The second attestation element for locations in Alaska: Employment of United States longshore...

Code of Federal Regulations, 2010 CFR

2010-04-01

...)(A) Travel time to the vessel does not exceed one-half hour each way; and (B) Travel distance to the vessel from the point of embarkation does not exceed 5 miles; for purposes of this section, “point of..., and Klawock/Craig, Alaska, travel time does not exceed 45 minutes each way and travel distance to the...

48 CFR 47.403-1 - Availability and unavailability of U.S.-flag air carrier service.

Code of Federal Regulations, 2014 CFR

2014-10-01

... the time in a travel status, including delay at origin and accelerated arrival at destination, by at... gateway airport in the United States would extend time in a travel status by at least 6 hours more than... the time in a travel status by at least 6 hours more than travel by a foreign-flag air carrier...

48 CFR 47.403-1 - Availability and unavailability of U.S.-flag air carrier service.

Code of Federal Regulations, 2010 CFR

2010-10-01

... the time in a travel status, including delay at origin and accelerated arrival at destination, by at... gateway airport in the United States would extend time in a travel status by at least 6 hours more than... the time in a travel status by at least 6 hours more than travel by a foreign-flag air carrier...

75 FR 69080 - Federal Travel Regulation (FTR)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-10

... GENERAL SERVICES ADMINISTRATION Federal Travel Regulation (FTR) Fly America Act; United States and European Union ``Open Skies'' Air Transport Agreement (US-EU Open Skies Agreement) AGENCY: Office of Governmentwide Policy, General Services Administration (GSA). [[Page 69081

76 FR 37153 - The Travelers Indemnity Company, A Wholly-Owned Subsidiary of the Travelers Companies, Inc...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-24

... United States Reporting to Knoxville, TN; Amended Certification Regarding Eligibility To Apply for Worker.... 2273, the Department of Labor issued a Certification of Eligibility to Apply for Worker Adjustment Assistance on March 25, 2011, applicable to workers of The Travelers Indemnity Company, a wholly-owned...

32 CFR 716.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Corps when ordered to annual training duty for 14 days or more, and while performing authorized travel..., or (2) as a midshipman at the United States Naval Academy, and (3) authorized travel to or from such...) Authorized travel to or from such duty. (d) Inactive-duty training. Such term is defined as any of the...

77 FR 71432 - Agency Information Collection Activities: Application for Travel Document, Form Number I-131...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-30

...-0013] Agency Information Collection Activities: Application for Travel Document, Form Number I-131... information collection as DACA recipients that can establish a need to travel outside of the United States based on humanitarian, employment or education reasons will be able to request advance parole documents...

78 FR 2627 - Fees for Official Inspection and Official Weighing Services Under the United States Grain...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-14

... compensation and benefits, travel, rent, communications, utilities, contractual services, supplies, and...- contract rate, plus the prevailing Toledo field office tonnage fee, plus the actual cost of travel. GIPSA... weighing services to recover its costs and build an operating reserve. Fees for foreign travel would be...

Travel and the Consumer 1974.

ERIC Educational Resources Information Center

Idleman, Hillis K.

The State Education Department of New York has prepared a series of modules--Expanded Programs in Consumer Education. "Travel and the Consumer" is the most recently produced module. It can be used as a discrete unit or with others in the series. The module stresses the importance of making travel creative, getting the most for one's…

Traveling Uncharted Waters: The Exchange of Government Information between the United States and China.

ERIC Educational Resources Information Center

Wang, Rui

1998-01-01

Describes a program established between the United States and China for exchange of government publications through their national libraries, the Library of Congress and the National Library of China. Challenges to the program, including the shift to electronic formats in the United States and government Internet censorship in China, are…

Inadequate Diagnosis and Treatment of Malaria Among Travelers Returning from Africa During the Ebola Epidemic--United States, 2014-2015.

PubMed

Tan, Kathrine R; Cullen, Karen A; Koumans, Emilia H; Arguin, Paul M

2016-01-22

Among 1,683 persons in the United States who developed malaria following international travel during 2012, more than half acquired disease in one of 16 countries in West Africa. Since March 2014, West Africa has experienced the world's largest epidemic of Ebola virus disease (Ebola), primarily affecting Guinea, Sierra Leone, and Liberia; in 2014, approximately 20,000 Ebola cases were reported. Both Ebola and malaria are often characterized by fever and malaise and can be clinically indistinguishable, especially early in the course of disease. Immediate laboratory testing is critical for diagnosis of both Ebola and malaria, so that appropriate lifesaving treatment can be initiated. CDC recommends prompt malaria testing of patients with fever and history of travel to an area that is endemic for malaria, using blood smear microscopy, with results available within a few hours. Empiric treatment of malaria is not recommended by CDC. Reverse transcription-polymerase chain reaction (RT-PCR) testing is recommended to diagnose Ebola. During the Ebola outbreak in West Africa, CDC received reports of delayed laboratory testing for malaria in travelers returning to the United States because of infection control concerns related to Ebola. CDC reviewed documented calls to its malaria consultation service and selected three patient cases to present as examples of deficiencies in the evaluation and treatment of malaria among travelers returning from Africa during the Ebola epidemic.

International travel and exposure risks in solid-organ transplant recipients.

PubMed

Uslan, Daniel Z; Patel, Robin; Virk, Abinash

2008-08-15

Although solid-organ transplant recipients (SOTR) have an increased risk of acquiring illnesses, they may not receive optimal pretravel care. We conducted a cross-sectional survey of travel activities and outcomes among SOTR. Two thousand five hundred fifty-four consecutive living SOTR from Mayo Clinic were surveyed regarding travel practices, pretravel counseling, exposure risks, and illness using a previously standardized and validated questionnaire. One thousand one hundred thirty SOTR (44%) responded to the survey and were included in the study. The most common transplanted organs were liver (519 patients) and kidney (515 patients). Three hundred and three (27%) respondents reported travel outside of the United States or Canada after their transplant. Liver recipients were more likely to travel than other organ recipients. Ninety-six percent of travelers reported that they did not seek specific pretravel healthcare before their trip. Forty-nine SOTR (16%) traveled to destinations at higher risk for infectious diseases; travelers to these destinations were more likely to be men (73% vs. 54% of low-infection risk travelers, P=0.018) or born outside the United Stated or Canada (29% vs. 6% P<0.0001). Twenty-four travelers (8%) required medical attention because of illness; illness was more likely among travelers to high-infection risk (18%) than low-risk (6%) destinations, P=0.004. International travel was common after solid organ transplantation, although the majority traveled to destinations at low risk for infectious disease. Although generally SOTR were able to travel safely, travelers to destinations at high-risk for infection had a significant rate of illness. Pretravel counseling and interventions were infrequent and should be improved.

Deconstructing the Risk for Malaria in United States Donors Deferred for Travel to Mexico

PubMed Central

Spencer, Bryan; Kleinman, Steven; Custer, Brian; Cable, Ritchard; Wilkinson, Susan L; Steele, Whitney; High, Patrick M; Wright, David

2013-01-01

Background More than 66,000 blood donors are deferred annually in the U.S. due to travel to malaria-endemic areas of Mexico. Mexico accounts for the largest share of malaria travel deferrals, yet it has extremely low risk for malaria transmission throughout most of its national territory, suggesting a suboptimal balance between blood safety and availability. This study sought to determine whether donor deferral requirements might be relaxed for parts of Mexico without compromising blood safety. Study Design and Methods Travel destination was recorded from a representative sample of presenting blood donors deferred for malaria travel from six blood centers during 2006. We imputed to these donors reporting Mexican travel a risk for acquiring malaria equivalent to Mexican residents in the destination location, adjusted for length of stay. We extrapolated these results to the overall U.S. blood donor population. Results Risk for malaria in Mexico varies significantly across endemic areas and is greatest in areas infrequently visited by study donors. Over 70% of blood donor deferrals were triggered by travel to the state of Quintana Roo on the Yucatán Peninsula, an area of very low malaria transmission. Eliminating the travel deferral requirement for all areas except the state of Oaxaca might result in the recovery of almost 65,000 blood donors annually at risk of approximately one contaminated unit collected every 20 years. Conclusion Deferral requirements should be relaxed for presenting donors who travelled to areas within Mexico that confer exceptionally small risks for malaria, such as Quintana Roo. PMID:21564102

Surveillance for travel-related disease--GeoSentinel Surveillance System, United States, 1997-2011.

PubMed

Harvey, Kira; Esposito, Douglas H; Han, Pauline; Kozarsky, Phyllis; Freedman, David O; Plier, D Adam; Sotir, Mark J

2013-07-19

In 2012, the number of international tourist arrivals worldwide was projected to reach a new high of 1 billion arrivals, a 48% increase from 674 million arrivals in 2000. International travel also is increasing among U.S. residents. In 2009, U.S. residents made approximately 61 million trips outside the country, a 5% increase from 1999. Travel-related morbidity can occur during or after travel. Worldwide, 8% of travelers from industrialized to developing countries report becoming ill enough to seek health care during or after travel. Travelers have contributed to the global spread of infectious diseases, including novel and emerging pathogens. Therefore, surveillance of travel-related morbidity is an essential component of global public health surveillance and will be of greater importance as international travel increases worldwide. September 1997-December 2011. GeoSentinel is a clinic-based global surveillance system that tracks infectious diseases and other adverse health outcomes in returned travelers, foreign visitors, and immigrants. GeoSentinel comprises 54 travel/tropical medicine clinics worldwide that electronically submit demographic, travel, and clinical diagnosis data for all patients evaluated for an illness or other health condition that is presumed to be related to international travel. Clinical information is collected by physicians with expertise or experience in travel/tropical medicine. Data collected at all sites are entered electronically into a database, which is housed at and maintained by CDC. The GeoSentinel network membership program comprises 235 additional clinics in 40 countries on six continents. Although these network members do not report surveillance data systematically, they can report unusual or concerning diagnoses in travelers and might be asked to perform enhanced surveillance in response to specific health events or concerns. During September 1997-December 2011, data were collected on 141,789 patients with confirmed or probable travel-related diagnoses. Of these, 23,006 (16%) patients were evaluated in the United States, 10,032 (44%) of whom were evaluated after returning from travel outside of the United States (i.e., after-travel patients). Of the 10,032 after-travel patients, 4,977 (50%) were female, 4,856 (48%) were male, and 199 (2%) did not report sex; the median age was 34 years. Most were evaluated in outpatient settings (84%), were born in the United States (76%), and reported current U.S. residence (99%). The most common reasons for travel were tourism (38%), missionary/volunteer/research/aid work (24%), visiting friends and relatives (17%), and business (15%). The most common regions of exposure were Sub-Saharan Africa (23%), Central America (15%), and South America (12%). Fewer than half (44%) reported having had a pretravel visit with a health-care provider. Of the 13,059 diagnoses among the 10,032 after-travel patients, the most common diagnoses were acute unspecified diarrhea (8%), acute bacterial diarrhea (5%), postinfectious irritable bowel syndrome (5%), giardiasis (3%), and chronic unknown diarrhea (3%). The most common diagnostic groupings were acute diarrhea (22%), nondiarrheal gastrointestinal (15%), febrile/systemic illness (14%), and dermatologic (12%). Among 1,802 patients with febrile/systemic illness diagnoses, the most common diagnosis was Plasmodium falciparum malaria (19%). The rapid communication component of the GeoSentinel network has allowed prompt responses to important health events affecting travelers; during 2010 and 2011, the notification capability of the GeoSentinel network was used in the identification and public health response to East African trypanosomiasis in Eastern Zambia and North Central Zimbabwe, P. vivax malaria in Greece, and muscular sarcocystosis on Tioman Island, Malaysia. The GeoSentinel Global Surveillance System is the largest repository of provider-based data on travel-related illness. Among ill travelers evaluated in U.S. GeoSentinel sites after returning from international travel, gastrointestinal diagnoses were most frequent, suggesting that U.S. travelers might be exposed to unsafe food and water while traveling internationally. The most common febrile/systemic diagnosis was P. falciparum malaria, suggesting that some U.S. travelers to malarial areas are not receiving or using proper malaria chemoprophylaxis or mosquito-bite avoidance measures. The finding that fewer than half of all patients reported having made a pretravel visit with a health-care provider indicates that a substantial portion of U.S. travelers might not be following CDC travelers' health recommendations for international travel. GeoSentinel surveillance data have helped researchers define an evidence base for travel medicine that has informed travelers' health guidelines and the medical evaluation of ill international travelers. These data suggest that persons traveling internationally from the United States to developing countries remain at risk for illness. Health-care providers should help prepare travelers properly for safe travel and provide destination-specific medical evaluation of returning ill travelers. Training for health-care providers should focus on preventing and treating a variety of travel-related conditions, particularly traveler's diarrhea and malaria.

76 FR 67751 - Privacy Act of 1974; Department of Homeland Security, U.S. Customs and Border Protection, DHS/CBP...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-02

... System for Travel Authorization (ESTA) System of Records AGENCY: Privacy Office, DHS. ACTION: Notice of... Travel Authorization System of Records.'' This system collects and maintains a record of nonimmigrant aliens who want to travel to the United States under the Visa Waiver Program, and is used to determine...

76 FR 21017 - United States v. Google Inc. and ITA Software Inc., Proposed Final Judgment and Competitive...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-14

.... Google seeks to expand its search services by launching an Internet travel site to offer comparative... and other companies offering travel-related products and services. 14. Metas enable consumers to search for flights but do not offer booking services. When a consumer on a Meta travel site enters a...

14 CFR 255.2 - Applicability.

Code of Federal Regulations, 2012 CFR

2012-01-01

... REGULATIONS AIRLINE COMPUTER RESERVATIONS SYSTEMS § 255.2 Applicability. This part applies to firms that operate computerized reservations systems for travel agents in the United States, and to the sale in the United States of interstate, overseas, and foreign air transportation through such systems. ...

14 CFR 255.2 - Applicability.

Code of Federal Regulations, 2013 CFR

2013-01-01

... REGULATIONS AIRLINE COMPUTER RESERVATIONS SYSTEMS § 255.2 Applicability. This part applies to firms that operate computerized reservations systems for travel agents in the United States, and to the sale in the United States of interstate, overseas, and foreign air transportation through such systems. ...

14 CFR 255.2 - Applicability.

Code of Federal Regulations, 2014 CFR

2014-01-01

... REGULATIONS AIRLINE COMPUTER RESERVATIONS SYSTEMS § 255.2 Applicability. This part applies to firms that operate computerized reservations systems for travel agents in the United States, and to the sale in the United States of interstate, overseas, and foreign air transportation through such systems. ...

Study Design for a Method of Projecting Vehicle Miles of Travel

DOT National Transportation Integrated Search

1977-08-01

Vehicle miles of travel (VMT) by passenger automobiles is an important determinant of gasoline consumption, ambient air quality, highway safety, and personal and corporate financial conditions in the United States. Changing patterns and trends in VMT...

Real-time traveler information market assessment white paper.

DOT National Transportation Integrated Search

2010-02-22

This report takes a multi-modal look at the lay of the land of the real-time traveler information : market in the United States. This includes identification and characterization of the gaps in the : domestic industry with respect to data cover...

Impact of short- compared to long-haul international travel on the sleep and wellbeing of national wheelchair basketball athletes.

PubMed

Thornton, Heidi R; Miller, Joanna; Taylor, Lee; Sargent, Charli; Lastella, Michele; Fowler, Peter M

2018-07-01

Currently, very little is known about the impact of short- or long-haul air travel on the sleep and wellbeing of wheelchair basketball athletes. Eleven national wheelchair basketball athletes wore actigraphy monitors prior, during, and after air travel to the United Kingdom. Upon arrival, participants rated their subjective jet-lag, fatigue, and vigor. Individuals traveled to the United Kingdom from different locations in Australia, the United States, and Europe and were categorised according to travel length [LONG (up to 30.2 h) or SHORT (up to 6.5 h)]. Linear mixed models determined effects of travel length on sleep and subjective ratings of jet-lag, fatigue, and vigor. During competition, subjective fatigue and jet-lag were substantially higher (ES = 0.73; ±0.77) and (ES = 0.57; ±0.60), subjective vigor was lower (ES = 1.94; ±0.72), and get-up time was earlier (ES = 0.57; ±0.60) for LONG when compared to SHORT. Travelling greater distances by airplane had a larger effect on subjective ratings of jet-lag, fatigue and vigor, rather than sleep. Irrespective of travel group, sleep and subjective responses were compromised, reflecting the travel requirements, competition-mediated influences, and/or due to a change in environment.

Traveling Exhibitions as Sites for Informal Learning: Assessing Different Strategies with Field Trips to Traveling Exhibitions at Non-Museum Sites

ERIC Educational Resources Information Center

Harker, Richard J. W.; Badger, James

2015-01-01

This study investigated the use of different pedagogical techniques to create an intellectually engaging experience for middle school students who visited a traveling exhibition from the United States Holocaust Memorial Museum at a non-museum host site: the University of North Georgia Dahlonega's Library and Technology Center. The findings of this…

Journey-to-work trends in the United States and its major metropolitan areas, 1960-1990

DOT National Transportation Integrated Search

1993-11-01

This report identified the changes which have occurred from 1960 to 1990 in population and demographics, worker characteristics, means of : travel to work, household vehicle availability, and geographic revisions in the United States and its large me...

GPS-based household interview survey for the Cincinnati, Ohio Region.

DOT National Transportation Integrated Search

2012-02-01

Methods for Conducting a Large-Scale GPS-Only Survey of Households: Past Household Travel Surveys (HTS) in the United States have only piloted small subsamples of Global Positioning Systems (GPS) completes compared with 1-2 day self-reported travel i...

San Francisco urban partnership agreement, national evaluation : traveler information data test plan.

DOT National Transportation Integrated Search

2011-06-01

This report presents the test plan for collecting and analyzing traveler information data for the San Francisco Urban Partnership Agreement (UPA) under the United States Department of Transportation (U.S. DOT) UPA Program. The San Francisco UPA proje...

Advanced Traveler Information Service (ATIS) : private sector perceptions and public sector activities

DOT National Transportation Integrated Search

2000-01-01

This paper presents the results of a study by the United States Department of Transportation Volpe Center to determine the nature and extent of the data gap between the needs of private sector Advanced Traveler Information Service (ATIS) provid...

Laboratory-based surveillance of paratyphoid fever in the United States: travel and antimicrobial resistance.

PubMed

Gupta, Sundeep K; Medalla, Felicita; Omondi, Michael W; Whichard, Jean M; Fields, Patricia I; Gerner-Smidt, Peter; Patel, Nehal J; Cooper, Kara L F; Chiller, Tom M; Mintz, Eric D

2008-06-01

The incidence of paratyphoid fever, including paratyphoid fever caused by antimicrobial-resistant strains, is increasing globally. However, the epidemiologic and laboratory characteristics of paratyphoid fever in the United States have never been studied. We attempted to interview all patients who had been infected with laboratory-confirmed Salmonella serotypes Paratyphi A, Paratyphi B, or Paratyphi C in the United States with specimens collected from 1 April 2005 through 31 March 2006. At the Centers for Disease Control and Prevention (CDC), isolates underwent serotype confirmation, antimicrobial susceptibility testing, and pulsed-field gel electrophoresis typing. Of 149 patients infected with Salmonella Paratyphi A, we obtained epidemiologic information for 89 (60%); 55 (62%) of 86 were hospitalized. Eighty-five patients (96%) reported having travel internationally, and 80 (90%) had traveled to South Asia. Of the 146 isolates received at the CDC, 127 (87%) were nalidixic acid resistant; nalidixic acid resistance was associated with travel to South Asia (odds ratio, 17.0; 95% confidence interval, 3.8-75.9). All nalidixic acid-resistant isolates showed decreased susceptibility to ciprofloxacin (minimum inhibitory concentration, > or = 0.12 microg/mL). Of 49 patients infected with Salmonella Paratyphi B, only 12 (24%) were confirmed to have Paratyphi B when tested at the CDC. Four (67%) of 6 patients were hospitalized, and 5 (83%) reported travel (4 to the Andean region of South America). One case of Salmonella Paratyphi C infection was reported in a traveler to West Africa with a urinary tract infection. Physicians should be aware of the increasing incidence of infection due to Salmonella Paratyphi A and treatment options given its widespread antimicrobial resistance. A paratyphoid fever vaccine is urgently needed. Continued surveillance for paratyphoid fever will help guide future prevention and treatment recommendations.

General aviation accidents : the United States Air Force Aero Club solution

DOT National Transportation Integrated Search

1998-08-01

Aviation if an intrisically safe mode of travel. In 1994, the United States Air Force system of Aero Clubs put forth substantial effort to put a program in place (Fly Smart) to improve flying safety in it aircraft. This study compares the accident ra...

Zika Virus Prevention: U.S. Travelers' Knowledge, Risk Perceptions, and Behavioral Intentions-A National Survey.

PubMed

Squiers, Linda; Herrington, James; Kelly, Bridget; Bann, Carla; Becker-Dreps, Sylvia; Stamm, Lola; Johnson, Mihaela; McCormack, Lauren

2018-06-01

Limited data exist about U.S. travelers' knowledge, risk perceptions, and behaviors related to the Zika virus (ZIKV). Using an internet research panel, in March 2017, we surveyed 1,202 Americans in the continental United States and Puerto Rico who planned to travel to a ZIKV-affected country, state, or U.S. territory in 2017. We compared levels of knowledge and perceived risk of ZIKV, and intentions to practice ZIKV prevention behaviors across respondents from three regions: Puerto Rico, at-risk states, and other states. More than 80% of respondents correctly understood that a person could acquire ZIKV through a bite from an infected mosquito, and over 64% of respondents knew that a pregnant woman could pass the virus to her fetus. Less than half of the respondents from at-risk states and other states knew that ZIKV could be transmitted sexually, as compared with three-quarters of respondents from Puerto Rico. Compared with respondents from at-risk and other states, respondents from Puerto Rico were the most knowledgeable for almost all types of knowledge assessed. Knowledge about post-travel precautions was low across all three regions. Differences in perceived risk and intentions to practice specific prevention behaviors also varied among regions. Significant gaps exist in U.S. travelers' knowledge about how to prevent ZIKV transmission both during and after travel. Input and collaboration from the travel industry, health care providers, and the media are needed to help educate travelers about how to prevent ZIKV infection and transmission.

28 CFR 0.142 - Per diem and travel allowances.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Explosives, Director of the United States Marshals Service, and Assistant Attorney General, Office of Justice... Administrator of General Services and the Assistant Attorney General for Administration. (b) Fixing rates in... Administrator of General Services and the Assistant Attorney General for Administration. (c) Authorizing travel...

28 CFR 0.142 - Per diem and travel allowances.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Explosives, Director of the United States Marshals Service, and Assistant Attorney General, Office of Justice... Administrator of General Services and the Assistant Attorney General for Administration. (b) Fixing rates in... Administrator of General Services and the Assistant Attorney General for Administration. (c) Authorizing travel...

28 CFR 0.142 - Per diem and travel allowances.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Explosives, Director of the United States Marshals Service, and Assistant Attorney General, Office of Justice... Administrator of General Services and the Assistant Attorney General for Administration. (b) Fixing rates in... Administrator of General Services and the Assistant Attorney General for Administration. (c) Authorizing travel...

28 CFR 0.142 - Per diem and travel allowances.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Explosives, Director of the United States Marshals Service, and Assistant Attorney General, Office of Justice... Administrator of General Services and the Assistant Attorney General for Administration. (b) Fixing rates in... Administrator of General Services and the Assistant Attorney General for Administration. (c) Authorizing travel...

31 CFR 515.533 - Transactions incident to exportations from the United States and reexportations of 100% U.S...

Code of Federal Regulations, 2010 CFR

2010-07-01

... time, travel, or recreation in excess of that consistent with a full work schedule; and (3) The... activities does not include free time, travel, or recreation in excess of that consistent with a full work... travel to, from, or within Cuba. See paragraphs (e) and (f) for general licenses, and paragraph (g) for a...

31 CFR 515.533 - Transactions incident to exportations from the United States and reexportations of 100% U.S...

Code of Federal Regulations, 2012 CFR

2012-07-01

... time, travel, or recreation in excess of that consistent with a full work schedule; and (3) The... activities does not include free time, travel, or recreation in excess of that consistent with a full work... travel to, from, or within Cuba. See paragraphs (e) and (f) for general licenses, and paragraph (g) for a...

31 CFR 515.533 - Transactions incident to exportations from the United States and reexportations of 100% U.S...

Code of Federal Regulations, 2011 CFR

2011-07-01

... time, travel, or recreation in excess of that consistent with a full work schedule; and (3) The... activities does not include free time, travel, or recreation in excess of that consistent with a full work... travel to, from, or within Cuba. See paragraphs (e) and (f) for general licenses, and paragraph (g) for a...

31 CFR 515.533 - Transactions incident to exportations from the United States and reexportations of 100% U.S...

Code of Federal Regulations, 2013 CFR

2013-07-01

... time, travel, or recreation in excess of that consistent with a full work schedule; and (3) The... activities does not include free time, travel, or recreation in excess of that consistent with a full work... travel to, from, or within Cuba. See paragraphs (e) and (f) for general licenses, and paragraph (g) for a...

31 CFR 515.533 - Transactions incident to exportations from the United States and reexportations of 100% U.S...

Code of Federal Regulations, 2014 CFR

2014-07-01

... time, travel, or recreation in excess of that consistent with a full work schedule; and (3) The... activities does not include free time, travel, or recreation in excess of that consistent with a full work... travel to, from, or within Cuba. See paragraphs (e) and (f) for general licenses, and paragraph (g) for a...

Risk factors associated with latent tuberculosis infection in Mexican American children.

PubMed

Young, Janine; O'Connor, Mary E

2005-06-01

To determine risk factors that are associated with the presence of latent tuberculosis infection (LTBI) in Mexican American children. In this prospective cohort study, we administered tuberculin skin tests (TSTs) and a tuberculosis (TB) risk factor questionnaire to children who were aged 1 to 18 years in immigrant families at a Denver inner-city community health center and elementary school-based health center. Information requested on the questionnaire included child demographics, child and parent birth location, Bacille Calmette-Guérin (BCG) vaccination, and a history and the duration of child and family travel to and visitors from countries where TB is endemic. TST results were read at 48 to 72 hours and were interpreted as positive at 5- and 10-mm induration, depending on risk factor history. All participants received $5 coupons on return for TST reading. Of 584 children enrolled, 96% returned for TST evaluation, median age was 4 years, 48.6% were male, 98.5% were Latino, 66.3% were born in the United States, and 33% were born in Mexico. Overall, 12.4% of children had positive TSTs. For all children in the study, a positive TST was associated with birth in Mexico and no BCG received (adjusted odds ratio [OR]: 15.7; 95% confidence interval [CI]: 1.5-165.2), birth in Mexico and received BCG (adjusted OR: 29; 95% CI: 12.7-66.1), birth in the United States and received BCG (adjusted OR: 9.1; 95% CI: 2.4-34.1), and child travel to Mexico (adjusted OR: 2.8;95% CI: 1.5-5.4). Risk factors for having a positive TST in the 387 children who were born in the United States were travel to Mexico (unable to calculate the OR because all had traveled to Mexico), older age (median: 6 years; adjusted OR: 1.2/year; 95% CI: 1.02-1.40), and a history of BCG vaccination (adjusted OR: 8.2; 95% CI: 2.0-34.0). For the 195 children who were born in Mexico, logistic regression of the following variables showed that none of the variables remained in the model: child age, gender, BCG status, family travel to Mexico, visitors to the United States, child travel to Mexico, years lived in Mexico, and years since BCG. In a population of primarily Mexican American children, those who were born in the United States had an increased risk for developing LTBI when they had a history of BCG vaccination or had traveled to Mexico. For children who were born in Mexico, we were unable to identify additional risk factors for the presence of LTBI, besides their birth in Mexico. Incentives for return for TST reading, such as grocery coupons, are highly effective.

Maps of the United States

USGS Publications Warehouse

,

1998-01-01

The U.S. Geological Survey (USGS) sells a variety of maps of the United States.  Who needs these maps?  Students, land planners, politicians, teachers, marketing specialists, delivery companies, authors and illustrators, attorneys, railroad enthusiasts, travelers, Government agencies, military recruiters, newspapers, map collectors, truckers, boaters, hikers, sales representatives, communication specialists.  Everybody.

Effect of fare and travel time on the demand for domestic air transportation

NASA Technical Reports Server (NTRS)

Eriksen, S. E.; Liu, E. W.

1979-01-01

An econometric travel demand model was presented. The model was used for analyzing long haul domestic passenger markets in the United States. The results showed the sensitivities of demand to changes in fares and speed reflecting technology through more efficient aircraft designs.

Espanol para Hoteleria y Turismo = Spanish for Travel and Tourism.

ERIC Educational Resources Information Center

Montes, Yara G.

This beginning through advanced Spanish text includes grammar explanations, readings, and exercises with the emphasis on situations involving travel and tourism. The introductory lesson covers the Spanish language, the importance of Spanish in the United States, the Spanish alphabet, pronunciation, capitalization, punctuation, syllabication,…

31 CFR 560.517 - Exportation of services: Iranian accounts at United States depository institutions or United...

Code of Federal Regulations, 2011 CFR

2011-07-01

... an exportation of information or informational materials to Iran, a travel-related remittance, or... of: (1) Foreign government missions and their personnel in Iran; or (2) Missions of the Government of Iran in the United States. [60 FR 47063, Sept. 11, 1995, as amended at 70 FR 15584, Mar. 28, 2005; 74...

31 CFR 560.517 - Exportation of services: Iranian accounts at United States depository institutions or United...

Code of Federal Regulations, 2010 CFR

2010-07-01

... an exportation of information or informational materials to Iran, a travel-related remittance, or... of: (1) Foreign government missions and their personnel in Iran; or (2) Missions of the Government of Iran in the United States. [60 FR 47063, Sept. 11, 1995, as amended at 70 FR 15584, Mar. 28, 2005; 74...

32 CFR 516.55 - Witnesses for a State or private litigant.

Code of Federal Regulations, 2010 CFR

2010-07-01

... state or local proceedings for a party other than the United States, including cases involving domestic violence or child abuse, will be referred to Litigation Division. Litigation Division may authorize travel...

On the Road with Punxsy Phil

ERIC Educational Resources Information Center

Kuntz, Jeffrey J.; Snyder, John

2004-01-01

This article describes how one substitute teacher traveling the United States as a meet intern with USA Track and Field, a classroom teacher with an eager group of fifth graders, one stuffed Punxsy Phil groundhog, the Pennsylvania Academic Standards and a digital camera combined to form a collaborative classroom travel project entitled,…

Understanding Long-distance Traveler Behavior : Supporting a Long-distance Passenger Travel Demand Model

DOT National Transportation Integrated Search

2013-01-01

Long-distance trips in the United States can take 2 days or 2 weeks and may involve cars, buses, planes, or all three. Whether for business, to see family, or visit a national park, such a variety of trip characteristics requires a detailed understan...

45 CFR 2510.20 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... lands means any real property owned by an Indian tribe, any real property held in trust by the United States for an Indian or Indian tribe, and any real property held by an Indian or Indian tribe that is... expenses for training and travel. (2) Costs (including salary, benefits, training, travel) attributable to...

InterCon Travel Health: Case B

ERIC Educational Resources Information Center

Truman, Gregory E.; Pachamanova, Dessislava A.; Goldstein, Michael A.

2010-01-01

InterCon provides services to health insurers of foreign tourists who travel to the United States and Canada. Management wants to implement a new information system that will deal with several operational problems, but it is having difficulty securing the capital resources to fund the system's development. After an initial failure, the chief…

76 FR 50329 - Request for Citizens Coinage Advisory Committee Membership Applications

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-12

... eight times per year. The United States Mint is responsible for providing the necessary support, technical services and advice to the CCAC. CCAC members are not paid for their time or services, but, consistent with Federal Travel Regulations, members are reimbursed for their travel and lodging expenses to...

Sexual tourism: implications for travelers and the destination culture.

PubMed

Marrazzo, Jeanne M

2005-03-01

Health care providers in a variety of settings need to improve their ability--along with the capabilities of supporting laboratories, surveillance systems, and services for sex partner management--to diagnose and treat STI. Whether the travel health care sector, as such, is willing to take on the additional burden of STI-related screening and risk reduction counseling has been raised by some authors. Currently, the burden of providing formalized STI care falls on the public sector; however, in the United States, most STI are actually diagnosed in the offices of private physicians. Given that the United States has the highest STI rates of any industrialized country, the undeniable synergy between STI and HIV acquisition, the failure of many American providers to screen for C trachomatis despite clear guidelines, the global resurgence of syphilis and extension of resistant N gonorrhoeae and of HIV, and the risk behaviors consistently reported by travelers, it is hard to argue against travel specialists' joining the daunting battle against these recalcitrant infections and their often devastating consequences. Most of the relevant diagnostic tests are relatively affordable, and patient-centered risk-reduction counseling, once mastered, can be brief and easily integrated into the overall conversation about protecting oneself during travel.

A cluster of cutaneous leishmaniasis associated with human smuggling.

PubMed

Cannella, Anthony P; Nguyen, Bichchau M; Piggott, Caroline D; Lee, Robert A; Vinetz, Joseph M; Mehta, Sanjay R

2011-06-01

Cutaneous leishmaniasis (CL) is rarely seen in the United States, and the social and geographic context of the infection can be a key to its diagnosis and management. Four Somali and one Ethiopian, in U.S. Border Patrol custody, came to the United States by the same human trafficking route: Djibouti to Dubai to Moscow to Havana to Quito; and then by ground by Columbia/Panama to the United States-Mexico border where they were detained. Although traveling at different times, all five patients simultaneously presented to our institution with chronic ulcerative skin lesions at different sites and stages of evolution. Culture of biopsy specimens grew Leishmania panamensis. Soon thereafter, three individuals from East Africa traveling the identical route presented with L. panamensis CL to physicians in Tacoma, WA. We document here the association of a human trafficking route and new world CL. Clinicians and public health officials should be aware of this emerging infectious disease risk.

