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[2018年进入荷兰的寻求庇护者的传染病控制:是否需要改革?]

[Infectious disease control for asylum seekers entering the Netherlands in 2018: is reform necessary?].

作者信息

Francis Nikki E, Petersen Lars, Middelkoop Barend J C, Richardus Jan Hendrik

机构信息

Xerio | bedrijfsArtsen5, Rotterdam.

LUMC, afd. Public Health en Eerstelijnsgeneeskunde, Leiden.

出版信息

Ned Tijdschr Geneeskd. 2018 Aug 23;162:D2792.

Abstract

The number of asylum seekers entering the Netherlands has increased. However, the screening, detection and treatment of infectious diseases in asylum seekers has barely changed over the last 15 years. Infectious diseases, including vaccine-preventable diseases are being carried into the Netherlands by asylum seekers. However, neither the number nor the type of disease pose a real threat to public health. It is important to be alert to carriers of multidrug-resistant organisms among asylum seekers. National screening programmes are offered for a number of infectious diseases, but not for all diseases relevant to asylum seekers. Hygiene and sanitary facilities are essential in the care of asylum seekers, due mainly to the relatively high prevalence of scabies. Infectious disease control for asylum seekers in the Netherlands can be improved. Focusing on the country of origin is important. The current European Centre for Disease Prevention and Control Guidelines concerning medical care for asylum seekers should be implemented in the Netherlands.

摘要

进入荷兰的寻求庇护者数量有所增加。然而,在过去15年里,对寻求庇护者传染病的筛查、检测和治疗几乎没有变化。包括疫苗可预防疾病在内的传染病正被寻求庇护者带入荷兰。不过,疾病的数量和类型均未对公众健康构成真正威胁。对寻求庇护者中耐多药生物体携带者保持警惕很重要。针对一些传染病开展了国家筛查项目,但并非针对所有与寻求庇护者相关的疾病。卫生和卫生设施在照顾寻求庇护者方面至关重要,这主要是因为疥疮的患病率相对较高。荷兰对寻求庇护者的传染病控制可以得到改善。关注原籍国很重要。荷兰应实施欧洲疾病预防控制中心目前关于寻求庇护者医疗护理的指南。

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