Infectious Risks of Air Travel

Author:

Mangili Alexandra1,Vindenes Tine2,Gendreau Mark3

Affiliation:

1. Department of Infectious Disease, Tufts University, Boston, MA 02111

2. Tufts Medical Center, Boston, MA 02111

3. Lahey Clinic, Burlington, MA 01805

Abstract

ABSTRACT Infectious diseases are still among the leading causes of death worldwide due to their persistence, emergence, and reemergence. As the recent Ebola virus disease and MERS-CoV outbreaks demonstrate, the modern epidemics and large-scale infectious outbreaks emerge and spread quickly. Air transportation is a major vehicle for the rapid spread and dissemination of communicable diseases, and there have been a number of reported outbreaks of serious airborne diseases aboard commercial flights including tuberculosis, severe acute respiratory syndrome, influenza, smallpox, and measles, to name a few. In 2014 alone, over 3.3 billion passengers (a number equivalent to 42% of the world population) and 50 million metric tons of cargo traveled by air from 41,000 airports and 50,000 routes worldwide, and significant growth is anticipated, with passenger numbers expected to reach 5.9 billion by 2030. Given the increasing numbers of travelers, the risk of infectious disease transmission during air travel is a significant concern, and this chapter focuses on the current knowledge about transmission of infectious diseases in the context of both transmissions within the aircraft passenger cabin and commercial aircraft serving as vehicles of worldwide infection spread.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Cell Biology,Microbiology (medical),Genetics,General Immunology and Microbiology,Ecology,Physiology

Reference15 articles.

1. Air Transport Action Group. www.atag.org.

2. ARCP. 2013. Report 91. Infectious Disease Mitigation in Airports and on Aircraft.

3. Bogoch II Creator MI Cetron MS Brownstein JS et al. 2015. Assessment of the potential for international dissemination of Ebola virus via commercial air travel during the 2014 West African outbreak. Lancet 385: 29–35. [PubMed][CrossRef]

4. Coburn BJ Blower S. 2014. Predicting the potential for within-flight transmission and global dissemination of MERS. Lancet Infect Dis 14: 99. [PubMed][CrossRef]

5. European Center for Disease Prevention and Control. Risk assessment guidelines of infectious disease transmitted on aircraft. 2009. Stockholm: ECDC.

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