Prevalence of Tuberculosis, Hepatitis B Virus, and Intestinal Parasitic Infections among Refugees to Minnesota
Objective: The purpose of this study was to define the prevalence of infection with Mycobacterium tuberculosis, hepatitis B virus, and various intestinal parasites among different groups of primary refugees immigrating to Minnesota. Methods: 2,545 refugees arriving in Minnesota during 1999 received...
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| Veröffentlicht in: | Public health reports (1974) 2002-01, Vol.117 (1), p.69-77 |
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| creator | Lifson, Alan R Thai, Dzung O'Fallon, Ann Mills, Wendy A Hang, Kaying |
| description | Objective: The purpose of this study was to define the prevalence of infection with Mycobacterium tuberculosis, hepatitis B virus, and various intestinal parasites among different groups of primary refugees immigrating to Minnesota. Methods: 2,545 refugees arriving in Minnesota during 1999 received a domestic health examination that included tuberculin skin testing, hepatitis B virus serologic testing, and stool ova and parasite examinations. The Refugee Health Assessment form asked specifically about screening results for amebiasis, ascariasis, clonorchiasis, giardiasis, hookworm, schistosomiasis, strongyloidiasis, and trichuriasis. Results: Forty-nine percent of refugees had a reactive tuberculin test of ≥10 mm induration, with a higher prevalence in males (54%) and refugees ≥18 years of age (63%) (p |
| doi_str_mv | 10.1016/S0033-3549(04)50110-3 |
| format | Article |
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Methods: 2,545 refugees arriving in Minnesota during 1999 received a domestic health examination that included tuberculin skin testing, hepatitis B virus serologic testing, and stool ova and parasite examinations. The Refugee Health Assessment form asked specifically about screening results for amebiasis, ascariasis, clonorchiasis, giardiasis, hookworm, schistosomiasis, strongyloidiasis, and trichuriasis. Results: Forty-nine percent of refugees had a reactive tuberculin test of ≥10 mm induration, with a higher prevalence in males (54%) and refugees ≥18 years of age (63%) (p<0.001). Seven percent had a positive hepatitis B surface antigen, with the highest prevalence in those people from sub-Saharan Africa (8%) (p=0.002) and those refugees ≥18 years of age (9%) (p=0.006). Twenty-two percent had one or more intestinal parasites asked about, including 30% of those refugees <18 years of age (p<0.001). The most commonly reported parasitic infections were trichuriasis (8%) and giardiasis (7%). Conclusions: Evidence of infection with M. tuberculosis, hepatitis B virus, or one of eight intestinal parasites was present in a substantial proportion of refugees receiving the domestic health assessment. Screening for such infections gives new immigrants the opportunity to receive important medical evaluation and treatment, provides valuable surveillance data, and allows appropriate public health measures to be taken.</description><identifier>ISSN: 0033-3549</identifier><identifier>EISSN: 1468-2877</identifier><identifier>DOI: 10.1016/S0033-3549(04)50110-3</identifier><identifier>PMID: 12297684</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Cutaneous tuberculosis ; Emigration and Immigration ; Feces - parasitology ; Female ; Hepatitis B ; Hepatitis B - blood ; Hepatitis B - ethnology ; Hepatitis B virus ; Humans ; Immigration ; Infant ; Infant, Newborn ; Infections ; Male ; Mass Screening ; Medical screening ; Middle Aged ; Minnesota - epidemiology ; Parasites ; Parasitic Diseases - diagnosis ; Parasitic Diseases - ethnology ; Patient assessment ; Population Surveillance ; Prevalence ; Public health ; Refugees ; Refugees - statistics & numerical data ; Skin tests ; Tuberculin ; Tuberculin Test ; Tuberculosis ; Tuberculosis - diagnosis ; Tuberculosis - ethnology</subject><ispartof>Public health reports (1974), 2002-01, Vol.117 (1), p.69-77</ispartof><rights>Copyright 2002 Association of Schools of Public Health</rights><rights>Copyright Oxford University Press Jan/Feb 2002</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c486t-dbf238939a6b072e408e61a41fa17c4c10d1c227c2974df0b329e3dcfa9a7a583</citedby><cites>FETCH-LOGICAL-c486t-dbf238939a6b072e408e61a41fa17c4c10d1c227c2974df0b329e3dcfa9a7a583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4598720$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/4598720$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,724,777,781,800,882,27847,27905,27906,53772,53774,57998,58231</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12297684$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lifson, Alan