Malaria, intestinal parasites, and schistosomiasis among Barawan Somali refugees resettling to the United States: A strategy to reduce morbidity and decrease the risk of imported infections
Jm. Miller et al., Malaria, intestinal parasites, and schistosomiasis among Barawan Somali refugees resettling to the United States: A strategy to reduce morbidity and decrease the risk of imported infections, AM J TROP M, 62(1), 2000, pp. 115-121
Citations number
40
Categorie Soggetti
Envirnomentale Medicine & Public Health","Medical Research General Topics
In 1997, enhanced health assessments were performed for 390 (10%) of approx
imately 4,000 Barawan refugees resettling to the United States. Of the refu
gees who received enhanced assessments, 26 (7%) had malaria parasitemia and
128 (38%) had intestinal parasites, while only 2 (2%) had Schistosoma haem
atobium eggs in the urine. Mass therapy for malaria (a single oral dose of
25 mg/kg of sulfadoxine-pyrimethamine) was given to all Barawan refugees 1-
2 days before resettlement. Refugees >2 years of age and nonpregnant women
received a single oral dose of 600 mg albendazole for intestinal parasite t
herapy. If mass therapy had not been provided, upon arrival in the United S
tates an estimated 280 (7%) refugees would have had malaria infections and
1,500 (38%) would have had intestinal parasites. We conclude that enhanced
health assessments provided rapid on-site assessment of parasite prevalence
and helped decrease morbidity among Barawan refugees, as well as, the risk
of imported infections.