Exploring the Transformational Learning Experiences of Bahamian Students Studying in the United States

ERIC Educational Resources Information Center

Hunter-Johnson, Yvonne; Newton, Norissa

2016-01-01

Within recent years, there has been a trend of students (traditional and nontraditional) travelling abroad, more particularly to the United States, with the view of pursuing higher education at both the graduate and undergraduate level. Among the most popular influential factors to obtain higher education internationally are government and private…

An ecoregional approach to the economic valuation of land- and water-based recreation in the United States

Treesearch

Gajana Bhat; John Bergsrom; R. Jeff Teasley

1998-01-01

This paper describes a framework for estimating the economic value of outdoor recreation across different ecoregions. Ten ecoregions in the continental United States were defined based on similarly functioning ecosystem characters. The individual travel cost method was employed to estimate recreation demand functions for activities such...

Total delay impact study : a comprehensive assessment of the costs and impacts of flight delay in the United States

DOT National Transportation Integrated Search

2010-10-01

Flight delay is a serious and widespread problem in the United States. Increasing flight delays place a significant strain on the US air travel system and cost airlines, passengers, and society at many billions of dollars each year. While a number of...

Highway Construction in the U.S.: Costs, Benefits, Dependence

ERIC Educational Resources Information Center

Childress, Vincent W.

2013-01-01

Few people truly recognize the influence of modern transportation on society. In the United States, that includes the influence of highways that allow the citizenry to travel freely, the strength of the economy, and the country's national security. In all cases, the geography of the United States influenced the evolution of transportation and…

76 FR 76981 - Request for Public Comments Concerning U.S.-Canada Action Plan for Perimeter Security and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-09

..., DHS. ACTION: Notice. SUMMARY: The United States and Canada are staunch allies, vital economic partners... in which the United States and Canada share responsibility for the security and resilience of our..., while working together to facilitate the flows of legitimate travel and trade. Beyond the Border...

Advice to Travelers

PubMed Central

Barrett-Connor, Elizabeth

1975-01-01

Travelers, particularly those whose tastes or occupations lead to deviation from the usual tourist routes, are at a small but significant risk of acquiring certain diseases they would be unlikely to encounter had they remained in the continental United States. Many of these infections can be rendered unlikely even for the most adventuresome traveler through the appropriate use of immunization and chemoprophylaxis. Other infections are currently unpreventable and the physician's responsibility lies in their premorbid detection. PMID:1154779

United States Travelers' Concern about Zika Infection and Willingness to Receive a Hypothetical Zika Vaccine.

PubMed

Vielot, Nadja A; Stamm, Lola; Herrington, James; Squiers, Linda; Kelly, Bridget; McCormack, Lauren; Becker-Dreps, Sylvia

2018-06-01

The ongoing Zika pandemic has affected many countries that are common travel destinations. We assessed the willingness to receive a prophylactic Zika virus (ZIKV) vaccine, currently under development, among travelers to areas with reported autochthonous ZIKV transmission. We surveyed United States (U.S.) residents aged 18-44 years who had ever heard of ZIKV and planned to travel to Florida and/or Texas ( N = 420) or a U.S. territory or foreign country ( N = 415) in 2017, using a nationally representative internet panel. Travelers to Florida and/or Texas reported less concern about ZIKV infection than travelers to other destinations (27% versus 36%, P = 0.01). Female sex, Hispanic ethnicity, discussing ZIKV with medical professionals, ZIKV risk perception, and self-efficacy for ZIKV prevention predicted concern about ZIKV infection in both groups. Travelers to Florida and/or Texas (43%) and other destinations (44%) were equally willing to receive a ZIKV vaccine. Hispanic ethnicity, discussing ZIKV with medical professionals, and concern about ZIKV infection predicted vaccine willingness in both groups. Likelihood of using existing ZIKV prevention methods, confidence in the U.S. government to prevent ZIKV spread, self-efficacy for ZIKV prevention, and knowledge about ZIKV symptoms further predicted vaccine willingness in travelers to other destinations. In multivariable analyses, only concern about ZIKV infection was associated with vaccine willingness in both groups (prevalence ratio [95% confidence interval]: Florida and/or Texas: 1.34 [1.06, 1.69]; other: 1.82 [1.44, 2.29]). Targeted communications can educate travelers, particularly travelers who are pregnant or may become pregnant, about ZIKV risk to generate ZIKV vaccine demand.

Improving energy efficiency in the transportation sector

DOE Office of Scientific and Technical Information (OSTI.GOV)

Plotkin, S.E.

1994-12-31

A primary characteristic of transportation in the United States is its high per capita energy consumption. The average US citizen consumes nearly five times as much energy for transportation as the average Japanese and nearly three times as much as the average citizen of France, Britain, or West Germany. The energy efficiency of US transportation has improved substantially over the past two decades (both absolutely and in comparison to Europe), and US travel volume has grown more slowly than in most of the developed world. However, the United States still consumes more than one-third of the world`s transport energy. Also,more » 96 percent of US transport energy is in the form of oil products. This is more oil than the United States produces, despite its position as one of the world`s largest oil producers. With current problems and expectation of continued growth in travel and energy use, Congress has increasingly turned to transportation energy conservation - in the form of improvements in the technical efficiency of travel, increases in load factors, reductions in travel demand, shifting to alternative fuels, and shifts to more efficient travel modes - as an important policy goal. For example, the Clean Air Amendments of 1990 incorporate transportation demand management as a critical tool in reducing urban air pollution. Legislation proposed in the 102d Congress sought rigorous new automobile and light truck fuel economy standards. With continued increases in U.S. oil imports, urban traffic congestion, and greenhouse gas emissions, and the failure of many urban areas to meet air quality standards, strong congressional interest in new energy conservation initiates is likely to continue.« less

76 FR 16655 - Request for Citizens Coinage Advisory Committee Membership Applications

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-24

... not paid for their time or services but, consistent with Federal Travel Regulations, members are reimbursed for their travel and lodging expenses to attend meetings. Members are Special Government Employees... open to the public and are held approximately eight to ten times per year. The United States Mint is...

75 FR 52947 - Maximum Per Diem Rates for the Continental United States (CONUS)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-30

... where it is needed. In conjunction with the annual lodging study, GSA identified five new non-standard... Federal Travel Regulation allows for actual expense reimbursement as directed in Sec. 301-11.300 through... applies for travel performed on or after October 1, 2010 through September 30, 2011. FOR FURTHER...

Self-reported health problems among travelers visiting Cuzco: a Peruvian Airport survey.

PubMed

Cabada, Miguel M; Maldonado, Fernando; Mozo, Karen; Seas, Carlos; Gotuzzo, Eduardo

2009-01-01

Travel related illnesses are a concern among travelers visiting developing countries. These illnesses affect the travelers' plans and the local tourism industry. Few data on travel related illnesses are available from tourist destinations. Foreign travelers answered a self-administered questionnaire on health issues at the departures area of Cuzcos' International Airport between August and November 2002. Self-reported travel related illnesses that occurred during the travelers stay in Cuzco were compared with demographic and risk factors. The total number of participants was 5988. Their mean age was 35.4 years (SD 11.4), and slightly over half were female. The most common countries of residence were the United States (23.5%) and the United Kingdom (20%). The median length of stay in Cuzco was 5 days (IQR: 4-7 days). Pre-travel advice was received by 93.6% of the participants. Half (47.6%) of the participants became ill while in Cuzco. The most common illnesses reported were diarrhea (49.8%), altitude sickness (43.2%), and upper respiratory infections (21.7%). Most participants who reported an illness treated themselves (75.5%), and only 22.1% sought medical attention. It is concluded that a significant burden of disease is observed in travelers to Cuzco. Self-medication is very common and apparently preferred over formal medical attention.

"A Tinge of Effeminacy": Masculinity and National Manhood in the Mosely Report, 1904

ERIC Educational Resources Information Center

Ní Bhroiméil, Úna

2015-01-01

Alfred Mosely, a wealthy South African diamond mine owner and British industrialist, financed an Educational Commission that travelled to the United States during the winter of 1903. Its purpose was to ascertain how far education in the United States was responsible for the country's industrial progress, and its report was published in England in…

Asian Longhorned Beetle - A New Introduction, Pest Alert

Treesearch

USDA Forest Service, State and Private Forestry, Northeastern Area; Animal and Plant Health Inspection Service

2008-01-01

The Asian longhorned beetle (ALB) has been discovered attacking trees in the United States. Tunneling by beetle larvae girdles tree stems and branches. Repeated attacks lead to dieback of the tree crown and, eventually, death of the tree. ALB probably traveled to the United States inside solid wood packing material from China. The beetle has been intercepted at ports...

Seat belt use on interstate highways.

PubMed Central

Wells, J K; Williams, A F; Lund, A K

1990-01-01

More than 5,000 miles of limited-access highways in the eastern United States and Canada were traveled to observe seat belt use. Overall belt use was 58 percent in the United States and 79 percent in Canada. The data indicate that belt use in the United States follows a different pattern on interstate highways than on other streets and roads, with relatively high belt use rates (over 50 percent) appearing to be somewhat independent of belt use law provisions. PMID:2343969

ARC-2007-ACD07-0092-038

NASA Image and Video Library

2007-05-24

Dr Condoleezza Rice, United States Secretary of State visits Ames. Takes a demonstration ride in the Tesla Motors Electric Car. Australian Foreign Minister Alexander Downer traveling with Dr Rice addresses the assembled media and Ames staffers

Development and Implementation of the Ebola Traveler Monitoring Program and Clinical Outcomes of Monitored Travelers during October - May 2015, Minnesota.

PubMed

DeVries, Aaron; Talley, Pamela; Sweet, Kristin; Kline, Susan; Stinchfield, Patricia; Tosh, Pritish; Danila, Richard

2016-01-01

In October 2014, the United States began actively monitoring all persons who had traveled from Guinea, Liberia, and Sierra Leone in the previous 21 days. State public health departments were responsible for monitoring all travelers; Minnesota has the largest Liberian population in the United States. The MDH Ebola Clinical Team (ECT) was established to assess travelers with symptoms of concern for Ebola virus disease (EVD), coordinate access to healthcare at appropriate facilities including Ebola Assessment and Treatment Units (EATU), and provide guidance to clinicians. Minnesota Department of Health (MDH) began receiving traveler information collected by U.S. Customs and Border Control and Centers for Disease Control and Prevention staff on October 21, 2014 via encrypted electronic communication. All travelers returning from Liberia, Sierra Leone, and Guinea during 10/21/14-5/15/15 were monitored by MDH staff in the manner recommended by CDC based on the traveler's risk categorization as "low (but not zero)", "some" and "high" risk. When a traveler reported symptoms or a temperature ≥100.4° F at any time during their 21-day monitoring period, an ECT member would speak to the traveler and perform a clinical assessment by telephone or via video-chat. Based on the assessment the ECT member would recommend 1) continued clinical monitoring while at home with frequent telephone follow-up by the ECT member, 2) outpatient clinical evaluation at an outpatient site agreed upon by all parties, or 3) inpatient clinical evaluation at one of four Minnesota EATUs. ECT members assessed and approved testing for Ebola virus infection at MDH. Traveler data, calls to the ECT and clinical outcomes were logged on a secure server at MDH. During 10/21/14-5/15/15, a total of 783 travelers were monitored; 729 (93%) traveled from Liberia, 30 (4%) Sierra Leone, and 24 (3%) Guinea. The median number monitored per week was 59 (range 45-143). The median age was 35 years; 136 (17%) were aged <18 years. Thirteen of 256 women of reproductive age (5%) were pregnant. The country of passport issuance was known for 720 of the travelers. The majority of monitored travelers (478 [66%]) used a non-U.S. passport including 442 (61%) Liberian nationals. A total of 772 (99%) travelers were "low (but not zero)" risk; 11 (1%) were "some" risk. Among monitored travelers, 43 (5%) experienced illness symptoms; 29 (67%) had a symptom consistent with EVD. Two were tested for Ebola virus disease and had negative results. Most frequently reported symptoms were fever (20/43, 47%) and abdominal pain (12/43, 28%). During evaluation, 16 (37%) of 43 travelers reported their symptoms began prior to travel; chronic health conditions in 24 travelers including tumors/cancer, pregnancy, and orthopedic conditions were most common. Infectious causes in 19 travelers included upper respiratory infection, malaria, and gastrointestinal infections. Prior to 2014, no similar active monitoring program for travelers had been performed in Minnesota; assessment and management of symptomatic travelers was a new activity for MDH. Ensuring safe entrance into healthcare was particularly challenging for children, and pregnant women, as well as those without an established connection to healthcare. Unnecessary inpatient evaluations were successfully avoided by close clinical follow-up by phone. Before similar monitoring programs are considered in the future, careful thought must be given to necessary resources and the impact on affected populations, public health, and the healthcare system.

The role of ethnicity and travel on Hepatitis A vaccination coverage and disease incidence in Arizona at the United States–Mexico Border

PubMed Central

Ernst, Kacey C; Erhart, Laura M

2014-01-01

Background: Hepatitis A (HAV) incidence has decreased in the United States, yet regional disparities persist. The role of international travel has become increasingly important in HAV transmission. We compared the relative burden of HAV in border and non-border regions in Arizona and examined the role of travel in sustaining HAV transmission. Methods: HAV vaccination coverage was calculated by age and region, using Arizona State Immunization Information System data. Incidence, demographics, and risk factors of cases reported through Arizona’s infectious disease surveillance system between 2006 and 2011 were analyzed. Results: Hepatitis A incidence was higher in the border region of Arizona. Compared with the rest of Arizona, one-dose coverage in children <15 years was lower in the border region until 2008. Second dose coverage was lower in the border region, particularly among Spanish speakers. International travel among cases was generally high; however, in the border region cases were more likely to visit Mexico or South/Central America (94% vs. 80%, P value = 0.01) and be Hispanic (68% vs. 42%, P value = 0.0003). Conclusions: Rates of HAV continue to be higher in the Arizona border region; the risk appears particularly high among Hispanics with recent travel in the Americas. Border surveillance should be emphasized, along with vaccination of all travelers, to continue to decrease and control HAV. PMID:24603091

Responding to traveling patients' seasonal demand for health care services.

PubMed

Al-Haque, Shahed; Ceyhan, Mehmet Erkan; Chan, Stephanie H; Nightingale, Deborah J

2015-01-01

The Veterans Health Administration (VHA) provides care to over 8 million Veterans and operates over 1,700 sites of care across 21 regional networks in the United States. Health care providers within VHA report large seasonal variation in the demand for services, especially in the southern United States because of arrival of "snowbirds" during the winter. Because resource allocation activities are primarily carried out through an annual budgeting process, the seasonal load imposed by "traveling Veterans"-Veterans that seek care at VHA sites outside of their home network-make providing high-quality services more challenging. This work constitutes the first major effort within VHA to understand the impact of traveling Veterans. We discovered strong seasonal fluctuations in demand at a clinic located in the southeastern United States and developed a seasonal autoregressive integrated moving average model to help the clinic forecast demand for its services with significantly less error than historical averaging. Monte Carlo simulation of the clinic revealed that physicians are overutilized, suggesting the need to re-evaluate how the clinic is currently staffed. More broadly, this study demonstrates how operations management methods can assist operational decision making at other clinics and medical centers both within and outside VHA. Reprint & Copyright © 2015 Association of Military Surgeons of the U.S.

Injuries occurring in medical students during international medical rotations: a strategy toward maximizing safety.

PubMed

Galvin, Shannon; Robertson, Russell; Hargarten, Stephen

2012-06-01

The number of medical students traveling to nations outside the United States is steadily increasing. The Association of American Medical Colleges graduation questionnaire notes an increase from 2,838 students in 2001 to 3,799 students in 2009, the last year for which information is available. The risk of having any type of illness during international travel approaches 50%. Up to 19% of students will seek medical care on their return to the United States for illnesses. Most illnesses are benign and self limited. However, when deaths do occur, the leading causes are motor vehicle crashes and drownings. If air medical evacuation occurs, the most likely cause is an injury event. The authors review the literature to determine the risk of and type of illnesses and injuries suffered by travelers while overseas, especially medical volunteers. We describe the major categories of illness and injury risk and propose reasonable risk reduction and prevention strategies for prevention for injury, a relatively neglected area. We recommend that medical schools provide pre-travel training that includes injury prevention so that students are prepared not only for illness prevention but also for injury prevention. A focus on injury prevention, especially from motor vehicle crashes and drowning, is warranted given their role in causing death and serious injury to traveling students.

A resolution recognizing the goals of National Travel and Tourism Week and honoring the valuable contributions of travel and tourism to the United States of America.

THOMAS, 112th Congress

Sen. Begich, Mark [D-AK

2012-05-09

Senate - 05/09/2012 Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent. (All Actions) Tracker: This bill has the status Agreed to in SenateHere are the steps for Status of Legislation:

A resolution recognizing the goals of National Travel and Tourism Week and honoring the valuable contributions of travel and tourism to the United States.

THOMAS, 113th Congress

Sen. Begich, Mark [D-AK

2014-05-13

Senate - 05/13/2014 Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent. (All Actions) Tracker: This bill has the status Agreed to in SenateHere are the steps for Status of Legislation:

A resolution recognizing the goals of National Travel and Tourism Week and honoring the valuable contributions of travel and tourism to the United States.

THOMAS, 113th Congress

Sen. Begich, Mark [D-AK

2013-05-14

Senate - 05/14/2013 Submitted in the Senate, considered, and agreed to without amendment and with a preamble by Unanimous Consent. (All Actions) Tracker: This bill has the status Agreed to in SenateHere are the steps for Status of Legislation:

75 FR 7293 - Temporary Agricultural Employment of H-2A Workers in the United States: 2010 Adverse Effect Wage...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-18

... Workers' Meals, and Maximum Travel Subsistence Reimbursement AGENCY: Employment and Training... the new 2010 Adverse Effect Wage Rates (AEWRs) and the 2010 maximum allowable meal and travel..., and qualified and who will be available at the time and place needed to perform the labor or services...

Surface Transportation Security Priority Assessment

DTIC Science & Technology

2010-03-01

intercity buses), and pipelines, and related infrastructure (including roads and highways), that are within the territory of the United States...Modernizing the information technology infrastructure used to vet the identity of travelers and transportation workers  Using terrorist databases to...examination of persons travelling , surface transportation modes tend to operate in a much more open environment, making it difficult to screen workers

26 CFR 1.911-2 - Qualified individuals.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 2. C, a U.S. citizen, travels extensively from the time C leaves the United States on March 5, 1982... purposes of section 162(a)(2) (relating to travel expenses away from home). Thus, under section 911, an... nature of the business, then at his regular place of abode in a real and substantial sense. An individual...

A travel cost analysis of nonconsumptive wildlife-associated recreation in the United States

Treesearch

William T. Zawacki; Allan Marsinko; J. Michael Bowker

2000-01-01

Increased emphasis on sustainable resource management in forestry has effectuated a demand for various nontimber values. Nonconsumptive wildlife recreation is an important nontimber service produced on forest and rangeland. Travel cost models and data from the 1991 National Survey of Fishing, Hunting and Wildlife-Associated Recreation are used to estimate the demand...

75 FR 74021 - Renewal of Department of Defense Federal Advisory Committees

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-30

... reason. Board members appointed by the Secretary of Defense, who are not full-time or permanent part-time... travel and per diem for official travel, in accordance with Title 5, United States Code, Section 5703... Officer, pursuant to DoD policy, shall be a full-time or permanent part-time DoD employee, and shall be...

50 CFR 23.44 - What are the requirements to travel internationally with my personally owned live wildlife?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 50 Wildlife and Fisheries 8 2011-10-01 2011-10-01 false What are the requirements to travel internationally with my personally owned live wildlife? 23.44 Section 23.44 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) TAKING, POSSESSION, TRANSPORTATION...

50 CFR 23.44 - What are the requirements for traveling internationally with my personally owned live wildlife?

Code of Federal Regulations, 2014 CFR

2014-10-01

... 50 Wildlife and Fisheries 9 2014-10-01 2014-10-01 false What are the requirements for traveling internationally with my personally owned live wildlife? 23.44 Section 23.44 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) TAKING, POSSESSION, TRANSPORTATION...

50 CFR 23.44 - What are the requirements to travel internationally with my personally owned live wildlife?

Code of Federal Regulations, 2012 CFR

2012-10-01

... 50 Wildlife and Fisheries 9 2012-10-01 2012-10-01 false What are the requirements to travel internationally with my personally owned live wildlife? 23.44 Section 23.44 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) TAKING, POSSESSION, TRANSPORTATION...

50 CFR 23.44 - What are the requirements to travel internationally with my personally owned live wildlife?

Code of Federal Regulations, 2013 CFR

2013-10-01

... 50 Wildlife and Fisheries 9 2013-10-01 2013-10-01 false What are the requirements to travel internationally with my personally owned live wildlife? 23.44 Section 23.44 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) TAKING, POSSESSION, TRANSPORTATION...

50 CFR 23.44 - What are the requirements to travel internationally with my personally owned live wildlife?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 6 2010-10-01 2010-10-01 false What are the requirements to travel internationally with my personally owned live wildlife? 23.44 Section 23.44 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR (CONTINUED) TAKING, POSSESSION, TRANSPORTATION...

76 FR 53134 - Maximum Per Diem Rates for the Continental United States (CONUS)

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-25

... lodging where it is needed. In conjunction with the annual lodging study, GSA identified one new non... Travel Regulation allows for actual expense reimbursement as directed in Sec. 301-11.300 through 301- 11.306. DATES: This notice is effective October 1, 2011, and applies for travel performed on or after...

Teaching New Orleans: A Cultural Immersion and Service Learning Travel Course

ERIC Educational Resources Information Center

Luquet, Wade J.

2009-01-01

This article describes a travel course to New Orleans that allows students the opportunity to study a unique culture in the United States. Students in the course are able to study how the culture developed through its immigration patterns, its food, its architecture, and the development of jazz. Since the flooding following Hurricane Katrina, a…

19 CFR 148.77 - Entry of effects on termination of assignment to extended duty, or on evacuation.

Code of Federal Regulations, 2010 CFR

2010-04-01

... unaccompanied personal and household effects by either a United States Dispatch Agent or a designated... entry if there is a valid reason evident from the owner's travel orders or information at hand why the... of Government employee) Travel orders and information on hand in this office show that the named...

Predicting the impacts of new technology aircraft on international air transportation demand

NASA Technical Reports Server (NTRS)

Ausrotas, R. A.

1981-01-01

International air transportation to and from the United States was analyzed. Long term and short term effects and causes of travel are described. The applicability of econometric methods to forecast passenger travel is discussed. A nomograph is developed which shows the interaction of economic growth, airline yields, and quality of service in producing international traffic.

Licensing procedures and older drivers : traffic tech.

DOT National Transportation Integrated Search

2013-09-01

People 65 and older are the fastest growing demographic : group in the United States. This is cause for concern given : that the youngest and oldest drivers have the highest crash : rates per unit of distance traveled, with rates increasing for : old...

22 CFR 50.1 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES § 50.1 Definitions. The... owing permanent allegiance to the United States. (e) Passport means a travel document issued under the authority of the Secretary of State attesting to the identity and nationality of the bearer. (f) Passport...

22 CFR 50.1 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-04-01

... Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES § 50.1 Definitions. The... owing permanent allegiance to the United States. (e) Passport means a travel document issued under the authority of the Secretary of State attesting to the identity and nationality of the bearer. (f) Passport...

22 CFR 50.1 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-04-01

... Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES § 50.1 Definitions. The... owing permanent allegiance to the United States. (e) Passport means a travel document issued under the authority of the Secretary of State attesting to the identity and nationality of the bearer. (f) Passport...

22 CFR 50.1 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-04-01

... Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES § 50.1 Definitions. The... owing permanent allegiance to the United States. (e) Passport means a travel document issued under the authority of the Secretary of State attesting to the identity and nationality of the bearer. (f) Passport...

22 CFR 50.1 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-04-01

... Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS NATIONALITY PROCEDURES § 50.1 Definitions. The... owing permanent allegiance to the United States. (e) Passport means a travel document issued under the authority of the Secretary of State attesting to the identity and nationality of the bearer. (f) Passport...

Medical Tourism: The Trend toward Outsourcing Medical Procedures to Foreign Countries

ERIC Educational Resources Information Center

York, Diane

2008-01-01

The rising costs of medical treatment in the United States are fueling a movement to outsource medical treatment. Estimates of the number of Americans traveling overseas for treatment range from 50,000 to 500,000. Charges for common procedures such as heart bypass can be $11,000 in Thailand compared to $130,000 in the United States. Knee…

How I Became a "Different" English Speaker and Listener

ERIC Educational Resources Information Center

Hashimoto, Ryota

2016-01-01

The author went to the United States to study applied linguistics. Although he was there for nine months, his English proficiency did not improve as much as he had hoped, considering that he was using English almost exclusively every day. After his time in the United States, he spent 10 months in Australia working and traveling on a working…

Child sex tourism: extending the borders of sexual offender legislation.

PubMed

Newman, William J; Holt, Ben W; Rabun, John S; Phillips, Gary; Scott, Charles L

2011-01-01

Child sex tourism, the act of traveling to engage in sexual acts with minors, plagues developing nations worldwide. Several laws have been passed internationally in recent years designed to curtail this practice. Government entities and human rights organizations have driven these efforts. United States citizens represent a significant proportion of participants in child sex tourism. The PROTECT Act of 2003 prohibits United States citizens from participating in sexual acts with minors while traveling, and establishes extraterritorial jurisdiction. The case of Michael Lewis Clark, the first United States citizen convicted under this legislation, is highlighted. Child sex tourism poses unique issues to courts that will require ongoing clarification as challenges arise. This article discusses potential future challenges, describes strategies to address this problem, and relates this issue to psychiatry. Mental health providers may have the role of evaluating both the victims and perpetrators of child sex tourism. The authors propose a classification system for offenses and an initial list of topics to discuss with victims. The authors also describe the proper mechanism for reporting United States citizens suspected of participating in child sex tourism. Copyright © 2011 Elsevier Ltd. All rights reserved.

A Cluster of Cutaneous Leishmaniasis Associated with Human Smuggling

PubMed Central

Cannella, Anthony P.; Nguyen, Bichchau M.; Piggott, Caroline D.; Lee, Robert A.; Vinetz, Joseph M.; Mehta, Sanjay R.

2011-01-01

Cutaneous leishmaniasis (CL) is rarely seen in the United States, and the social and geographic context of the infection can be a key to its diagnosis and management. Four Somali and one Ethiopian, in U.S. Border Patrol custody, came to the United States by the same human trafficking route: Djibouti to Dubai to Moscow to Havana to Quito; and then by ground by Columbia/Panama to the United States - Mexico border where they were detained. Although traveling at different times, all five patients simultaneously presented to our institution with chronic ulcerative skin lesions at different sites and stages of evolution. Culture of biopsy specimens grew Leishmania panamensis. Soon thereafter, three individuals from East Africa traveling the identical route presented with L. panamensis CL to physicians in Tacoma, WA. We document here the association of a human trafficking route and new world CL. Clinicians and public health officials should be aware of this emerging infectious disease risk. PMID:21633017

Malaria surveillance - United States, 2008.

PubMed

Mali, Sonja; Steele, Stefanie; Slutsker, Laurence; Arguin, Paul M

2010-06-25

Malaria in humans is caused by intraerythrocytic protozoa of the genus Plasmodium. These parasites are transmitted by the bite of an infective female Anopheles species mosquito. The majority of malaria infections in the United States occur among persons who have traveled to areas with ongoing malaria transmission. In the United States, cases can occur through exposure to infected blood products, congenital transmission, or local mosquitoborne transmission. Malaria surveillance is conducted to identify episodes of local transmission and to guide prevention recommendations for travelers. This report summarizes cases in patients with onset of illness in 2008 and summarizes trends during previous years. Malaria cases diagnosed by blood film, polymerase chain reaction, or rapid diagnostic tests are mandated to be reported to local and state health departments by health-care providers or laboratory staff members. Case investigations are conducted by local and state health departments, and reports are transmitted to CDC through the National Malaria Surveillance System (NMSS), National Notifiable Diseases Surveillance System (NNDSS), and direct CDC consultations. Data from these reporting systems are the basis for this report. CDC received reports of 1,298 cases of malaria with an onset of symptoms in 2008 among patients in the United States, a decrease of 13.8% from the 1,505 cases reported for 2007 (p<0.001). These cases included one cryptic [corrected] case, one congenital case, and two fatal cases. Plasmodium falciparum, P. vivax, P. malariae, and P. ovale were identified in 40.6%, 14.6%, 1.5%, and 1.4% of cases, respectively. The first documented case of simian malaria, P. knowlesi, was reported in a U.S. traveler. Eight (0.6%) of the 1,298 patients were infected by two or more species. The infecting species was unreported or undetermined in 41.2% of cases. Based on estimated volume of travel from the World Tourism Organization, the highest estimated relative case rates of malaria among travelers occurred among those returning from countries in West Africa. A total of 508 U.S. civilians acquired malaria abroad; among the 480 civilians for whom chemoprophylaxis information was known, 344 (71.7%) reported that they had not followed a chemoprophylactic drug regimen recommended by CDC for the area to which they had traveled. Fourteen cases were reported in pregnant women, among whom none adhered to a complete prevention drug regimen. A significant decrease in the number of malaria cases occurred from 2007 to 2008. No change occurred in the proportions of cases caused by the various Plasmodium species. U.S. civilians traveling to countries in West Africa had the highest estimated relative case rates. In the majority of reported cases, U.S. civilians who acquired malaria abroad had not adhered to a chemoprophylaxis regimen that was appropriate for the country in which they acquired the infection. Persons traveling to an area in which malaria is endemic should take steps to prevent malaria, which might include taking one of the recommended chemoprophylaxis regimens appropriate for the region of travel and using personal protection measures to prevent mosquito bites. Any person who has been to a malarious area and who subsequently develops a fever or influenza-like symptoms should seek medical care immediately and report their travel history to the clinician; investigation should always include blood-film tests for malaria with results available immediately. Malaria infections can be fatal if not diagnosed and treated promptly. Malaria prevention recommendations are available from CDC online (http://wwwn.cdc.gov/travel/contentDiseases.aspx#malaria) or by calling the Malaria Hotline (telephone 770-488-7788). Malaria treatment recommendations can be obtained from CDC online (http://www.cdc.gov/malaria/diagnosis_treatment/treatment.htm) or by calling the Malaria Hotline.

Effects of vehicle power on passenger vehicle speeds.

PubMed

McCartt, Anne T; Hu, Wen

2017-07-04

During the past 2 decades, there have been large increases in mean horsepower and the mean horsepower-to-vehicle weight ratio for all types of new passenger vehicles in the United States. This study examined the relationship between travel speeds and vehicle power, defined as horsepower per 100 pounds of vehicle weight. Speed cameras measured travel speeds and photographed license plates and drivers of passenger vehicles traveling on roadways in Northern Virginia during daytime off-peak hours in spring 2013. The driver licensing agencies in the District of Columbia, Maryland, and Virginia provided vehicle information numbers (VINs) by matching license plate numbers with vehicle registration records and provided the age, gender, and ZIP code of the registered owner(s). VINs were decoded to obtain the curb weight and horsepower of vehicles. The study focused on 26,659 observed vehicles for which information on horsepower was available and the observed age and gender of drivers matched vehicle registration records. Log-linear regression estimated the effects of vehicle power on mean travel speeds, and logistic regression estimated the effects of vehicle power on the likelihood of a vehicle traveling over the speed limit and more than 10 mph over the limit. After controlling for driver characteristics, speed limit, vehicle type, and traffic volume, a 1-unit increase in vehicle power was associated with a 0.7% increase in mean speed, a 2.7% increase in the likelihood of a vehicle exceeding the speed limit by any amount, and an 11.6% increase in the likelihood of a vehicle exceeding the limit by 10 mph. All of these increases were highly significant. Speeding persists as a major factor in crashes in the United States. There are indications that travel speeds have increased in recent years. The current findings suggest the trend toward substantially more powerful vehicles may be contributing to higher speeds. Given the strong association between travel speed and crash risk and crash severity, this is cause for concern.

Pediatric Neglected Tropical Diseases in a Major Metropolitan Children's Hospital in the United States, 2004-2013.

PubMed

Sweet, Leigh R; Palazzi, Debra L

2016-12-01

We conducted a retrospective study of neglected tropical diseases (NTDs) diagnosed at Texas Children's Hospital between 2004 and 2013. Forty-three patients with an NTD were identified; 47% had never traveled outside of the United States. The results of this study highlight the importance of physician awareness of NTDs in children in the United States. © The Author 2015. Published by Oxford University Press on behalf of the Pediatric Infectious Diseases Society. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Birding economics and birder demographics studies as conservation tools

Treesearch

Paul Kerlinger

1993-01-01

Birders are the primary user-group of neotropical migratory birds. In the United States, birders number in the tens of millions and spend upwards of $20 billion dollars per year on bird seed, travel, and birding paraphernalia. Average yearly spending by active birders averages between $1,500 and $3,400, with travel being the major expenditure. Research needs include...

Cuban/US Research Interactions Since 1995

NASA Astrophysics Data System (ADS)

Tamargo, Maria C.

Interactions between Cuban physicists and researchers in the United States are difficult, to say the least. The complexities associated with communication and travel between Cuba and the US greatly hamper these efforts. Nevertheless, scientific interactions are permitted within the limits of the US embargo, and travel to Cuba to attend international scientific conferences or for well-documented research and educational purposes is allowed.

76 FR 33776 - Western Hemisphere Travel Initiative: Designation of an Approved Native American Tribal Card...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-09

... Yaqui Tribe as an Acceptable Document To Denote Identity and Citizenship AGENCY: U.S. Customs and Border... Initiative. The approved card may be used to denote identity and U.S. citizenship of Pascua Yaqui members... denote identity and citizenship for all travel into the United States. See 8 U.S.C. 1185 note. On April 3...

77 FR 18143 - Members of a Family for Purpose of Filing a CBP Family Declaration

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-27

... reflect relationships among members of the public who are traveling together as a family. By expanding the... CFR Part 148 [USCBP-2012-0008] RIN 1515-AD76 Members of a Family for Purpose of Filing a CBP Family... members of a family traveling together upon arrival in the United States. Specifically, CBP is proposing...

