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优化孟加拉国科克斯巴扎尔罗兴亚难民中的丙型肝炎病毒管理:应对辅助因素和环境风险以减轻长期肝病并发症

Optimizing HCV Management Among Rohingya Refugees in Cox's Bazar, Bangladesh: Addressing Cofactors and Environmental Risks to Mitigate Long-Term Liver Disease Complications.

作者信息

Ceccarelli Giancarlo, Branda Francesco, Fairouz Fariha, Albanese Mattia, Scarpa Fabio, Ciccozzi Massimo

机构信息

Sapienza University of Rome, Rome, Italy.

Università Campus Bio-Medico, Rome, Italy.

出版信息

J Immigr Minor Health. 2025 Aug 19. doi: 10.1007/s10903-025-01751-5.

DOI:10.1007/s10903-025-01751-5
PMID:40828366
Abstract

Hepatitis C virus (HCV) infection is increasingly reported among Rohingya refugees in Cox's Bazar, with active infection rates in adults reaching 20% by 2023. The risk of liver disease progression and hepatocellular carcinoma (HCC) may be amplified by coexisting factors such as chronic malnutrition, coinfections, aflatoxin exposure, metabolic disorders, and environmental toxins. Despite WHO-led efforts, data on these risk factors remain fragmented, and access to care is limited. This study underscores the need for comprehensive surveillance, epidemiological research, and long-term prevention strategies to reduce HCV-related morbidity and the future burden of HCC in displaced Rohingya populations.

摘要

在科克斯巴扎尔的罗兴亚难民中,丙型肝炎病毒(HCV)感染的报告越来越多,到2023年,成年人中的活动性感染率达到20%。慢性营养不良、合并感染、黄曲霉毒素暴露、代谢紊乱和环境毒素等共存因素可能会加剧肝病进展和肝细胞癌(HCC)的风险。尽管世界卫生组织牵头开展了相关工作,但关于这些风险因素的数据仍然零散,获得医疗服务的机会也有限。这项研究强调了开展全面监测、流行病学研究以及制定长期预防策略的必要性,以降低流离失所的罗兴亚人群中与HCV相关的发病率以及未来HCC的负担。

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Optimizing HCV Management Among Rohingya Refugees in Cox's Bazar, Bangladesh: Addressing Cofactors and Environmental Risks to Mitigate Long-Term Liver Disease Complications.优化孟加拉国科克斯巴扎尔罗兴亚难民中的丙型肝炎病毒管理:应对辅助因素和环境风险以减轻长期肝病并发症
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本文引用的文献

1
Prevalence of hepatitis C virus seropositivity and active infection in a Rohingya refugee population in Cox's Bazar camps, Bangladesh: a cross-sectional study.孟加拉国科克斯巴扎尔营地罗兴亚难民群体中丙型肝炎病毒血清阳性率和活动性感染情况:一项横断面研究
Lancet Gastroenterol Hepatol. 2025 Jul;10(7):648-657. doi: 10.1016/S2468-1253(25)00094-9. Epub 2025 Apr 30.
2
Southeast Asia's displacement crisis: a crucible for emerging infections.东南亚的流离失所危机:新出现感染病的温床。
Infect Dis (Lond). 2025 May;57(5):479-481. doi: 10.1080/23744235.2025.2473509. Epub 2025 Mar 6.
3
State-of-the-art Investigation on the Role of Indium, Terbium, Yttrium, and Lanthanum in Recurrent Pregnancy Loss.
铟、铽、钇和镧在复发性流产中作用的最新研究
Biol Trace Elem Res. 2025 Mar;203(3):1444-1452. doi: 10.1007/s12011-024-04456-2. Epub 2024 Dec 4.
4
Beyond one size fits all: tailoring healthcare to the realities of migration.超越“一刀切”:根据移民现实情况量身定制医疗保健服务。
Lancet Reg Health Eur. 2024 Aug 31;45:101058. doi: 10.1016/j.lanepe.2024.101058. eCollection 2024 Oct.
5
Hepatitis C epidemic among Rohingya refugees in Cox's Bazar: a public health emergency.科克斯巴扎尔罗兴亚难民中的丙型肝炎疫情:一场公共卫生紧急事件。
Lancet Gastroenterol Hepatol. 2024 Sep;9(9):789. doi: 10.1016/S2468-1253(24)00230-9. Epub 2024 Jul 16.
6
Occupational hazards and risks among the women in fisher communities in Cox's Bazar and Chattogram, Bangladesh.孟加拉国考克斯巴扎和吉大港渔业社区妇女的职业危害和风险。
PLoS One. 2024 Jul 19;19(7):e0297400. doi: 10.1371/journal.pone.0297400. eCollection 2024.
7
Assessment of microplastics in coastal ecosystem of Bangladesh.评估孟加拉国沿海生态系统中的微塑料。
Ecotoxicol Environ Saf. 2024 Aug;281:116622. doi: 10.1016/j.ecoenv.2024.116622. Epub 2024 Jun 24.
8
A Review of Incidence and Related Risk Factors in the Development of Hepatocellular Carcinoma.肝细胞癌发生的发病率及相关危险因素综述
Cureus. 2023 Nov 26;15(11):e49429. doi: 10.7759/cureus.49429. eCollection 2023 Nov.
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