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Community Based Parasitic Screening and Treatment of Sudanese Refugees: Application and Assessment of Centers for Disease Control Guidelines
- Source :
- The American Journal of Tropical Medicine and Hygiene. 80:425-430
- Publication Year :
- 2009
- Publisher :
- American Society of Tropical Medicine and Hygiene, 2009.
-
Abstract
- Centers for Disease Control guidelines for schistosomiasis and strongyloidiasis in Sudanese and Somali refugees are not widely implemented. Given limited prevalence data, we conducted a seroprevalence study of schistosomiasis, strongyloidiasis, and loiasis in Sudanese refugees across diverse ages. Sudanese refugees, ages 4-78, were recruited via community organizations. Half of the patients (86/172), were seropositive for schistosomiasis (46/171; 26.9%), strongyloidiasis (56/172; 33%), or both (16/171; 9.4%). No Loa loa infections were detected. Infection rates were similar in adults and children except that no schistosomiasis was detected in children < 4 years of age at the time of immigration to the United States. The high prevalence of schistosomiasis and strongyloidiasis in a community-based sample of Sudanese confirms the urgency for compliance with CDC refugee health guidelines. We detected no co-infection with Loa loa using the most sensitive serologic techniques, allowing use of ivermectin, the most effective treatment of strongyloidiasis.
- Subjects :
- Veterinary medicine
biology
business.industry
Refugee
Schistosomiasis
medicine.disease
biology.organism_classification
Filariasis
Infectious Diseases
Ivermectin
Strongyloidiasis
Virology
Loa loa filariasis
Environmental health
parasitic diseases
medicine
Seroprevalence
Parasitology
Loa loa
business
medicine.drug
Subjects
Details
- ISSN :
- 14761645 and 00029637
- Volume :
- 80
- Database :
- OpenAIRE
- Journal :
- The American Journal of Tropical Medicine and Hygiene
- Accession number :
- edsair.doi...........f8a3345128c997a9498dfb6e1267b661