Case Report: Cutaneous Leishmaniasis in Cuban Immigrants to Texas who Traveled through the Darién Jungle, Panama

PubMed Central

Barry, Meagan A.; Koshelev, Misha V.; Sun, Grace S.; Grekin, Sarah J.; Stager, Charles E.; Diwan, A. Hafeez; Wasko, Carina A.; Murray, Kristy O.; Woc-Colburn, Laila

2014-01-01

Cutaneous leishmaniasis is rarely seen in the United States. Four Cuban immigrants traveled along the same route at different times from Cuba to Ecuador, then northward, including through the Darién Jungle in Panama. These patients had chronic ulcerative non-healing skin lesions and were given a diagnosis of leishmaniasis. PMID:24865687

The Economic Importance of Air Travel in High-Amenity Rural Areas

ERIC Educational Resources Information Center

Rasker, Ray; Gude, Patricia H.; Gude, Justin A.; van den Noort, Jeff

2009-01-01

The western United States offers a case study on the importance of access to large population centers and their markets, via road and air travel, for economic development. The vast distances between towns and cities in the American West can be a detriment to business, yet they also serve to attract technology and knowledge-based workers seeking to…

Using a Network Model to Assess Risk of Forest Pest Spread via Recreational Travel

PubMed Central

Koch, Frank H.; Yemshanov, Denys; Haack, Robert A.; Magarey, Roger D.

2014-01-01

Long-distance dispersal pathways, which frequently relate to human activities, facilitate the spread of alien species. One pathway of concern in North America is the possible spread of forest pests in firewood carried by visitors to campgrounds or recreational facilities. We present a network model depicting the movement of campers and, by extension, potentially infested firewood. We constructed the model from US National Recreation Reservation Service data documenting more than seven million visitor reservations (including visitors from Canada) at campgrounds nationwide. This bi-directional model can be used to identify likely origin and destination locations for a camper-transported pest. To support broad-scale decision making, we used the model to generate summary maps for 48 US states and seven Canadian provinces that depict the most likely origins of campers traveling from outside the target state or province. The maps generally showed one of two basic spatial patterns of out-of-state (or out-of-province) origin risk. In the eastern United States, the riskiest out-of-state origin locations were usually found in a localized region restricted to portions of adjacent states. In the western United States, the riskiest out-of-state origin locations were typically associated with major urban areas located far from the state of interest. A few states and the Canadian provinces showed characteristics of both patterns. These model outputs can guide deployment of resources for surveillance, firewood inspections, or other activities. Significantly, the contrasting map patterns indicate that no single response strategy is appropriate for all states and provinces. If most out-of-state campers are traveling from distant areas, it may be effective to deploy resources at key points along major roads (e.g., interstate highways), since these locations could effectively represent bottlenecks of camper movement. If most campers are from nearby areas, they may have many feasible travel routes, so a more widely distributed deployment may be necessary. PMID:25007186

Using a network model to assess risk of forest pest spread via recreational travel.

PubMed

Koch, Frank H; Yemshanov, Denys; Haack, Robert A; Magarey, Roger D

2014-01-01

Long-distance dispersal pathways, which frequently relate to human activities, facilitate the spread of alien species. One pathway of concern in North America is the possible spread of forest pests in firewood carried by visitors to campgrounds or recreational facilities. We present a network model depicting the movement of campers and, by extension, potentially infested firewood. We constructed the model from US National Recreation Reservation Service data documenting more than seven million visitor reservations (including visitors from Canada) at campgrounds nationwide. This bi-directional model can be used to identify likely origin and destination locations for a camper-transported pest. To support broad-scale decision making, we used the model to generate summary maps for 48 US states and seven Canadian provinces that depict the most likely origins of campers traveling from outside the target state or province. The maps generally showed one of two basic spatial patterns of out-of-state (or out-of-province) origin risk. In the eastern United States, the riskiest out-of-state origin locations were usually found in a localized region restricted to portions of adjacent states. In the western United States, the riskiest out-of-state origin locations were typically associated with major urban areas located far from the state of interest. A few states and the Canadian provinces showed characteristics of both patterns. These model outputs can guide deployment of resources for surveillance, firewood inspections, or other activities. Significantly, the contrasting map patterns indicate that no single response strategy is appropriate for all states and provinces. If most out-of-state campers are traveling from distant areas, it may be effective to deploy resources at key points along major roads (e.g., interstate highways), since these locations could effectively represent bottlenecks of camper movement. If most campers are from nearby areas, they may have many feasible travel routes, so a more widely distributed deployment may be necessary.

Multi-Modal Traveler Information System - VMS/HAR State-of-the-Practice

DOT National Transportation Integrated Search

1997-05-30

The Gary-Chicago-Milwaukee (GCM) Corridor is one of the four "Priority Corridors" established by the United States Congress in the Inter-Modal Surface Transportation Efficiency Act (ISTEA). These corridors have been selected for special federal trans...

Education as Part of the Migratory Project of Latin American Migrant Women Traveling to the United States in Undocumented Conditions

ERIC Educational Resources Information Center

Cardenas-Rodríguez, Rocio; Terrón-Caro, Teresa; Vázquez Delgado, Blanca Delia; Cueva-Luna, Teresa Elizabeth

2015-01-01

Education is an indispensable element for the development of society. In Latin America, the point of origin of most of the undocumented immigrants to the United States, equal opportunity in access to education and educational achievement is still pending. The study presented here focuses on the analysis of the expectations of female migrants via…

8 CFR 216.4 - Joint petition to remove conditional basis of lawful permanent resident status for alien spouse.

Code of Federal Regulations, 2011 CFR

2011-01-01

... petition has been properly filed, the alien may travel outside the United States and return if in... from the United States. In such proceedings the burden shall be on the alien to establish that he or... to terminate his or her status in such proceedings, but the burden shall be on the alien to establish...

Traveling the National Road: A National Park Service Curriculum Based Education Program.

ERIC Educational Resources Information Center

National Park Service (Dept. of Interior), Washington, DC.

In 1805, a U.S. Senate committee urged the building of a road that would connect the eastern United States with the western United States. The road came to be known as the National Road (or Cumberland Road). It began in Cumberland, Maryland, and eventually reached to Vandalia, Illinois. It was the first and only U.S. road built entirely with…

Malaria Surveillance - United States, 2014.

PubMed

Mace, Kimberly E; Arguin, Paul M

2017-05-26

Malaria in humans is caused by intraerythrocytic protozoa of the genus Plasmodium. These parasites are transmitted by the bite of an infective female Anopheles mosquito. The majority of malaria infections in the United States occur among persons who have traveled to regions with ongoing malaria transmission. However, malaria is occasionally acquired by persons who have not traveled out of the country through exposure to infected blood products, congenital transmission, laboratory exposure, or local mosquitoborne transmission. Malaria surveillance in the United States is conducted to identify episodes of local transmission and to guide prevention recommendations for travelers. This report summarizes cases in persons with onset of illness in 2014 and trends during previous years. Malaria cases diagnosed by blood film, polymerase chain reaction, or rapid diagnostic tests are reported to local and state health departments by health care providers or laboratory staff. Case investigations are conducted by local and state health departments, and reports are transmitted to CDC through the National Malaria Surveillance System, National Notifiable Diseases Surveillance System, or direct CDC consultations. CDC conducts antimalarial drug resistance marker testing on blood samples submitted by health care providers or local or state health departments. Data from these reporting systems serve as the basis for this report. CDC received reports of 1,724 confirmed malaria cases, including one congenital case and two cryptic cases, with onset of symptoms in 2014 among persons in the United States. The number of confirmed cases in 2014 is consistent with the number of confirmed cases reported in 2013 (n = 1,741; this number has been updated from a previous publication to account for delayed reporting for persons with symptom onset occurring in late 2013). Plasmodium falciparum, P. vivax, P. ovale, and P. malariae were identified in 66.1%, 13.3%, 5.2%, and 2.7% of cases, respectively. Less than 1.0% of patients were infected with two species. The infecting species was unreported or undetermined in 11.7% of cases. CDC provided diagnostic assistance for 14.2% of confirmed cases and tested 12.0% of P. falciparum specimens for antimalarial resistance markers. Of patients who reported purpose of travel, 57.5% were visiting friends and relatives (VFR). Among U.S. residents for whom information on chemoprophylaxis use and travel region was known, 7.8% reported that they initiated and adhered to a chemoprophylaxis drug regimen recommended by CDC for the regions to which they had traveled. Thirty-two cases were among pregnant women, none of whom had adhered to chemoprophylaxis. Among all reported cases, 17.0% were classified as severe illness, and five persons with malaria died. CDC received 137 P. falciparum-positive samples for the detection of antimalarial resistance markers (although some loci for chloroquine and mefloquine were untestable for up to nine samples). Of the 137 samples tested, 131 (95.6%) had genetic polymorphisms associated with pyrimethamine drug resistance, 96 (70.0%) with sulfadoxine resistance, 77 (57.5%) with chloroquine resistance, three (2.3%) with mefloquine drug resistance, one (<1.0%) with atovaquone resistance, and two (1.4%) with artemisinin resistance. The overall trend of malaria cases has been increasing since 1973; the number of cases reported in 2014 is the fourth highest annual total since then. Despite progress in reducing global prevalence of malaria, the disease remains endemic in many regions and use of appropriate prevention measures by travelers is still inadequate. Completion of data elements on the malaria case report form increased slightly in 2014 compared with 2013, but still remains unacceptably low. In 2014, at least one essential element (i.e., species, travel history, or resident status) was missing in 21.3% of case report forms. Incomplete reporting compromises efforts to examine trends in malaria cases and prevent infections. VFR travelers continue to be a difficult population to reach with effective malaria prevention strategies. Evidence-based prevention strategies that effectively target VFR travelers need to be developed and implemented to have a substantial impact on the number of imported malaria cases in the United States. Fewer U.S. resident patients reported taking chemoprophylaxis in 2014 (27.2%) compared with 2013 (28.6%), and adherence was poor among those who did take chemoprophylaxis. Proper use of malaria chemoprophylaxis will prevent the majority of malaria illnesses and reduce risk for severe disease (https://www.cdc.gov/malaria/travelers/drugs.html). Malaria infections can be fatal if not diagnosed and treated promptly with antimalarial medications appropriate for the patient's age and medical history, likely country of malaria acquisition, and previous use of antimalarial chemoprophylaxis. Recent molecular laboratory advances have enabled CDC to identify and conduct molecular surveillance of antimalarial drug resistance markers (https://www.cdc.gov/malaria/features/ars.html) and improve the ability of CDC to track, guide treatment, and manage drug resistance in malaria parasites both domestically and globally. For this effort to be successful, specimens should be submitted for all cases diagnosed in the United States. Clinicians should consult CDC Guidelines for Treatment of Malaria in the United States and contact the CDC Malaria Hotline for case management advice, when needed. Malaria treatment recommendations can be obtained online at https://www.cdc.gov/malaria/diagnosis_treatment/ or by calling the Malaria Hotline at 770-488-7788 or toll-free at 855-856-4713.

Malaria Surveillance — United States, 2014

PubMed Central

Arguin, Paul M.

2017-01-01

Problem/Condition Malaria in humans is caused by intraerythrocytic protozoa of the genus Plasmodium. These parasites are transmitted by the bite of an infective female Anopheles mosquito. The majority of malaria infections in the United States occur among persons who have traveled to regions with ongoing malaria transmission. However, malaria is occasionally acquired by persons who have not traveled out of the country through exposure to infected blood products, congenital transmission, laboratory exposure, or local mosquitoborne transmission. Malaria surveillance in the United States is conducted to identify episodes of local transmission and to guide prevention recommendations for travelers. Period Covered This report summarizes cases in persons with onset of illness in 2014 and trends during previous years. Description of System Malaria cases diagnosed by blood film, polymerase chain reaction, or rapid diagnostic tests are reported to local and state health departments by health care providers or laboratory staff. Case investigations are conducted by local and state health departments, and reports are transmitted to CDC through the National Malaria Surveillance System, National Notifiable Diseases Surveillance System, or direct CDC consultations. CDC conducts antimalarial drug resistance marker testing on blood samples submitted by health care providers or local or state health departments. Data from these reporting systems serve as the basis for this report. Results CDC received reports of 1,724 confirmed malaria cases, including one congenital case and two cryptic cases, with onset of symptoms in 2014 among persons in the United States. The number of confirmed cases in 2014 is consistent with the number of confirmed cases reported in 2013 (n = 1,741; this number has been updated from a previous publication to account for delayed reporting for persons with symptom onset occurring in late 2013). Plasmodium falciparum, P. vivax, P. ovale, and P. malariae were identified in 66.1%, 13.3%, 5.2%, and 2.7% of cases, respectively. Less than 1.0% of patients were infected with two species. The infecting species was unreported or undetermined in 11.7% of cases. CDC provided diagnostic assistance for 14.2% of confirmed cases and tested 12.0% of P. falciparum specimens for antimalarial resistance markers. Of patients who reported purpose of travel, 57.5% were visiting friends and relatives (VFR). Among U.S. residents for whom information on chemoprophylaxis use and travel region was known, 7.8% reported that they initiated and adhered to a chemoprophylaxis drug regimen recommended by CDC for the regions to which they had traveled. Thirty-two cases were among pregnant women, none of whom had adhered to chemoprophylaxis. Among all reported cases, 17.0% were classified as severe illness, and five persons with malaria died. CDC received 137 P. falciparum-positive samples for the detection of antimalarial resistance markers (although some loci for chloroquine and mefloquine were untestable for up to nine samples). Of the 137 samples tested, 131 (95.6%) had genetic polymorphisms associated with pyrimethamine drug resistance, 96 (70.0%) with sulfadoxine resistance, 77 (57.5%) with chloroquine resistance, three (2.3%) with mefloquine drug resistance, one (<1.0%) with atovaquone resistance, and two (1.4%) with artemisinin resistance. Interpretation The overall trend of malaria cases has been increasing since 1973; the number of cases reported in 2014 is the fourth highest annual total since then. Despite progress in reducing global prevalence of malaria, the disease remains endemic in many regions and use of appropriate prevention measures by travelers is still inadequate. Public Health Action Completion of data elements on the malaria case report form increased slightly in 2014 compared with 2013, but still remains unacceptably low. In 2014, at least one essential element (i.e., species, travel history, or resident status) was missing in 21.3% of case report forms. Incomplete reporting compromises efforts to examine trends in malaria cases and prevent infections. VFR travelers continue to be a difficult population to reach with effective malaria prevention strategies. Evidence-based prevention strategies that effectively target VFR travelers need to be developed and implemented to have a substantial impact on the number of imported malaria cases in the United States. Fewer U.S. resident patients reported taking chemoprophylaxis in 2014 (27.2%) compared with 2013 (28.6%), and adherence was poor among those who did take chemoprophylaxis. Proper use of malaria chemoprophylaxis will prevent the majority of malaria illnesses and reduce risk for severe disease (https://www.cdc.gov/malaria/travelers/drugs.html). Malaria infections can be fatal if not diagnosed and treated promptly with antimalarial medications appropriate for the patient’s age and medical history, likely country of malaria acquisition, and previous use of antimalarial chemoprophylaxis. Recent molecular laboratory advances have enabled CDC to identify and conduct molecular surveillance of antimalarial drug resistance markers (https://www.cdc.gov/malaria/features/ars.html) and improve the ability of CDC to track, guide treatment, and manage drug resistance in malaria parasites both domestically and globally. For this effort to be successful, specimens should be submitted for all cases diagnosed in the United States. Clinicians should consult CDC Guidelines for Treatment of Malaria in the United States and contact the CDC Malaria Hotline for case management advice, when needed. Malaria treatment recommendations can be obtained online at https://www.cdc.gov/malaria/diagnosis_treatment/ or by calling the Malaria Hotline at 770-488-7788 or toll-free at 855-856-4713. PMID:28542123

Introduction to Svenska.

ERIC Educational Resources Information Center

Simonsen, Reidar G.

This Swedish language unit is intended to introduce high school students in the United States to modern spoken Swedish and to Swedish culture. The document is presented in 18 chapters. Topics include greetings, family, daily life, conversational openers, the alphabet, ordering food in a restaurant, football, sports, skiing, politics, travels, and…

31 CFR 596.307 - Monetary instruments.

Code of Federal Regulations, 2010 CFR

2010-07-01

... FOREIGN ASSETS CONTROL, DEPARTMENT OF THE TREASURY TERRORISM LIST GOVERNMENTS SANCTIONS REGULATIONS... includes coin or currency of the United States or of any other country, travelers' checks, personal checks...

International risk of yellow fever spread from the ongoing outbreak in Brazil, December 2016 to May 2017.

PubMed

Dorigatti, Ilaria; Hamlet, Arran; Aguas, Ricardo; Cattarino, Lorenzo; Cori, Anne; Donnelly, Christl A; Garske, Tini; Imai, Natsuko; Ferguson, Neil M

2017-07-13

States in south-eastern Brazil were recently affected by the largest Yellow Fever (YF) outbreak seen in a decade in Latin America. Here we provide a quantitative assessment of the risk of travel-related international spread of YF indicating that the United States, Argentina, Uruguay, Spain, Italy and Germany may have received at least one travel-related YF case capable of seeding local transmission. Mitigating the risk of imported YF cases seeding local transmission requires heightened surveillance globally. This article is copyright of The Authors, 2017.

International risk of yellow fever spread from the ongoing outbreak in Brazil, December 2016 to May 2017

PubMed Central

Dorigatti, Ilaria; Hamlet, Arran; Aguas, Ricardo; Cattarino, Lorenzo; Cori, Anne; Donnelly, Christl A; Garske, Tini; Imai, Natsuko; Ferguson, Neil M

2017-01-01

States in south-eastern Brazil were recently affected by the largest Yellow Fever (YF) outbreak seen in a decade in Latin America. Here we provide a quantitative assessment of the risk of travel-related international spread of YF indicating that the United States, Argentina, Uruguay, Spain, Italy and Germany may have received at least one travel-related YF case capable of seeding local transmission. Mitigating the risk of imported YF cases seeding local transmission requires heightened surveillance globally. PMID:28749337

How Can Improvements Be Made to the United States Metrorail System (With a Focus on the Washington Metropolitan Area Transit Authority Metrorail System) to Enhance Safety for Its Riders

DTIC Science & Technology

2016-06-10

involved, whether it is citizens commuting to work, families traveling into the National Capital Region, or tourists that are traveling to visit the...Nations Capital . The public opinion of the WMATA Metrorail system has been on a gradual decline over the years due to the accidents, current system...National Capital Region, or tourists that are traveling to visit the Nations Capital . The public opinion of the WMATA Metrorail system has been on a

Influence of canopy closure and shrub coverage on travel along coarse woody debris by Eastern chipmunks (Tamias striatus)

Treesearch

Patrick A. Zollner; Kevin J. Crane

2003-01-01

We investigated relationships between canopy closure, shrub cover and the use of coarse woody debris as a travel path by eastern chipmunks (Tamias striatus) in the north central United States. Fine scale movements of chipmunks were followed with tracking spools and the percentage of each movement path directly along coarse woody debris was recorded...

A bill to amend title 38, United States Code, to provide for coverage under the beneficiary travel program of the Department of Veterans Affairs of certain disabled veterans for travel in connection with certain special disabilities rehabilitation, and for other purposes.

THOMAS, 113th Congress

Sen. Tester, Jon [D-MT

2013-03-21

Senate - 05/09/2013 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 113-203. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

A bill to amend title 38, United States Code, to provide for coverage under the beneficiary travel program of the Department of Veterans Affairs of certain disabled veterans for travel for certain special disabilities rehabilitation, and for other purposes.

THOMAS, 112th Congress

Sen. Tester, Jon [D-MT

2011-10-20

Senate - 06/27/2012 Committee on Veterans' Affairs. Hearings held. Hearings printed: S.Hrg. 112-668. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Changing Patterns in Enteric Fever Incidence and Increasing Antibiotic Resistance of Enteric Fever Isolates in the United States, 2008–2012

PubMed Central

Date, Kashmira A.; Newton, Anna E.; Medalla, Felicita; Blackstock, Anna; Richardson, LaTonia; McCullough, Andre; Mintz, Eric D.; Mahon, Barbara E.

2016-01-01

Background Enteric fever in the United States has been primarily associated with travel and with worrisome changes in global patterns of antimicrobial resistance. We present the first comprehensive report of National Typhoid and Paratyphoid Fever Surveillance System (NTPFS) data for a 5-year period (2008–2012). Methods We reviewed data on laboratory-confirmed cases reported to NTPFS, and related antimicrobial susceptibility results of Salmonella Typhi and Paratyphi A isolates sent for testing by participating public health laboratories to the Centers for Disease Control and Prevention’s National Antimicrobial Resistance Monitoring System laboratory. Results During 2008–2012, 2341 enteric fever cases were reported, 80% typhoid and 20% paratyphoid A. The proportion caused by paratyphoid A increased from 16% (2008) to 22% (2012). Foreign travel within 30 days preceding illness onset was reported by 1961 (86%) patients (86% typhoid and 92% paratyphoid A). Travel to southern Asia was common (82% for typhoid, 97% for paratyphoid A). Among 1091 (58%) typhoid and 262 (56%) paratyphoid A isolates tested for antimicrobial susceptibility, the proportion resistant to nalidixic acid (NAL-R) increased from 2008 to 2012 (Typhi, 60% to 68%; Paratyphi A, 91% to 94%). Almost all NAL-R isolates were resistant or showed decreased susceptibility to ciprofloxacin. Resistance to at least ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole (multidrug resistant [MDR]) was limited to Typhi isolates, primarily acquired in southern Asia (13%). Most MDR isolates were also NAL-R. Conclusions Enteric fever in the United States is primarily associated with travel to southern Asia, and increasing resistance is adding to treatment challenges. A bivalent typhoid and paratyphoid vaccine is needed. PMID:27090993

Changing Patterns in Enteric Fever Incidence and Increasing Antibiotic Resistance of Enteric Fever Isolates in the United States, 2008-2012.

PubMed

Date, Kashmira A; Newton, Anna E; Medalla, Felicita; Blackstock, Anna; Richardson, LaTonia; McCullough, Andre; Mintz, Eric D; Mahon, Barbara E

2016-08-01

Enteric fever in the United States has been primarily associated with travel and with worrisome changes in global patterns of antimicrobial resistance. We present the first comprehensive report of National Typhoid and Paratyphoid Fever Surveillance System (NTPFS) data for a 5-year period (2008-2012). We reviewed data on laboratory-confirmed cases reported to NTPFS, and related antimicrobial susceptibility results of Salmonella Typhi and Paratyphi A isolates sent for testing by participating public health laboratories to the Centers for Disease Control and Prevention's National Antimicrobial Resistance Monitoring System laboratory. During 2008-2012, 2341 enteric fever cases were reported, 80% typhoid and 20% paratyphoid A. The proportion caused by paratyphoid A increased from 16% (2008) to 22% (2012). Foreign travel within 30 days preceding illness onset was reported by 1961 (86%) patients (86% typhoid and 92% paratyphoid A). Travel to southern Asia was common (82% for typhoid, 97% for paratyphoid A). Among 1091 (58%) typhoid and 262 (56%) paratyphoid A isolates tested for antimicrobial susceptibility, the proportion resistant to nalidixic acid (NAL-R) increased from 2008 to 2012 (Typhi, 60% to 68%; Paratyphi A, 91% to 94%). Almost all NAL-R isolates were resistant or showed decreased susceptibility to ciprofloxacin. Resistance to at least ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole (multidrug resistant [MDR]) was limited to Typhi isolates, primarily acquired in southern Asia (13%). Most MDR isolates were also NAL-R. Enteric fever in the United States is primarily associated with travel to southern Asia, and increasing resistance is adding to treatment challenges. A bivalent typhoid and paratyphoid vaccine is needed. Published by Oxford University Press for the Infectious Diseases Society of America 2016. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Mexican Perspectives on Mexican-U.S. Relations

DTIC Science & Technology

1993-04-01

while serving in the United States military, working in the Bracero program and in American factories. By working with Americans, Mexicans learned that...Mexican government blames the problem on the United States. During the history of the Bracero Program (1942 -1964) 4.6 million Mexicans traveled to...and became familiar to Mexican migrants.ŕ The termination of the Bracero Program did not discourage Mexican agricultural workers from entering the

Unification Costs for Korea and the Korean Peninsula

DTIC Science & Technology

2015-12-01

employment; education; culture, sports , and tourism ; environment; military; foreign affairs; public order and safety; and public administration (see Table...percentage of budget) Health, Welfare, and Employment 105.2 30.6 Education 48.1 14.0 Culture, Physical, and Tourism 5.5 1.6 Environment 6.2 1.8...102 The United States would export business and professional services; NK would export traveling and tourism services to the United States. Thanks

Valuing setting-based recreation for selected visitors to national forests in the southern United States

Treesearch

Kavita Sardana; John C. Bergstrom; J. M.  Bowker

2016-01-01

In this study we estimate selected visitors’ demand and value for recreational trips to settings such as developed vs. undeveloped sites in U.S. national forests in the Southern United States using the travel cost method. The setting-based approach allows for valuation of multi-activity trips to particular settings. The results from an adjusted Poisson lognormal...

National Security and Immigration Policy: Reclaiming Terms, Measuring Success, and Setting Priorities

DTIC Science & Technology

2006-10-31

Catholic Bishops. + Associate Professor, Department of Social Sciences, United States Military Academy, West Point, New York and Lieutenant Colonel...detailed form explaining their affiliations and travel history, and undergo consular interviews. In addition, the United States instituted new ...completed, but the task assumed a new life following the September 11th attacks. By the end of 2005, DHS had instituted “entry” (check-in

A Study of Urban 4-H Club Programs in Thirty Cities of the United States.

ERIC Educational Resources Information Center

Brownell, Joseph C.

This report covers a six-month sabbatical travel study of urban 4-H programs in 30 United States cities. The purpose of the study was to search for 4-H programs and methods which were being used successfully with urban boys and which might be adapted for use in other urban situations. Interviews with professional 4-H personnel, aides, and leaders…

77 FR 12882 - Labor Certification Process for the Temporary Employment of Aliens in Agriculture in the United...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-02

... DEPARTMENT OF LABOR Employment and Training Administration Labor Certification Process for the Temporary Employment of Aliens in Agriculture in the United States: 2012 Allowable Charges for Agricultural Workers' Meals and Travel Subsistence Reimbursement, Including Lodging AGENCY: Employment and Training...

78 FR 15741 - Labor Certification Process for the Temporary Employment of Aliens in Agriculture in the United...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-12

... DEPARTMENT OF LABOR Employment and Training Administration Labor Certification Process for the Temporary Employment of Aliens in Agriculture in the United States: 2013 Allowable Charges for Agricultural Workers' Meals and Travel Subsistence Reimbursement, Including Lodging AGENCY: Employment and Training...

77 FR 13635 - Labor Certification Process for the Temporary Employment of Aliens in Agriculture in the United...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-07

... DEPARTMENT OF LABOR Employment and Training Administration Labor Certification Process for the Temporary Employment of Aliens in Agriculture in the United States: 2012 Allowable Charges for Agricultural Workers' Meals and Travel Subsistence Reimbursement, Including Lodging AGENCY: Employment and Training...

Introduction to Norsk.

ERIC Educational Resources Information Center

Simonsen, Reidar G.

This Norsk language unit is intended to introduce high school students in the United States to modern spoken Norwegian and to Norwegian culture. The document is presented in 18 chapters. Topics include greetings, family, speaking Norwegian, the alphabet, travel in Norway, parts of the country, telling time, pronouns and articles, days of the week,…

76 FR 11286 - Labor Certification Process for the Temporary Employment of Aliens in Agriculture in the United...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-01

... DEPARTMENT OF LABOR Employment and Training Administration Labor Certification Process for the Temporary Employment of Aliens in Agriculture in the United States: 2011 Adverse Effect Wage Rates, Allowable Charges for Agricultural Workers' Meals, and Maximum Travel Subsistence Reimbursement AGENCY...

A Study of Japan for the Intermediate Grades.

ERIC Educational Resources Information Center

Sauer, Susan

Arranged in outline form, this unit on Japan contains over 40 activities for intermediate grade students. Subjects covered are human and physical geography, social history, life style, communication and travel, occupations, recreation, art, education, government, and relations with the United States. Four to 10 activities are described under each…

Characteristics and Spectrum of Disease Among Ill Returned Travelers from Pre- and Post-Earthquake Haiti: The GeoSentinel Experience

PubMed Central

Esposito, Douglas H.; Han, Pauline V.; Kozarsky, Phyllis E.; Walker, Patricia F.; Gkrania-Klotsas, Effrossyni; Barnett, Elizabeth D.; Libman, Michael; McCarthy, Anne E.; Field, Vanessa; Connor, Bradley A.; Schwartz, Eli; MacDonald, Susan; Sotir, Mark J.

2012-01-01

To describe patient characteristics and disease spectrum among foreign visitors to Haiti before and after the 2010 earthquake, we used GeoSentinel Global Surveillance Network data and compared 1 year post-earthquake versus 3 years pre-earthquake. Post-earthquake travelers were younger, predominantly from the United States, more frequently international assistance workers, and more often medically counseled before their trip than pre-earthquake travelers. Work-related stress and upper respiratory tract infections were more frequent post-earthquake; acute diarrhea, dengue, and Plasmodium falciparum malaria were important contributors of morbidity both pre- and post-earthquake. These data highlight the importance of providing destination- and disaster-specific pre-travel counseling and post-travel evaluation and medical management to persons traveling to or returning from a disaster location, and evaluations should include attention to the psychological wellbeing of these travelers. For travel to Haiti, focus should be on mosquito-borne illnesses (dengue and P. falciparum malaria) and travelers' diarrhea. PMID:22232445

Polio (For Parents)

MedlinePlus

... to travel outside the United States, particularly to Africa and Asia (where polio still exists), be sure ... person, as has happened in some countries in Africa and Asia. So until it has been eliminated ...

Analyzing Variability in Ebola-Related Controls Applied to Returned Travelers in the United States

PubMed Central

Siedner, Mark J.; Stoto, Michael A.

2015-01-01

Public health authorities have adopted entry screening and subsequent restrictions on travelers from Ebola-affected West African countries as a strategy to prevent importation of Ebola virus disease (EVD) cases. We analyzed international, federal, and state policies—principally based on the policy documents themselves and media reports—to evaluate policy variability. We employed means-ends fit analysis to elucidate policy objectives. We found substantial variation in the specific approaches favored by WHO, CDC, and various American states. Several US states impose compulsory quarantine on a broader range of travelers or require more extensive monitoring than recommended by CDC or WHO. Observed differences likely partially resulted from different actors having different policy goals—particularly the federal government having to balance foreign policy objectives less salient to states. Further, some state-level variation appears to be motivated by short-term political goals. We propose recommendations to improve future policies, which include the following: (1) actors should explicitly clarify their objectives, (2) legal authority should be modernized and clarified, and (3) the federal government should consider preempting state approaches that imperil its goals. PMID:26348222

Development and Implementation of the Ebola Traveler Monitoring Program and Clinical Outcomes of Monitored Travelers during October – May 2015, Minnesota

PubMed Central

DeVries, Aaron; Talley, Pamela; Sweet, Kristin; Kline, Susan; Stinchfield, Patricia; Tosh, Pritish; Danila, Richard

2016-01-01

Background In October 2014, the United States began actively monitoring all persons who had traveled from Guinea, Liberia, and Sierra Leone in the previous 21 days. State public health departments were responsible for monitoring all travelers; Minnesota has the largest Liberian population in the United States. The MDH Ebola Clinical Team (ECT) was established to assess travelers with symptoms of concern for Ebola virus disease (EVD), coordinate access to healthcare at appropriate facilities including Ebola Assessment and Treatment Units (EATU), and provide guidance to clinicians. Methods Minnesota Department of Health (MDH) began receiving traveler information collected by U.S. Customs and Border Control and Centers for Disease Control and Prevention staff on October 21, 2014 via encrypted electronic communication. All travelers returning from Liberia, Sierra Leone, and Guinea during 10/21/14–5/15/15 were monitored by MDH staff in the manner recommended by CDC based on the traveler’s risk categorization as “low (but not zero)”, “some” and “high” risk. When a traveler reported symptoms or a temperature ≥100.4° F at any time during their 21-day monitoring period, an ECT member would speak to the traveler and perform a clinical assessment by telephone or via video-chat. Based on the assessment the ECT member would recommend 1) continued clinical monitoring while at home with frequent telephone follow-up by the ECT member, 2) outpatient clinical evaluation at an outpatient site agreed upon by all parties, or 3) inpatient clinical evaluation at one of four Minnesota EATUs. ECT members assessed and approved testing for Ebola virus infection at MDH. Traveler data, calls to the ECT and clinical outcomes were logged on a secure server at MDH. Results During 10/21/14–5/15/15, a total of 783 travelers were monitored; 729 (93%) traveled from Liberia, 30 (4%) Sierra Leone, and 24 (3%) Guinea. The median number monitored per week was 59 (range 45–143). The median age was 35 years; 136 (17%) were aged <18 years. Thirteen of 256 women of reproductive age (5%) were pregnant. The country of passport issuance was known for 720 of the travelers. The majority of monitored travelers (478 [66%]) used a non-U.S. passport including 442 (61%) Liberian nationals. A total of 772 (99%) travelers were “low (but not zero)” risk; 11 (1%) were “some” risk. Among monitored travelers, 43 (5%) experienced illness symptoms; 29 (67%) had a symptom consistent with EVD. Two were tested for Ebola virus disease and had negative results. Most frequently reported symptoms were fever (20/43, 47%) and abdominal pain (12/43, 28%). During evaluation, 16 (37%) of 43 travelers reported their symptoms began prior to travel; chronic health conditions in 24 travelers including tumors/cancer, pregnancy, and orthopedic conditions were most common. Infectious causes in 19 travelers included upper respiratory infection, malaria, and gastrointestinal infections. Discussion Prior to 2014, no similar active monitoring program for travelers had been performed in Minnesota; assessment and management of symptomatic travelers was a new activity for MDH. Ensuring safe entrance into healthcare was particularly challenging for children, and pregnant women, as well as those without an established connection to healthcare. Unnecessary inpatient evaluations were successfully avoided by close clinical follow-up by phone. Before similar monitoring programs are considered in the future, careful thought must be given to necessary resources and the impact on affected populations, public health, and the healthcare system. PMID:27907013

First Zika-positive donations in the continental United States.

