Sequeira-Aymar Ethel, diLollo Ximena, Osorio-Lopez Yolanda, Gonçalves Alessandra Queiroga, Subirà Carme, Requena-Méndez Ana
CAPSBE Casanova, Grupo transversal de investigación en AP IDIBAPS, grupo COCOOPSI CAMFIC, Barcelona, España.
Fundació Clínic per la Recerca Biomédica, Barcelona, España; Instituto de Salud Global de Barcelona, Barcelona, España.
Aten Primaria. 2020 Mar;52(3):193-205. doi: 10.1016/j.aprim.2019.02.005. Epub 2019 Apr 25.
Immigrant health status may be improved if certain health conditions are identified early through the implementation of a screening program. This document presents the recommendations resulting from the Screening in immigrant population project (CRIBMI) aimed at implementing a screening program for infectious diseases (HIV, HBV, HCV, tuberculosis, strongyloidiasis, schistosomiasis and Chagas disease), as well as female genital mutilation and mental health (MH) in migrant population at Primary Care level. Screening recommendations were based on: coming from an endemic country for strongyloidiasis, schistosomiasis, and Chagas diseases; on a threshold level of prevalence for HIV (> 1%), HBV (> 2%), and HCV (> 2%), and on incidence (> 50 cases/100,000-inhabitants) for active tuberculosis in immigrants with < 5 years in Europe. Exploring the risk of FGM is recommended in women from countries where this practice is prevalent. Evaluation of MH status is recommended for people from areas of conflict and violence.
如果通过实施筛查计划早期识别某些健康状况，移民的健康状况可能会得到改善。本文档介绍了移民人群筛查项目（CRIBMI）得出的建议，该项目旨在为初级保健层面的移民人群实施传染病（艾滋病毒、乙肝、丙肝、结核病、类圆线虫病、血吸虫病和恰加斯病）以及女性生殖器切割和心理健康（MH）的筛查计划。筛查建议基于以下因素：来自类圆线虫病、血吸虫病和恰加斯病的流行国家；艾滋病毒（>1%）、乙肝（>2%）和丙肝（>2%）的阈值患病率，以及在欧洲居住<5年的移民中活动性结核病的发病率（>50例/10万居民）。建议对来自女性生殖器切割盛行国家的女性进行该行为风险的筛查。建议对来自冲突和暴力地区的人群进行心理健康状况评估。
