1921
Volume 86, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

More than 340 million cases of bacterial and protozoal sexually transmitted infections (STIs) occur annually. Approximately 70,000 refugees arrive in the United States on a yearly basis. Refugees are a particularly disenfranchised and vulnerable population. The prevalence of and gonorrhea in refugee populations has not been described, and the utility of routine screening is unknown. We performed a descriptive evaluation of 25,779 refugees who completed a screening medical examination in Minnesota during 2003–2010. A total of 18,516 (72%) refugees were tested for at least one STI: 183 (1.1%) of 17,235 were seropositive for syphilis, 15 (0.6%) of 2,512 were positive for , 5 (0.2%) of 2,403 were positive for gonorrhea, 136 (2.0%) of 6,765 were positive for human immunodeficiency virus, and 6 (0.1%) of 5,873 were positive for multiple STIs. Overall prevalence of (0.6%) and gonorrhea (0.2%) infection was low, which indicated that routine screening may not be indicated. However, further research on this subject is encouraged.

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2017-11-25
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References

  1. World Health Organization, 2007. Global Strategy for the Prevention and Control of Sexually Transmitted Infections 2006–2015: Breaking the Chain of Transmission. Available at: http://whqlibdoc.who.int/publications/2007/9789241563475_eng.pdf. Accessed February 3, 2011.
  2. United Nations High Commission for Refugees (UNHCR). Geneva, Switzerland. Statistical Yearbook 2007: Trends in Displacement, Protection, and Solutions. Available at: http://www.unhcr.org/pages/49c3646c4d6.html. Accessed February 3, 2011.
  3. United States Department of Health and Human Services. Office of Refugee Resettlement – Refugee Arrival Data. FY 2000–2009. Available at: http://www.acf.hhs.gov/programs/orr/data/refugee_arrival_data.htm. Accessed February 3, 2011.
  4. Centers for Disease Control and Prevention. Revision of 42 CFR Part 34 (Medical Examination of Aliens) Removal of Human Immunodeficiency Virus (HIV) from Definition of Communicable Disease of Public Health Significance – Final Rule. Available at: http://www.cdc.gov/immigrantrefugeehealth/laws-regs/hiv-ban-removal/final-rule.html. Accessed February 3, 2011.
  5. Centers for Disease Control and Prevention. Medical Examination of Immigrants and Refugees – Technical Instructions for Panel Physicians. Available at: http://www.cdc.gov/immigrantrefugeehealth/exams/ti/panel/technical-instructions-panel-physicians.html. Accessed February 3, 2011.
  6. Workowski KA, Berman S, , 2010. Sexually transmitted disease treatment guidelines. Morb Mort Wkly Rep 15: 1– 110.
  7. Minnesota Department of Health. Minnesota Refugee Health Provider Guide 2007. Sexually Transmitted Diseases. Available at: http://www.health.state.mn.us/divs/idepc/refugee/hcp/index.html. Accessed February 3, 2011.
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  9. Datta SD, Sternberg M, Johnson RE, Berman S, Papp JR, McQuillan G, Weinstock H, , 2007. Gonorrhea and Chlamydia in the United States among persons 14 to 39 years of age, 1999 to 2002. Ann Intern Med 147: 8996.[Crossref]
  10. United States Preventative Services Task Force, 2007. Screening for chlamydial infection: recommendation statement. Ann Intern Med 147: 128134.[Crossref]
  11. United States Preventive Services Task Force, 2005. Screening for gonorrhea: recommendation statement. Ann Fam Med 3: 263267.[Crossref]
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  • Received : 15 Aug 2011
  • Accepted : 08 Nov 2011

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