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Schistosomiasis in International Refugees and Migrant Populations

  • Tropical Diseases in Conflict Regions (I Bani, Section Editor)
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Abstract

Purpose of Review

Importation of schistosomiasis by migrant populations is increasingly being recognized as a global health issue in non-endemic countries, with consequences for the infected individuals and for public health. The purpose of this review is to assess the extent of the problem and the possible ways to mitigate its impacts.

Recent Findings

Published studies on schistosomiasis in migrants to the main refugee-hosting countries were identified and reviewed. The use of sensitive tests for screening indicated that the prevalence of schistosomiasis among migrants to non-endemic countries was higher than previously recognized. The establishment of schistosomiasis transmission in southern Europe had also demonstrated the ease with which the disease could be spread to new areas by moving populations.

Summary

The high prevalence of schistosomiasis among refugees and migrant populations is documented by several reports from Europe, North America, Australia, and New Zealand. It is also clear that there are no uniform international protocols for screening and treatment of migrants with schistosomiasis. Moreover, the existing protocols are not being consistently implemented and may not be inclusive of all vulnerable migrants. There is a need for more research on the implementation, feasibility, cost-effectiveness, and efficacy of different protocols for screening and treatment of refugees and migrant populations from high-risk areas. There is also a need for development and evaluation of newer, more accurate diagnostic screening tests for this purpose.

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References

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  1. WHO Media center, Schistosomiasis fact sheet, updated January 2017. Available from: http://www.who.int/mediacentre/factsheets/fs115/en/

  2. WHO. Status of schistosomiasis endemic countries, 2015. Available from: http://apps.who.int/neglected_diseases/ntddata/sch/sch.html

  3. Madinga J, Linsuke S, Mpabanzi L, Meurs L, Kanobana K, Speybroeck N, et al. Schistosomiasis in the Democratic Republic of Congo: a literature review. Parasites & Vectors. 2015;8:601. https://doi.org/10.1186/s13071-015-1206-6.

    Article  Google Scholar 

  4. Cao C, Baoa Z, Lia S, Weib W, Yib P, Yua Q, et al. Schistosomiasis in a migrating population in the lake region of China and its potential impact on control operations. Acta Tropica. 2015;145:88–92.

    Article  PubMed  Google Scholar 

  5. Bian C-R, Lu D-B, Su J, Zhou X, Zhuge HX, PHL L. Serological prevalence of Schistosoma japonicum in mobile populations in previously endemic but now non-endemic regions of china : a systematic review and meta-analysis. PLoSONE. 2015;10(6):e0128896. https://doi.org/10.1371/journal. pone.0128896.

    Article  Google Scholar 

  6. UNHCR, Global trends, forced displacement in 2016, trends at a glance, http://www.unhcr.org/globaltrends2016/

  7. United Nations Department of Economic and Social Affairs, Population Division. Trends in international migration, 2015. December 2015. http://www.un.org/en/development/desa/population/migration/publications/migrationreport/docs/MigrationReport2015.pdf

  8. McCarthy AE, Weld LH, Barnett ED, So H, Coyle C, Greenaway C, et al. Spectrum of illness in international migrants seen at GeoSentinel clinics in 1997-2009, part 2: migrants resettled internationally and evaluated for specific health concerns. Clin Infect Dis. 2013 Apr;56(7):925–33. https://doi.org/10.1093/cid/cis1016.

    Article  PubMed  Google Scholar 

  9. Montresor A, Crompton DWT, Hall A, Bundy DAP, Savioli L. Guidelines for the evaluation of soil-transmitted helminthiasis and schistosomiasis at community level. Geneva: World Health Organization; 1998. p. 1–49.

    Google Scholar 

  10. Katz N, Chaves A, Pellegrino J. A simple device for quantitative stool thick-smear technique in Schistosomiasis mansoni. Rev Inst Med Trop São Paulo. 1972;14:397–400.

