Details:

Alternative Title:
Int J Environ Res Public Health
Publisher's site:
http://dx.doi.org/10.3390/ijerph9114197
Personal Author:
Lowther, Sara A. ; Johnson, Glenise ; Hendel-Paterson, Brett ; Nelson, Kailey ; Mamo, Blain ; ... More +
Lowther, Sara A. ; Johnson, Glenise ; Hendel-Paterson, Brett ; Nelson, Kailey ; Mamo, Blain ; Krohn, Kristina ; Pessoa-Brandão, Luisa ; O’Fallon, Ann ; Stauffer, William ; Less -
Description:
In 2010, the requirement for human immunodeficiency virus (HIV) testing of adult refugees prior to US resettlement was removed, thus leading to a potential for missed diagnosis. We reviewed refugee health assessment data and medical charts to evaluate the health status of HIV-infected refugees who arrived in Minnesota during 2000-2007, prior to this 2010 policy change. Among 19,292 resettled adults, 174 were HIV-infected; 169 (97%) were African (median age 26.4 (range: 17-76) years). Charts were abstracted for 157 (124 (79%) with ≥ 1 year of follow-up). At initial presentation, two of 74 (3%) women were pregnant; 27% became pregnant during follow-up. HIV clinical stage varied (59%, asymptomatic; 11%, mild symptoms; 10%, advanced symptoms; 3%, severe symptoms; 17%, unknown); coinfections were common (51 tuberculosis, 13 hepatitis B, 13 parasites, four syphilis). Prior to arrival 4% had received antiretrovirals. Opportunistic infections were diagnosed among 13%; 2% died from AIDS-related causes. Arrival screening may be needed to identify these HIV-infected refugees and prevent HIV-related morbidity and mortality.
Subject:
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Adolescent
Adult
Aged
Female
HIV Infections
Humans
Male
Middle Aged
Pregnancy
Refugees
Young Adult

Source:
Int J Environ Res Public Health. 2012 ; 9(11):4197-4209.;
Pubmed ID:
23202841
Pubmed Central ID:
PMC3524622
Document Type:
Journal Article ;
Funding:
5U38HM000414-04/HM/NCHM CDC HHS/United States ;
Place as Subject:
Minnesota ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:1cff3d16163d11e4d2d58718c671dbcf260b62e22827eeb62d6d1cc5769b34b0
File Type:

Supporting Files

• 	ijerph-09-04197-g001.gif	gif
  	ijerph-09-04197-g001.jpg	jpeg
  	ijerph-09-04197-g002.gif	gif
  	ijerph-09-04197-g002.jpg	jpeg
  	ijerph-09-04197.nxml	txt
  	license.txt	txt

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