Surveillance of imported infectious diseases

Travellers and migrants are exposed to an increased risk of contracting infections, which are rare in Germany and Europe. By surveillance of imported infections, geographic and other risk factors, e.g. travel style, can be identified.

You are here:

Risk identification and geographical fine mapping

Large numbers of returning travellers included in the surveillance enable early risk identification and geographical fine mapping. Therefore, surveillance is done in networks. With respect to the general risks of imported infectious diseases, we are a surveillance site of the international GeoSentinel surveillance network comprising a total of globally 57 60 sites and 255 network members on six continents as well as of the European EuroTravNet network. Specific questions on the import of infections with staphylococci are addressed in the European StaphTrav network. In a monocentric study, we additionally assess extent and risk factors of imported multidrug resistant gram negative rods (ESBL).

Project Details

Co-principal Investigator: Prof. Dr. med. Frank P. Mockenhaupt

Co-workers: Dr. Florian Steiner, Lydia Reichelt
Co-operations: GeoSentinel Network Institute of Tropical Medicine, University of Tübingen (StaphTrav)

Project duration: Since 2012

Project status: Ongoing surveillance

Funding: International Society for Travel Medicine


Hamer DH, Barbre KA, Chen LH, Grobusch MP, Schlagenhauf P, Goorhuis A, van Genderen PJ, Molina I, Asgeirsson H, Kozarsky PE, Caumes E, Hagmann SH, Mockenhaupt FP, Eperon G, Barnett ED, Bottieau E, Boggild AK, Gautret P, Hynes NA, Kuhn S, Lash RR, Leder K, Libman M, Malvy DJ, Perret C, Rothe C, Schwartz E, Wilder-Smith A, Cetron MS, Esposito DH; GeoSentinel Surveillance Network. Travel-Associated Zika Virus Disease Acquired in the Americas Through February 2016: A GeoSentinel Analysis. Ann Intern Med. 2017 Jan 17;166(2):99-108.

Theuring S, Friedrich-Jänicke B, Pörtner K, Trebesch I, Durst A, Dieckmann S, Steiner F, Harms G, Mockenhaupt FP. Screening for infectious diseases among unaccompanied minor refugees in Berlin, 2014-2015. Eur J Epidemiol. 2016 Jul;31(7):707-10.

Gautret P, Mockenhaupt F, Grobusch MP, Rothe C, von Sonnenburg F, van Genderen PJ, Chappuis F, Asgeirsson H, Caumes E, Bottieau E, Malvy D, Lopez-Vélez R, Jensenius M, Larsen CS, Castelli F, Rapp C, Field V, Molina I, Gkrania-Klotsas E, Florescu S, Lalloo D, Schlagenhauf P. Arboviral and other illnesses in travellers returning from Brazil, June 2013 to May 2016: implications for the 2016 Olympic and Paralympic Games. Euro Surveill. 2016 Jul 7;21(27).

Mockenhaupt FP, Barbre KA, Jensenius M, Larsen CS, Barnett ED, Stauffer W, Rothe C, Asgeirsson H, Hamer DH, Esposito DH, Gautret P, Schlagenhauf P. Profile of illness in Syrian refugees: A GeoSentinel analysis, 2013 to 2015. Euro Surveill. 2016;21(10):30160.

Gautret P, Mockenhaupt FP, von Sonnenburg F, Rothe C, Libman M, Van De Winkel K, Bottieau E, Grobusch MP, Hamer DH, Esposito DH, Parola P, Schlagenhauf P; GeoSentinel Surveillance Network. Schistosomiasis Screening of Travelers to Corsica, France. Emerg Infect Dis. 2016 Jan;22(1):160-1.

Gautret P, Mockenhaupt FP, Bottieau E, Parola P, Schlagenhauf P. Schistosomiasis in Corsica and the pivotal role of travellers. Lancet Infect Dis. 2015 Dec;15(12):1378-9.

Gautret P, Mockenhaupt FP, von Sonnenburg F, Rothe C, Libman M, Van De Winkel K, Bottieau E, Grobusch MP, Hamer DH, Esposito DH, Parola P, Schlagenhauf P; GeoSentinel Surveillance Network. Local and International Implications of Schistosomiasis Acquired in Corsica, France. Emerg Infect Dis. 2015 Oct;21(10):1865-8.