R</creatorcontrib><creatorcontrib>Thai, Dzung</creatorcontrib><creatorcontrib>O'Fallon, Ann</creatorcontrib><creatorcontrib>Mills, Wendy A</creatorcontrib><creatorcontrib>Hang, Kaying</creatorcontrib><title>Prevalence of Tuberculosis, Hepatitis B Virus, and Intestinal Parasitic Infections among Refugees to Minnesota</title><title>Public health reports (1974)</title><addtitle>Public Health Rep</addtitle><description>Objective: The purpose of this study was to define the prevalence of infection with Mycobacterium tuberculosis, hepatitis B virus, and various intestinal parasites among different groups of primary refugees immigrating to Minnesota. Methods: 2,545 refugees arriving in Minnesota during 1999 received a domestic health examination that included tuberculin skin testing, hepatitis B virus serologic testing, and stool ova and parasite examinations. The Refugee Health Assessment form asked specifically about screening results for amebiasis, ascariasis, clonorchiasis, giardiasis, hookworm, schistosomiasis, strongyloidiasis, and trichuriasis. Results: Forty-nine percent of refugees had a reactive tuberculin test of ≥10 mm induration, with a higher prevalence in males (54%) and refugees ≥18 years of age (63%) (p<0.001). Seven percent had a positive hepatitis B surface antigen, with the highest prevalence in those people from sub-Saharan Africa (8%) (p=0.002) and those refugees ≥18 years of age (9%) (p=0.006). Twenty-two percent had one or more intestinal parasites asked about, including 30% of those refugees <18 years of age (p<0.001). The most commonly reported parasitic infections were trichuriasis (8%) and giardiasis (7%). Conclusions: Evidence of infection with M. tuberculosis, hepatitis B virus, or one of eight intestinal parasites was present in a substantial proportion of refugees receiving the domestic health assessment. Screening for such infections gives new immigrants the opportunity to receive important medical evaluation and treatment, provides valuable surveillance data, and allows appropriate public health measures to be taken.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cutaneous tuberculosis</subject><subject>Emigration and Immigration</subject><subject>Feces - parasitology</subject><subject>Female</subject><subject>Hepatitis B</subject><subject>Hepatitis B - blood</subject><subject>Hepatitis B - ethnology</subject><subject>Hepatitis B virus</subject><subject>Humans</subject><subject>Immigration</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infections</subject><subject>Male</subject><subject>Mass Screening</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Minnesota - epidemiology</subject><subject>Parasites</subject><subject>Parasitic Diseases - diagnosis</subject><subject>Parasitic Diseases - ethnology</subject><subject>Patient assessment</subject><subject>Population Surveillance</subject><subject>Prevalence</subject><subject>Public health</subject><subject>Refugees</subject><subject>Refugees - statistics & numerical data</subject><subject>Skin tests</subject><subject>Tuberculin</subject><subject>Tuberculin Test</subject><subject>Tuberculosis</subject><subject>Tuberculosis - diagnosis</subject><subject>Tuberculosis - ethnology</subject><issn>0033-3549</issn><issn>1468-2877</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNqFkV9rFDEUxYModlv9BirBh6LgaG6Smcy8CFrUFioWrb6GTObOmmU2WZNMwW9vtrusf15MHgL3_nK45x5CHgN7CQyaV18YE6ISteyeMfm8ZgCsEnfIAmTTVrxV6i5ZHJAjcpzSipXDQdwnR8B5p5pWLoi_inhjJvQWaRjp9dxjtPMUkksv6DluTHbZJfqWfnNxLiXjB3rhM6bsvJnolYkmFcKW4og2u-ATNevgl_QzjvMSMdEc6EfnPaaQzQNybzRTwof794R8ff_u-uy8uvz04eLszWVlZdvkauhHLtpOdKbpmeIoWYsNGAmjAWWlBTaA5VzZYkMOI-sF71AMdjSdUaZuxQl5vdPdzP0aB4s-RzPpTXRrE3_qYJz-u-Pdd70MNxpkUWRdETjdC8TwYy529doli9NkPIY5acWB1w2D_4LQ1o1SIAr49B9wFeZYlpg0Z1BvrypQvYNsDClFHA8jA9Pb3PVt7nobqmZS3-aut-JP_vT7-9c-6AI82gGrlEM89GXdtYoz8Qu7l7Ob</recordid><startdate>20020101</startdate><enddate>20020101</enddate><creator>Lifson, Alan R</creator><creator>Thai, Dzung</creator><creator>O'Fallon, Ann</creator><creator>Mills, Wendy A</creator><creator>Hang, Kaying</creator><general>Oxford University Press</general><general>SAGE PUBLICATIONS, INC</general><general>Association of Schools of Public Health</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TQ</scope><scope>ASE</scope><scope>DHY</scope><scope>DON</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20020101</creationdate><title>Prevalence of Tuberculosis, Hepatitis B Virus, and Intestinal Parasitic Infections among Refugees to Minnesota</title><author>Lifson, Alan R ; Thai, Dzung ; O'Fallon, Ann ; Mills, Wendy A ; Hang, Kaying</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c486t-dbf238939a6b072e408e61a41fa17c4c10d1c227c2974df0b329e3dcfa9a7a583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cutaneous tuberculosis</topic><topic>Emigration and Immigration</topic><topic>Feces - parasitology</topic><topic>Female</topic><topic>Hepatitis B</topic><topic>Hepatitis B - blood</topic><topic>Hepatitis B - ethnology</topic><topic>Hepatitis B virus</topic><topic>Humans</topic><topic>Immigration</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infections</topic><topic>Male</topic><topic>Mass Screening</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Minnesota - epidemiology</topic><topic>Parasites</topic><topic>Parasitic Diseases - diagnosis</topic><topic>Parasitic Diseases - ethnology</topic><topic>Patient assessment</topic><topic>Population Surveillance</topic><topic>Prevalence</topic><topic>Public health</topic><topic>Refugees</topic><topic>Refugees - statistics & numerical data</topic><topic>Skin tests</topic><topic>Tuberculin</topic><topic>Tuberculin Test</topic><topic>Tuberculosis</topic><topic>Tuberculosis - diagnosis</topic><topic>Tuberculosis - ethnology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lifson, Alan R</creatorcontrib><creatorcontrib>Thai, Dzung</creatorcontrib><creatorcontrib>O'Fallon, Ann</creatorcontrib><creatorcontrib>Mills, Wendy A</creatorcontrib><creatorcontrib>Hang, Kaying</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PAIS Index</collection><collection>British Nursing Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Public health reports (1974)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lifson, Alan R</au><au>Thai, Dzung</au><au>O'Fallon, Ann</au><au>Mills, Wendy A</au><au>Hang, Kaying</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Tuberculosis, Hepatitis B Virus, and Intestinal Parasitic Infections among Refugees to Minnesota</atitle><jtitle>Public health reports (1974)</jtitle><addtitle>Public Health Rep</addtitle><date>2002-01-01</date><risdate>2002</risdate><volume>117</volume><issue>1</issue><spage>69</spage><epage>77</epage><pages>69-77</pages><issn>0033-3549</issn><eissn>1468-2877</eissn><abstract>Objective: The purpose of this study was to define the prevalence of infection with Mycobacterium tuberculosis, hepatitis B virus, and various intestinal parasites among different groups of primary refugees immigrating to Minnesota. Methods: 2,545 refugees arriving in Minnesota during 1999 received a domestic health examination that included tuberculin skin testing, hepatitis B virus serologic testing, and stool ova and parasite examinations. The Refugee Health Assessment form asked specifically about screening results for amebiasis, ascariasis, clonorchiasis, giardiasis, hookworm, schistosomiasis, strongyloidiasis, and trichuriasis. Results: Forty-nine percent of refugees had a reactive tuberculin test of ≥10 mm induration, with a higher prevalence in males (54%) and refugees ≥18 years of age (63%) (p<0.001). Seven percent had a positive hepatitis B surface antigen, with the highest prevalence in those people from sub-Saharan Africa (8%) (p=0.002) and those refugees ≥18 years of age (9%) (p=0.006). Twenty-two percent had one or more intestinal parasites asked about, including 30% of those refugees <18 years of age (p<0.001). The most commonly reported parasitic infections were trichuriasis (8%) and giardiasis (7%). Conclusions: Evidence of infection with M. tuberculosis, hepatitis B virus, or one of eight intestinal parasites was present in a substantial proportion of refugees receiving the domestic health assessment. Screening for such infections gives new immigrants the opportunity to receive important medical evaluation and treatment, provides valuable surveillance data, and allows appropriate public health measures to be taken.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>12297684</pmid><doi>10.1016/S0033-3549(04)50110-3</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Aged Child Child, Preschool Cutaneous tuberculosis Emigration and Immigration Feces - parasitology Female Hepatitis B Hepatitis B - blood Hepatitis B - ethnology Hepatitis B virus Humans Immigration Infant Infant, Newborn Infections Male Mass Screening Medical screening Middle Aged Minnesota - epidemiology Parasites Parasitic Diseases - diagnosis Parasitic Diseases - ethnology Patient assessment Population Surveillance Prevalence Public health Refugees Refugees - statistics & numerical data Skin tests Tuberculin Tuberculin Test Tuberculosis Tuberculosis - diagnosis Tuberculosis - ethnology |
| title | Prevalence of Tuberculosis, Hepatitis B Virus, and Intestinal Parasitic Infections among Refugees to Minnesota |
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