PubMed

Galel, Susan A; Williamson, Phillip C; Busch, Michael P; Stanek, Danielle; Bakkour, Sonia; Stone, Mars; Lu, Kai; Jones, Scott; Rossmann, Susan N; Pate, Lisa Lee

2017-03-01

Zika virus (ZIKV) has spread in the Americas, including parts of the southern United States, and infection can be associated with serious complications, including congenital brain abnormalities. Probable transfusion transmission of ZIKV has been documented in Brazil. Preemptive testing of blood donations for ZIKV RNA was implemented in southern US states at risk of local transmission using a test approved under a Food and Drug Administration (FDA) investigational new drug application, cobas Zika. Screening was expanded after issuance of an updated FDA guidance. Donations reactive on initial screening were further tested by nucleic acid and antibody tests to determine the donor status. Of 358,786 donations from US states screened by individual donation testing, 23 were initially reactive on cobas Zika. Fourteen of these represented probable ZIKV infection based on reactivity on additional nucleic acid testing or anti-Zika immunoglobulin M. Ten of the 14 donors reported travel to an identified ZIKV-active area within 90 days before donation (median time from end of travel to donation, 25 days; range, 6-71 days). Three donors with travel history also had a potential sexual exposure. Only seven of the 14 donations with probable ZIKV infection were detectable upon 1:6 dilution to simulate minipool testing. The estimated specificity of the cobas Zika test was 99.997%. Screening of donations for ZIKV RNA can interdict ZIKV-infected donors. Donor risk factors include travel more than 4 weeks before donation and sexual exposure. Minipool screening would have detected only 50% of the RNA-positive donations. © 2017 The Authors Transfusion published by Wiley Periodicals, Inc. on behalf of AABB.

Cutaneous leishmaniasis in Cuban immigrants to Texas who traveled through the Darién Jungle, Panama.

PubMed

Barry, Meagan A; Koshelev, Misha V; Sun, Grace S; Grekin, Sarah J; Stager, Charles E; Diwan, A Hafeez; Wasko, Carina A; Murray, Kristy O; Woc-Colburn, Laila

2014-08-01

Cutaneous leishmaniasis is rarely seen in the United States. Four Cuban immigrants traveled along the same route at different times from Cuba to Ecuador, then northward, including through the Darién Jungle in Panama. These patients had chronic ulcerative non-healing skin lesions and were given a diagnosis of leishmaniasis. © The American Society of Tropical Medicine and Hygiene.

The first case of imported Borrelia miyamotoi disease concurrent with Lyme disease.

PubMed

Oda, Rentaro; Kutsuna, Satoshi; Sekikawa, Yoshiyuki; Hongo, Igen; Sato, Kozue; Ohnishi, Makoto; Kawabata, Hiroki

2017-05-01

Borrelia miyamotoi disease (BMD) is an emerging infectious disease caused by B. miyamotoi. Although BMD has been reported in the United States, Europe, and Japan, no case of imported BMD has been described in the world. Here, we report a 63-year-old American man living in Japan who presented with malaise, headache, myalgia, and arthralgia. We suspected Lyme disease because of his travel history to Minnesota and presence of erythema migrans. Serologic analysis supported our diagnosis, and doxycycline was administered for 14 days. However, we also suspected coinfection with BMD because of his fever, elevated liver function test results and his travel history. The patient was seropositive for the immunoglobulin M antibody to recombinant glycerophosphodiester phosphodiesterase, and was diagnosed with coinfection with BMD. This case suggests that BMD should be considered in febrile travelers returning from the Northeastern and Midwestern regions of the United States, and that BMD and Lyme disease coinfection should be considered to detect cases of imported BMD. Copyright © 2017 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

Rickettsial infections--a threat to travellers?

PubMed

Rolain, Jean-Marc; Jensenius, Mogens; Raoult, Didier

2004-10-01

Recent developments in cell-culture techniques and molecular methods have led to the description of several new rickettsial diseases. An update on these new infections should be of interest to health workers with patients who are international travellers. Epidemic typhus was reported last year in the United States when an outbreak of murine typhus was recorded in Hawaii. Among spotted fever group rickettsioses, African tick bite fever is now probably the most common rickettsial infection in Africa with numerous cases also reported in international travellers. For the first time the Astrakhan fever rickettsia has been described outside Europe, in a French patient returning from Chad. Similarly, the first case of Rickettsia sibirica mongolotimonae infection in Africa was reported in 2004. Finally, a newly recognized agent of a spotted fever rickettsiosis, Rickettsia parkeri, has been reported in the United States during 2004. Because results of serological testing are only presumptive, sophisticated methods are crucial for the diagnosis and description of new rickettsial diseases, especially in atypical cases. Modern diagnostic tools include cross-adsorption assays, Western blot testing, and cell-culture and molecular-biological methods.

49 CFR 374.503 - Authority.

Code of Federal Regulations, 2010 CFR

2010-10-01

... commerce, between any points and places in the United States (including Alaska and Hawaii). The term... exclusive use of a passenger-carrying motor vehicle to travel together as a group to a specified destination...

National Academy of Sciences: Helping Scientists Navigate & Troubleshoot Visa Issues

NASA Astrophysics Data System (ADS)

Bailey, Kathie

2014-03-01

The International Visitors Office (IVO) is a program operated by the Board on International Scientific Organizations of the National Academy of Sciences. The IVO serves as a resource on visa-related issues for scientists and students traveling to the United States for professional activities. The speaker will address visa issues for international scientists wishing to visit the United States, tips for trouble-shooting visa issues, and statistics on the current visa system.

Cholera in the United States, 2001–2011: a reflection of patterns of global epidemiology and travel

PubMed Central

LOHARIKAR, A.; NEWTON, A. E.; STROIKA, S.; FREEMAN, M.; GREENE, K. D.; PARSONS, M. B.; BOPP, C.; TALKINGTON, D.; MINTZ, E. D.; MAHON, B. E.

2015-01-01

SUMMARY US cholera surveillance offers insight into global and domestic trends. Between 2001 and 2011, 111 cases were reported to the Centers for Disease Control and Prevention. Cholera was associated with international travel in 90 (81%) patients and was domestically acquired in 20 (18%) patients; for one patient, information was not available. From January 2001 to October 2010, the 42 (47%) travel-associated cases were associated with travel to Asia. In October 2010, a cholera epidemic started in Haiti, soon spreading to the Dominican Republic (Hispaniola). From then to December 2011, 40 (83%) of the 48 travel-associated cases were associated with travel to Hispaniola. Of 20 patients who acquired cholera domestically, 17 (85%) reported seafood consumption; 10 (59%) ate seafood from the US Gulf Coast. In summary, an increase in travel-associated US cholera cases was associated with epidemic cholera in Hispaniola in 2010–2011. Travel to Asia and consumption of Gulf Coast seafood remained important sources of US cholera cases. PMID:24865664

Coccidioidomycosis in travelers returning from Mexico--Pennsylvania, 2000.

PubMed

2000-11-10

Coccidioidomycosis (CM), a fungal disease caused by Coccidioides immitis, is endemic in the southwestern United States and parts of Central and South America. The disease is acquired by inhaling the arthroconidia of C. immitis present in the soil. Outbreaks of CM occur when susceptible persons are exposed to airborne arthroconidia from dust storms, natural disasters, and earth excavation (1,2). Persons who travel to areas where the disease is endemic may become infected and develop symptoms after returning home (3,4). This report describes an outbreak of CM among travelers returning to Pennsylvania from a trip to Mexico.

Bozeman Pass wildlife channelization ITS project.

DOT National Transportation Integrated Search

2006-06-01

Animal-vehicle collisions (AVCs) are a growing concern as vehicle miles traveled and human encroachment into wildlife habitat : continues to increase throughout the United States. Few studies have examined the application of intelligent transportatio...

North American transportation highlights

DOT National Transportation Integrated Search

1999-12-01

This summary report provides key statistics on passenger travel, freight activity, transportation safety, and transportation energy use for Canada, Mexico, and the United States. The report provides data for 1996, the last year for which comparable d...

Mid-latitude response to geomagnetic storms observed in 630nm airglow over continental United States

NASA Astrophysics Data System (ADS)

Bhatt, A.; Kendall, E. A.

2016-12-01

We present analysis of mid-latitude response observed to geomagnetic storms using the MANGO network consisting of all-sky cameras imaging 630nm emission over the continental United States. The response largely falls in two categories: Stable Auroral Red (SAR) arc and Large-scale traveling ionospheric disturbances (LSTIDs). However, outside of these phenomena, less often observed response include anomalous airglow brightening, bright swirls, and frozen in traveling structures. We will present an analysis of various events observed over 3 years of MANGO network operation, which started with two imagers in the western US with addition of new imagers in the last year. We will also present unusual north and northeastward propagating waves often observed in conjunction with diffuse aurora. Wherever possible, we will compare with observations from Boston University imagers located in Massachusetts and Texas.

International Adaptation: Psychosocial and parenting experiences of caregivers who travel to the United States to obtain acute medical care for their seriously ill child

PubMed Central

Margolis, Rachel; Ludi, Erica; Pao, Maryland; Wiener, Lori

2013-01-01

Despite the increasing trend of travel for medical purposes, little is known about the experience of parents and other caregivers who come to the United States specifically to obtain medical treatment for their seriously ill child. In this exploratory, descriptive qualitative study, we used a semi-structured narrative guide to conduct in-depth interviews with 22 Spanish or English-speaking caregivers about the challenges encountered and adaptation required when entering a new medical and cultural environment. Caregivers identified the language barrier and transnational parenting as challenges while reporting hospital staff and their own families as major sources of support. Using the results of the study as a guide, clinical and program implications are provided and recommendations for social work practice discussed. PMID:23947542

8 CFR 245a.13 - During pendency of application.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 245A OF THE IMMIGRATION AND NATIONALITY ACT Legal Immigration Family Equity (LIFE) Act Legalization... States submits a prima facie application for adjustment of status under LIFE Legalization during the... work permit; and (3) Is allowed to travel and return to the United States as described at paragraph (e...

Malaria Surveillance - United States, 2015.

PubMed

Mace, Kimberly E; Arguin, Paul M; Tan, Kathrine R

2018-05-04

Malaria in humans is caused by intraerythrocytic protozoa of the genus Plasmodium. These parasites are transmitted by the bite of an infective female Anopheles species mosquito. The majority of malaria infections in the United States occur among persons who have traveled to regions with ongoing malaria transmission. However, malaria is occasionally acquired by persons who have not traveled out of the country through exposure to infected blood products, congenital transmission, laboratory exposure, or local mosquitoborne transmission. Malaria surveillance in the United States is conducted to provide information on its occurrence (e.g., temporal, geographic, and demographic), guide prevention and treatment recommendations for travelers and patients, and facilitate transmission control measures if locally acquired cases are identified. This report summarizes confirmed malaria cases in persons with onset of illness in 2015 and summarizes trends in previous years. Malaria cases diagnosed by blood film microscopy, polymerase chain reaction, or rapid diagnostic tests are reported to local and state health departments by health care providers or laboratory staff members. Case investigations are conducted by local and state health departments, and reports are transmitted to CDC through the National Malaria Surveillance System (NMSS), the National Notifiable Diseases Surveillance System (NNDSS), or direct CDC consultations. CDC reference laboratories provide diagnostic assistance and conduct antimalarial drug resistance marker testing on blood samples submitted by health care providers or local or state health departments. This report summarizes data from the integration of all NMSS and NNDSS cases, CDC reference laboratory reports, and CDC clinical consultations. CDC received reports of 1,517 confirmed malaria cases, including one congenital case, with an onset of symptoms in 2015 among persons who received their diagnoses in the United States. Although the number of malaria cases diagnosed in the United States has been increasing since the mid-1970s, the number of cases decreased by 208 from 2014 to 2015. Among the regions of acquisition (Africa, West Africa, Asia, Central America, the Caribbean, South America, Oceania, and the Middle East), the only region with significantly fewer imported cases in 2015 compared with 2014 was West Africa (781 versus 969). Plasmodium falciparum, P. vivax, P. ovale, and P. malariae were identified in 67.4%, 11.7%, 4.1%, and 3.1% of cases, respectively. Less than 1% of patients were infected by two species. The infecting species was unreported or undetermined in 12.9% of cases. CDC provided diagnostic assistance for 13.1% of patients with confirmed cases and tested 15.0% of P. falciparum specimens for antimalarial resistance markers. Of the U.S. resident patients who reported purpose of travel, 68.4% were visiting friends or relatives. A lower proportion of U.S. residents with malaria reported taking any chemoprophylaxis in 2015 (26.5%) compared with 2014 (32.5%), and adherence was poor in this group. Among the U.S residents for whom information on chemoprophylaxis use and travel region were known, 95.3% of patients with malaria did not adhere to or did not take a CDC-recommended chemoprophylaxis regimen. Among women with malaria, 32 were pregnant, and none had adhered to chemoprophylaxis. A total of 23 malaria cases occurred among U.S. military personnel in 2015. Three cases of malaria were imported from the approximately 3,000 military personnel deployed to an Ebola-affected country; two of these were not P. falciparum species, and one species was unspecified. Among all reported cases in 2015, 17.1% were classified as severe illnesses and 11 persons died, compared with an average of 6.1 deaths per year during 2000-2014. In 2015, CDC received 153 P. falciparum-positive samples for surveillance of antimalarial resistance markers (although certain loci were untestable for some samples); genetic polymorphisms associated with resistance to pyrimethamine were identified in 132 (86.3%), to sulfadoxine in 112 (73.7%), to chloroquine in 48 (31.4%), to mefloquine in six (4.3%), and to artemisinin in one (<1%), and no sample had resistance to atovaquone. Completion of data elements on the malaria case report form decreased from 2014 to 2015 and remains low, with 24.2% of case report forms missing at least one key element (species, travel history, and resident status). The decrease in malaria cases from 2014 to 2015 is associated with a decrease in imported cases from West Africa. This finding might be related to altered or curtailed travel to Ebola-affected countries in in this region. Despite progress in reducing malaria worldwide, the disease remains endemic in many regions, and the use of appropriate prevention measures by travelers is still inadequate. The best way to prevent malaria is to take chemoprophylaxis medication during travel to a country where malaria is endemic. As demonstrated by the U.S. military during the Ebola response, use of chemoprophylaxis and other protection measures is possible in stressful environments, and this can prevent malaria, especially P. falciparum, even in high transmission areas. Detailed recommendations for preventing malaria are available to the general public at the CDC website (https://www.cdc.gov/malaria/travelers/drugs.html). Malaria infections can be fatal if not diagnosed and treated promptly with antimalarial medications appropriate for the patient's age and medical history, the likely country of malaria acquisition, and previous use of antimalarial chemoprophylaxis. Health care providers should consult the CDC Guidelines for Treatment of Malaria in the United States and contact the CDC's Malaria Hotline for case management advice when needed. Malaria treatment recommendations are available online (https://www.cdc.gov/malaria/diagnosis_treatment) and from the Malaria Hotline (770-488-7788 or toll-free at 855-856-4713). Persons submitting malaria case reports (care providers, laboratories, and state and local public health officials) should provide complete information because incomplete reporting compromises case investigations and efforts to prevent infections and examine trends in malaria cases. Compliance with recommended malaria prevention strategies is low among U.S. travelers visiting friends and relatives. Evidence-based prevention strategies that effectively target travelers who are visiting friends and relatives need to be developed and implemented to reduce the numbers of imported malaria cases in the United States. Molecular surveillance of antimalarial drug resistance markers (https://www.cdc.gov/malaria/features/ars.html) has enabled CDC to track, guide treatment, and manage drug resistance in malaria parasites both domestically and internationally. More samples are needed to improve the completeness of antimalarial drug resistance marker analysis; therefore, CDC requests that blood specimens be submitted for all cases diagnosed in the United States.

Malaria Surveillance — United States, 2015

PubMed Central

Arguin, Paul M.; Tan, Kathrine R.

2018-01-01

Problem/Condition Malaria in humans is caused by intraerythrocytic protozoa of the genus Plasmodium. These parasites are transmitted by the bite of an infective female Anopheles species mosquito. The majority of malaria infections in the United States occur among persons who have traveled to regions with ongoing malaria transmission. However, malaria is occasionally acquired by persons who have not traveled out of the country through exposure to infected blood products, congenital transmission, laboratory exposure, or local mosquitoborne transmission. Malaria surveillance in the United States is conducted to provide information on its occurrence (e.g., temporal, geographic, and demographic), guide prevention and treatment recommendations for travelers and patients, and facilitate transmission control measures if locally acquired cases are identified. Period Covered This report summarizes confirmed malaria cases in persons with onset of illness in 2015 and summarizes trends in previous years. Description of System Malaria cases diagnosed by blood film microscopy, polymerase chain reaction, or rapid diagnostic tests are reported to local and state health departments by health care providers or laboratory staff members. Case investigations are conducted by local and state health departments, and reports are transmitted to CDC through the National Malaria Surveillance System (NMSS), the National Notifiable Diseases Surveillance System (NNDSS), or direct CDC consultations. CDC reference laboratories provide diagnostic assistance and conduct antimalarial drug resistance marker testing on blood samples submitted by health care providers or local or state health departments. This report summarizes data from the integration of all NMSS and NNDSS cases, CDC reference laboratory reports, and CDC clinical consultations. Results CDC received reports of 1,517 confirmed malaria cases, including one congenital case, with an onset of symptoms in 2015 among persons who received their diagnoses in the United States. Although the number of malaria cases diagnosed in the United States has been increasing since the mid-1970s, the number of cases decreased by 208 from 2014 to 2015. Among the regions of acquisition (Africa, West Africa, Asia, Central America, the Caribbean, South America, Oceania, and the Middle East), the only region with significantly fewer imported cases in 2015 compared with 2014 was West Africa (781 versus 969). Plasmodium falciparum, P. vivax, P. ovale, and P. malariae were identified in 67.4%, 11.7%, 4.1%, and 3.1% of cases, respectively. Less than 1% of patients were infected by two species. The infecting species was unreported or undetermined in 12.9% of cases. CDC provided diagnostic assistance for 13.1% of patients with confirmed cases and tested 15.0% of P. falciparum specimens for antimalarial resistance markers. Of the U.S. resident patients who reported purpose of travel, 68.4% were visiting friends or relatives. A lower proportion of U.S. residents with malaria reported taking any chemoprophylaxis in 2015 (26.5%) compared with 2014 (32.5%), and adherence was poor in this group. Among the U.S residents for whom information on chemoprophylaxis use and travel region were known, 95.3% of patients with malaria did not adhere to or did not take a CDC-recommended chemoprophylaxis regimen. Among women with malaria, 32 were pregnant, and none had adhered to chemoprophylaxis. A total of 23 malaria cases occurred among U.S. military personnel in 2015. Three cases of malaria were imported from the approximately 3,000 military personnel deployed to an Ebola-affected country; two of these were not P. falciparum species, and one species was unspecified. Among all reported cases in 2015, 17.1% were classified as severe illnesses and 11 persons died, compared with an average of 6.1 deaths per year during 2000–2014. In 2015, CDC received 153 P. falciparum-positive samples for surveillance of antimalarial resistance markers (although certain loci were untestable for some samples); genetic polymorphisms associated with resistance to pyrimethamine were identified in 132 (86.3%), to sulfadoxine in 112 (73.7%), to chloroquine in 48 (31.4%), to mefloquine in six (4.3%), and to artemisinin in one (<1%), and no sample had resistance to atovaquone. Completion of data elements on the malaria case report form decreased from 2014 to 2015 and remains low, with 24.2% of case report forms missing at least one key element (species, travel history, and resident status). Interpretation The decrease in malaria cases from 2014 to 2015 is associated with a decrease in imported cases from West Africa. This finding might be related to altered or curtailed travel to Ebola-affected countries in in this region. Despite progress in reducing malaria worldwide, the disease remains endemic in many regions, and the use of appropriate prevention measures by travelers is still inadequate. Public Health Actions The best way to prevent malaria is to take chemoprophylaxis medication during travel to a country where malaria is endemic. As demonstrated by the U.S. military during the Ebola response, use of chemoprophylaxis and other protection measures is possible in stressful environments, and this can prevent malaria, especially P. falciparum, even in high transmission areas. Detailed recommendations for preventing malaria are available to the general public at the CDC website (https://www.cdc.gov/malaria/travelers/drugs.html). Malaria infections can be fatal if not diagnosed and treated promptly with antimalarial medications appropriate for the patient’s age and medical history, the likely country of malaria acquisition, and previous use of antimalarial chemoprophylaxis. Health care providers should consult the CDC Guidelines for Treatment of Malaria in the United States and contact the CDC’s Malaria Hotline for case management advice when needed. Malaria treatment recommendations are available online (https://www.cdc.gov/malaria/diagnosis_treatment) and from the Malaria Hotline (770-488-7788 or toll-free at 855-856-4713). Persons submitting malaria case reports (care providers, laboratories, and state and local public health officials) should provide complete information because incomplete reporting compromises case investigations and efforts to prevent infections and examine trends in malaria cases. Compliance with recommended malaria prevention strategies is low among U.S. travelers visiting friends and relatives. Evidence-based prevention strategies that effectively target travelers who are visiting friends and relatives need to be developed and implemented to reduce the numbers of imported malaria cases in the United States. Molecular surveillance of antimalarial drug resistance markers (https://www.cdc.gov/malaria/features/ars.html) has enabled CDC to track, guide treatment, and manage drug resistance in malaria parasites both domestically and internationally. More samples are needed to improve the completeness of antimalarial drug resistance marker analysis; therefore, CDC requests that blood specimens be submitted for all cases diagnosed in the United States. PMID:29723168

Surveillance for laboratory-confirmed sporadic cases of cyclosporiasis--United States, 1997-2008.

PubMed

Hall, Rebecca L; Jones, Jeffrey L; Herwaldt, Barbara L

2011-04-08

Cyclosporiasis is an enteric disease caused by the parasite Cyclospora cayetanensis. Cyclosporiasis is reported most commonly in tropical and subtropical regions. In the United States, outbreaks of cyclosporiasis associated with various types of imported fresh produce have been documented and described since the mid-1990s. No molecular tools are available for linking C. cayetanensis cases. National data regarding laboratory-confirmed sporadic cases (i.e., cases not linked to documented outbreaks) have not been summarized previously. This summary includes laboratory-confirmed sporadic cases that occurred during 1997-2008 and were reported to CDC by 2009. In January 1999, cyclosporiasis became a nationally notifiable disease, and, as of 2008, it was a reportable condition in 37 states, New York City (NYC), and the District of Columbia. For 1997-2008, CDC was notified of laboratory-confirmed cases via two active surveillance systems (the Cyclospora Sentinel Surveillance Network and the Foodborne Diseases Active Surveillance Network), two passive systems (the National Notifiable Diseases Surveillance System and the Public Health Laboratory Information System), and informal mechanisms (e.g., electronic mail). CDC was notified of 1,110 laboratory-confirmed sporadic cases of cyclosporiasis that occurred during 1997-2008. The overall population-adjusted incidence rates ranged from a low of 0.01 cases per 100,000 persons in 1997 to a high of 0.07 in 2002. Of the 1,110 cases, 849 (76.5%) were reported by seven states: 498 (44.9%) occurred in residents of Florida (228 cases), NYC (200 cases), and elsewhere in New York state (70 cases); and >50 cases were reported by each of five other states (Connecticut, Georgia, Massachusetts, New Jersey, and Pennsylvania). Overall, the case-patients' median age was 44 years (range: 3 months-96 years); 50.5% were female, 47.2% were male, and the sex was unknown for 2.3%. A total of 372 case-patients (33.5%) had a documented history of international travel during the 2-week period before symptom onset or diagnosis, 398 (35.9%) reported no international travel, and 340 (30.6%) had an unknown travel history. Some details about the travel were available for 317 (85.2%) of the case-patients with a known history of international travel; 142 (44.8%) had traveled to Mexico (60 persons), Guatemala (44 persons), or Peru (38 persons). Among the 398 case-patients classified as having domestically acquired cases, 124 persons (31.2%) lived in Florida, and 64 persons (16.1%) lived either in NYC (49 persons) or elsewhere in New York state (15 persons). The majority (278 [69.8%]) of onset or diagnosis dates for domestically acquired cases occurred during April-August. Approximately one third of cases occurred in persons with a known history of international travel who might have become infected while traveling outside the continental United States. Domestically acquired cases were concentrated in time (spring and summer) and place (eastern and southeastern states): some of these cases probably were outbreak associated but were not linked to other cases, in part because of a lack of molecular tools. Surveillance for cases of cyclosporiasis and research to develop molecular methods for linking seemingly sporadic cases should remain U.S. public health priorities, in part to facilitate identification and investigation of outbreaks and to increase understanding of the biology of Cyclospora and the epidemiology of cyclosporiasis. Unidentified, uninvestigated cases and outbreaks represent missed opportunities to identify vehicles of infection, modes of contamination, and preventive measures. Travelers to known areas of endemicity should be advised that food and water precautions for Cyclospora are similar to those for other enteric pathogens, except that this parasite is unlikely to be killed by routine chemical disinfection or sanitizing methods. The diagnosis of cyclosporiasis should be considered for persons with persistent or remitting-relapsing diarrheal illness, and testing for Cyclospora should be requested explicitly.

14 CFR Appendix C to Part 187 - Fees for Production Certification-Related Services Performed Outside the United States

Code of Federal Regulations, 2011 CFR

2011-01-01

... consist of: personnel compensation and benefit (PC&B) for each participating FAA employee, actual travel...: W1H1+ W2H2 etc., + T + O Where: W1H1=hourly PC&B rate for employee 1, times estimated hours W2H2=hourly PC&B rate for employee 2, etc., times estimated hours T=estimated travel and transportation expenses...

14 CFR Appendix C to Part 187 - Fees for Production Certification-Related Services Performed Outside the United States

Code of Federal Regulations, 2010 CFR

2010-01-01

... consist of: personnel compensation and benefit (PC&B) for each participating FAA employee, actual travel...: W1H1+ W2H2 etc., + T + O Where: W1H1=hourly PC&B rate for employee 1, times estimated hours W2H2=hourly PC&B rate for employee 2, etc., times estimated hours T=estimated travel and transportation expenses...

Morbidity and Mortality Weekly Report. Volume 43, Number 53. Summary of Notifiable Diseases, United States, 1994.

DTIC Science & Technology

1995-10-06

shock syndrome Varicella Trich- Tuber- Typhoid ( chicken - inosis culosis Tularemia fever pox ) United States New England Maine N.H...enteritidis gastroenteritis transmitted by intact chicken eggs. Ann Intern Med 1991;115:190-4. Mishu B, Koehler J, Lee LA, et al. Outbreaks of Salmonella...etal. Shigella dysenteriaetype 1 infections in U.S. travellers to Mexico . Lancet 1989:543-5. Ries AA, Wells JG, Olivola D, et al. Epidemic Shigella

Landforms of the United States

USGS Publications Warehouse

Hack, John T.

1969-01-01

The United States contains a great variety of landforms which offer dramatic contrasts to a crosscountry traveler. Mountains and desert areas, tropical jungles and areas of permanently frozen subsoil, deep canyons and broad plains are examples of the Nation's varied surface. The present-day landforms the features that make up the face of the earth are products of the slow, sculpturing actions of streams and geologic processes that have been at work throughout the ages since the earth's beginning.

Landforms of the United States

USGS Publications Warehouse

Hack, John T.

1988-01-01

The United States contains a great variety of landforms which offer dramatic contrasts to a cross-country traveler. Mountains and desert areas, tropical jungles and areas of permanently frozen subsoil, and deep canyons and broad plains are examples of the Nation's varied surface. The presentday landforms the features that make up the face of the Earth are products of the slow sculpturing actions of streams and geologic processes that have been at work throughout the ages since the Earth's beginning.

Innovative contracting methods and construction traffic congestion.

DOT National Transportation Integrated Search

2012-01-01

Increasing travel demand and lack of sufficient highway capacity are serious problems in most : major metropolitan areas in the United States. Large metropolitan cities have been experiencing : increased traffic congestion problems over the past seve...

EVALUATION OF THE SCATS CONTROL SYSTEM

DOT National Transportation Integrated Search

2008-12-01

Increasing travel demand and lack of sufficient highway capacity are serious problems in most major metropolitan areas in the United States. Large metropolitan areas have been experiencing increased traffic congestion problems over the past several y...

Transit Vehicle-to-Infrastructure (V2I) assessment study.

DOT National Transportation Integrated Search

2015-07-01

The United States Department of Transportation (USDOT) is engaged in assessing applications that realize the full potential of connected vehicles, travelers, and infrastructure to enhance current operational practices and transform future surface tra...

Motorcoach safety action plan.

DOT National Transportation Integrated Search

2009-11-01

Motorcoach travel is a very safe mode of highway transportation in the : United States, transporting 750 million passengers per year. Despite this, : over the past 10 years, motorcoach crashes have resulted in an average of 19 : motorcoach occupant f...

National Traffic Speeds Survey I : 2007

DOT National Transportation Integrated Search

2012-08-01

A field survey was conducted during spring and summer 2007 to measure travel speeds and prepare nationallyrepresentative : speed estimates for all types of motor vehicles on freeways, arterial highways, and collector roads : across the United States....

Travels with Lynn: June 2010

Science.gov Websites

Cybersecurity Cooperation OTTAWA, June 14, 2010 - The cyber threat to the United States and Canada is real and Operation Atlantic Resolve Sexual Assault Prevention Asia-Pacific Rebalance Cyber Strategy News Today in DOD

Travel history, hunting, and venison consumption related to prion disease exposure, 2006-2007 FoodNet Population Survey.

PubMed

Abrams, Joseph Y; Maddox, Ryan A; Harvey, Alexis R; Schonberger, Lawrence B; Belay, Ermias D

2011-06-01

The transmission of bovine spongiform encephalopathy (BSE) to human beings and the spread of chronic wasting disease (CWD) among cervids have prompted concerns about zoonotic transmission of prion diseases. Travel to the United Kingdom and other European countries, hunting for deer or elk, and venison consumption could result in the exposure of US residents to the agents that cause BSE and CWD. The Foodborne Diseases Active Surveillance Network 2006-2007 population survey was used to assess the prevalence of these behaviors among residents of 10 catchment areas across the United States. Of 17,372 survey respondents, 19.4% reported travel to the United Kingdom since 1980, and 29.5% reported travel to any of the nine European countries considered to be BSE-endemic since 1980. The proportion of respondents who had ever hunted deer or elk was 18.5%, and 1.2% had hunted deer or elk in a CWD-endemic area. More than two thirds (67.4%) reported having ever eaten deer or elk meat. Respondents who traveled spent more time in the United Kingdom (median 14 days) than in any other BSE-endemic country. Of the 11,635 respondents who had consumed venison, 59.8% ate venison at most one to two times during their year of highest consumption, and 88.6% had obtained all of their meat from the wild. The survey results were useful in determining the prevalence and frequency of behaviors that could be important factors for foodborne prion transmission. Copyright © 2011 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

Review and Assessment of the American Society of Tropical Medicine and Hygiene Travel Awards Program, 1991–2010

PubMed Central

Le Duc, James W.; DeAcetis, Judy

2011-01-01

During 1991–2010, 456 persons from 62 countries were provided financial support to attend the annual meeting of the American Society of Tropical Medicine and Hygiene. Winners came from 17 African, 16 Asia-Pacific, 14 Latin American and Caribbean, and 13 European and Middle Eastern countries, and from Canada and the United States. Virtually equal numbers of awards were offered to women and men. Winners were selected from U.S. academic centers (30%), foreign universities (26%), international centers, institutes or research units (30%), and approximately 5% from U.S. government agencies. Almost all winners (73 of 76, 96%) had scientific publications subsequent to receiving the travel award. Less than 10% of award winners continued their membership in the Society after their one-year complementary membership. Winners indicated that the travel awards program facilitated international exchange and fostered collaborations between Society members and international scientists. PMID:21896796

Defense.gov Special Report: Travels With Mullen - June 2011

Science.gov Websites

Stories U.S., U.K. Military Relationship Essential, Mullen Says LONDON, June 10, 2011 - The military relationship between the United States and the United Kingdom is second to none in terms of strength and is bilateral relationship with Egypt's armed forces, continuing a practice that has endured for 30 years

Intergroup conflict in wilderness: balancing opportunities for experience with preservation responsibility

Treesearch

Alan E. Watson; Liisa Kajala

1995-01-01

In contrast with the days of the early explorers, when wilderness travel in America was predominantly a solitary activity, the wilderness resource is now shared among many interests. Interaction among these various interests leads to varied amounts of conflict. Studies in the United States, conducted in multiple National Wilderness Preservation System units, across...

Track Starter's Guide.

ERIC Educational Resources Information Center

Dailey, Charles H.; Rankin, Kelly D.

This guide was developed to serve both the novice and experienced starter in track and field events. Each year in the United States, runners encounter dozens of different starters' mannerisms as they travel to track meets in various towns and states. The goal of any competent and conscientious starter is to insure that all runners receive a fair…

Quinolone-resistant Salmonella enterica serotype Enteritidis infections associated with international travel.

PubMed

O'Donnell, Allison T; Vieira, Antonio R; Huang, Jennifer Y; Whichard, Jean; Cole, Dana; Karp, Beth E

2014-11-01

We found a strong association between nalidixic acid-resistant Salmonella enterica serotype Enteritidis infections in the United States and recent international travel by linking Salmonella Enteritidis data from the National Antimicrobial Resistance Monitoring System and the Foodborne Diseases Active Surveillance Network. Published by Oxford University Press on behalf of the Infectious Diseases Society of America 2014. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Travel history key to picking up on signs of bubonic plague.

PubMed

2015-11-01

Health officials note an uptick in cases of bubonic plague in the United States this year, with at least 12 reported human cases reported since April 1. The CDC notes that healthcare providers should consider plague in patients who have traveled to plague-endemic areas and exhibit fever, headache, chills, weakness, and one or more swollen or tender and painful lymph nodes, referred to as buboes. Officials note that the disease rarely passes from person to person, but that this is a concern with patients who have developed the pneumonic form of the disease. Health officials note that in recent years there has been an average of seven cases of human plague each year in the United States, and that most of these cases are the bubonic form of the illness. Four patients confirmed to have plague this year have died, including the most recent case, a Utah man in his 70s. Most cases of plague in the United States occur in two regions. The first includes northern New Mexico, northern Arizona, and southern Colorado, and the second includes California, southern Oregon, and far western Nevada. When plague is suspected, treatment with antibiotics should begin immediately.

