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Am. J. Trop. Med. Hyg., 69(1), 2003, pp. 115-121
Copyright © 2003 by The American Society of Tropical Medicine and Hygiene

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*Infectious Diseases
*Parasitic Diseases

INFECTIOUS DISEASES IN IMMIGRANTS FROM THE PERSPECTIVE OF A TROPICAL MEDICINE REFERRAL UNIT

R. LÓPEZ-VÉLEZ, H. HUERGA, AND M. C. TURRIENTES
Tropical Medicine and Clinical Parasitology Unit, Infectious Diseases Department and Microbiology Department, Hospital Ramón y Cajal, Madrid, Spain

Immigrants from less developed countries to Europe are growing in number and could contribute to the emergence of some infectious diseases. To address this issue, we conducted a descriptive study of 988 immigrants, of whom 79.9% were sub-Saharan Africans and 72% were of undocumented origin. Fever, pruritus, eosinophilia, visceromegaly, and anemia were more frequent in Africans, while a cough was more common Latin Americans (P < 0.005). The most frequent diagnoses were previous hepatitis B (46.5%), latent tuberculosis (44.2%), filariasis (24.8%), infection with intestinal helminths (15.4%), malaria (15.1%), infection with intestinal protozoa (10%), hepatitis C (8.8%), other non-parasitic infections (7.8%), active hepatitis B (7.6%), sexually transmitted diseases (7.5%), active tuberculosis (5.8%), and infection with human immunodeficiency virus (HIV) (5.2%). Past and active hepatitis B and C, active tuberculosis, infection with HIV, malaria, and filariasis were more frequent in Africans (P < 0.005). Thirty-two other tropical diseases were also diagnosed.

Received November 4, 2002. Accepted for publication March 26, 2003.

Acknowledgments: We thank M. Barreno and S. de la Fuente for expert laboratory assistance and V. Abraira for performing the statistical analysis.

Authors’ address: R. López-Vélez, H. Huerga, and M. C. Turrientes, Tropical Medicine and Clinical Parasitology Unit, Infectious Diseases Department and Microbiology Department, Hospital Ramón y Cajal, Apartado 31057, Madrid 28034, Spain, Telephone: 34-91-336-8108, Fax: 34-91-336-8792, E-mail: rlopezvelez.hrc{at}salud.madrid.org




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