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Spectrum of infectious diseases among newly arrived Eritrean refugees in Switzerland : a cross-sectional study

Chernet, Afona and Neumayr, Andreas and Hatz, Christoph and Kling, Kerstin and Sydow, Véronique and Rentsch, Katharina and Utzinger, Jürg and Probst-Hensch, Nicole and Marti, Hanspeter and Nickel, Beatrice and Labhardt, Niklaus D.. (2018) Spectrum of infectious diseases among newly arrived Eritrean refugees in Switzerland : a cross-sectional study. International journal of public health, 63 (2). pp. 233-239.

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Official URL: https://edoc.unibas.ch/61479/

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Abstract

Our study aimed at determining the prevalence of selected infectious diseases among recently arrived Eritrean refugees in Switzerland.; In this cross-sectional study, asymptomatic Eritrean migrants aged ≥16 years who arrived <24 months ago were recruited at refugee centres in Switzerland. Infectious disease screening included serology for HIV, hepatitis B and C, syphilis and schistosomiasis, polymerase chain reaction (PCR) for malaria, stool microscopy for helminths and intestinal protozoa and circulating cathodic antigen (CCA) testing in urine for schistosomiasis.; Among 107 participating Eritrean refugees, point-of-care CCA urine test for Schistosoma mansoni was positive in 43 patients (40.2%; 95% CI 31.9-49.5). Stool microscopy detected eggs of S. mansoni in 23 (21.5%; 95% CI 13.7-29.3), Hymenolepis nana in 11 (10.3%; 95% CI 4.5-16.0), and cysts of Giardia intestinalis in 7 participants (6.5%: 95% CI 1.9-11.2). Two tested positive for hepatitis B (1.9%; 95% CI 0.0-4.4) and one for syphilis (0.9%; 95% CI 0.0-2.8), none tested positive for HIV or hepatitis C. Malaria PCR was positive in six participants (5.6%; 95% CI: 1.2-9.9).; Given the high prevalence of S. mansoni infection and potentially severe long-term sequelae of untreated schistosomiasis, routine screening for schistosomiasis in refugees from Schistosoma-endemic regions should be recommended.
Faculties and Departments:03 Faculty of Medicine > Departement Public Health > Sozial- und Präventivmedizin > Medical Services (Neumayr)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Medicine > Medical Services (Neumayr)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Eco System Health Sciences > Health Impact Assessment (Utzinger)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Medicine > Clinical Research (Reither)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Medicine > Diagnostic (Marti)
UniBasel Contributors:Chernet, Afona and Neumayr, Andreas and Hatz, Christoph and Kling, Kerstin and Sydow, Véronique and Utzinger, Jürg and Probst-Hensch, Nicole and Marti, Hanspeter and Nickel, Beatrice and Labhardt, Niklaus
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Birkhäuser
ISSN:1661-8556
Note:Publication type according to Uni Basel Research Database: Journal article
Identification Number:
Last Modified:04 Jul 2018 07:41
Deposited On:02 Jul 2018 08:38

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