    CAS  PubMed  Google Scholar 

  11. WHO. Bench aids for the diagnosis of intestinal parasites. Geneva: World Health Organization; 1994. p. 1–20.

    Google Scholar 

  12. Peters PA, Mahmoud AA, Warren KS, Ouma JH, Siongok TK. Field studies of a rapid, accurate means of quantifying Schistosoma haematobium eggs in urine samples. Bull World Health Organ. 1976;54:159–62.

    CAS  PubMed  PubMed Central  Google Scholar 

  13. •• Hinz R, Schwarz NG, Hahn A, Frickmann H. Serological approaches for the diagnosis of schistosomiasis—a review. Mol Cell Probes. 2017;31:2–21. This review presents results of published studies on serological assays detecting antibodies against different Schistosoma species. It provides insights in the diagnostic performance and an overview on the availability of described assays and their suitability for case management and large-scale screening. It is helpful for understanding the value of the assays in screening for schistosomiasis

    Article  CAS  PubMed  Google Scholar 

  14. Kinkel H-F, Dittrich S, Bäumer B, Weitzel T. Evaluation of eight serological tests for diagnosis of imported schistosomiasis. Clin Vaccine Immunol. 2012;19:948–53.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  15. Tsang VC, Wilkins PP. Immunodiagnosis of schistosomiasis. Immunol Invest. 1997;26:175–88.

    Article  CAS  PubMed  Google Scholar 

  16. Bierman WF, Wetsteyn JC, van Gool T. Presentation and diagnosis of imported schistosomiasis: relevance of eosinophilia, microscopy for ova, and serology. J Travel Med. 2005;12:9–13.

    Article  PubMed  Google Scholar 

  17. •• Utzinger J, Becker SL, van Lieshout L, van Dam GJ, Knopp S. New diagnostic tools in schistosomiasis. Clin Microbiol Infect. 2015;21(6):529–42. This is a review on the latest developments in schistosomiasis diagnosis, including microscopic techniques, rapid diagnostic tests for antigen detection, polymerase chain reaction (PCR) assays, and proxy markers for morbidity assessments. This is relevant to understanding interpretation of screening tests used in migrants

    Article  CAS  PubMed  Google Scholar 

  18. van Dam GJ, Xu J, Bergquist R, de Dood CJ, Utzinger J, Qin ZQ, et al. An ultra-sensitive assay targeting the circulating anodic antigen for the diagnosis of Schistosoma japonicum in a low-endemic area, People’s Republic of China. Acta Trop. 2015;141:190–7.

    Article  PubMed  Google Scholar 

  19. Knopp S, Corstjens PLAM, Koukounari A, Cercamondi CI, Ame SM, de Dood CJ, et al. Sensitivity and specificity of a urine circulating anodic antigen test for the diagnosis of Schistosoma haematobium in low endemic settings. PLoS Negl Trop Dis. 2015;9:e0003752.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Ochodo EA, Gopalakrishna G, Spek B, et al. Circulating antigen tests and urine reagent strips for diagnosis of active schistosomiasis in endemic areas. Cochrane Database Syst Rev. 2015;3:CD009579.

    Google Scholar 

  21. Verweij JJ, Stensvold CR. Molecular testing for clinical diagnosis and epidemiological investigations of intestinal parasitic infections. Clin Microbiol Rev. 2014;27:371–418.

    Article  PubMed  PubMed Central  Google Scholar 

  22. van Lieshout L, Roestenberg M. Clinical consequences of new diagnostic tools for intestinal parasites. Clin Microbiol Infect. 2015 Jun;21(6):520–8. https://doi.org/10.1016/j.cmi.2015.03.015.

    Article  PubMed  Google Scholar 

  23. Seybolt LM, Christiansen D, Barnett ED. Diagnostic evaluation of newly arrived asymptomatic refugees with eosinophilia. Clin Infect Dis. 2006;42:363–7.

