High Prevalence and Presumptive Treatment of Schistosomiasis and Strongyloidiasis among African Refugees

摘要: Background. Schistosomiasis and strongyloidiasis cause substantial morbidity mortality among hundreds of millions infected persons worldwide. In the United States, these infections are most commonly found international travelers, immigrants, refugees from areas endemicity. Refugees resettled to States since 2000 include >3800 "Lost Boys Girls" Sudan 8000 Somali Bantu. Many Lost Girls reported chronic abdominal pain only arrival, some received diagnoses schistosomiasis or strongyloidiasis. We assessed seroprevalence hypothesized an association between infection pain. Methods. offered a survey assessing serologic testing for all 800 attendees reunion in States. Serologic was performed on preimmigration specimens obtained 100 States-bound Bantu refugees. Results. Of 462 Sudanese (58%) tested, 44% 46% were seropositive (primarily due Schistosoma mansoni) strongyloidiasis, respectively; 24% those who tested positive had S. mansoni antigenemia. Forty-six percent pain, which not associated with either infection. Among Bantu, 73% 23% haematobium) respectively. Conclusions. The high supports presumptive treatment Current refugee resettlement policies inadequately address diseases; our data support consideration predeparture therapy