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难民和寻求庇护者中的传染病综述——现状与未来展望

Review of infectious diseases in refugees and asylum seekers-current status and going forward.

作者信息

Eiset Andreas Halgreen, Wejse Christian

机构信息

Department of Public Health, Aarhus University, Aarhus, Denmark.

出版信息

Public Health Rev. 2017 Sep 8;38:22. doi: 10.1186/s40985-017-0065-4. eCollection 2017.

Abstract

An unprecedented rise in the number of asylum seekers and refugees was seen in Europe in 2015, and it seems that numbers are not going to be reduced considerably in 2016. Several studies have tried to estimate risk of infectious diseases associated with migration but only very rarely these studies make a distinction on reason for migration. In these studies, workers, students, and refugees who have moved to a foreign country are all taken to have the same disease epidemiology. A common disease epidemiology across very different migrant groups is unlikely, so in this review of infectious diseases in asylum seekers and refugees, we describe infectious disease prevalence in various types of migrants. We identified 51 studies eligible for inclusion. The highest infectious disease prevalence in refugee and asylum seeker populations have been reported for latent tuberculosis (9-45%), active tuberculosis (up to 11%), and hepatitis B (up to 12%). The same population had low prevalence of malaria (7%) and hepatitis C (up to 5%). There have been recent case reports from European countries of cutaneous diphtheria, louse-born relapsing fever, and shigella in the asylum-seeking and refugee population. The increased risk that refugees and asylum seekers have for infection with specific diseases can largely be attributed to poor living conditions during and after migration. Even though we see high transmission in the refugee populations, there is very little risk of spread to the autochthonous population. These findings support the efforts towards creating a common European standard for the health reception and reporting of asylum seekers and refugees.

摘要

2015年欧洲寻求庇护者和难民数量出现了前所未有的增长,而且2016年这一数字似乎也不会大幅减少。多项研究试图估算与移民相关的传染病风险,但这些研究很少根据移民原因进行区分。在这些研究中,移居国外的工人、学生和难民都被视为具有相同的疾病流行情况。不同移民群体具有相同的疾病流行情况不太可能,因此在这篇关于寻求庇护者和难民传染病的综述中,我们描述了各类移民中的传染病患病率。我们确定了51项符合纳入标准的研究。据报告,难民和寻求庇护者群体中传染病患病率最高的是潜伏性结核病(9%-45%)、活动性结核病(高达11%)和乙型肝炎(高达12%)。同一群体中疟疾(7%)和丙型肝炎(高达5%)的患病率较低。近期欧洲国家有报告称,在寻求庇护者和难民群体中出现了皮肤白喉、虱传回归热和志贺氏菌病病例。难民和寻求庇护者感染特定疾病风险增加很大程度上可归因于移民期间及之后的恶劣生活条件。尽管我们看到难民群体中疾病传播率很高,但传播到本地人群的风险很小。这些发现支持了为寻求庇护者和难民的健康接待及报告制定欧洲共同标准的努力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b063/5810046/5332fc2d60ed/40985_2017_65_Fig1_HTML.jpg

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