Imported infectious diseases in migrants from Latin America: A retrospective study from a referral centre for tropical diseases in Spain, 2017–2022

IF 6.3 3区 医学 Q1 INFECTIOUS DISEASES Travel Medicine and Infectious Disease Pub Date : 2024-03-11 DOI:10.1016/j.tmaid.2024.102708
Marta Arsuaga , Rosa De Miguel Buckley , Fernando De La Calle-Prieto , Marta Díaz-Menéndez
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Abstract

Introduction

Detecting imported diseases by migrants and individuals visiting friends and relatives (VFR) is key in the prevention and management of emergent infectious diseases acquired abroad.

Methods

Retrospective descriptive study on migrants and VFR from Central and South America between 2017 and 2022 attended at a National Referral Centre for Tropical Diseases in Madrid, Spain. Demographic characteristics, syndromes and confirmed travel-related diagnoses were obtained from hospital patient medical records.

Results

1654 cases were registered, median age of 42 years, 69.1% were female, and 55.2% were migrants. Most cases came from Bolivia (49.6%), followed by Ecuador (12.9%). Health screening while asymptomatic (31.6%) was the main reason for consultation, followed by Chagas disease follow-up (31%). Of those asymptomatic at screening, 47,2% were finally diagnosed of any disease, mainly Chagas disease (19,7%) and strongyloidiasis (10,2%)

Conclusion

Our study emphasizes the importance of proactive health screening to detect asymptomatic conditions in migrants and VFR, enabling timely intervention and improved health outcomes. By understanding the unique health profiles of immigrant populations, targeted public health interventions can be devised to safeguard the well-being of these vulnerable groups.

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拉丁美洲移民的输入性传染病:2017-2022年西班牙热带病转诊中心的回顾性研究。
导言:检测移民和探亲访友者(VFR)的输入性疾病是预防和管理在国外感染的突发传染病的关键:对 2017 年至 2022 年期间在西班牙马德里国家热带病转诊中心就诊的来自中美洲和南美洲的移民和探亲访友者进行回顾性描述性研究。人口统计学特征、综合征和与旅行相关的确诊病例均来自医院患者病历:登记病例 1654 例,中位年龄 42 岁,69.1% 为女性,55.2% 为移民。大多数病例来自玻利维亚(49.6%),其次是厄瓜多尔(12.9%)。无症状时的健康检查(31.6%)是就诊的主要原因,其次是南美锥虫病的后续治疗(31%)。在筛查时无症状的人群中,47.2%最终被确诊患有任何疾病,主要是南美锥虫病(19.7%)和强虫病(10.2%)。 结论:我们的研究强调了积极主动的健康筛查对于发现移民和越南船民无症状情况的重要性,从而能够及时干预并改善健康状况。通过了解移民人口独特的健康状况,可以制定有针对性的公共卫生干预措施,保障这些弱势群体的福祉。
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来源期刊
Travel Medicine and Infectious Disease
Travel Medicine and Infectious Disease PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-INFECTIOUS DISEASES
CiteScore
19.40
自引率
1.70%
发文量
211
审稿时长
49 days
期刊介绍: Travel Medicine and Infectious Disease Publication Scope: Publishes original papers, reviews, and consensus papers Primary theme: infectious disease in the context of travel medicine Focus Areas: Epidemiology and surveillance of travel-related illness Prevention and treatment of travel-associated infections Malaria prevention and treatment Travellers' diarrhoea Infections associated with mass gatherings Migration-related infections Vaccines and vaccine-preventable disease Global policy/regulations for disease prevention and control Practical clinical issues for travel and tropical medicine practitioners Coverage: Addresses areas of controversy and debate in travel medicine Aims to inform guidelines and policy pertinent to travel medicine and the prevention of infectious disease Publication Features: Offers a fast peer-review process Provides early online publication of accepted manuscripts Aims to publish cutting-edge papers
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