Community based parasitic screening and treatment of Sudanese refugees: application and assessment of Centers for Disease Control guidelines.
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| 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.
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| Authors | Stephanie K Brodine, Anne Thomas, Robert Huang, Judith Harbertson, Sanjay Mehta, John Leake, Thomas Nutman, Kathleen Moser, Jamie Wolf, Roshan Ramanathan, Peter Burbelo, John Nou, Patricia Wilkins, Sharon L Reed |
| Journal | The American journal of tropical medicine and hygiene (Am J Trop Med Hyg) Vol. 80 Issue 3 Pg. 425-30 (Mar 2009) ISSN: 1476-1645 [Electronic] United States |
| PMID | 19270293 (Publication Type: Journal Article, Research Support, N.I.H., Intramural, Research Support, Non-U.S. Gov't) |
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