Walking associated with public transit: moving toward increased physical activity in the United States.

PubMed

Freeland, Amy L; Banerjee, Shailendra N; Dannenberg, Andrew L; Wendel, Arthur M

2013-03-01

We assessed changes in transit-associated walking in the United States from 2001 to 2009 and documented their importance to public health. We examined transit walk times using the National Household Travel Survey, a telephone survey administered by the US Department of Transportation to examine travel behavior in the United States. People are more likely to transit walk if they are from lower income households, are non-White, and live in large urban areas with access to rail systems. Transit walkers in large urban areas with a rail system were 72% more likely to transit walk 30 minutes or more per day than were those without a rail system. From 2001 to 2009, the estimated number of transit walkers rose from 7.5 million to 9.6 million (a 28% increase); those whose transit-associated walking time was 30 minutes or more increased from approximately 2.6 million to 3.4 million (a 31% increase). Transit walking contributes to meeting physical activity recommendations. Study results may contribute to transportation-related health impact assessment studies evaluating the impact of proposed transit systems on physical activity, potentially influencing transportation planning decisions.

Traffic congestion and reliability : linking solutions to problems.

DOT National Transportation Integrated Search

2004-07-19

The Traffic Congestion and Reliability: Linking Solutions to Problems Report provides : a snapshot of congestion in the United States by summarizing recent trends in : congestion, highlighting the role of unreliable travel times in the effects of con...

Leishmaniasis

MedlinePlus

... but very unlikely that you would get this disease in the United States. But you should be aware of it if you are traveling to the Middle East or parts of Central America, South America, Asia, Africa or southern Europe. Treatment is with medicines ...

Defense.gov Special Report: Travels With Carter - July 2015 2

Science.gov Websites

Reaffirms Bilateral Relationship With Jordanian Leaders Defense Secretary Ash Carter reaffirmed the relationship between the United States and Jordan in a meeting with Gen. Mashal al-Zaben, King Abdullah II's

A comprehensive safety assessment methodology for innovative geometric designs.

DOT National Transportation Integrated Search

2017-05-01

As the population grows and travel demands increase, alternative interchange designs have become increasingly popular. The diverging diamond interchange is an alternative design that has been implemented in the United States. This design can accommod...

Traffic safety facts 1999 : overview

DOT National Transportation Integrated Search

2000-01-01

Motor vehicle travel is the primary means of transportation in the United States, providing an unprecedented degree of mobility. Yet for all its advantages, deaths and injuries resulting from motor vehicle crashes are the leading cause of death for p...

Bozeman Pass wildlife channelization ITS project : executive summary.

DOT National Transportation Integrated Search

2006-05-31

Animal-vehicle collisions (AVCs) are a growing concern as vehicle miles traveled and : human encroachment into wildlife habitat continues to increase throughout the United : States. Measures to prevent AVCs such as wildlife exclusion fencing and wild...

75 FR 75845 - National Impaired Driving Prevention Month, 2010

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-07

... United States of America A Proclamation Every day, millions of Americans travel on our Nation's roadways... hand this first day of December, in the year of our Lord two thousand ten, and of the Independence of...

Effects of operating practices on commercial driver alertness

DOT National Transportation Integrated Search

2011-08-01

This report presents the test plan for collecting and analyzing data dealing with travel demand management (TDM) activities for the Atlanta Congestion Reduction Demonstration (CRD) under the United States Department of Transportation (U.S. DOT) Urban...

Modeling seniors' activity-travel data.

DOT National Transportation Integrated Search

2013-08-01

The United States is experiencing an increase in its elderly population. According to Census Bureau : estimates, this population should increase by 104.2% from 2000 to 2030, which translates into 72.1 : million elders by 2030. This demographic change...

Visiting the Republic of Cuba: An Experience to Remember.

PubMed

Brown, Geraldine

2015-01-01

A few years ago, I was privileged to visit the Republic of Cuba as a summer vacation. Officially, this Spanish island is the largest island in the Caribbean, with more than 12 million people. It is only second as being most populous after Hispaniola with its people, culture and customs. Havana is the capital and Cuba's largest city. The United States lies to the immediate north only about 95 miles away, and the Bahamas and Mexico to the west, the Cayman Islands and Jamaica are on the southern end, and Haiti and the Dominion Republic are in the southeastern area. The history of this island is truly amazing. I was able to vist a hospital, and ride public transportation (bus). The trip was made at the time when Cuba was not open to travelers coming direct from the United States. I traveled to Montreal, Canada to board Cabana Arlines to Havana, Cuba.

Analysis of firetruck crashes and associated firefighter injuries in the United States.

PubMed

Donoughe, Kelly; Whitestone, Jennifer; Gabler, Hampton C

2012-01-01

Motor vehicle crashes are the second leading cause of death for on-duty firefighters. Firetruck crashes, occurring at a rate of approximately 30,000 crashes per year, have potentially dire consequences for the vehicle occupants and for the community if the firetruck was traveling to provide emergency services. Data from the United States Fire Administration and the National Highway Traffic Safety Administration shows that firefighters neglect to buckle their seatbelts while traveling in a fire apparatus, thus putting themselves at a high risk for injuries if the truck crashes, especially in rollover crashes. Despite national regulations and departmental guidelines aiming to improve safety on fire apparatuses, belt use among firefighters remains dangerously low. The results from this study indicate that further steps need to be taken to improve belt use. One promising solution would be to redesign firetruck seatbelts to improve the ease of buckling and to accommodate wider variations in firefighter sizes.

Analysis of Firetruck Crashes and Associated Firefighter Injuries in the United States

PubMed Central

Donoughe, Kelly; Whitestone, Jennifer; Gabler, Hampton C.

2012-01-01

Motor vehicle crashes are the second leading cause of death for on-duty firefighters. Firetruck crashes, occurring at a rate of approximately 30,000 crashes per year, have potentially dire consequences for the vehicle occupants and for the community if the firetruck was traveling to provide emergency services. Data from the United States Fire Administration and the National Highway Traffic Safety Administration shows that firefighters neglect to buckle their seatbelts while traveling in a fire apparatus, thus putting themselves at a high risk for injuries if the truck crashes, especially in rollover crashes. Despite national regulations and departmental guidelines aiming to improve safety on fire apparatuses, belt use among firefighters remains dangerously low. The results from this study indicate that further steps need to be taken to improve belt use. One promising solution would be to redesign firetruck seatbelts to improve the ease of buckling and to accommodate wider variations in firefighter sizes. PMID:23169118

Microbial Threats to Health. Emerging Infections: Microbial Threats to Health in the United States.

DTIC Science & Technology

1992-10-01

enzootic in much of the rodent population in the western United States, Mexico , and Canada. Thanks to modem sanitation and the availability of...pandemic, as explorers, soldiers, and others ini acted by the smallpox virus traveled to all parts of the globe. Smallpox was introduced into Mexico 6y...Caribbean and on the Yucatan Peninsula of Mexico . Although the disease is concentrated in a small number of areas, world- wide incidence rates for DHF

The Increase of Imported Malaria Acquired in Haiti among US Travelers in 2010

PubMed Central

Agarwal, Aarti; McMorrow, Meredith; Arguin, Paul M.

2012-01-01

From 2004 to 2009, the number of malaria cases reported in Haiti increased nearly fivefold. The effect of the 2010 earthquake and its aftermath on malaria transmission in Haiti is not known. Imported malaria cases in the United States acquired in Haiti tripled from 2009 to 2010, likely reflecting both the increased number of travelers arriving from Haiti and the increased risk of acquiring malaria infection in Haiti. The demographics of travelers and the proportion of severe cases are similar to those statistics reported in previous years. Non-adherence to malaria chemoprophylaxis remains a nearly universal modifiable risk factor among these cases. PMID:22232442

The United States and Canada as a coupled epidemiological system: An example from hepatitis A

PubMed Central

Amariei, Raluca; Willms, Allan R; Bauch, Chris T

2008-01-01

Background Hepatitis A (HA) is a low-incidence, non-endemic disease in Canada and the United States (US). However, a large difference in HA incidence between Canada and HA-endemic countries has made travel an important contributor to hepatitis A prevalence in Canada. There is also a (smaller) incidence differential between Canada and the US. Although the US has only moderately higher HA incidence, the volume of travel by Canadians to the US is many times higher than travel volume to endemic countries. Hence, travel to the US may constitute a source of low to moderate risk for Canadian travelers. To our knowledge, travel to the US has never been included as a potential risk factor for HA infection in Canadian epidemiologic analyses. The objective of this study was to use dynamic models to investigate the possible effects on hepatitis A incidence in Canada due to (1) implementing vaccination in the US, and (2) varying the volume of travel by Canadians to the US. Methods We developed and analyzed age-structured compartmental models for the transmission and vaccination of hepatitis A, for both Canada and the US. Models were parameterized using data on seroprevalence, case reporting, and travel patterns. The potential effect of hepatitis A prevalence in the US on hepatitis A prevalence in Canada was captured through a term representing infection of Canadians due to travel in the US. Results The model suggests that approximately 22% of HA cases in Canada in the mid 1990s may have been attributable to travel to the US. A universal vaccination programme that attained 70% coverage in young children in the US in the mid 1990s could have reduced Canadian incidence by 21% within 5 years. Conclusion Since not all necessary data were available to parameterize the model, the results should be considered exploratory. However, the analysis shows that, under plausible assumptions, the US may be more important for determining HA prevalence in Canada than is currently supposed. As international travel continues to grow, making vaccination policies ever more relevant to populations beyond a country's borders, such multi-country models will most likely come into wider use as predictive aids for policy development. PMID:18307785

Breast cancer stage at diagnosis: is travel time important?

PubMed

Henry, Kevin A; Boscoe, Francis P; Johnson, Christopher J; Goldberg, Daniel W; Sherman, Recinda; Cockburn, Myles

2011-12-01

Recent studies have produced inconsistent results in their examination of the potential association between proximity to healthcare or mammography facilities and breast cancer stage at diagnosis. Using a multistate dataset, we re-examine this issue by investigating whether travel time to a patient's diagnosing facility or nearest mammography facility impacts breast cancer stage at diagnosis. We studied 161,619 women 40 years and older diagnosed with invasive breast cancer from ten state population based cancer registries in the United States. For each woman, we calculated travel time to their diagnosing facility and nearest mammography facility. Logistic multilevel models of late versus early stage were fitted, and odds ratios were calculated for travel times, controlling for age, race/ethnicity, census tract poverty, rural/urban residence, health insurance, and state random effects. Seventy-six percent of women in the study lived less than 20 min from their diagnosing facility, and 93 percent lived less than 20 min from the nearest mammography facility. Late stage at diagnosis was not associated with increasing travel time to diagnosing facility or nearest mammography facility. Diagnosis age under 50, Hispanic and Non-Hispanic Black race/ethnicity, high census tract poverty, and no health insurance were all significantly associated with late stage at diagnosis. Travel time to diagnosing facility or nearest mammography facility was not a determinant of late stage of breast cancer at diagnosis, and better geographic proximity did not assure more favorable stage distributions. Other factors beyond geographic proximity that can affect access should be evaluated more closely, including facility capacity, insurance acceptance, public transportation, and travel costs.

The third wave--medical tourism in the 21st century.

PubMed

Pafford, Bennett

2009-08-01

The high number of uninsured or underinsured Americans and the spiraling cost of healthcare in the United States has spurred growth in patients traveling abroad for affordable healthcare, which has become known as medical tourism. It is projected to become a $21 billion a year industry by 2011. Overseas prices for most procedures, including airfare, are often half the cost of those performed in the United States; some procedures are 80% less. International facilities in India, Thailand, and elsewhere are obtaining Joint Commission International (JCI) accreditation and aggressively marketing to Western customers and insurance agencies and advertising high quality standards and personalized service. The acceptance of medial tourism is growing, with a recent poll showing more than 40% of US healthcare consumers willing to travel abroad for care. Insurance companies have begun to integrate foreign care into their coverage, offering discounts to patients agreeing to overseas travel. Physician groups have been slow to respond, even though estimates are that medical tourism may represent $162 billion in lost spending in America by 2012. Some experts think the continued US healthcare cost crisis will drive an increase in medical tourism and international competition, significantly impacting domestic physicians and hospitals.

Contact, Travel, and Transmission: The Impact of Winter Holidays on Influenza Dynamics in the United States

PubMed Central

Ewing, Anne; Lee, Elizabeth C.; Viboud, Cécile

2017-01-01

Abstract Background. The seasonality of influenza is thought to vary according to environmental factors and human behavior. During winter holidays, potential disease-causing contact and travel deviate from typical patterns. We aim to understand these changes on age-specific and spatial influenza transmission. Methods. We characterized the changes to transmission and epidemic trajectories among children and adults in a spatial context before, during, and after the winter holidays among aggregated physician medical claims in the United States from 2001 to 2009 and among synthetic data simulated from a deterministic, age-specific spatial metapopulation model. Results. Winter holidays reduced influenza transmission and delayed the trajectory of influenza season epidemics. The holiday period was marked by a shift in the relative risk of disease from children toward adults. Model results indicated that holidays delayed epidemic peaks and synchronized incidence across locations, and that contact reductions from school closures, rather than age-specific mixing and travel, produced these observed holiday influenza dynamics. Conclusions. Winter holidays delay seasonal influenza epidemic peaks and shift disease risk toward adults because of changes in contact patterns. These findings may inform targeted influenza information and vaccination campaigns during holiday periods. PMID:28031259

First Neonatal Demise with Travel-Associated Zika Virus Infection in the United States of America

PubMed Central

Zacharias, Nikolaos; Whitty, Janice; Noblin, Sarah; Tsakiri, Sophia; Garcia, Jose; Covinsky, Michael; Bhattacharjee, Meenakshi; Saulino, David; Tatevian, Nina; Blackwell, Sean

2017-01-01

Zika virus is increasingly recognized as a fetal pathogen worldwide. We describe the first case of neonatal demise with travel-associated Zika virus infection in the United States of America, including a novel prenatal ultrasound finding. A young Latina presented to our health care system in Southeast Texas for prenatal care at 23 weeks of gestation. Fetal Dandy–Walker malformation, asymmetric cerebral ventriculomegaly, single umbilical artery, hypoechoic fetal knee, dorsal foot edema, and mild polyhydramnios were noted upon initial screening prenatal sonography at 26 weeks. A growth-restricted, microcephalic, and arthrogrypotic infant was delivered alive at 36 weeks but died within an hour despite resuscitation. The neonatal karyotype was normal. Flavivirus IgM antibodies were identified in the serum of the puerpera, once she disclosed that she had traveled from El Salvador to Texas in the early second trimester. Zika virus was identified in the umbilical cord and neonatal brain. Fetal arthritis may precede congenital arthrogryposis in cases of Zika virus infection and may be detectable by prenatal sonography. Physician and health care system vigilance is required to optimally address the significant and enduring Zika virus global health threat. PMID:28413694

International travelers with infectious diseases determined by pathology results, Centers for Disease Control and Prevention - United States, 1995-2015.

PubMed

Angelo, Kristina M; Barbre, Kira; Shieh, Wun-Ju; Kozarsky, Phyllis E; Blau, Dianna M; Sotir, Mark J; Zaki, Sherif R

2017-09-01

The failure to consider travel-related diagnoses, the lack of diagnostic capacity for specialized laboratory testing, and the declining number of autopsies may affect the diagnosis and management of travel-related infections. Pre- and post-mortem pathology can help determine causes of illness and death in international travelers. We conducted a retrospective review of biopsy and autopsy specimens sent to the Infectious Diseases Pathology Branch laboratory (IDPBL) at the Centers for Disease Control and Prevention (CDC) for diagnostic testing from 1995 through 2015. Cases were included if the specimen submitted for diagnosis was from a traveler with prior international travel during the disease incubation period and the cause of illness or death was unknown at the time of specimen submission. Twenty-one travelers, six (29%) with biopsy specimens and 15 (71%) with autopsy specimens, met the inclusion criteria. Among the 15 travelers who underwent autopsies, the most common diagnoses were protozoal infections (7 travelers; 47%), including five malaria cases, followed by viral infections (6 travelers; 40%). Biopsy or autopsy specimens can assist in diagnosing infectious diseases in travelers, especially from pathogens not endemic in the U.S. CDC's IDPBL provides a useful resource for clinicians considering infectious diseases in returned travelers. Published by Elsevier Ltd.

International Air Travel to Ohio, USA, and the Impact on Malaria, Influenza, and Hepatitis A

PubMed Central

Brannen, Donald E.; Alhammad, Ali; Branum, Melissa; Schmitt, Amy

2016-01-01

The State of Ohio led the United States in measles in 2014, ostensibly related to international air travel (IAT), and ranked lower than 43 other states in infectious disease outbreak preparedness. We conducted a retrospective cohort study using surveillance data of the total Ohio population of 11 million from 2010 through 2014 with a nested case control of air travelers to determine the risk of malaria, seasonal influenza hospitalizations (IH), and hepatitis A (HA) disease related to international travel and to estimate the association with domestic enplanement. IAT appeared protective for HA and IH with a risk of 0.031 (.02–.04) but for malaria was 2.7 (2.07–3.62). Enplanement increased the risk for nonendemic M 3.5 (2.5–4.9) and for HA and IH 1.39 (1.34–1.44). IAT's ratio of relative risk (RRR) of malaria to HA and IH was 87.1 (55.8–136) greater than 219 times versus domestic enplanement which was protective for malaria at 0.397 (0.282–0.559). Malaria is correlated with IAT with cases increasing by 6.9 for every 10,000 passports issued. PMID:27123365

Distraction and drowsiness in motorcoach drivers.

DOT National Transportation Integrated Search

2016-11-01

Despite the large number of motorcoaches in the United States, there has been limited research on motorcoach operations. With more than 15 billion miles traveled per year and the transport of millions of people, crashes, when they occur, can involve ...

Next generation traffic management centers.

DOT National Transportation Integrated Search

2013-05-01

Traffic management centers (TMCs) are critical to providing mobility to millions of people travelling on high-volume roadways. In Virginia, as with most regions of the United States, TMCs were aggressively deployed in the late 1990s and early 2000s. ...

DefenseLink.mil - Special Report - Travels With Mullen

Science.gov Websites

about Kosovo, the chairman of the Joint Chiefs of Staff said today, but they recognize the relationship , 2008 – The military-to-military relationship between the United States and Serbia is growing closer

Transportation for a competitive America

DOT National Transportation Integrated Search

1996-01-01

The transportation system in the United States is at a critical juncture. The system : carries more people and goods than ever before, and travel demand is certain to : continue to grow. Failure to accommodate that demand will threaten our ability to...

Introduction to panel surveys in transportation studies

DOT National Transportation Integrated Search

1997-10-01

Over the past few decades, several hundred travel surveys have been conducted within the United States, mostly by regional transit agencies and metropolitan planning organizations. The purpose of this report is to discuss a different kind of survey d...

A real-time online decision support system for intermodal passenger travel.

DOT National Transportation Integrated Search

2015-09-01

The transportation system in the United States is disjointed and inefficient as a result of the : different transportation modes in use and their respective industries which have developed : independently. In addition, public transportation is not we...

Intelligent transportation systems benefits and costs : 2003 update

DOT National Transportation Integrated Search

2003-03-01

The increasing demand for travel by highway and public transit in the United States is causing the transportation system to reach the limits of its existing capacity. Intelligent Transportation Systems (ITS) can help ease this strain through the appl...

A travel - livability index for seniors, phase I : livability attribute importance.

DOT National Transportation Integrated Search

2011-05-12

The term livability has been finding its way into policy discussions in the United : States steadily over the last decade. Organizations like the American Planning : Association (APA) and AARP have been concerned about livable neighborhoods and...

Traffic congestion and reliability : trends and advanced strategies for congestion mitigation.

DOT National Transportation Integrated Search

2005-09-01

The report Traffic Congestion and Reliability: Trends and Advanced Strategies for : Congestion Mitigation provides a snapshot of congestion in the United States by : summarizing recent trends in congestion, highlighting the role of travel time : reli...

Bus Crashworthiness Issues. Highway Special Investigation Report

DOT National Transportation Integrated Search

1999-09-01

School bus and motorcoach travel are two of the safest forms of transportation in the United States. Each year, on average, nine school bus passengers and four motorcoach passengers are fatally injured in bus crashes, according to the National Highwa...

Defense.gov Special Report: Travels with Panetta - May 2012

Science.gov Websites

Pakistan on Safe Havens The United States is reaching the limits of its patience with Pakistan serving as a safe haven for terrorists attacking American forces in Afghanistan, U.S. Defense Secretary Leon E

Guidebook of the Western United States: Part A - The Northern Pacific Route, With a Side Trip to Yellowstone Park

USGS Publications Warehouse

Campbell, Marius R.; ,

1915-01-01

The United States of America comprise an area so vast in extent and so diverse in natural features as well as in characters due to human agency that the American citizen who knows thoroughly his own country must have traveled widely and observed wisely. To 'know America first' is a patriotic obligation, but to meet this obligation the railroad traveler needs to have his eyes directed toward the more important or essential things within his field of vision and then to have much that he sees explained by what is unseen in the swift passage of the train. Indeed, many things that attract his attention are inexplicable except as the story of the past is available to enable him to interpret the present. Herein lie the value and the charm of history, whether human or geologic. The present stimulus given to travel in the home country will encourage many thousands of Americans to study geography at first hand. To make this study most profitable the traveler needs a handbook that will answer the questions that come to his mind so readily along the way. Furthermore, the aim of such a guide should be to stimulate the eye in the selection of the essentials in the scene that so rapidly unfolds itself in the crossing of the continent. In recognition of the opportunity afforded in 1915 to render service of this kind to an unusually large number of American citizens, as well as to visitors from other countries, the United States Geological Survey has prepared a series of guidebooks covering four of the older railroad routes west of the Mississippi. These books are educational in purpose, but the method adopted is to entertain the traveler by making more interesting what he sees from the car window. The plan of the series is to present authoritative information that may enable the reader to realize adequately the scenic and material resources of the region he is traversing, to comprehend correctly the basis of its development, and above all to appreciate keenly the real value of the country he looks out upon, not as so many square miles of territory represented on the map in a railroad folder by meaningless spaces, but rather as land - real estate, if you please - varying widely in present appearance because differing largely in its history, and characterized by even greater variation in values because possessing diversified natural resources. One region may be such as to afford a livelihood for only a pastoral people; another may present opportunity for intensive agriculture; still another may contain hidden stores of mineral wealth that may attract large industrial development; and, taken together, these varied resources afford the promise of long-continued prosperity for this or that State. Items of interest in civic development or references to significant epochs in the record of discovery and settlement may be interspersed with explanations of mountain and valley or statements of geologic history. In a broad way the story of the West is a unit, and every chapter should be told in order to meet fully the needs of the tourist who aims to understand all that he sees. To such a traveler-reader this series of guidebooks is addressed. To this interpretation of our own country the United States Geological Survey brings the accumulated data of decades of pioneering investigation, and the present contribution is only one type of return to the public which has supported this scientific work under the Federal Government.

Novel Mutation in Cytochrome B of Plasmodium falciparum in One of Two Atovaquone-Proguanil Treatment Failures in Travelers Returning From Same Site in Nigeria

PubMed Central

Plucinski, Mateusz M.; Huber, Curtis S.; Akinyi, Sheila; Dalton, Willard; Eschete, Mary; Grady, Katharine; Silva-Flannery, Luciana; Mathison, Blaine A.; Udhayakumar, Venkatachalam; Arguin, Paul M.; Barnwell, John W.

2014-01-01

Background  Atovaquone-proguanil (AP) is the most commonly used treatment for uncomplicated Plasmodium falciparum malaria in the United States. Apparent AP treatment failures were reported 7 months apart in 2 American travelers who stayed in the same compound for foreign workers in Rivers State, Nigeria. Methods  We analyzed pretreatment (day 0) and day of failure samples from both travelers for mutations in the P falciparum cytochrome B (pfcytb) and dihydrofolate reductase (pfdhfr) genes associated with resistance to atovaquone and cycloguanil, the active metabolite of proguanil, respectively. We genotyped the parasites and sequenced their mitochondrial genomes. Results  On day 0, both travelers had proguanil-resistant genotypes but atovaquone-sensitive cytb sequences. Day of failure samples exhibited mutations in cytb for both travelers. One traveler had the common Y268S mutation, whereas the other traveler had a previously unreported mutation, I258M. The travelers had unrelated parasite genotypes and different mitochondrial genomes. Conclusions  Despite the infections likely having been contracted in the same site, there is no evidence that the cases were related. The mutations likely arose independently during the acute infection or treatment. Our results highlight the importance of genotyping parasites and sequencing the full cytb and dhfr genes in AP failures to rule out transmission of AP-resistant strains and identify novel mechanisms of AP resistance. PMID:25734129

International Energy Agency's Heat Pump Centre (IEA-HPC) Annual National Team Working Group Meeting

NASA Astrophysics Data System (ADS)

Broders, M. A.

1992-09-01

The traveler, serving as Delegate from the United States Advanced Heat Pump National Team, participated in the activities of the fourth IEA-HPC National Team Working Group meeting. Highlights of this meeting included review and discussion of 1992 IEA-HPC activities and accomplishments, introduction of the Switzerland National Team, and development of the 1993 IEA-HPC work program. The traveler also gave a formal presentation about the Development and Activities of the IEA Advanced Heat Pump U.S. National Team.

(Visit to the La Selva Biological Station, Costa Rica): Foreign trip report, February 28--March 5, 1988

DOE Office of Scientific and Technical Information (OSTI.GOV)

Reichle, D.E.

1988-03-17

The traveler attended the quarterly meeting of the National Board of Governors of The Nature Conservancy held in Costa Rica to highlight their international program in Central America. The traveler used this opportunity to visit the La Selva Biological Station of the Organization for Tropical Studies and to examine their ecosystem research project on wet lowland tropical forests. Discussions were held with the co-directors, faculty, students, and visiting scientists from the United States.

MIGRANT CHILDREN AND YOUTH.

ERIC Educational Resources Information Center

WYCKOFF, FLORENCE R.

A MIGRANT CHILD IS DEFINED AS A MEMBER OF A FAMILY OF AGRICULTURAL WORKERS WHO MUST TRAVEL A GREAT DISTANCE TO WORK. THE WORKERS FOLLOW A SEASONAL COURSE, OFTEN THROUGH SEVERAL STATES, AND RETURN HOME AFTER THE CROP SEASON IS OVER. THERE ARE ABOUT 415,000 MIGRANT CHILDREN UNDER 14 YEARS OF AGE IN THE UNITED STATES. IN 1960 THE MIGRANT FARM WORKER…

Guide for Migrants in the State of Illinois = Guia para Migrantes en el Estado de Illinois.

ERIC Educational Resources Information Center

Langemach, Sharon; Koepplinger, Jessica

Prepared for migrant farmworkers traveling in the State of Illinois, the booklet, written in English and Spanish, provides basic information on (1) employment conditions--requirements of crew leaders and employers, deductions from wages, and laws regulating child labor; (2) housing--conditions of the camp grounds and of living units; (3)…

Mortality of induced abortion, other outpatient surgical procedures and common activities in the United States.

PubMed

Raymond, Elizabeth G; Grossman, Daniel; Weaver, Mark A; Toti, Stephanie; Winikoff, Beverly

2014-11-01

The recent surge of new legislation regulating induced abortion in the United States is ostensibly motivated by the desire to protect women's health. To provide context for interpreting the risk of abortion, we compared abortion-related mortality to mortality associated with other outpatient surgical procedures and selected nonmedical activities. We calculated the abortion-related mortality rate during 2000-2009 using national data. We searched PubMed and other sources for contemporaneous data on mortality associated with other outpatient procedures commonly performed on healthy young women, marathon running, bicycling and driving. The abortion-related mortality rate in 2000-2009 in the United States was 0.7 per 100,000 abortions. Studies in approximately the same years found mortality rates of 0.8-1.7 deaths per 100,000 plastic surgery procedures, 0-1.7deaths per 100,000 dental procedures, 0.6-1.2 deaths per 100,000 marathons run and at least 4 deaths among 100,000 cyclists in a large annual bicycling event. The traffic fatality rate per 758 vehicle miles traveled by passenger cars in the United States in 2007-2011 was about equal to the abortion-related mortality rate. The safety of induced abortion as practiced in the United States for the past decade met or exceeded expectations for outpatient surgical procedures and compared favorably to that of two common nonmedical voluntary activities. The new legislation restricting abortion is unnecessary; indeed, by reducing the geographic distribution of abortion providers and requiring women to travel farther for the procedure, these laws are potentially detrimental to women's health. Copyright © 2014 Elsevier Inc. All rights reserved.

Disaster-related fatalities among US citizens traveling abroad.

PubMed

Partridge, Robert; Bouslough, David; Proano, Lawrence

2013-01-01

To describe the locations and risk of death associated with natural disaster fatalities for US citizens traveling abroad. A retrospective database review of US citizen disaster deaths occurring worldwide. None. Information on fatalities due to disasters was abstracted from the US Department of State Web site reporting deaths of US citizens abroad by non-natural causes from October 2002 through June 2012. The main outcome measures were the frequency of disaster deaths and countries where disasters occurred. Descriptive statistics and rates were used to evaluate the study data. There were 7,963 total non-natural deaths of US citizens traveling abroad during the study period. Of these, 163 (2.0 percent) were disaster-related deaths, involving 19 disaster events in 15 countries. Only two disaster-related events resulted in more than two deaths of US travelers-the 2010 earthquake in Haiti causing 121 fatalities (74.2 percent of disaster deaths), and the 2004 tsunami in Thailand causing 22 fatalities (13.5 percent of disaster deaths). The approximate annual mean death rate for US citizen travelers as a result of disaster events is 0.27 deaths/1 million travelers, compared with 1.4 deaths/1 million residents due to disaster annually within the United States. The risk of disaster-related fatality is low for US citizens traveling abroad. Although disaster-related death among travelers is unpredictable, during a period of almost 10 years, there was only one reported death due to disaster in the five countries most frequently visited by US travelers. Further investigation may identify population-, seasonal-, country-, or location-specific risks from which prevention strategies can be developed.

Domestic Travel and Regional Migration for Parathyroid Surgery Among Patients Receiving Care at Academic Medical Centers in the United States, 2012-2014.

PubMed

Hinson, Andrew M; Hohmann, Samuel F; Stack, Brendan C

2016-07-01

To improve outcomes after parathyroidectomy, several organizations advocate for selective referral of patients to high-volume academic medical centers with dedicated endocrine surgery programs. The major factors that influence whether patients travel away from their local community and support system for perceived better care remain elusive. To assess how race/ethnicity and insurance status influence domestic travel patterns and selection of high- vs low-volume hospitals in different regions of the United States for parathyroid surgery. A retrospective study was conducted of 36 750 inpatients and outpatients discharged after undergoing parathyroidectomy identified in the University HealthSystem Consortium database from January 1, 2012, to December 31, 2014 (12 quarters total). Each US region (Northeast, Mid-Atlantic, Great Lakes, Central Plains, Southeast, Gulf Coast, and West) contained 20 or more low-volume hospitals (1-49 cases annually), 5 or more mid-volume hospitals (50-99 cases annually), and multiple high-volume hospitals (≥100 cases annually). Domestic medical travelers were defined as patients who underwent parathyroidectomy at a hospital in a different US region from which they resided and traveled more than 150 miles to the hospital. Distance traveled, regional destination, and relative use of high- vs low-volume hospitals. A total of 23 268 of the 36 750 patients (63.3%) had parathyroidectomy performed at high-volume hospitals. The mean (SD) age of the study cohort was 71.5 (16.2) years (95% CI, 71.4-71.7 years). The female to male ratio was 3:1. Throughout the study period, mean (SD) distance traveled was directly proportional to hospital volume (high-volume hospitals, 208.4 [455.1] miles; medium-volume hospitals, 50.5 [168.4] miles; low-volume hospitals, 27.7 [89.5] miles; P < .001). From 2012 to 2014, the annual volume of domestic medical travelers increased by 15.0% (from 961 to 1105), while overall volume increased by 4.9% (from 11 681 to 12 252; P = .03). Nearly all (2982 of 3113 [95.8%]) domestic medical travelers had surgery at high-volume hospitals, and most of these patients (2595 of 3113 [83.4%]) migrated to hospitals in the Southeast. Domestic medical travelers were significantly more likely to be white (2888 of 3113 [92.8%]; P < .001) and have private insurance (1934 of 3113 [62.1%]; P < .001). Most patients with private insurance (12 137 of 17 822 [68.1%]) and Medicare (9433 of 15 121 [62.4%]) had surgery at high-volume hospitals, while the largest proportion of patients with Medicaid and those who were uninsured had surgery at low-volume hospitals (1059 of 2715 [39.0%]). Centralization of parathyroid surgery is a reality in the United States. Significant disparities based on race and insurance coverage exist and may hamper access to the highest-volume surgeons and hospitals. Academic medical centers with dedicated endocrine surgery programs should consider strategic initiatives to reduce disparities within their respective regions.

Talking points for the Olympic Games' transportation plan for the 1996 Summer Olympics in Atlanta

DOT National Transportation Integrated Search

1995-04-27

The Olympic Games in Atlanta present a unique and timely : opportunity for the United States to showcase traveler : information services and technologies associated with Intelligent : Transportation Systems (ITS), with the goals of stimulating : furt...

National ITS Program Plan Intelligent Transportation Systems Volume I

DOT National Transportation Integrated Search

1995-03-01

ADVANCED TRAVELER INFORMATION SYSTEMS OR ATIS : THE PURPOSE OF THE NATIONAL ITS PROGRAM PLAN IS TO GUIDE THE DEVELOPMENT AND DEPLOYMENT OF INTELLIGENT TRANSPORTATION SYSTEMS (ITS) IN THE UNITED STATES. THIS, THE FIRST EDITION OF THE PLAN WAS A JOINT ...

Railroad Embankment Stabilization Demonstration for High-Speed Rail Corridors

DOT National Transportation Integrated Search

2003-02-09

The development of high-speed railroad corridors in the United States is being considered by Congress as a fuel efficient and economical alternative to air or highway passenger travel. The exisiting infrastructure is, in many ways, suitable for freig...

