Infectious disease screening for refugees resettled in the United States
Infectious disease screening for refugees resettled in the United States
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DOI：
10.1086/423179
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发表时间：
2004-09-15
影响因子：
11.8
通讯作者：
Barnett, ED
中科院分区：
文献类型：
--
作者：
Barnett, ED
在美国重新安置的难民由于其原籍国和移民情况的暴露而背负着严重的传染病负担。入境前需要进行海外筛查，但它不完全评估难民的传染病。国内健康评估有可能为传染病提供更全面的评估。理想情况下，筛查方案应检测结核病、乙肝、肠道和其他寄生虫，并应包括提供或更新免疫接种的机制。其他传染病的检测，包括疟疾、丙型肝炎、人类免疫缺陷病毒和性传播疾病，可以根据临床症状和体征进行。本文综述了国内外难民健康筛查的现状、传染病负担以及难民和其他移民健康评估的未来目标。
Refugees resettling in the United States carry a significant burden of infectious diseases as a result of exposures in their countries of origin and the circumstances of their migration. Overseas screening is required before entry, but it incompletely assesses infectious diseases in refugees. Domestic health assessment has the potential to provide more comprehensive assessment for infectious diseases. Screening protocols ideally should test for tuberculosis, hepatitis B, and intestinal and other parasites and should include mechanisms for providing or updating immunizations. Testing for other infectious diseases, including malaria, hepatitis C, human immunodeficiency virus, and sexually transmitted diseases, can be performed on the basis of clinical signs and symptoms. This article reviews the current status of overseas and domestic health screening for refugees, infectious disease burdens, and future goals for health assessment of refugees and other immigrants.