2003-2017 年居住在阿肯色州西北地区的马绍尔群岛人汉森病及并发症。
Hansen's Disease and Complications among Marshallese Persons Residing in Northwest Arkansas, 2003-2017.
机构信息
Epidemic Intelligences Service, Centers for Diseases Control and Prevention, Atlanta, Georgia.
Arkansas Department of Health, Little Rock, Arkansas.
出版信息
Am J Trop Med Hyg. 2020 Nov;103(5):1810-1812. doi: 10.4269/ajtmh.20-0003.
Persons from the Republic of the Marshall Islands have among the highest rates of Hansen's disease (HD) in the world; the largest Marshallese community in the continental United States is in northwest Arkansas. In 2017, the HD Ambulatory Care Clinic in Springdale, Arkansas, informed the Arkansas Department of Health (ADH) that Marshallese persons with HD had severe disease with frequent complications. To characterize their illness, we reviewed ADH surveillance reports of HD among Marshallese persons in Arkansas treated during 2003-2017 ( = 42). Hansen's Disease prevalence among Marshallese in Arkansas (11.7/10,000) was greater than that in the general U.S. population. Complications included arthritis (38%), erythema nodosum leprosum (21%), and prolonged treatment lasting > 2 years (40%). The majority (82%) of patients treated for > 2 years had documented intermittent therapy. Culturally appropriate support for therapy and adherence is needed in Arkansas.
马绍尔群岛的居民患有汉森病（HD）的比例居世界之首；美国阿肯色州西北部拥有最大的马绍尔群岛社区。2017 年，阿肯色州斯普林代尔的 HD 门诊护理诊所告知阿肯色州卫生部（ADH），HD 患者病情严重，并发症频繁。为了了解他们的病情，我们查阅了 2003-2017 年期间在阿肯色州接受治疗的马绍尔群岛 HD 患者的 ADH 监测报告（=42）。阿肯色州马绍尔群岛 HD 的患病率（11.7/10000）高于美国普通人群。并发症包括关节炎（38%）、红斑狼疮（21%）和治疗时间超过 2 年（40%）。82%的患者治疗时间超过 2 年，且记录显示间歇性治疗。阿肯色州需要提供文化适宜的治疗和坚持的支持。
Zotero 插件