2012 urban congestion trends, operations : the key to reliable travel.

DOT National Transportation Integrated Search

2013-04-01

Congestion levels remained relatively unchanged : from 2011 to 2012 in the 19 urban areas in the United States monitored : in this report. : Congestion levels across all of the congestion measures are still generally : below the levels experienced in...

Choosing the route to traveler information systems deployment : decision factors for creating public/private business plans

DOT National Transportation Integrated Search

2012-08-01

The United States Department of Transportation (U.S. DOT) has initiated a multimodal connected vehicle research initiative (hereafter referred to as the Initiative) that aims to enable safe, interoperable, networked, wireless communications amo...

22 CFR 62.32 - Summer work travel.

Code of Federal Regulations, 2014 CFR

2014-04-01

... studies at accredited post-secondary, classroom-based, academic institutions physically located outside of the United States and have successfully completed at least one semester, or equivalent, of post... comprehension through either recognized language tests administered by academic institutions or English language...

22 CFR 62.32 - Summer work travel.

Code of Federal Regulations, 2013 CFR

2013-04-01

... studies at accredited post-secondary, classroom-based, academic institutions physically located outside of the United States and have successfully completed at least one semester, or equivalent, of post... comprehension through either recognized language tests administered by academic institutions or English language...

Effects of the February 2010 snowstorms on airline performance

DOT National Transportation Integrated Search

2010-08-01

Several snowstorms in the Northeast, Midwest, and Southeast during February 2010 disrupted air travel not only at airports blanketed with snow but at airports across the United States and its territories. Altogether, more than 20,000 flights, or 4.2 ...

Welcome to the wild west: protecting access to cross border fertility care in the United States.

PubMed

Mutcherson, Kimberley M

2012-01-01

As has been the case with other types of medical tourism, the phenomenon of cross border fertility care ("CBFC") has sparked concern about the lack of global or even national harmonization in the regulation of the fertility industry. The diversity of laws around the globe leads would-be parents to forum shop for a welcoming place to make babies. Focusing specifically on the phenomenon of travel to the United States, this Article takes up the question of whether there should be any legal barriers to those who come to the United States seeking CBFC. In part, CBFC suffers from the same general concerns raised about the use of fertility treatment in general, but it is possible to imagine a subset of arguments that would lead to forbidding or at least discouraging people from coming to the United States for CBFC, either as a matter of law or policy. This paper stands in opposition to any such effort and contemplates the moral and ethical concerns about CBFC and how, and if, those concerns warrant expression in law. Part I describes the conditions that lead some couples and individuals to leave their home countries to access fertility treatments abroad and details why the United States, with its comparatively liberal regulation of ART, has become a popular CBFC destination for travelers from around the world. Part II offers and refutes arguments supporting greater domestic control over those who seek to satisfy their desires for CBFC in the United States by reasserting the importance of the right of procreation while also noting appropriate concerns about justice and equality in the market for babies. Part III continues the exploration of justice by investigating the question of international cooperation in legislating against perceived wrongs. This Part concludes that consistent legislation across borders is appropriate where there is consensus about the wrong of an act, but it is unnecessary and inappropriate where there remain cultural conflicts about certain practices—in this case assisted reproduction.

The effect of airline deregulation on automobile fatalities.

PubMed

Bylow, L F; Savage, I

1991-10-01

This paper attempts to quantify the effects of airline deregulation in the United States on intercity automobile travel and consequently on the number of highway fatalities. A demand model is constructed for auto travel, which includes variables representing the price and availability of air service. A reduced form model of the airline market is then estimated. Finding that deregulation has decreased airfares and increased flights, it is estimated that auto travel has been reduced by 2.2% per year on average. Given assumptions on the characteristics of drivers switching modes and the types of roads they drove on, the number of automobile fatalities averted since 1978 is estimated to be in the range 200-300 per year.

Indiana Migrants: Blighted Hopes, Slighted Rights. A Report Prepared by the Indiana Advisory Committee to the United State Commission on Civil Rights.

ERIC Educational Resources Information Center

Lindstrom, Duane; And Others

Each summer more than 18,000 migrant farmworkers and their families travel to Indiana from Texas, Florida, Missouri, and Arkansas to plant, cultivate, and harvest the State's crops. Of these, more than 80 percent are Mexican Americans from Texas. These migrants work in 43 counties, primarily in the State's central region. The migrant population…

14 CFR 298.2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... the board of directors and other managing officers are citizens of the United States, which is under... passengers when traveling free or pursuant to token charges: (1) Directors, officers, employees, and others authorized by the air carrier operating the aircraft; (2) Directors, officers, employees, and others...

Incident Management : Successful Practices : A Cross-Cutting Study : Improving Mobility And Saving Lives

DOT National Transportation Integrated Search

2012-08-01

This report presents the test plan for conducting the Traveler Response Analysis for the United States Department of Transportation (U.S. DOT) evaluation of the Dallas U.S. 75 Integrated Corridor Management (ICM) Initiative Demonstration. The ICM pro...

The Decline in Mobility and Its Impact on Passenger Travel

DOT National Transportation Integrated Search

2017-04-01

Residential mobility rates in the United States (US) have historically been among the highest in the world (Molloy et al, 2011); however, these rates have been in steady decline for the last two decades. While most planning models have ignored migrat...

Into the Curriculum.

ERIC Educational Resources Information Center

School Library Media Activities Monthly, 1986

1986-01-01

Provides six library media activities designed for use in connection with specific curriculum units in art, science, and social studies. The activities focus on appreciating Georgia O'Keefe, sound travel, rock identification, Thanksgiving customs, state road maps, and world religions. The descriptions include objectives, grade levels,…

1977 Nationwide Personal Transportation Study : user's guide for the public use tapes

DOT National Transportation Integrated Search

1980-04-01

This guide presents information on the 1977 Nationwide Personal Transportation Study (NPTS). The 1977 NPTS was des igned to update the earlier study done in 1969 to provide comprehensive data on travel and transportation patterns in the United States...

5 CFR 581.104 - Moneys which are not subject to garnishment.

Code of Federal Regulations, 2010 CFR

2010-01-01

... United States Code; (d) Grants; (e) Fellowships; (f) Education and vocational rehabilitation benefits for...: (1) In the case of civilian employees: (i) Uniform allowances; (ii) Travel and transportation... differentials; (vi) Foreign areas allowances; (vii) Education allowances for dependents; (viii) Separate...

Maps of the United States

USGS Publications Warehouse

,

2005-01-01

The U.S. Geological Survey (USGS) sells a variety of maps of the United States. Who needs these maps? Students, land planners, politicians, teachers, marketing specialists, delivery companies, authors and illustrators, attorneys, railroad enthusiasts, travelers, Government agencies, military recruiters, newspapers, map collectors, truckers, boaters, hikers, sales representatives, communication specialists. Everybody. Users of these maps range from a corporation planning a regional expansion or a national marketing campaign, to a person who wants a decoration to hang on the wall. If you are not sure which map best meets your needs, call the Earth Science Information Center for assistance.

Womb Outsourcing: Commercial Surrogacy in India.

PubMed

Frankford, David M; Bennington, Linda K; Ryan, Jane Greene

2015-01-01

Infertility affects more than 7 million American couples. As traditional treatments fail and the costs of hiring a surrogate increase in the United States, transnational commercial surrogacy becomes a feasible alternative for many couples. Infertile couples may opt for this choice after reading enticing Internet advertisements of global medical tourism offering "special deals" on commercial surrogacy. This is particularly true in India where couples from the United States can purchase transnational surrogacy for less than one-half or even one-third of the costs in the United States, including the cost of travel. The majority of surrogate mothers in India come from impoverished, poorly educated rural areas of India. Commercial surrogacy offers the lure of earning the equivalent of 5 years of family income. This multidisciplinary review of the literature suggests that the issue of commercial surrogacy is complex and influenced by a number of factors including expensive infertility costs, ease of global travel, and the financial vulnerability of Indian commercial surrogate mothers and their families. Questions are being raised about decision making by the surrogate mother particularly as influenced by gender inequities, power differentials, and inadequate legal protection for the surrogate mother. More research is needed to understand commercial surrogacy, especially research inclusive of the viewpoints of the Indian mothers and their families involved in these transactions.

The Fukushima Nuclear Disaster and the U.S. Customs and Border Protection Response

NASA Astrophysics Data System (ADS)

McCormick, Kathy

2013-10-01

On 3/11/11, the reactors at the Fukushima Nuclear Plant in Japan were damaged by a magnitude 9.0 earthquake. Of the six reactors at the site, three were in operation prior to the event, and were automatically shut-down during the earthquake. Emergency cooling systems came online and were subsequently destroyed by a tsunami generated by the earthquake. For the operating reactors, all the reactor cores were exposed, resulting in overheating and the release of steam and hydrogen gas to the containment vessels, several of which subsequently exploded, releasing radioactivity into the atmosphere. The cores of the operating reactors melted down, and radioactive water was released to the ocean in cooling efforts. The primary radiation concerns in the United States from the disaster were radioactive plumes driven by westerly winds and contaminated commercial products and travelers. In the United States, one of the primary governmental organizations to respond to the disaster was U.S. Customs and Border Protection (CBP), which has responsibility to oversee the safety and security of cargo and travelers entering the United States. This talk will describe the various types of radioactive commodities and events encountered by CBP in the U.S. from the Fukushima disaster. Thanks to the CBP Teleforensics Center for their assistance with this presentation.

A unifying framework of the demand for transnational medical travel.

PubMed

Osterle, August; Johnson, Tricia; Delgado, Jose

2013-01-01

Transnational medical travel has gained attention recently as a strategy for patients to obtain care that is higher quality, costs less, or offers improved access relative to care provided within their home countries. This article examines institutional environments in the European Union and United States that influence transnational medical travel, describes the conceptual model of demand for medical travel, and illustrates individual dimensions in the conceptual model of medical travel using a series of case studies. The conceptual model of medical travel is predicated on Andersen's behavioral model of health services. Transnational medical travel is a heterogeneous phenomenon that is influenced by a number of patient-related factors and by the institutional environment in which the patient resides. While cost, access, and quality are commonly cited factors that influence a patient's decision regarding where to seek care, multiple factors may simultaneously influence the decision about the destination for care, including culture, social factors, and the institutional environment. The conceptual framework addresses the patient-related factors that influence where a patient seeks care. This framework can help researchers and regulatory bodies to evaluate the opportunities and the risks of transnational medical travel and help providers and governments to develop international patient programs.

Imported Malaria in Children in Industrialized Countries, 1992–2002

PubMed Central

Stäger, Katrin; Legros, Fabrice; Krause, Gérard; Low, Nicola; Bradley, David; Desai, Meghna; Graf, Simone; D’Amato, Stefania; Mizuno, Yasutaka; Janzon, Ragnhild; Petersen, Eskild; Kester, John; Steffen, Robert

2009-01-01

Children account for an appreciable proportion of total imported malaria cases, yet few studies have quantified these cases, identified trends, or suggested evidence-based prevention strategies for this group of travelers. We therefore sought to identify numbers of cases and deaths, Plasmodium species, place of malaria acquisition, preventive measures used, and national origin of malaria in children. We analyzed retrospective data from Australia, Denmark, France, Germany, Italy, Japan, the Netherlands, Sweden, Switzerland, the United Kingdom, and the United States and data provided by the United Nations World Tourism Organization. During 1992–2002, >17,000 cases of imported malaria in children were reported in 11 countries where malaria is not endemic; most (>70%) had been acquired in Africa. Returning to country of origin to visit friends and relatives was a risk factor. Malaria prevention for children should be a responsibility of healthcare providers and should be subsidized for low-income travelers to high-risk areas. PMID:19193261

Travel Characteristics and Pretravel Health Care Among Pregnant or Breastfeeding U.S. Women Preparing for International Travel.

PubMed

Hagmann, Stefan H F; Rao, Sowmya R; LaRocque, Regina C; Erskine, Stefanie; Jentes, Emily S; Walker, Allison T; Barnett, Elizabeth D; Chen, Lin H; Hamer, Davidson H; Ryan, Edward T

2017-12-01

To study characteristics and preventive interventions of adult pregnant and breastfeeding travelers seeking pretravel health care in the United States. This cross-sectional study analyzed data (2009-2014) of pregnant and breastfeeding travelers seen at U.S. travel clinics participating in Global TravEpiNet. Nonpregnant, nonbreastfeeding adult female travelers of childbearing age were used for comparison. We evaluated the prescription of malaria chemoprophylaxis and antibiotics for this population as well as the administration of three travel-related vaccines: hepatitis A, typhoid, and yellow fever. We also evaluated use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis and influenza vaccines, because these are widely recommended in pregnancy. Of 21,138 female travelers of childbearing age in Global TravEpiNet, 170 (0.8%) were pregnant and 139 (0.7%) were breastfeeding. Many traveled to destinations endemic for mosquito-borne illnesses, including malaria (pregnant: 95%; breastfeeding: 94%), dengue (pregnant: 87%; breastfeeding: 81%), or yellow fever (pregnant: 35%; breastfeeding: 50%). Compared with nonpregnant, nonbreastfeeding adult female travelers, eligible pregnant travelers were less likely to be vaccinated against hepatitis A (28% compared with 51%, P<.001) and typhoid (35% compared with 74%, P<.001). More than 20% of eligible pregnant travelers did not receive influenza vaccination. Yellow fever vaccine was occasionally provided to pregnant and breastfeeding travelers traveling to countries entirely endemic for yellow fever (6 [20%] of 30 pregnant travelers and 18 [46%] of 39 breastfeeding travelers). Half of pregnant travelers and two thirds of breastfeeding travelers preparing to travel to malaria-holoendemic countries received a prescription for malaria prophylaxis. Most pregnant and breastfeeding travelers seen for pretravel health consultations traveled to destinations with high risk for vector-borne or other travel-related diseases. Destination-specific preventive interventions were frequently underused.

Contact, Travel, and Transmission: The Impact of Winter Holidays on Influenza Dynamics in the United States.

PubMed

Ewing, Anne; Lee, Elizabeth C; Viboud, Cécile; Bansal, Shweta

2017-03-01

The seasonality of influenza is thought to vary according to environmental factors and human behavior. During winter holidays, potential disease-causing contact and travel deviate from typical patterns. We aim to understand these changes on age-specific and spatial influenza transmission. We characterized the changes to transmission and epidemic trajectories among children and adults in a spatial context before, during, and after the winter holidays among aggregated physician medical claims in the United States from 2001 to 2009 and among synthetic data simulated from a deterministic, age-specific spatial metapopulation model. Winter holidays reduced influenza transmission and delayed the trajectory of influenza season epidemics. The holiday period was marked by a shift in the relative risk of disease from children toward adults. Model results indicated that holidays delayed epidemic peaks and synchronized incidence across locations, and that contact reductions from school closures, rather than age-specific mixing and travel, produced these observed holiday influenza dynamics. Winter holidays delay seasonal influenza epidemic peaks and shift disease risk toward adults because of changes in contact patterns. These findings may inform targeted influenza information and vaccination campaigns during holiday periods. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail: journals.permissions@oup.com.

John Foster Dulles, his medical history and its impact on Cold War politics.

PubMed

Pappas, Theodore N; Willett, Christopher G

2018-01-01

John Foster Dulles was the United States Secretary of State during the administration of President Dwight D Eisenhower. At the height of the Cold War, Dulles was Eisenhower's emissary, traveling over 450,000 international miles, leading United States foreign policy. In November of 1956, during an international crisis involving the Suez Canal, Dulles became ill and underwent an operation for a perforated colon cancer. During much of his impactful term as Secretary of State, Dulles was being treated for this cancer that ultimately resulted in his death in May of 1959. This paper highlights the medical care of John Foster Dulles and the global events during his illness.

Socioeconomic determinants of health: community marginalisation and the diffusion of disease and disorder in the United States.

PubMed Central

Wallace, R.; Wallace, D.

1997-01-01

This article describes the cascading diffusion of "inner city problems" of disease and disorder in the United States--from the huge marginalised inner city communities of the largest municipalities, first along national travel routes to smaller cities, and then from central cities into surrounding more affluent suburbs-following the pattern of the daily journey to work. Public policies and economic practices which increase marginalisation act to damage the "weak ties" of the community social networks which bind central city neighbourhoods into functioning units. Spreading disease and disorder can be interpreted as indices of the resulting social disintegration, which is driven by policy. This "failure of containment" in the United States should serve as a warning for cities in Europe against reducing the municipal and other services that they provide to "unpopular" subpopulations. PMID:9158474

46 CFR 310.66 - Foreign students.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 8 2010-10-01 2010-10-01 false Foreign students. 310.66 Section 310.66 Shipping... Training of Midshipmen at the United States Merchant Marine Academy § 310.66 Foreign students. (a..., country clearances, travel papers, transportation to the Academy, obtaining the necessary designation by...

Assistive Technologies for Visually Impaired Persons : Developing Situational Awareness and Guidance Solutions for People with Vision Impairment and Other Disabilities

DOT National Transportation Integrated Search

2015-02-15

There are approximately 2 million adults with reported vision loss in the United States. Independent travel and active interactions with the surrounding environment present significant daily challenges for these individuals, ultimately reducing quali...

Characteristics and Contributory Causes Related to Large Truck Crashes (Phase I) - Fatal Crashes

DOT National Transportation Integrated Search

2010-06-01

One-ninth of all traffic fatalities in the United States have involved large trucks in the past five years, although large trucks contributed to only 3% of registered vehicles and 7% of vehicle miles travelled. This contrasting proportion indicates t...

United States-Federal Republic of Germany cooperative study of planned magnetically levitated vehicle ride quality

DOT National Transportation Integrated Search

1979-10-01

The major goal of the second phase was to estimate the absolute comfort levels which would be associated with actual travel on highspeed, interurban, fixed-guideway, transportation systems. To accomplish this goal, the study design incorporated many ...

Performance measures to characterize directional corridor travel time delay based on probe vehicle data : final report.

DOT National Transportation Integrated Search

2015-10-01

Anonymous probe vehicle data are currently being collected on roadways throughout the United States. These data are being incorporated into local and statewide mobility reports to measure the performance of freeways and arterial systems. Predefined s...

75 FR 20325 - Notice of an Opportunity To Serve on the Board of Directors of the Corporation for Travel Promotion

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-19

... industry. These members will broadly represent various regions of the United States. Selection Criteria The... sector; (B) 1 shall have appropriate expertise and experience in the restaurant sector; (C) 1 shall have...

Exhibitions in Sight.

ERIC Educational Resources Information Center

Wasserman, Burton

1978-01-01

Early in the eighteenth century, Pompeii was discovered, a city that had been hidden for sixteen centuries by volcanic lava. There is a traveling exhibition of the sculptures, friezes, mosaics, and paintings being shown around the United States. Described is the history and contents of "Pompeii--A.D. 79." (RK)

Trends in Atmospheric Reactive Nitrogen for the Eastern United States

EPA Science Inventory

Reactive nitrogen can travel far from emission sources and impact sensitive ecosystems. From 2002-2006, policy actions have led to decreases in NO_x emissions from power plants and motor vehicles. In this study, atmospheric chemical transport modeling demonstrates tha...

14 CFR 255.2 - Applicability.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Applicability. 255.2 Section 255.2 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ECONOMIC... operate computerized reservations systems for travel agents in the United States, and to the sale in the...

14 CFR 255.2 - Applicability.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Applicability. 255.2 Section 255.2 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION PROCEEDINGS) ECONOMIC... operate computerized reservations systems for travel agents in the United States, and to the sale in the...

8 CFR 235.7 - Automated inspection services.

Code of Federal Regulations, 2010 CFR

2010-01-01

... persons and vehicles which can use a DCL is limited numerically by the technology of the system. For this... United States and documentation so evidencing, criminal history and/or evidence of criminality, purpose of travel, employment, residency, prior immigration history, possession of current driver's license...

Acute viral hepatitis in the United States-Mexico border region: data from the Border Infectious Disease Surveillance (BIDS) Project, 2000-2009.

PubMed

Spradling, Philip R; Xing, Jian; Phippard, Alba; Fonseca-Ford, Maureen; Montiel, Sonia; Guzmán, Norma Luna; Campuzano, Roberto Vázquez; Vaughan, Gilberto; Xia, Guo-liang; Drobeniuc, Jan; Kamili, Saleem; Cortés-Alcalá, Ricardo; Waterman, Stephen H

2013-04-01

Little is known about the characteristics of acute viral hepatitis cases in the United States (US)-Mexico border region. We analyzed characteristics of acute viral hepatitis cases collected from the Border Infectious Disease Surveillance Project from January 2000-December 2009. Over the study period, 1,437 acute hepatitis A, 311 acute hepatitis B, and 362 acute hepatitis C cases were reported from 5 Mexico and 2 US sites. Mexican hepatitis A cases most frequently reported close personal contact with a known case, whereas, US cases most often reported cross-border travel. Injection drug use was common among Mexican and US acute hepatitis B and C cases. Cross-border travel during the incubation period was common among acute viral hepatitis cases in both countries. Assiduous adherence to vaccination and prevention guidelines in the US is needed and strategic implementation of hepatitis vaccination and prevention programs south of the border should be considered.

Decreased Susceptibility to Ciprofloxacin among Shigella Isolates in the United States, 2006 to 2009▿

PubMed Central

Folster, Jason P.; Pecic, Gary; Bowen, Anna; Rickert, Regan; Carattoli, Alessandra; Whichard, Jean M.

2011-01-01

We characterized 20 Shigella isolates with decreased susceptibility to fluoroquinolones. Most patients (80%) from whom a travel history was obtained reported travel to South or Southeast Asia. Mutations within the quinolone resistance determining regions of gyrA and parC and plasmid-mediated resistance determinants (qnrB, qnrS, and aac(6′)-Ib-cr) were identified. The rise in antimicrobial resistance among Shigella isolates may necessitate the increased use of extended-spectrum cephalosporins or macrolides in some patients. PMID:21220535

Allocation of energy sources to the travel and tourism industry. Hearing before the Subcommittee on Merchant Marine and Tourism of the Committee on Commerce, Science, and Transportation, United States Senate, Ninety-Sixth Congress, First Session on S. Res. 87, April 2, 1979

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

The Subcommittee on Merchant Marine and Tourism heard on April 2, 1979, testimony on Senate Resolution No. 87, the Warner resolution. The resolution recognizes that it is necessary to be concerned that all segments of the travel industry be treated fairly in an allocation of energy supplies or other actions by Federal agencies to meet any actual or threatened petroleum emergencies. The concern stems from the social and economic importance of travel and tourism to the nation. According to statistics, travel expenditures totaled $148 billion in 1978 and supports about 5 million jobs directly and indirectly. The importance of tourismmore » and recreation to the health and well-being of citizens is recognized. The text of the resolution is presented. Statements were made by witnesses from Skyline Caverns, Inc.; Luray Caverns, Inc.; Public Citizens Visitors Center; Air Transport Association of America; State officials; AFL-CIO; Best Western, Inc.; American Bus Association; Recreation Vehicle Industry Association; American Recreation Coalition; National Restaurant Association; Busch Gardens; Discover America Travel Organizations, Inc.; and Holiday Inns, Inc. (MCW)« less

Associations between urban sprawl and life expectancy in the United States

USGS Publications Warehouse

Hamidi, Shima; Ewing, Reid; Tatalovich, Zaria; Grace, James B.; Berrigan, David

2018-01-01

In recent years, the United States has had a relatively poor performance with respect to life expectancy compared to the other developed nations. Urban sprawl is one of the potential causes of the high rate of mortality in the United States. This study investigated cross-sectional associations between sprawl and life expectancy for metropolitan counties in the United States in 2010. In this study, the measure of life expectancy in 2010 came from a recently released dataset of life expectancies by county. This study modeled average life expectancy with a structural equation model that included five mediators: annual vehicle miles traveled (VMT) per household, average body mass index, crime rate, and air quality index as mediators of sprawl, as well as percentage of smokers as a mediator of socioeconomic status. After controlling for sociodemographic characteristics, this study found that life expectancy was significantly higher in compact counties than in sprawling counties. Compactness affects mortality directly, but the causal mechanism is unclear. For example, it may be that sprawling areas have higher traffic speeds and longer emergency response times, lower quality and less accessible health care facilities, or less availability of healthy foods. Compactness affects mortality indirectly through vehicle miles traveled, which is a contributor to traffic fatalities, and through body mass index, which is a contributor to many chronic diseases. This study identified significant direct and indirect associations between urban sprawl and life expectancy. These findings support further research and practice aimed at identifying and implementing changes to urban planning designed to support health and healthy behaviors.

Associations between Urban Sprawl and Life Expectancy in the United States

PubMed Central

Ewing, Reid; Tatalovich, Zaria; Berrigan, David

2018-01-01

In recent years, the United States has had a relatively poor performance with respect to life expectancy compared to the other developed nations. Urban sprawl is one of the potential causes of the high rate of mortality in the United States. This study investigated cross-sectional associations between sprawl and life expectancy for metropolitan counties in the United States in 2010. In this study, the measure of life expectancy in 2010 came from a recently released dataset of life expectancies by county. This study modeled average life expectancy with a structural equation model that included five mediators: annual vehicle miles traveled (VMT) per household, average body mass index, crime rate, and air quality index as mediators of sprawl, as well as percentage of smokers as a mediator of socioeconomic status. After controlling for sociodemographic characteristics, this study found that life expectancy was significantly higher in compact counties than in sprawling counties. Compactness affects mortality directly, but the causal mechanism is unclear. For example, it may be that sprawling areas have higher traffic speeds and longer emergency response times, lower quality and less accessible health care facilities, or less availability of healthy foods. Compactness affects mortality indirectly through vehicle miles traveled, which is a contributor to traffic fatalities, and through body mass index, which is a contributor to many chronic diseases. This study identified significant direct and indirect associations between urban sprawl and life expectancy. These findings support further research and practice aimed at identifying and implementing changes to urban planning designed to support health and healthy behaviors. PMID:29701644

Associations between Urban Sprawl and Life Expectancy in the United States.

PubMed

Hamidi, Shima; Ewing, Reid; Tatalovich, Zaria; Grace, James B; Berrigan, David

2018-04-26

In recent years, the United States has had a relatively poor performance with respect to life expectancy compared to the other developed nations. Urban sprawl is one of the potential causes of the high rate of mortality in the United States. This study investigated cross-sectional associations between sprawl and life expectancy for metropolitan counties in the United States in 2010. In this study, the measure of life expectancy in 2010 came from a recently released dataset of life expectancies by county. This study modeled average life expectancy with a structural equation model that included five mediators: annual vehicle miles traveled (VMT) per household, average body mass index, crime rate, and air quality index as mediators of sprawl, as well as percentage of smokers as a mediator of socioeconomic status. After controlling for sociodemographic characteristics, this study found that life expectancy was significantly higher in compact counties than in sprawling counties. Compactness affects mortality directly, but the causal mechanism is unclear. For example, it may be that sprawling areas have higher traffic speeds and longer emergency response times, lower quality and less accessible health care facilities, or less availability of healthy foods. Compactness affects mortality indirectly through vehicle miles traveled, which is a contributor to traffic fatalities, and through body mass index, which is a contributor to many chronic diseases. This study identified significant direct and indirect associations between urban sprawl and life expectancy. These findings support further research and practice aimed at identifying and implementing changes to urban planning designed to support health and healthy behaviors.

Travel and Border Health Measures to Prevent the International Spread of Ebola.

PubMed

Cohen, Nicole J; Brown, Clive M; Alvarado-Ramy, Francisco; Bair-Brake, Heather; Benenson, Gabrielle A; Chen, Tai-Ho; Demma, Andrew J; Holton, N Kelly; Kohl, Katrin S; Lee, Amanda W; McAdam, David; Pesik, Nicki; Roohi, Shahrokh; Smith, C Lee; Waterman, Stephen H; Cetron, Martin S

2016-07-08

During the 2014-2016 Ebola virus disease (Ebola) epidemic in West Africa, CDC implemented travel and border health measures to prevent international spread of the disease, educate and protect travelers and communities, and minimize disruption of international travel and trade. CDC staff provided in-country technical assistance for exit screening in countries in West Africa with Ebola outbreaks, implemented an enhanced entry risk assessment and management program for travelers at U.S. ports of entry, and disseminated information and guidance for specific groups of travelers and relevant organizations. New and existing partnerships were crucial to the success of this response, including partnerships with international organizations, such as the World Health Organization, the International Organization for Migration, and nongovernment organizations, as well as domestic partnerships with the U.S. Department of Homeland Security and state and local health departments. Although difficult to assess, travel and border health measures might have helped control the epidemic's spread in West Africa by deterring or preventing travel by symptomatic or exposed persons and by educating travelers about protecting themselves. Enhanced entry risk assessment at U.S. airports facilitated management of travelers after arrival, including the recommended active monitoring. These measures also reassured airlines, shipping companies, port partners, and travelers that travel was safe and might have helped maintain continued flow of passenger traffic and resources needed for the response to the affected region. Travel and border health measures implemented in the countries with Ebola outbreaks laid the foundation for future reconstruction efforts related to borders and travel, including development of regional surveillance systems, cross-border coordination, and implementation of core capacities at designated official points of entry in accordance with the International Health Regulations (2005). New mechanisms developed during this response to target risk assessment and management of travelers arriving in the United States may enhance future public health responses. The activities summarized in this report would not have been possible without collaboration with many U.S. and international partners (http://www.cdc.gov/vhf/ebola/outbreaks/2014-west-africa/partners.html).

The risk of developing decompression sickness during air travel following altitude chamber flight.

PubMed

Rush, W L; Wirjosemito, S A

1990-11-01

Approximately 35,000 students are trained annually in United States Air Force (USAF) altitude chambers. Students who depart the training site via aircraft on the same day as their altitude chamber exposure may place themselves at increased risk for decompression sickness (DCS). Air travel as a passenger in the immediate post-chamber flight period is unrestricted by current USAF regulations. A retrospective study was conducted to assess the potential risk involved in such post-chamber flight travel. During the years 1982-87, there were 292 cases of DCS involving altitude chamber students which were subsequently treated with hyperbaric oxygen therapy. Only seven cases were found wherein the student was asymptomatic prior to air travel and subsequently developed DCS. Because the percentage of students who postpone travel is unknown, a precise relative risk could not be determined. Although the number of cases where sequential chamber and aircraft hypobaric exposures has initiated DCS is small, the potential for such occurrences remains a health concern.

Locally acquired Dengue--Key West, Florida, 2009-2010.

PubMed

2010-05-21

Dengue is the most common vector-borne viral disease in the world, causing an estimated 50-100 million infections and 25,000 deaths each year. During 1946-1980, no cases of dengue acquired in the continental United States were reported. Since 1980, a few locally acquired U.S. cases have been confirmed along the Texas-Mexico border, temporally associated with large outbreaks in neighboring Mexican cities. On September 1, 2009, a New York physician notified the Monroe County (Florida) Health Department (MCHD) and the Florida Department of Health (FDOH) of a suspected dengue case in a New York state resident whose only recent travel was to Key West, Florida. CDC confirmed the diagnosis, and a press release was issued to notify the public and Key West physicians of the potential risk for locally acquired dengue infections. In the next 2 weeks, two dengue infections in Key West residents without recent travel were reported and confirmed. Subsequently, enhanced and active surveillance identified 24 more Key West cases during 2009. On April 13, 2010, another Key West dengue case was reported to FDOH, bringing the total to 28. This report describes the first three dengue cases reported in 2009, briefly summarizes the 2010 case, highlights preliminary findings from the ongoing investigation, and outlines measures used to mitigate and control the outbreak. Clinicians should include dengue in the differential diagnosis of acute febrile illnesses in patients who live in or have recently traveled to subtropical areas of the United States or to the tropics.

Measles outbreak associated with an arriving refugee - Los Angeles County, California, August-September 2011.

PubMed

2012-06-01

Measles is a highly communicable, acute viral illness with potential for severe complications, including death. Although endemic measles was eliminated in the United States in 2000 as a result of widespread vaccination, sporadic measles outbreaks still occur, largely associated with international travel from measles-endemic countries and pockets of unvaccinated persons. On August 26, 2011, the Los Angeles County Department of Public Health (LACDPH) was notified of suspected measles in a refugee from Burma who had arrived in Los Angeles, California, on August 24, after a flight from Kuala Lumpur, Malaysia. Passengers on the flight included 31 other refugees who then traveled to seven other states, widening the measles investigation and response activities. In California alone, 50 staff members from LACDPH and the California Department of Public Health (CDPH) interviewed and reinterviewed 298 contacts. Measles was diagnosed in three contacts of the index patient (patient A). The three contacts with measles were two passengers on the same flight as patient A and a customs worker; no secondary cases were identified. Delayed diagnosis of measles in patient A and delayed notification of health officials precluded use of measles-mumps-rubella (MMR) vaccine as an outbreak intervention. This outbreak emphasizes the importance of maintaining a high level of vaccination coverage and continued high vigilance for measles in the United States, particularly among incoming international travelers; clinicians should immediately isolate persons with suspected measles and promptly report them to health authorities.

Cross-cultural comparison of long-term care in the United States and Finland: Research done through a short-term study-abroad experience.

PubMed

Kruger, Tina M; Gilland, Sarah; Frank, Jacquelyn B; Murphy, Bridget C; English, Courtney; Meade, Jana; Morrow, Kaylee; Rush, Evan

2017-01-01

In May 2014, a short-term study-abroad experience was conducted in Finland through a course offered at Indiana State University (ISU). Students and faculty from ISU and Eastern Illinois University participated in the experience, which was created to facilitate a cross-cultural comparison of long-term-care settings in the United States and Finland. With its outstanding system of caring for the health and social needs of its aging populace, Finland is a logical model to examine when considering ways to improve the quality of life for older adults who require care in the United States . Those participating in the course visited a series of long-term-care facilities in the region surrounding Terre Haute, Indiana, then travelled to Lappeenranta, Finland to visit parallel sites. Through limited-participation observation and semistructured interviews, similarities and differences in experiences, educations, and policies affecting long-term care workers in the United States and Finland were identified and are described here.

Recommendations for Management of Endemic Diseases and Travel Medicine in Solid-Organ Transplant Recipients and Donors: Latin America.

