Godue C B, Gyorkos T W
Département de santé communautaire, Hôpital Saint-Luc, Montréal, Québec.
Can J Public Health. 1990 May-Jun;81(3):191-5.
The medical profiles of 1,967 refugee claimants to Montreal, Quebec, Canada from January 1987 to July 1987 were reviewed to evaluate the importance of imported intestinal parasite infection in this group and to re-examine the screening policy governing these infections. An overall infection rate of 29.3% was obtained for pathogenic parasites, where helminths were four times more frequently found than the protozoa Entamoeba histolytica and Giardia lamblia. Age, sex, years of schooling, country of origin and level of eosinophilia were found to be associated with infection, with country of origin being the strongest predictor of infection. These results document the parasite infection in a select group of immigrants which would not have been identified and treated if a special program of screening were not in operation. We suggest that the present immigration policy of no screening for intestinal parasite infection be at least modified to include a recommendation that new arrivals, who are considered to be at high risk for parasite infection, be informed that an examination for parasites would be beneficial to their personal health.
对1987年1月至1987年7月期间向加拿大魁北克省蒙特利尔提出难民申请的1967人的医疗档案进行了审查，以评估输入性肠道寄生虫感染在该群体中的重要性，并重新审视针对这些感染的筛查政策。致病寄生虫的总体感染率为29.3%，其中蠕虫的检出频率是原生动物溶组织内阿米巴和蓝氏贾第鞭毛虫的四倍。研究发现，年龄、性别、受教育年限、原籍国和嗜酸性粒细胞水平与感染有关，原籍国是感染的最强预测因素。这些结果记录了特定移民群体中的寄生虫感染情况，如果没有实施特殊的筛查计划，这些感染将无法被识别和治疗。我们建议，目前不对肠道寄生虫感染进行筛查的移民政策至少应进行修改，增加一项建议，即告知被认为寄生虫感染风险高的新移民，进行寄生虫检查对他们的个人健康有益。
