Health status of pediatric refugees in Buffalo, NY

Article Abstract:

Many child refugees appear to be inadequately immunized, may require dental referral, and may suffer from infectious diseases when they arrive in the US. Researchers reviewed the medical records of 107 child refugees from Vietnam, Africa, and the former Soviet Union who received health screenings in the US. Of these, 39% had documented evidence of up-to-date immunizations, approximately half of whom were from Vietnam. Thirty percent had medical conditions that required follow-up care or a referral to a specialist. Forty-two percent required a referral to a dentist. Approximately half of the children who were screened for the hepatitis B virus were carriers or had evidence of past infection, most of whom were from Vietnam. Disease-causing intestinal parasites were identified in 19 children, most of whom were from Vietnam or Africa. Twenty percent of the children had reactive tuberculosis skin tests.

Child health

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Yield from stool testing of pediatric inpatients

Article Abstract:

Indiscriminate stool testing of hospitalized children may not be cost-effective. Researchers reviewed test results of all stool tests on 598 hospitalized children. Tests included bacterial cultures, examinations for parasites and parasite eggs, and assays for Clostridia difficile toxin. Overall, 3% of stool tests were positive, including 3% of stool cultures, 2% of parasite examinations, and 18% of Clostridia difficile toxin assays. Negative tests cost $26,084 overall. A white blood cell band count of 0.10 would have identified all children with positive cultures and accurately ruled out bacterial infection in 80% of cases.

Diagnosis, Testing, Sick children, Feces, Bacterial infections

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Health status of pediatric refugees in Portland, ME

Article Abstract:

Pediatricians need to screen all refugee children for communicable diseases. Physicians screened 132 immigrant children and teenagers who settled in Portland, Maine. About half were from Africa and the rest were from Asia, Latin America and the former Soviet Union. Thirty-five percent had a positive tuberculosis test and about 25% tested positive for hepatitis B exposure. Seventeen percent had elevated blood lead levels and 20% had anemia. Almost half of 87 children tested positive for parasites.

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