PubMed

Clemente, Wanessa Trindade; Pierrotti, Lígia Camera; Abdala, Edson; Morris, Michele I; Azevedo, Luiz S; López-Vélez, Rogelio; Cuenca-Estrella, Manuel; Torre-Cisneros, Julian; Petersen, Eskild; Camargo, Luis Fernando A; Wright, Alissa Jade; Beeching, Nicholas J; Vilela, Eduardo Garcia; Santoro-Lopes, Guilherme; Len, Oscar; Stucchi, Raquel S B; Manuel, Oriol; Faria, Luciana Costa; Leblebicioglu, Hakan; Huprikar, Shirish; Molina, Israel; Mourão, Paulo Henrique Orlandi; Kotton, Camille N; Aguado, José María

2018-02-01

The Recommendations for Management of Endemic Diseases and Travel Medicine in Solid-Organ Transplant Recipients and Donors: Latin America clinical practice guideline is intended to guide clinicians caring for solid-organ transplant (SOT) donors, candidates and recipients regarding infectious diseases (ID) issues related to this geographical region, mostly located in the tropics. These recommendations are based on both systematic reviews of relevant literature and expert opinion from both transplant ID and travel medicine specialists. The guidelines provide recommendations for risk evaluation and laboratory investigation, as well as management and prevention of infection of the most relevant endemic diseases of Latin America. This summary includes a brief description of the guideline recommendations but does not include the complete rationale and references for each recommendation, which is available in the online version of the article, published in this journal as a supplement. The supplement contains 10 reviews referring to endemic or travel diseases (eg, tuberculosis, Chagas disease [ChD], leishmaniasis, malaria, strongyloidiasis and schistosomiasis, travelers diarrhea, arboviruses, endemic fungal infections, viral hepatitis, and vaccines) and an illustrative section with maps (http://www.pmourao.com/map/). Contributors included experts from 13 countries (Brazil, Canada, Chile, Denmark, France, Italy, Peru, Spain, Switzerland, Turkey, United Kingdom, United States, and Uruguay) representing four continents (Asia, the Americas and Europe), along with scientific and medical societies.

41 CFR 301-10.135 - When must I travel using U.S. flag air carrier service?

Code of Federal Regulations, 2011 CFR

2011-07-01

... funded by the U.S. Government, except as provided in § 301-10.136 and § 301-10.137 or when one of the... transportation agreement to which the United States Government and the government of a foreign country are... States Government procured transportation can be accessed at http://www.gsa.gov/openskies; and (2) If...

41 CFR 301-10.135 - When must I travel using U.S. flag air carrier service?

Code of Federal Regulations, 2014 CFR

2014-07-01

... funded by the U.S. Government, except as provided in §§ 301-10.136 and 301-10.137 or when one of the... transportation agreement to which the United States Government and the government of a foreign country are... States Government procured transportation can be accessed at http://www.gsa.gov/openskies; and (2) If...

41 CFR 301-10.135 - When must I travel using U.S. flag air carrier service?

Code of Federal Regulations, 2012 CFR

2012-07-01

... funded by the U.S. Government, except as provided in § 301-10.136 and § 301-10.137 or when one of the... transportation agreement to which the United States Government and the government of a foreign country are... States Government procured transportation can be accessed at http://www.gsa.gov/openskies; and (2) If...

41 CFR 301-10.135 - When must I travel using U.S. flag air carrier service?

Code of Federal Regulations, 2013 CFR

2013-07-01

... funded by the U.S. Government, except as provided in § 301-10.136 and § 301-10.137 or when one of the... transportation agreement to which the United States Government and the government of a foreign country are... States Government procured transportation can be accessed at http://www.gsa.gov/openskies; and (2) If...

What have we learned about intelligent transportation systems? Chapter 9, What have we learned about ITS? Final comments

DOT National Transportation Integrated Search

2005-09-30

This document presents the findings of the national evaluation of the 511 telephone traveler information system Model Deployment in Arizona. The United States Department of Transportation (U.S. DOT) National 511 Model Deployment supported a wid...

Medical tourism.

PubMed

Tompkins, Olga S

2010-01-01

Medical tourism is becoming popular as an alternative to the high cost of health care in the United States and as an inexpensive resource for cosmetic surgery. The occupational health nurse is an excellent resource to assist in the pre-decision due diligence and post-decision travel health counseling. Copyright 2010, SLACK Incorporated.

31 CFR 597.307 - Financial institution.

Code of Federal Regulations, 2010 CFR

2010-07-01

... definition given that term in 31 U.S.C. 5312(a)(2) as from time to time amended, notwithstanding the... metals, stones or jewels, pawnbrokers, loan or finance companies, travel agencies, licensed senders of... sales, persons involved in real estate closings and settlements, the United States Postal Service, a...

An Analysis of the Demand for and Value of Outdoor Recreation in the United States.

ERIC Educational Resources Information Center

Bergstrom, John C.; Cordell, H. Ken

1991-01-01

Results of a study of demand equations for 37 outdoor recreational activities using a multicommunity, multisite travel cost model suggest that determinants of the demand for outdoor recreation include population, residence, income, age, price, quality, and recreational opportunity substitutes. (JD)

The Vulnerability of the United States Railroad System to Terrorist Attacks

DTIC Science & Technology

2015-06-12

can also assist during special political and sporting events, and provide humanitarian assistance after major weather events...essential to economic growth―not just for travel and tourism , but also for the mobility of the labor force.253 Many of Russia’s natural resources

The impact of urban spatial structure on travel demand in the United States

DOT National Transportation Integrated Search

2003-03-20

Attempts to limit urban growth or to change its form are motivated by three concerns-to preserve open space and foster urban development that is more aesthetically appealing, to reduce the cost of providing public services, and to reduce dependence o...

Travel and Learn -- About Yourself

ERIC Educational Resources Information Center

Nadler, Leonard

1971-01-01

While serving as consultant to a New Delhi workshop on literacy education and family planning, Nadler considers some of the same problems in the United States -- population explosions, the effects of religious practices, training of teachers, polarization of adult educators with their own group, and the difficulty of bringing professional…

Advancing eco-driving strategies for drivers and automated vehicles traveling within intersection vicinities : final report.

DOT National Transportation Integrated Search

2016-01-01

Vehicle emissions occupy a considerable share of emission inventories in the United States. One of the approaches taken to minimize vehicle emissions is eco-driving. Supported by advanced ITS technologies, it is available to provide the real-time eco...

Trypanosoma cruzi (Agent of Chagas Disease) in Sympatric Human and Dog Populations in "Colonias" of the Lower Rio Grande Valley of Texas.

PubMed

Curtis-Robles, Rachel; Zecca, Italo B; Roman-Cruz, Valery; Carbajal, Ester S; Auckland, Lisa D; Flores, Isidore; Millard, Ann V; Hamer, Sarah A

2017-04-01

AbstractThe zoonotic, vector-borne parasite Trypanosoma cruzi causes Chagas disease throughout the Americas, but human and veterinary health burdens in the United States are unknown. We conducted a cross-sectional prevalence study in indigent, medically underserved human and cohabiting canine populations of seven south Texas border communities, known as colonias. Defining positivity as those samples that were positive on two or more independent tests, we found 1.3% seroprevalence in 233 humans, including one child born in the United States with only short-duration travel to Mexico. Additionally, a single child with no travel outside south Texas was positive on only a single test. Among 209 dogs, seroprevalence was 19.6%, but adjusted to 31.6% when including those dogs positive on only one test and extrapolating potential false negatives. Parasite DNA was detected in five dogs, indicating potential parasitemia. Seropositive dogs lived in all sampled colonias with no difference in odds of positivity across age, sex, or breed. Colonia residents collected two adult Triatoma gerstaeckeri and one nymph triatomine from around their homes; one of three bugs was infected with T. cruzi , and blood meal hosts were molecularly determined to include dog, human, and raccoon. Dogs and the infected vector all harbored T. cruzi discrete typing unit I, which has previously been implicated in human disease in the United States. Colonias harbor active T. cruzi transmission cycles and should be a priority in outreach and vector control initiatives.

Why the United States lags in auto safety and lessons it can import.

PubMed

Kelley, Benjamin

2010-09-01

The United States has slipped in recent decades from its role of leadership in combating road crash injuries. The early promise of the country's approach to vehicle safety regulation, adopted by law in 1966, has suffered because of decades of regulatory inertia caused by antiregulatory government policies, industry obstructionism, and failure to set meaningful goals. Meanwhile, other industrial nations have vastly outpaced the United States in reducing crash deaths and injuries. The Obama administration is thus challenged to learn from other nations' successes while reestablishing the US presence as a vigorous proponent of effective crash injury reduction strategies. It can best accomplish this by crafting approaches and objectives that reduce motor vehicle use, reduce harmful disparities within the US vehicle population, and reduce motor vehicle travel speeds.

Distance traveled for Medicaid-covered abortion care in California.

PubMed

Johns, Nicole E; Foster, Diana Greene; Upadhyay, Ushma D

2017-04-19

Access to abortion care in the United States is limited by the availability of abortion providers and their geographic distribution. We aimed to assess how far women travel for Medicaid-funded abortion in California and identify disparities in access to abortion care. We obtained data on all abortions reimbursed by the fee-for-service California state Medicaid program (Medi-Cal) in 2011 and 2012 and examined distance traveled to obtain abortion care by several demographic and abortion-related factors. Mixed-effects multivariable logistic regression models were constructed to examine factors associated with traveling 50 miles or more. County-level t-tests and linear regressions were conducted to examine the effects of a Medi-Cal abortion provider in a county on overall and urban/rural differences in utilization. 11.9% (95% CI: 11.5-12.2%) of women traveled 50 miles or more. Women obtaining second trimester or later abortions (21.7%), women obtaining abortions at hospitals (19.9%), and rural women (51.0%) were most likely to travel 50 miles or more. Across the state, 28 counties, home to 10% of eligible women, did not have a facility routinely providing Medi-Cal-covered abortions. Efforts are needed to expand the number of abortion providers that accept Medi-Cal. This could be accomplished by increasing Medi-Cal reimbursement rates, increasing the types of providers who can provide abortions, and expanding the use of telemedicine. If national trends in declining unintended pregnancy and abortion rates continue, careful attention should be paid to ensure that reduced demand does not lead to greater disparities in geographic and financial access to abortion care by ensuring that providers accepting Medicaid payment are available and widely distributed.

Ebola Virus: a Clear and Present Danger

PubMed Central

2014-01-01

An epidemic of Ebola virus disease is occurring in Western Africa on a scale not seen before, particularly in the countries of Guinea, Liberia, and Sierra Leone. The continued spread is facilitated by insufficient medical facilities, poor sanitation, travel, and unsafe burial practices. Several patients diagnosed with Ebola virus disease in Africa have been evacuated to the United States for treatment, and several other patients have been diagnosed in the United States. It is important for laboratories to be aware of available tests, especially those granted emergency use authorization, as hospitals prepare protocols for the diagnosis and management of high-risk patients. PMID:25392362

Business Process Improvement Applied to Written Temporary Duty Travel Orders within the United States Air Force

DTIC Science & Technology

1993-12-01

Generally Accepted Process While neither DoD Directives nor USAF Regulations specify exact mandatory TDY order processing methods, most USAF units...functional input. Finally, TDY order processing functional experts at Hanscom, Los Angeles and McClellan AFBs provided inputs based on their experiences...current electronic auditing capabilities. 81 DTPS Initiative. This DFAS-initiated action to standardize TDY order processing throughout DoD is currently

Adventure Recreation: Coming Soon to Your Community

ERIC Educational Resources Information Center

Moorman, Marta; Schlatter, Barbara E.; Hurd, Amy R.

2007-01-01

Adventure recreation activities like mountain biking, bouldering, and kayaking used to require considerable travel to unique locations. This is changing, however, as the new trend emerges in the United State of providing adventure recreation experiences in cities and towns, such as New York City and Golden, Colorado. This article highlights…

Highway and railroad operating environments for hazardous shipments in the United States--safer in the '90s?

DOT National Transportation Integrated Search

2000-04-01

This paper seeks to illuminate the status of transportation safety and risk for large-quantity shipments of spent commercial reactor fuel and mixed and hazardous wastes by examining road and rail accident and vehicular travel data from the mid-1990s....

DefenseLink Special: Travels with Rumsfeld, June 2006

Science.gov Websites

: Ironic That Zarqawi Dies on Eve of Iraq Government Successes Ministers Discuss Alliance's Security leaders here today to discuss how the relationship between the United States and this South Pacific Troops Home * Rumsfeld in Vietnam to Meet Leaders, Discuss MIA Recovery Defense Secretary Visits Sailors

Policies and Procedures for Foreign Exchange Agencies. First Edition.

ERIC Educational Resources Information Center

Hartman, Donald D.

The guide details the policy of the Jefferson County (Alabama) Board of Education policy concerning international exchange of students (travel both to and from United States) in elementary and secondary grades. The first section specifies the standards by which the county will evaluate all international exchange agencies concerning structure,…

DefenseLink Feature: Travels with Gates

Science.gov Websites

. Story India Visit Aimed at Long-Term Relationship Defense Secretary Robert M. Gates walks with Indian developing a long-term relationship with India. Story Gates Looks to Strengthen Ties with India NEW DELHI longstanding relationship between Australia and the United States and pledged continued cooperation between the

NASA and general aviation

NASA Technical Reports Server (NTRS)

Ethell, J. L.

1986-01-01

General aviation remains the single most misunderstood sector of aeronautics in the United States. A detailed look at how general aviation functions and how NASA helps keep it on the cutting edge of technology in airfoils, airframes, commuter travel, environmental concerns, engines, propellers, air traffic control, agricultural development, electronics, and safety is given.

Cultural Adaptations of American Teachers in International Schools

ERIC Educational Resources Information Center

Alban, David J.

2013-01-01

Global competition of academic aptitude between countries has sparked policymakers' concerns with the performance of the United States educational system leading to many educational reforms that direct educators to diversify their instruction to meet the needs of all students. Advances in technology and travel allow people to interact with other…

Life on the Hardened Border

ERIC Educational Resources Information Center

Miller, Bruce Granville

2012-01-01

The many Coast Salish groups distributed on both sides of the United States-Canada border on the Pacific coast today face significant obstacles to cross the international border, and in some cases are denied passage or intimidated into not attempting to cross. The current situation regarding travel by Aboriginal people reflects the…

Holiday Perspectives on Air Traffic Control

NASA Image and Video Library

2016-12-14

As America travels over the holidays, NASA’s FutureFlight Central (FFC) is working to help passengers get to their destinations on time. The 360-degree virtual air traffic control tower is capable of simulating traffic and weather conditions to include snow, sleet and rain at almost any airport in the United States.

National forest trail users: planning for recreation opportunities

Treesearch

John J. Daigle; Alan E. Watson; Glenn E. Haas

1994-01-01

National forest trail users in four geographical regions of the United States are described based on participation in clusters of recreation activities. Visitors are classified into day hiking, undeveloped recreation, and two developed camping and hiking activity clusters for the Appalachian, Pacific, Rocky Mountain, and Southwestern regions. Distance and time traveled...

Getting to Know ELLs' Families

ERIC Educational Resources Information Center

Breiseth, Lydia

2016-01-01

Most English language learners are from families that have recently immigrated to the United States-and many of those families traveled here at tremendous risk to seek better education for their children. It's important for classroom teachers to make building relationships with the families of ELLs a priority. Breiseth asserts that the most…

The Road Less Traveled: Sustainable Transportation for Campuses.

ERIC Educational Resources Information Center

Toor, Will

2003-01-01

Provides a survey of innovative approaches to campus transportation in the United States. Explains that the high costs of parking expansion have propelled many institutions toward a transportation demand management strategy, using parking pricing, transit passes for students and employees, and investment in bicycle infrastructure to shift many…

Eavesdropping on coconut rhinoceros beetles, red palm weevils, Asian longhorned beetles, and other invasive travelers

USDA-ARS?s Scientific Manuscript database

As global trade increases, invasive insects inflict increasing economic damage to agriculture and urban landscapes in the United States yearly, despite a sophisticated array of interception methods and quarantine programs designed to exclude their entry. Insects that are hidden inside soil, wood, or...

Eskimo Medicine Man.

ERIC Educational Resources Information Center

George, Otto

"Eskimo Medicine Man" is a record of primitive Alaskan life in the 1930's. It records the experiences in Alaska's remote areas of Dr. Otto George, the last "traveling physician" for the Department of Interior's Indian Service, when in all the territory (an area one-fifth that of the contiguous United States) there were fewer…

14 CFR 258.5 - Notice requirement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... carrier or ticket agent doing business in the United States shall tell the consumer before booking... itinerary that includes such a service, the selling carrier or ticket agent shall provide the following... for that flight. Further, in the case of some travel, one of your flights may not be identified at the...

Safe travel for Virginia's non-motorized road users : a comprehensive review of pedestrian and bicycle laws in Virginia and the United States.

DOT National Transportation Integrated Search

2007-01-01

This study involved conducting a comprehensive review of Virginia's laws regarding the status, rights, and responsibilities of pedestrians and other non-motorized users of Virginia's transportation network and comparing them with the status, rights, ...

75 FR 28181 - National Defense Transportation Day and National Transportation Week, 2010

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-20

... ensure America has a world-class logistics and transportation system to support our military readiness... the President of the United States of America A Proclamation The transportation networks of early America connected our rapidly growing Nation with natural waterways and dirt roads, making travel...

31 CFR 596.307 - Monetary instruments.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 31 Money and Finance:Treasury 3 2012-07-01 2012-07-01 false Monetary instruments. 596.307 Section 596.307 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... includes coin or currency of the United States or of any other country, travelers' checks, personal checks...

31 CFR 596.307 - Monetary instruments.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance:Treasury 3 2014-07-01 2014-07-01 false Monetary instruments. 596.307 Section 596.307 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... includes coin or currency of the United States or of any other country, travelers' checks, personal checks...

31 CFR 596.307 - Monetary instruments.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance:Treasury 3 2013-07-01 2013-07-01 false Monetary instruments. 596.307 Section 596.307 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... includes coin or currency of the United States or of any other country, travelers' checks, personal checks...

31 CFR 596.307 - Monetary instruments.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance:Treasury 3 2011-07-01 2011-07-01 false Monetary instruments. 596.307 Section 596.307 Money and Finance: Treasury Regulations Relating to Money and Finance (Continued) OFFICE OF... includes coin or currency of the United States or of any other country, travelers' checks, personal checks...

CNN Newsroom Classroom Guides. November 1-30, 1996.

ERIC Educational Resources Information Center

Cable News Network, Atlanta, GA.

These classroom guides, designed to accompany the daily CNN (Cable News Network) Newsroom broadcasts for the month of November, provide program rundowns, suggestions for class activities and discussion, student handouts, and a list of related news terms. Topics include: presidential candidates travel the United States searching for votes, FBI…

Improving the United States airline industry's capacity to provide safe and dignified services to travelers with disabilities: focus group findings.

PubMed

McCarthy, Michael J

2011-01-01

As a component of a training development project for intercity air travel providers, we investigated the capacity of the airline industry to meet the needs of travelers with disabilities by exploring: (1) the level of sensitivity among personnel to travelers' needs, (2) training currently provided, (3) areas in which additional training might be beneficial, and (4) organisational/systems-level commitment to dignified assistance to all travelers. Forty-four airline/vendor employees participated in nine focus groups in four US cities. Groups were audio recorded and transcribed. A grounded-theory approach was used to develop a coding system which was then applied to transcripts to identify themes. Factors influencing capacity grouped broadly into four areas: characteristics of the job/system, characteristics of current training, characteristics of providers themselves, and characteristics of travelers. At an interpersonal level, providers were empathetic and desired to provide dignified services. They lacked training and adequate equipment in some cases, however, and organisational commitment varied between companies. Traveler characteristics were also shown to impact service delivery. Results are promising but additional regulatory and organisational policies are needed to ensure quality services. Providers and consumers of intercity air travel services may benefit from the findings and recommendations of this study.

Federal travel restrictions to prevent disease transmission in the United States: An analysis of requested travel restrictions.

PubMed

Jungerman, M Robynne; Vonnahme, Laura A; Washburn, Faith; Alvarado-Ramy, Francisco

Individuals with certain communicable diseases may pose risks to the health of the traveling public; there has been documented transmission on commercial aircraft of tuberculosis (TB), measles, and severe acute respiratory syndrome (SARS). Federal public health travel restrictions (PHTR) prevent commercial air or international travel of persons with communicable diseases that pose a public health threat. We described demographics and clinical characteristics of all cases considered for PHTR because of suspected or confirmed communicable disease from May 22, 2007, to December 31, 2015. We reviewed 682 requests for PHTR; 414 (61%) actions were completed to place 396 individuals on PHTR. The majority (>99%) had suspected (n = 27) or confirmed (n = 367) infectious pulmonary TB; 58 (16%) had multidrug-resistant-TB. There were 128 (85%) interceptions that prevented the initiation or continuation of travel. PHTR were removed for 310 (78%) individuals after attaining noninfectious status and 86 (22%) remained on PHTR at the end of the analysis period. PHTR effectively prevent exposure during commercial air travel to persons with potentially infectious diseases. In addition, they are effective tools available to public health agencies to prevent commercial travel of individuals with certain communicable diseases and possibly reconnect them with public health authorities. Published by Elsevier Ltd.

Federal Travel Restrictions to Prevent Disease Transmission in the United States: an analysis of requested travel restrictions

PubMed Central

Jungerman, M. Robynne; Vonnahme, Laura A.; Washburn, Faith; Alvarado-Ramy, Francisco

2017-01-01

Background Individuals with certain communicable diseases may pose risks to the health of the traveling public; there has been documented transmission on commercial aircraft of tuberculosis (TB), measles, and severe acute respiratory syndrome (SARS). Federal public health travel restrictions (PHTR) prevent commercial air or international travel of persons with communicable diseases that pose a public health threat. Methods We described demographics and clinical characteristics of all cases considered for PHTR because of suspected or confirmed communicable disease from May 22, 2007, to December 31, 2015. Results We reviewed 682 requests for PHTR; 414 (61%) actions were completed to place 396 individuals on PHTR. The majority (>99%) had suspected (n=27) or confirmed (n=367) infectious pulmonary TB; 58 (16%) had multidrug-resistant-TB. There were 128 (85%) interceptions that prevented the initiation or continuation of travel. PHTR were removed for 310 (78%) individuals after attaining noninfectious status and 86 (22%) remained on PHTR at the end of the analysis period. Conclusions PHTR effectively prevent exposure during commercial air travel to persons with potentially infectious diseases. In addition, they are effective tools available to public health agencies to prevent commercial travel of individuals with certain communicable diseases and possibly reconnect them with public health authorities. PMID:28648932

Patient awareness of need for hepatitis a vaccination (prophylaxis) before international travel.

PubMed

Liu, Stephen J; Sharapov, Umid; Klevens, Monina

2015-01-01

Although hepatitis A virus (HAV) infection is preventable through vaccination, cases associated with international travel continue to occur. The purpose of this study was to examine the frequency of international travel and countries visited among persons infected with HAV and assess reasons why travelers had not received hepatitis A vaccine before traveling. Using data from sentinel surveillance for HAV infection in seven US counties during 1996 to 2006, we examined the role of international travel in hepatitis A incidence and the reasons for patients not being vaccinated. Of 2,002 hepatitis A patients for whom travel history was available, 300 (15%) reported traveling outside of the United States. Compared to non-travelers, travelers were more likely to be female [odds ratio (OR) = 1.74 (95% confidence interval [95% CI], 1.35, 2.24)], aged 0 to 17 years [OR = 3.30 (1.83, 5.94)], Hispanic [OR = 3.69 (2.81, 4.86)], Asian [OR = 2.00 (1.06, 3.77)], and were less likely to be black non-Hispanic [OR = 0.30 (0.11, 0.82)]. The majority, 189 (61.6%), had traveled to Mexico. The most common reason for not getting pre-travel vaccination was "Didn't know I could [or should] get shots" [100/154 (65%)]. Low awareness of HAV vaccination was the predominant reason for not being protected before travel. Different modes of traveler education could improve prevention of hepatitis A. To highlight the risk of infection before traveling to endemic countries including Mexico, travel and consulate websites could list reminders of vaccine recommendations. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

Summary of Notifiable Diseases, United States, 1993.

DTIC Science & Technology

1994-10-21

Schaffner W. Salmo nella enteritidis gastroenteritis transmitted by intact chicken eggs. Ann Intern Med 1991;115:190-4. St. Louis ME, Morse DL, Potter...Parsonnet J, Greene KD, Gerber AR, et al. Shigella dysenteriaetype 1 infections in U.S. travellers to Mexico . Lancet 1989:543-5. Ries AA, Wells JG...States, 1993 (continued) Syphilis Toxic- shock Trich- Tuber- Typhoid Varicella Primary & Cong. All ( chicken - Area secondary (ə yr.) stages Tetanus

Projected Successes and Shortfalls of a Semi-Permanent Inspection Location in Western Lake Erie for Vessels Entering the United States and Its Effect on National Security

DTIC Science & Technology

2013-06-13

Department of Homeland Security Northern Border Strategy states that the open travel through the maritime environment increases the possibility that a...for success in this thesis and in class, but for the rest of my career. I would also like to express my gratitude to my classmates in Staff Group ...

Communities on the Move: Pedestrian-Oriented Zoning as a Facilitator of Adult Active Travel to Work in the United States.

PubMed

Chriqui, Jamie F; Leider, Julien; Thrun, Emily; Nicholson, Lisa M; Slater, Sandy

2016-01-01

Communities across the United States have been reforming their zoning codes to create pedestrian-friendly neighborhoods with increased street connectivity, mixed use and higher density, open space, transportation infrastructure, and a traditional neighborhood structure. Zoning code reforms include new urbanist zoning such as the SmartCode, form-based codes, transects, transportation and pedestrian-oriented developments, and traditional neighborhood developments. To examine the relationship of zoning code reforms and more active living--oriented zoning provisions with adult active travel to work via walking, biking, or by using public transit. Zoning codes effective as of 2010 were compiled for 3,914 municipal-level jurisdictions located in 471 counties and 2 consolidated cities in 48 states and the District of Columbia, and that collectively covered 72.9% of the U.S. population. Zoning codes were evaluated for the presence of code reform zoning and nine pedestrian-oriented zoning provisions (1 = yes): sidewalks, crosswalks, bike-pedestrian connectivity, street connectivity, bike lanes, bike parking, bike-pedestrian trails/paths, mixed-use development, and other walkability/pedestrian orientation. A zoning scale reflected the number of provisions addressed (out of 10). Five continuous outcome measures were constructed using 2010-2014 American Community Survey municipal-level 5-year estimates to assess the percentage of workers: walking, biking, walking or biking, or taking public transit to work OR engaged in any active travel to work. Regression models controlled for municipal-level socioeconomic characteristics and a GIS-constructed walkability scale and were clustered on county with robust standard errors. Adjusted models indicated that several pedestrian-oriented zoning provisions were statistically associated (p < 0.05 or lower) with increased rates of walking, biking, or engaging in any active travel (walking, biking, or any active travel) to work: code reform zoning, bike parking (street furniture), bike lanes, bike-pedestrian trails/paths, other walkability, mixed-use zoning, and a higher score on the zoning scale. Public transit use was associated with code reform zoning and a number of zoning measures in Southern jurisdictions but not in non-Southern jurisdictions. As jurisdictions revisit their zoning and land use policies, they may want to evaluate the pedestrian-orientation of their zoning codes so that they can plan for pedestrian improvements that will help to encourage active travel to work.

(Workshop on transfer of radionuclides to livestock, Christ Church College-University of Oxford, United Kingdom, September 5--8, 1988): Foreign trip report

DOE Office of Scientific and Technical Information (OSTI.GOV)

Richmond, C.R.

1988-09-30

The traveler participated in the Workshop on the Transfer of Radionuclides to Livestock which was held at the Christ Church College-University of Oxford, September 5-8, 1988. The traveler was a member of the program committee that was made up of representatives from ten countries. In addition, the traveler presented a key invited paper entitled ''Transfer of Radionuclides to Animals --- An Historical Perspective of Work Done in the United States.'' The aim of the workshop was to review current information obtained from both observations and experimental studies on how various parameters can influence the mechanisms of transfer of radionuclides tomore » human food stuffs. These parameters include source and composition of the diet, chemical form of radionuclides, season, agricultural practices, species, strain, and age. The importance and application of countermeasures for reducing the transfer of radionuclides to food stuffs was also considered. The last session of the meeting included summaries and presentations by each session chairman. This was followed by a general discussion by the attendees that was most profitable and stimulating.« less

Travel Characteristics and Pretravel Health Care Among Pregnant or Breastfeeding U.S. Women Preparing for International Travel

PubMed Central

Hagmann, Stefan H. F.; Rao, Sowmya R.; LaRocque, Regina C.; Erskine, Stefanie; Jentes, Emily S.; Walker, Allison T.; Barnett, Elizabeth D.; Chen, Lin H.; Hamer, Davidson H.; Ryan, Edward T.

2018-01-01

OBJECTIVE To study characteristics and preventive interventions of adult pregnant and breastfeeding travelers seeking pretravel health care in the United States. METHODS This cross-sectional study analyzed data (2009–2014) of pregnant and breastfeeding travelers seen at U.S. travel clinics participating in Global TravEpiNet. Nonpregnant, nonbreastfeeding adult female travelers of childbearing age were used for comparison. We evaluated the prescription of malaria chemoprophylaxis and antibiotics for this population as well as the administration of three travel-related vaccines: hepatitis A, typhoid, and yellow fever. We also evaluated use of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis and influenza vaccines, because these are widely recommended in pregnancy. RESULTS Of 21,138 female travelers of childbearing age in Global TravEpiNet, 170 (0.8%) were pregnant and 139 (0.7%) were breastfeeding. Many traveled to destinations endemic for mosquito-borne illnesses, including malaria (pregnant: 95%; breastfeeding: 94%), dengue (pregnant: 87%; breastfeeding: 81%), or yellow fever (pregnant: 35%; breastfeeding: 50%). Compared with nonpregnant, nonbreastfeeding adult female travelers, eligible pregnant travelers were less likely to be vaccinated against hepatitis A (28% compared with 51%, P<.001) and typhoid (35% compared with 74%, P<.001). More than 20% of eligible pregnant travelers did not receive influenza vaccination. Yellow fever vaccine was occasionally provided to pregnant and breastfeeding travelers traveling to countries entirely endemic for yellow fever (6 [20%] of 30 pregnant travelers and 18 [46%] of 39 breastfeeding travelers). Half of pregnant travelers and two thirds of breastfeeding travelers preparing to travel to malaria-holoendemic countries received a prescription for malaria prophylaxis. CONCLUSION Most pregnant and breastfeeding travelers seen for pretravel health consultations traveled to destinations with high risk for vector-borne or other travel-related diseases. Destination-specific preventive interventions were frequently underused. PMID:29112671

Satellite Shows Difficult Eastern U.S. Thanksgiving Travel

NASA Image and Video Library

2013-11-27

This true color image of the Continental United States was taken on Nov. 25, 2013 by the Suomi NPP satellite and shows the system as it moves through the South and Midwest. The National Weather Service noted that a complex and powerful storm system continues to generate widespread moderate to heavy rainfall and snows in various parts of the eastern United States as travelers make their way to destinations to celebrate Thanksgiving and Hanukkah on Nov. 28. There are two low-pressure areas working together. One was centered near New Jersey while the other was located over the Carolinas. From the Southeast to New England widespread moderate to heavy rainfall is expected. The rains will also affect the Mid-Atlantic and Southeastern United States, although those regions are not expected to get as much of a soaking. The Appalachians and interior New England are expected to receive snowfall. Areas of heavy snow are forecast for northwestern Indiana and northwestern Pennsylvania on Nov. 27. Snows will blanket the north central United States from the Dakotas to Minnesota, Iowa, Wisconsin, Michigan, the Ohio and Tennessee Valleys, upstate New York and parts of northern New England. The National Weather Service noted that cold air is moving in behind the storm and drop temperatures along the eastern U.S. making for a chilly Thanksgiving. Credit: NASA/NOAA NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

TRAVELING EDUCATIONAL UNITS, A FEASIBILITY STUDY OF THE USE OF TRAVELING OR MOBILE EDUCATIONAL UNITS TO IMPROVE THE QUALITY OF EDUCATION IN APPALACHIA.

ERIC Educational Resources Information Center

WHEELER, C. HERBERT, JR.

THIS STUDY WAS CONDUCTED TO DETERMINE THE FEASIBILITY OF USING TRAVELING OR MOBILE UNITS TO IMPROVE THE QUALITY OF EDUCATION IN THE APPALACHIA REGION. IT EXAMINED THE LITERATURE WRITTEN IN THE LAST TEN YEARS ON EDUCATIONAL PROJECTS USING SOME FORM OF MOBILE FACILITY. FROM THIS LITERATURE A LIST OF PLANNED MOBILE PROJECTS WAS COMPILED AND…

Motivational Orientations and Second Learner Variables of East Asian Language Learners in the United States.

ERIC Educational Resources Information Center

Yang, Jean Sook Ryu

2003-01-01

College Students enrolled in East Asian language classes were surveyed about their language learning motivational orientations (MOs). MOs were classified and measured on seven subscales; integrative, instrumental, heritage-related, travel, interest, school-related, and language use. Learners were highly influenced by interest, language use, and…

Neurocysticercosis in Oregon, 1995–2000

PubMed Central

Hoffmann, Christopher J.; Kohn, Melvin A.

2004-01-01

The unexpected death of a teenager from neurocysticercosis prompted an investigation of this disease in Oregon. We found 89 hospitalizations, 43 newly diagnosed cases, and 6 deaths from 1995 to 2000. At least five cases occurred in persons who had not traveled or lived outside the United States. Enhanced surveillance for neurocysticercosis is warranted. PMID:15109424

How to boost the efficiency of your railway - without expanding your network : the answers to 3 major challenges in passenger rail operations.

DOT National Transportation Integrated Search

2016-01-01

Passenger rail may have taken a back seat due to : the emergence of personal transportation and : the democratization of air travel in the last few : decades, but it is now back with a vengeance. Public transportation ridership in the United States :...

