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首页> 外文期刊>Eurosurveillance >Extended screening for infectious diseases among newly-arrived asylum seekers from Africa and Asia, Verona province, Italy, April 2014 to June 2015
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Extended screening for infectious diseases among newly-arrived asylum seekers from Africa and Asia, Verona province, Italy, April 2014 to June 2015

机译：2014年4月至2015年6月，对来自意大利和维罗纳省非洲和亚洲的新来的寻求庇护者进行传染病扩展筛查

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Background and aim Management of health issues presented by newly-arrived migrants is often limited to communicable diseases even though other health issues may be more prevalent. We report the results of infectious disease screening proposed to 462 recently-arrived asylum seekers over 14 years of age in Verona province between April 2014 and June 2015. Methods: Screening for latent tuberculosis (TB) was performed via tuberculin skin test (TST) and/or QuantiFERON-TB Gold in-tube assay and/or chest X-ray. An ELISA was used to screen for syphilis. Stool microscopy was used to screen for helminthic infections, and serology was also used for strongyloidiasis and schistosomiasis. Screening for the latter also included urine filtration and microscopy. Results: Most individuals came from sub-Saharan Africa (77.5%), with others coming from Asia (21.0%) and North Africa (1.5%). The prevalence of viral diseases/markers of human immunodeficiency virus (HIV) infection was 1.3%, HCV infection was 0.85% and hepatitis B virus surface antigen was 11.6%. Serological tests for syphilis were positive in 3.7% of individuals. Of 125 individuals screened for TB via the TST, 44.8% were positive and of 118 screened via the assay, 44.0% were positive. Of 458 individuals tested for strongyloidiasis, 91 (19.9%) were positive, and 76 of 358 (21.2%) individuals from sub-Saharan Africa were positive for schistosomiasis. Conclusions: The screening of viral diseases is questionable because of low prevalence and/or long-term, expensive treatments. For opposing reasons, helminthic infections are probably worth to be targeted by screening strategies in asylum seekers of selected countries of origin.
机译：背景和目标尽管其他健康问题可能更为普遍，但新来移民所提出的健康问题的管理通常仅限于传染病。我们报告了2014年4月至2015年6月间在维罗纳省向462名14岁以上最近到来的寻求庇护者提出的传染病筛查结果。方法：通过结核菌素皮肤试验（TST）进行潜伏性肺结核（TB）筛查。 /或QuantiFERON-TB金管内检测和/或胸部X线检查。 ELISA用于筛选梅毒。粪便显微镜检查用于筛查蠕虫感染，血清学检查也可用于圆线虫病和血吸虫病。后者的筛查还包括尿液过滤和显微镜检查。结果：大多数人来自撒哈拉以南非洲（77.5％），其他人来自亚洲（21.0％）和北非（1.5％）。病毒性疾病/人类免疫缺陷病毒（HIV）感染的患病率为1.3％，HCV感染率为0.85％，乙肝病毒表面抗原为11.6％。梅毒的血清学检测阳性率为3.7％。通过TST筛查的结核病患者125例中，有44.8％呈阳性，通过检测筛查的118例中有44.0％呈阳性。在458例检测到的类圆线虫病患者中，有91例（19.9％）呈阳性，来自撒哈拉以南非洲的358例个体中有76例（21.2％）血吸虫病呈阳性。结论：由于低流行和/或长期，昂贵的治疗方法，对病毒性疾病的筛查是有问题的。出于相反的原因，在选定来源国的寻求庇护者中，通过筛查策略可能可能需要针对蠕虫感染。

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