Nurjadi D, Schäfer J, Friedrich-Jänicke B, Mueller A, Neumayr A, Calvo-Cano A, Goorhuis A, Molhoek N, Lagler H, Kantele A, Van Genderen PJ, Gascon J, Grobusch MP, Caumes E, Hatz C, Fleck R, Mockenhaupt FP, Zanger P. Predominance of dfrG as determinant of trimethoprim resistance in imported Staphylococcus aureus. Clin Microbiol Infect. 2015 Dec;21(12):1095.e5-9.

Boggild AK, Esposito DH, Kozarsky PE, Ansdell V, Beeching NJ, Campion D, Castelli F, Caumes E, Chappuis F, Cramer JP, Gkrania-Klotsas E, Grobusch MP, Hagmann SH, Hynes NA, Lim PL, López-Vélez R, Malvy DJ, Mendelson M, Parola P, Sotir MJ, Wu HM, Hamer DH; GeoSentinel Surveillance Network. Differential diagnosis of illness in travelers arriving from Sierra Leone, Liberia, or Guinea: a cross-sectional study from the GeoSentinel Surveillance Network. Ann Intern Med. 2015 Jun 2;162(11):757-64.

Gautret P, Harvey K, Pandey P, Lim PL, Leder K, Piyaphanee W, Shaw M, McDonald SC, Schwartz E, Esposito DH, Parola P; GeoSentinel Surveillance Network. Animal-associated exposure to rabies virus among travelers, 1997-2012. Emerg Infect Dis. 2015 Apr;21(4):569-77.

Nurjadi D, Friedrich-Jänicke B, Schäfer J, Van Genderen PJ, Goorhuis A, Perignon A, Neumayr A, Mueller A, Kantele A, Schunk M, Gascon J, Stich A, Hatz C, Caumes E, Grobusch MP, Fleck R, Mockenhaupt FP, Zanger P. Skin and soft tissue infections in intercontinental travellers and the import of multi-resistant Staphylococcus aureus to Europe. Clin Microbiol Infect. 2015 Jun;21(6):567.e1-10.

Schlagenhauf P, Weld L, Goorhuis A, Gautret P, Weber R, von Sonnenburg F, Lopez-Vélez R, Jensenius M, Cramer JP, Field VK, Odolini S, Gkrania-Klotsas E, Chappuis F, Malvy D, van Genderen PJ, Mockenhaupt F, Jauréguiberry S, Smith C, Beeching NJ, Ursing J, Rapp C, Parola P, Grobusch MP; EuroTravNet. Travel-associated infection presenting in Europe (2008-12): an analysis of EuroTravNet longitudinal, surveillance data, and evaluation of the effect of the pre-travel consultation. Lancet Infect Dis. 2015 Jan;15(1):55-64.

Nurjadi D, Olalekan AO, Layer F, Shittu AO, Alabi A, Ghebremedhin B, Schaumburg F, Hofmann-Eifler J, Van Genderen PJ, Caumes E, Fleck R, Mockenhaupt FP, Herrmann M, Kern WV, Abdulla S, Grobusch MP, Kremsner PG, Wolz C, Zanger P. Emergence of trimethoprim resistance gene dfrG in Staphylococcus aureus causing human infection and colonization in sub-Saharan Africa and its import to Europe. J Antimicrob Chemother. 2014 Sep;69(9):2361-8.

Wilson ME, Chen LH, Han PV, Keystone JS, Cramer JP, Segurado A, Hale D, Jensenius M, Schwartz E, von Sonnenburg F, Leder K; GeoSentinel Surveillance Network. Illness in travelers returned from Brazil: the GeoSentinel experience and implications for the 2014 FIFA World Cup and the 2016 Summer Olympics. Clin Infect Dis. 2014 May;58(10):1347-56.

Steiner F, Ignatius R, Friedrich-Jaenicke B, Dieckmann S, Harms G, Poppert S, Mockenhaupt FP. Acute schistosomiasis in European students returning from fieldwork at Lake Tanganyika, Tanzania. J Travel Med. 2013 Nov-Dec;20(6):380-3.

Schwartz E, Meltzer E, Mendelson M, Tooke A, Steiner F, Gautret P, Friedrich-Jaenicke B, Libman M, Bin H, Wilder-Smith A, Gubler Dj, Freedman DO, Parola P. Detection on four continents of dengue fever cases related to an ongoing outbreak in Luanda, Angola, March to May 2013. Euro Surveill. 2013 May 23;18(21). pii: 20488.