Community Gardening Project: Meredith College Students Explore Sustainability, Organics

ERIC Educational Resources Information Center

Roubanis, Jody L.; Landis, William

2007-01-01

Consuming locally grown foods promotes sustainable development and individual wellness (Waters, 2006). In the United States, the average food product travels 2,000 miles before reaching the consumer (Schlosser, 2001). This distance between producer and consumer is one reason that today's youth lack an understanding of the origin of the food they…

75 FR 9238 - Privacy Act of 1974; Department of Homeland Security United States Immigration Customs and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-01

... place of birth; passport and other travel document information; nationality; aliases; Alien Registration... date and time of a successful collection and confirmation from the FBI that the sample was able to be... alleged violations of criminal or immigration law (location, date, time, event category, types of criminal...

77 FR 23598 - Technical Amendment to Cuba Airport List: Addition of Recently Approved Airports

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-20

...] Technical Amendment to Cuba Airport List: Addition of Recently Approved Airports AGENCY: Customs and Border... accept aircraft traveling to or from Cuba. DATES: Effective: April 20, 2012. FOR FURTHER INFORMATION... States to or from Cuba. Prior to January 2011, the regulations required direct flights between the United...

Crossing Borders: Contemporary Immigrant Stories in Historical Context

ERIC Educational Resources Information Center

Keiper, Timothy; Garcia, Jesus

2009-01-01

There is no country on Earth more populated by immigrants than the United States. Most U.S. residents (99 percent) have ancestors who were immigrants to this continent, whether they came voluntarily as travelers, or involuntarily as slaves. These immigrants have helped to shape the social and economic foundations of their adopted nation. According…

Bandwidth Problems ca. 1912: The Need for Federal Regulation

ERIC Educational Resources Information Center

Social Education, 2005

2005-01-01

In the United States the use of wireless radio initially was unregulated-anyone could operate a radio transmitter anywhere, at any time, on any wavelength. And most utilized the longwave signals that traveled so well across land and sea. Naturally, severe interference occurred with everyone trying to use the same wavelengths. Eventually it was…

77 FR 4822 - Western Hemisphere Travel Initiative: Designation of an Approved Native American Tribal Card...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-31

... Tribe of Idaho as an Acceptable Document To Denote Identity and Citizenship AGENCY: U.S. Customs and... to denote identity and citizenship of Kootenai Tribe members entering the United States from... other document or combination of documents as the Secretary deems sufficient to denote identity and...

Do Web 2.0 Right

ERIC Educational Resources Information Center

Light, Daniel

2011-01-01

The author and his colleague, Deborah Polin, traveled around the United States to get a first-hand look at how teachers are developing successful Web 2.0 activities for their classrooms. With funding from Intel, they interviewed 39 educators in 22 schools throughout the country about how they employed these tools in their classrooms in innovative…

49 CFR 1.59 - Delegations to the Assistant Secretary for Administration.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Carry out the functions delegated to the Secretary from time to time by the Administrator of General Services to lease real property for Department use. (5) Carry out the duties and responsibilities of agency... connection with claims of the United States for erroneous payment of pay and allowances or of travel...

Interagency and Commercial Collaboration During an Investigation of Chikungunya and Dengue Among Returning Travelers to the United States

PubMed Central

Jentes, Emily S.; Millman, Alexander J.; Decenteceo, Michelle; Klevos, Andrew; Biggs, Holly M.; Esposito, Douglas H.; McPherson, Heidi; Sullivan, Carmen; Voorhees, Dayton; Watkins, Jim; Anzalone, Fanancy L.; Gaul, Linda; Flores, Sal; Brunette, Gary W.; Sotir, Mark J.

2017-01-01

Public health investigations can require intensive collaboration between numerous governmental and nongovernmental organizations. We describe an investigation involving several governmental and nongovernmental partners that was successfully planned and performed in an organized, comprehensive, and timely manner with several governmental and nongovernmental partners. PMID:27601520

14 CFR 250.9 - Written explanation of denied boarding compensation and boarding priorities, and verbal...

Code of Federal Regulations, 2014 CFR

2014-01-01

... a reserved seat on (name of air carrier), you are probably entitled to monetary compensation. This... with the following boarding priority of (name of air carrier): (In this space the carrier inserts its... more than $1,300). International Transportation Passengers traveling from the United States to a...

12 CFR 412.7 - Conditions for acceptance.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Conditions for acceptance. 412.7 Section 412.7 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ACCEPTANCE OF PAYMENT FROM A NON-FEDERAL SOURCE FOR TRAVEL EXPENSES § 412.7 Conditions for acceptance. (a) Eximbank may accept payment for...

12 CFR 412.5 - Policy.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Policy. 412.5 Section 412.5 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ACCEPTANCE OF PAYMENT FROM A NON-FEDERAL SOURCE FOR TRAVEL EXPENSES § 412.5 Policy. As provided in this part, Eximbank may accept payment from a non-Federal source...

12 CFR 412.3 - General.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false General. 412.3 Section 412.3 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ACCEPTANCE OF PAYMENT FROM A NON-FEDERAL SOURCE FOR TRAVEL EXPENSES § 412.3 General. (a) Applicability. This part applies to acceptance by the Export-Import Bank of...

Does School Quality Matter? A Travel Cost Approach

ERIC Educational Resources Information Center

Eyer, Jonathan

2018-01-01

Although the majority of school districts in the United States assign students to schools on the basis of geographic location, there is increasing interest from parents and policy makers in school choice programs. These programs allow parents (and children) to choose their school. In many cases, when students opt to attend a nonlocal school, the…

8 CFR 1212.6 - Border crossing identification cards.

Code of Federal Regulations, 2014 CFR

2014-01-01

... seeks to travel temporarily to the United States for business or pleasure without a visa and passport... similar stamp in a passport). (i) A Canadian citizen or other person sharing common nationality with... similar stamp in a passport) issued by the DOS prior to April 1, 1998, that does not contain a machine...

8 CFR 1212.6 - Border crossing identification cards.

Code of Federal Regulations, 2010 CFR

2010-01-01

... seeks to travel temporarily to the United States for business or pleasure without a visa and passport... similar stamp in a passport). (i) A Canadian citizen or other person sharing common nationality with... similar stamp in a passport) issued by the DOS prior to April 1, 1998, that does not contain a machine...

8 CFR 1212.6 - Border crossing identification cards.

Code of Federal Regulations, 2012 CFR

2012-01-01

... seeks to travel temporarily to the United States for business or pleasure without a visa and passport... similar stamp in a passport). (i) A Canadian citizen or other person sharing common nationality with... similar stamp in a passport) issued by the DOS prior to April 1, 1998, that does not contain a machine...

8 CFR 1212.6 - Border crossing identification cards.

Code of Federal Regulations, 2011 CFR

2011-01-01

... seeks to travel temporarily to the United States for business or pleasure without a visa and passport... similar stamp in a passport). (i) A Canadian citizen or other person sharing common nationality with... similar stamp in a passport) issued by the DOS prior to April 1, 1998, that does not contain a machine...

8 CFR 1212.6 - Border crossing identification cards.

Code of Federal Regulations, 2013 CFR

2013-01-01

... seeks to travel temporarily to the United States for business or pleasure without a visa and passport... similar stamp in a passport). (i) A Canadian citizen or other person sharing common nationality with... similar stamp in a passport) issued by the DOS prior to April 1, 1998, that does not contain a machine...

12 CFR 412.9 - Conflict of interest analysis.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Conflict of interest analysis. 412.9 Section 412.9 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ACCEPTANCE OF PAYMENT FROM A NON-FEDERAL SOURCE FOR TRAVEL EXPENSES § 412.9 Conflict of interest analysis. Eximbank may accept payment from...

Building New Relationships through Intercultural Experience

ERIC Educational Resources Information Center

Szecsi, Tunde

2007-01-01

During the past six months the author was fortunate to travel to Hungary three times. Although all three trips had different purposes, they had one thing in common: professional conversations between colleagues from Hungary and the United States. In this article, the author would like to provide a short overview of these visits, which resulted in…

Comprehensive Truck Size and Weight (TS&W) Study. Phase 1-synthesis, working paper 9 : the effects of TS&W regulations on truck travel and mode share

DOT National Transportation Integrated Search

2012-04-01

This report presents the Transit System Data Test Plan for the national evaluation of the Los Angeles Congestion Reduction Demonstration (Metro ExpressLanes) under the United States Department of Transportation (U.S. DOT) Congestion Reduction Demonst...

Accountability for What Matters Most

ERIC Educational Resources Information Center

Wagner, Tony

2012-01-01

During the author's travels all over the United States speaking to a wide variety of audiences, and his visits with leadership groups in the Middle East and Far East, he has encountered diverse audiences who share his concern that the majority of students are leaving high school without the skills that matter most--even in those school districts…

Traditional Music of East Africa: Experiencing "Ngoma" in Tanzania

ERIC Educational Resources Information Center

Howard, Karen

2014-01-01

The concept of ngoma is present throughout Eastern and Southern Africa. Ngoma refers to the tradition of expression via music, drumming, dance, and storytelling. History, values, education, and even identity can be transmitted between generations. This article traces the experiences of a music teacher from the United States traveling and studying…

14 CFR 258.5 - Notice requirement.

Code of Federal Regulations, 2013 CFR

2013-01-01

... change of aircraft en route. (c) Written notice. At the time of sale in the United States of... aircraft en route even though your ticket may show only one flight number and have only one flight coupon for that flight. Further, in the case of some travel, one of your flights may not be identified at the...

14 CFR 258.5 - Notice requirement.

Code of Federal Regulations, 2012 CFR

2012-01-01

... change of aircraft en route. (c) Written notice. At the time of sale in the United States of... aircraft en route even though your ticket may show only one flight number and have only one flight coupon for that flight. Further, in the case of some travel, one of your flights may not be identified at the...

14 CFR 258.5 - Notice requirement.

Code of Federal Regulations, 2011 CFR

2011-01-01

... change of aircraft en route. (c) Written notice. At the time of sale in the United States of... aircraft en route even though your ticket may show only one flight number and have only one flight coupon for that flight. Further, in the case of some travel, one of your flights may not be identified at the...

14 CFR 258.5 - Notice requirement.

Code of Federal Regulations, 2014 CFR

2014-01-01

... change of aircraft en route. (c) Written notice. At the time of sale in the United States of... aircraft en route even though your ticket may show only one flight number and have only one flight coupon for that flight. Further, in the case of some travel, one of your flights may not be identified at the...

Profiles of U.S. Community Colleges: A Guide for International Students, 2009-2010

ERIC Educational Resources Information Center

American Association of Community Colleges (NJ1), 2009

2009-01-01

This publication contains information about community colleges, the largest and fastest growing sector of U.S. higher education. Designed especially for students thinking about studying abroad in America, this publication provides information about: (1) College selection, application and visa processes, traveling to the United States, living in…

12 CFR 412.11 - Payment guidelines.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Payment guidelines. 412.11 Section 412.11 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES ACCEPTANCE OF PAYMENT FROM A NON-FEDERAL SOURCE FOR TRAVEL EXPENSES § 412.11 Payment guidelines. (a) Payments from a non-Federal source, other than...

Ship Shape

ERIC Educational Resources Information Center

Sartorius, Tara Cady

2009-01-01

Ed Willis Barnett had quite a military training: he attended the United States Naval Academy in Annapolis, Maryland, (1917 to 1920) and served in both World Wars. He was also an accomplished fencer, and earned a position on the 1928 U.S. Olympic fencing team. That year the summer Olympics were held in Amsterdam, so he traveled to Europe for the…

Military vehicle trafficking impacts vegetation and soil bulk density at Fort Benning, Georgia

USDA-ARS?s Scientific Manuscript database

Potential increases in wind erosion that might be brought about by military vehicles travelling off-road during training are of concern to the United States military. Field studies were conducted in the summer of 2012 at Fort Benning, Georgia. The objective of the experiment was to assess the traffi...

Child Health Issues in New Zealand: An Overview

ERIC Educational Resources Information Center

Simmons, Darlene R.

2007-01-01

International travel can provide the unique opportunity to experience other cultures. For nurses, it can also provide a window through which different health care structures and services can be viewed. Many similarities and differences can be found between the country visited and the United States in terms of health issues, nursing education,…

Typhoid fever in the United States, 1999-2006.

PubMed

Lynch, Michael F; Blanton, Elizabeth M; Bulens, Sandra; Polyak, Christina; Vojdani, Jazmin; Stevenson, Jennifer; Medalla, Felicia; Barzilay, Ezra; Joyce, Kevin; Barrett, Timothy; Mintz, Eric Daniel

2009-08-26

Typhoid fever in the United States has increasingly been due to infection with antimicrobial-resistant Salmonella ser Typhi. National surveillance for typhoid fever can inform prevention and treatment recommendations. To assess trends in infections with antimicrobial-resistant S. Typhi. Cross-sectional, laboratory-based surveillance study. We reviewed data from 1999-2006 for 1902 persons with typhoid fever who had epidemiologic information submitted to the Centers for Disease Control and Prevention (CDC) and 2016 S. Typhi isolates sent by participating public health laboratories to the National Antimicrobial Resistance Monitoring System Laboratory at the CDC for antimicrobial susceptibility testing. Proportion of S. Typhi isolates demonstrating resistance to 14 antimicrobial agents and patient risk factors for antimicrobial-resistant infections. Patient median age was 22 years (range, <1-90 years); 1295 (73%) were hospitalized and 3 (0.2%) died. Foreign travel within 30 days of illness was reported by 1439 (79%). Only 58 travelers (5%) had received typhoid vaccine. Two hundred seventy-two (13%) of 2016 isolates tested were resistant to ampicillin, chloramphenicol, and trimethoprim-sulfamethoxazole (multidrug-resistant S. Typhi [MDRST]); 758 (38%) were resistant to nalidixic acid (nalidixic acid-resistant S. Typhi [NARST]) and 734 NARST isolates (97%) had decreased susceptibility to ciprofloxacin. The proportion of NARST increased from 19% in 1999 to 54% in 2006. Five ciprofloxacin-resistant isolates were identified. Patients with resistant infections were more likely to report travel to the Indian subcontinent: 85% of patients infected with MDRST and 94% with NARST traveled to the Indian subcontinent, while 44% of those with susceptible infections did (MDRST odds ratio, 7.5; 95% confidence interval, 4.1-13.8; NARST odds ratio, 20.4; 95% confidence interval, 12.4-33.9). Infection with antimicrobial-resistant S. Typhi strains among US patients with typhoid fever is associated with travel to the Indian subcontinent, and an increasing proportion of these infections are due to S. Typhi strains with decreased susceptibility to fluoroquinolones.

MANGO Imager Network Observations of Geomagnetic Storm Impact on Midlatitude 630 nm Airglow Emissions

NASA Astrophysics Data System (ADS)

Kendall, E. A.; Bhatt, A.

2017-12-01

The Midlatitude Allsky-imaging Network for GeoSpace Observations (MANGO) is a network of imagers filtered at 630 nm spread across the continental United States. MANGO is used to image large-scale airglow and aurora features and observes the generation, propagation, and dissipation of medium and large-scale wave activity in the subauroral, mid and low-latitude thermosphere. This network consists of seven all-sky imagers providing continuous coverage over the United States and extending south into Mexico. This network sees high levels of medium and large scale wave activity due to both neutral and geomagnetic storm forcing. The geomagnetic storm observations largely fall into two categories: Stable Auroral Red (SAR) arcs and Large-scale traveling ionospheric disturbances (LSTIDs). In addition, less-often observed effects include anomalous airglow brightening, bright swirls, and frozen-in traveling structures. We will present an analysis of multiple events observed over four years of MANGO network operation. We will provide both statistics on the cumulative observations and a case study of the "Memorial Day Storm" on May 27, 2017.

Preventing dengue and chikungunya fever among international travelers.

PubMed

Tither, Pauline Herold

2014-11-01

To describe the vulnerability of U.S. travelers in tropical and subtropical regions of the world to dengue and chikungunya fever, to provide practical recommendations to avoid these mosquito-borne diseases, and to offer a communication tool as an aid for pretravel health consultations. Medical, epidemiological, and entomological research articles and reviews, and reports from government agencies. Dengue and chikungunya fever have growing public health impact around the world. International travelers return to the United States infected with these diseases. Mosquito bite avoidance is the only way to prevent dengue and chikungunya fever. Informed travelers have many options for simple and practical measures to lessen the risk of mosquito bites. A message map can be used as a communication tool for pretravel counseling on the prevention of dengue and chikungunya fever within the time frame of an office visit. In a pretravel health consultation, a nurse practitioner can promote travelers' health and prevent dengue, chikungunya fever, and other mosquito-borne diseases by counseling on the risk of these diseases and giving practical recommendations for prevention using a message map. ©2014 American Association of Nurse Practitioners.

Demographic and Travel Characteristics of Travel-Associated Zika Virus Infection Case-Patients in San Diego County, California (January 1, 2016-March 31, 2017).

PubMed

Escutia, Gabriela; McDonald, Eric; Rodríguez-Lainz, Alfonso; Healy, Jessica

2018-06-01

Most Zika disease cases diagnosed in the continental US have been associated with travel to areas with risk of Zika transmission, mainly the Caribbean and Latin America. Limited information has been published about the demographic and travel characteristics of Zika case-patients in the United States, besides their age and gender. During 2016-2017 the County of San Diego Health and Human Services Agency, California, expanded the scope and completeness of demographic and travel information collected from Zika case-patients for public health surveillance purposes. The majority (53.8%) of travel-related Zika virus infection case-patients (n = 78) in the county were Hispanic, significantly higher (p ≤ 0.05) than the 33.0% of Hispanics in the county. Foreign-born residents, mainly from Mexico, were also overrepresented among cases compared to their share in the county population (33.3 vs. 23.0%; p ≤ 0.05). Seventeen (21.8%) patients reported a primary language other than English (14 Spanish). Most case-patients traveled for tourism (54%) or to visit friends and relatives (36%). This surveillance information helps identify higher-risk populations and implement culturally targeted interventions for Zika prevention and control.

The Challenge of Global Poliomyelitis Eradication.

PubMed

Garon, Julie R; Cochi, Stephen L; Orenstein, Walter A

2015-12-01

In the United States during the 1950's, polio was on the forefront of every provider and caregiver's mind. Today, most providers in the United States have never seen a case. The Global Polio Eradication Initiative (GPEI), which began in 1988 has reduced the number of cases by over 99%. The world is closer to achieving global eradication of polio than ever before but as long as poliovirus circulates anywhere in the world, every country is vulnerable. The global community can support the polio eradication effort through continued vaccination, surveillance, enforcing travel regulations and contributing financial support, partnerships and advocacy. Copyright © 2015 Elsevier Inc. All rights reserved.

Geographic disparities in patient travel for dialysis in the United States.

PubMed

Stephens, J Mark; Brotherton, Samuel; Dunning, Stephan C; Emerson, Larry C; Gilbertson, David T; Harrison, David J; Kochevar, John J; McClellan, Ann C; McClellan, William M; Wan, Shaowei; Gitlin, Matthew

2013-01-01

To estimate travel distance and time for US hemodialysis patients and to compare travel of rural versus urban patients. Dialysis patient residences were estimated from ZIP code-level patient counts as of February 2011 allocated within the ZIP code proportional to census tract-level population, obtained from the 2010 U.S. Census. Dialysis facility addresses were obtained from Medicare public-use files. Patients were assigned to an "original" and "replacement" facility, assuming patients used the facility closest to home and would select the next closest facility as a replacement, if a replacement facility was required. Driving distances and times were calculated between patient residences and facility locations using GIS software. The mean one-way driving distance to the original facility was 7.9 miles; for rural patients average distances were 2.5 times farther than for urban patients (15.9 vs. 6.2 miles). Mean driving distance to a replacement facility was 10.6 miles, with rural patients traveling on average 4 times farther than urban patients to a replacement facility (28.8 vs. 6.8 miles). Rural patients travel much longer distances for dialysis than urban patients. Accessing alternative facilities, if required, would greatly increase rural patient travel, while having little impact on urban patients. Increased travel could have clinical implications as longer travel is associated with increased mortality and decreased quality of life. © 2013 National Rural Health Association.

Estimating Household Travel Energy Consumption in Conjunction with a Travel Demand Forecasting Model

DOE Office of Scientific and Technical Information (OSTI.GOV)

Garikapati, Venu M.; You, Daehyun; Zhang, Wenwen

This paper presents a methodology for the calculation of the consumption of household travel energy at the level of the traffic analysis zone (TAZ) in conjunction with information that is readily available from a standard four-step travel demand model system. This methodology embeds two algorithms. The first provides a means of allocating non-home-based trips to residential zones that are the source of such trips, whereas the second provides a mechanism for incorporating the effects of household vehicle fleet composition on fuel consumption. The methodology is applied to the greater Atlanta, Georgia, metropolitan region in the United States and is foundmore » to offer a robust mechanism for calculating the footprint of household travel energy at the level of the individual TAZ; this mechanism makes possible the study of variations in the energy footprint across space. The travel energy footprint is strongly correlated with the density of the built environment, although socioeconomic differences across TAZs also likely contribute to differences in travel energy footprints. The TAZ-level calculator of the footprint of household travel energy can be used to analyze alternative futures and relate differences in the energy footprint to differences in a number of contributing factors and thus enables the design of urban form, formulation of policy interventions, and implementation of awareness campaigns that may produce more-sustainable patterns of energy consumption.« less

Salmonella infections associated with international travel: a Foodborne Diseases Active Surveillance Network (FoodNet) study.

PubMed

Johnson, Laura R; Gould, L Hannah; Dunn, John R; Berkelman, Ruth; Mahon, Barbara E

2011-09-01

Salmonella species cause an estimated 1.2 million infections per year in the United States, making it one of the most commonly reported enteric pathogens. In addition, Salmonella is an important cause of travel-associated diarrhea and enteric fever, a systemic illness commonly associated with Salmonella serotypes Typhi and Paratyphi A. We reviewed cases of Salmonella infection reported to the Centers for Disease Control and Prevention's (CDC) Foodborne Diseases Active Surveillance Network (FoodNet), a sentinel surveillance network, from 2004 to 2008. We compared travelers with Salmonella infection to nontravelers with Salmonella infection with respect to demographics, clinical characteristics, and serotypes. Among 23,712 case-patients with known travel status, 11% had traveled internationally in the 7 days before illness. Travelers with Salmonella infection tended to be older (median age, 30 years) than nontravelers (median age, 24 years; p<0.0001), but were similar with respect to gender. The most common destinations reported were Mexico (38% of travel-associated infections), India (9%), Jamaica (7%), the Dominican Republic (4%), China (3%), and the Bahamas (2%). The proportions of travelers with Salmonella infection hospitalized and with invasive disease were inversely related to the income level of the destination (p<0.0001). The most commonly reported serotypes, regardless of travel status, were Enteritidis (19% of cases), Typhimurium (14%), Newport (9%), and Javiana (5%). Among infections caused by these four serotypes, 22%, 6%, 5%, and 4%, respectively, were associated with travel. A high index of clinical suspicion for Salmonella infection is appropriate when evaluating recent travelers, especially those who visited Africa, Asia, or Latin America.

Notes from the field: measles transmission at a domestic terminal gate in an international airport - United States, January 2014.

PubMed

Vega, Jared S; Escobedo, Miguel; Schulte, Cynthia R; Rosen, Jennifer B; Schauer, Stephanie; Wiseman, Rachel; Lippold, Susan A; Regan, Joanna J

2014-12-19

In March 2014, CDC identified a possible cluster of four laboratory-confirmed measles cases among passengers transiting a domestic terminal in a U.S. international airport. Through epidemiologic assessments conducted by multiple health departments and investigation of flight itineraries by CDC, all four patients were linked to the same terminal gate during a 4-hour period on January 17, 2014. Patient 1, an unvaccinated man aged 21 years with rash onset February 1, traveled on two domestic flights on January 17 and 18 that connected at the international airport. Patient 2, an unvaccinated man aged 49 years with rash onset February 1, traveled from the airport on January 17. Patient 3, an unvaccinated man aged 19 years with rash onset January 30, traveled domestically with at least a 4-hour layover at the airport on January 17. Patient 4, an unvaccinated man aged 63 years with rash onset February 5, traveled on a flight to the airport on January 17.

Mucocutaneous manifestations of helminth infections: Trematodes and cestodes.

PubMed

Lupi, Omar; Downing, Christopher; Lee, Michael; Bravo, Francisco; Giglio, Patricia; Woc-Colburn, Laila; Tyring, Stephen K

2015-12-01

In the 21st century, despite increased international travel for vacation, work, and medical missions and immigration into the United States, there is little published in the dermatology literature regarding the cutaneous manifestations of helminth infections. It has been estimated that 20% to 70% of international travelers suffer from some travel-related health problem. Approximately 17% of travelers seek medical care because of cutaneous disorders, many related to infectious etiologies. This review will focus on cutaneous diseases caused by helminth infections. Part I of the review focused on nematode infections; part II will focus on trematode and cestode infections. Nematodes are roundworms that cause diseases with cutaneous manifestations, such as cutaneous larval migrans, onchocerciasis, filariasis, gnathostomiasis, loiasis, dracunculiasis, strongyloidiasis, ascariasis, streptocerciasis, dirofilariasis, and trichinosis. Tremadotes, also known as flukes, cause schistosomiasis, paragonimiasis, and fascioliasis. Cestodes (tapeworms) are flat, hermaphroditic parasites that cause diseases such as sparganosis, cysticercosis, and echinococcus. Copyright © 2014 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Empirical analysis of domestic medical travel for elective cardiovascular procedures.

PubMed

Langley, Jacob D; Johnson, Tricia J; Hohmann, Samuel F; Meurer, Steve J; Garman, Andy N

2013-10-01

To investigate whether domestic medical travel (DMT; traveling outside of one's home region but within the United States for medical care) and surgeon volume affect clinical outcomes and costs for patients undergoing elective cardiovascular procedures. Retrospective, cross-sectional analysis of patient discharge data from US academic medical centers. Patients were classified as medical travelers if they received elective, nonemergent care more than 250 miles from home. High-volume surgeons (HVSs) were those above the 75th percentile compared with other study surgeons in the annual number of cardiovascular surgeries performed. Multivariable regression models were fit to test the relationships among complications, mortality, length of stay (LOS), cost, DMT status, and surgeon volume, controlling for sociodemographic and clinical factors. Patients who traveled to HVSs were more likely to be male, white, have lower severity of illness, and have health insurance through an indemnity plan or preferred provider organization with coverage outside of the patient's home region. Patients who traveled to HVSs had shorter LOS and fewer complications than those who received care from local, low-volume surgeons. There was no significant difference in mortality between travelers and nontravelers. Patients who travelled to HVSs for elective cardiovascular procedures had outcomes similar to or better than those of patients who received care locally from low-volume surgeons. We found no increase in complications or LOS, despite potentially complex logistical arrangements required by travelers. More work is needed to evaluate the potential of DMT to improve the value of care provided for selected procedures.

Travel patterns of cancer surgery patients in a regionalized system.

PubMed

Smith, Andrew K; Shara, Nawar M; Zeymo, Alexander; Harris, Katherine; Estes, Randy; Johnson, Lynt B; Al-Refaie, Waddah B

2015-11-01

Regionalization of complex surgeries has increased patient travel distances possibly leaving a substantial burden on those at risk for poorer surgical outcomes. To date, little is known about travel patterns of cancer surgery patients in regionalized settings. To inform this issue, we sought to assess travel patterns of those undergoing a major cancer surgery within a regionalized system. We identified 4733 patients who underwent lung, esophageal, gastric, liver, pancreatic, and colorectal resections from 2002-2014 within a multihospital system in the Mid-Atlantic region of the United States. Patient age, race and/or ethnicity, and insurance status were extracted from electronic health records. We used Geographical Information System capabilities in R software to estimate travel distance and map patient addresses based on cancer surgery type and these characteristics. We used visual inspection, analysis of variance, and interaction analyses to assess the distribution of travel distances between patient populations. A total of 48.2% of patients were non-white, 49.9% were aged >65 y, and 54.9% had private insurance. Increased travel distance was associated with decreasing age and those undergoing pancreatic and esophageal resections. Also, black patients tend to travel shorter distances than other racial and/or ethnic groups. These maps offer a preliminary understanding into variations of geospatial travel patterns among patients receiving major cancer surgery in a Mid-Atlantic regionalized setting. Future research should focus on the impact of regionalization on timely delivery of surgical care and other quality metrics. Copyright © 2015 Elsevier Inc. All rights reserved.

[Pre-travel advice and patient education of Hungarian travellers].

PubMed

Lengyel, Ingrid; Felkai, Péter

2018-03-01

According to international surveys, over half of the travellers face some kind of health issue when travelling. The overwhelming majority of travel-related illnesses can be prevented with pre-travel medical consultations, but the syllabus and content of the consultation have to match the travel habits and culture of the given society. This publication explores the specificities and travel habits of Hungarian travellers. One hundred participants of a travel exhibition completed a survey about their international travel. As the survey was not representative, the data could only be processed through simple statistical methods. However, since the exhibition was presumably attended by those wishing to travel, the conclusions drawn from the results are worth publishing, since no similar survey in Hungary has been published before. Based on the suitable classification of age groups in travel medicine, 11% of the participants were adolescents / young adults (aged 15-24), 81% adults (25-59) and 8% elderly (60-74). Twenty-eight percent of the participants travel multiple times a year, 40% yearly and 32% of them less frequently; 16% of the adults, 8% of the adolescents and 4% of the elderly age group travel multiple times a year. The travel destinations of Hungarian travellers have remained practically unchanged since a study was conducted 13 years ago: the vast majority (95%) travelled within Europe, 2% to the United States, and 11% of them elsewhere. Since Hungarians do not travel to endemic areas, only 5% consulted their general practitioners (GPs) prior to travelling, and 29% did when they had to be vaccinated. Forty-two percent of those wishing to travel never consult their GPs, even though 29% of them are aware of some chronic illness. Instead, 51% gather their health information from the internet and only 6% from their doctors. By the contradiction between the poor health status of the majority of Hungarian travellers and the negligence of seeking pre-travel advice, our survey clearly points out the importance of the propagation of doctor's advice before trips, even if the travellers visit exclusively non-endemic countries like the European Union. Orv Hetil. 2018; 159(9): 357-362.

An investigation of short haul air transportation in the southeastern United States

NASA Technical Reports Server (NTRS)

Kanafani, A.; Yuan, H. S.

1977-01-01

The specific objectives of this stage of the study are numerous. First, an attempt is made to characterize the travel patterns in the study region, both in terms of origin destination patterns, and connecting and through trip patterns. Second, the structure of the air service in the region is characterized in an attempt to develop an understanding of the evolution of the short haul air transportation network. Finally, a look is taken at the socioeconomic environment of Atlanta and the region in order to seek an explanation for the historic evolution of short haul air travel activities and the rather high growth rates experienced in recent years.

Who Visits a National Park and What do They Get Out of It?: A Joint Visitor Cluster Analysis and Travel Cost Model for Yellowstone National Park

NASA Astrophysics Data System (ADS)

Benson, Charles; Watson, Philip; Taylor, Garth; Cook, Philip; Hollenhorst, Steve

2013-10-01

Yellowstone National Park visitor data were obtained from a survey collected for the National Park Service by the Park Studies Unit at the University of Idaho. Travel cost models have been conducted for national parks in the United States; however, this study builds on these studies and investigates how benefits vary by types of visitors who participate in different activities while at the park. Visitor clusters were developed based on activities in which a visitor participated while at the park. The clusters were analyzed and then incorporated into a travel cost model to determine the economic value (consumer surplus) that the different visitor groups received from visiting the park. The model was estimated using a zero-truncated negative binomial regression corrected for endogenous stratification. The travel cost price variable was estimated using both 1/3 and 1/4 the wage rate to test for sensitivity to opportunity cost specification. The average benefit across all visitor cluster groups was estimated at between 235 and 276 per person per trip. However, per trip benefits varied substantially across clusters; from 90 to 103 for the "value picnickers," to 185-263 for the "backcountry enthusiasts," 189-278 for the "do it all adventurists," 204-303 for the "windshield tourists," and 323-714 for the "creature comfort" cluster group.

Access to yellow fever travel vaccination centres in England, Wales, and Northern Ireland: A geographical study.

PubMed

Petersen, Jakob; Simons, Hilary; Patel, Dipti

More than 700,000 trips were made by residents in England, Wales, and Northern Ireland (EWNI) in 2015 to tropical countries endemic for yellow fever, a potentially deadly, yet vaccine-preventable disease transmitted by mosquitoes. The aim of this study was to map the geographical accessibility of yellow fever vaccination centres (YFVC) in EWNI. The location of 3208 YFVC were geocoded and the average geodetic distance to nearest YFVC was calculated for each population unit. Data on trips abroad and centres were obtained regionally for EWNI and nationally for the World Top20 countries in terms of travel. The mean distance to nearest YFVC was 2.4 km and only 1% of the population had to travel more than 16.1 km to their nearest centre. The number of vaccines administered regionally in EWNI was found correlated with the number of trips to yellow fever countries. The number of centres per 100,000 trips was 6.1 in EWNI, which was below United States (12.1) and above the rest of Top20 countries. The service availability was in line with demand regionally. With the exception of remote, rural areas, yellow fever vaccination services were widely available with only short distances to cover for the travelling public. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

75 FR 17989 - Bureau of Educational and Cultural Affairs (ECA) Request for Grant Proposals: American Youth...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-08

... for American high school students and educators that will enable the participants to gain firsthand... service. Upon returning home, the students will apply what they have learned to serve their schools and... high school students and adult educators from the United States with an opportunity to travel abroad on...

To amend title 49, United States Code, to direct the Secretary of Homeland Security to carry out a program to ensure fair treatment in the security screening of individuals with metal implants traveling in air transportation.

THOMAS, 111th Congress

Rep. Oberstar, James L. [D-MN-8

2009-05-07

House - 05/26/2009 Referred to the Subcommittee on Transportation Security and Infrastructure Protection. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Guia para su incorporacion a los Estados Unidos de America (A Guide to Resettlement in the United States. Spanish).

ERIC Educational Resources Information Center

Center for Applied Linguistics, Washington, DC. Refugee Service Center.

This resettlement guide, entirely in Spanish, describes the initial stage of resettlement and the processes that refugees undergo as new arrivals. Subjects covered in this guide include pre-arrival procedures, admissions criteria, immigrant's statement of understanding, travel costs and U.S. Customs; resettlement procedures, immigrants'…