    Article  PubMed  Google Scholar 

  24. Edwards A. 2015. UNHCR viewpoint: ‘refugee’ or ‘migrant’. Available from: http://www.unhcr.org/en-us/news/latest/2016/7/55df0e556/unhcr-viewpoint-refugee-migrant-right.html

  25. UNHCR Convention and protocol relating to the status of refugees http://www.unhcr.org/3b66c2aa10.html

  26. • Hvass AMF, Wejse C. Systematic health screening of refugees after resettlement in recipient countries: a scoping review. Annals of Human Biology. 2017;44(5):475–83. https://doi.org/10.1080/03014460.2017.1330897. This is a review of studies on health screening of refugees in North America, Australia/New Zealand, and Europe. Because of differences in country policies, the screenings were conducted differently in the various locations. The studies demonstrated great variation in who was targeted for screening and how screening was conducted.

    Article  PubMed  Google Scholar 

  27. Department of Homeland Security. Yearbook of immigration statistics 2015. Available from: https://www.dhs.gov/immigration-statistics/yearbook/2015

  28. Domestic intestinal parasite guidelines. Available from: https://www.cdc.gov/immigrantrefugeehealth/guidelines/domestic/intestinal-parasites-domestic.html.

  29. Guidelines for overseas presumptive treatment of strongyloidiasis, schistosomiasis, and soil-transmitted helminth infections. Available from: https://www.cdc.gov/immigrantrefugeehealth/guidelines/overseas/intestinal-parasites-overseas.html

  30. •• Centers for Disease Control. Treatment schedules for presumptive parasitic infections. Available from: http://www.cdc.gov/immigrantrefugeehealth/guidelines/overseas/interventions/interventions.html .This site shows the US CDC intestinal parasite guidelines and an updated table for predeparture treatment. The guidelines address the parasitic infections most commonly encountered in refugees but focus on soil-transmitted helminthic infections ( Ascaris , Trichuris , hookworm), Strongyloides , and Schistosoma spp.

  31. Geltman PL, Cochran J, Hedgecock C. Intestinal parasites among African refugees resettled in Massachusetts and the impact of an overseas pre-departure treatment program. Am J Trop Med Hyg. 2003;69(6):657–62.

    PubMed  Google Scholar 

  32. Lifson AR, Thai D, O'Fallon A, Mills WA, Hang K. Prevalence of tuberculosis, hepatitis B virus, and intestinal parasitic infections among refugees to Minnesota. Public Health Reports. 2002;117(1):69–77.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Lowther SA, Johnson G, Hendel-Paterson B, Nelson K, Mamo B, Krohn K, et al. HIV/AIDS and associated conditions among hiv-infected refugees in Minnesota, 2000–2007. Int J Environ Res Public Health. 2012;9:4197–209. https://doi.org/10.3390/ijerph9114197.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Garg PK, Perry S, Dorn M, Hardcastle L, Parsonnet J. Risk of intestinal helminth and protozoan infection in a refugee population. Am J Trop Med Hyg. 2005;73(2):38691.

    Google Scholar 

  35. Posey D, Blackburn B, Weinberg M, Flagg E, Ortega L, Wilson M, et al. High prevalence and presumptive treatment of schistosomiasis and strongyloidiasis among African refugees. Clin Infect Dis. 2007;45:1310–5.

    Article  PubMed  Google Scholar 

  36. Franco-Paredes C, Dismukes R, Nicolls D, Hidron A, Workowski K, Rodriguez-Morales A, et al. Persistent and untreated tropical infectious diseases among Sudanese refugees in the United States. Am J Trop Med Hyg. 2007;77:633–5.

    PubMed  Google Scholar 

  37. Quandelacy TM, Riefkohl A, Franco PC. Prevalence of untreated schistosomiasis among Sudanese refugees: “the lost boys of Sudan” in the United States. Bol Med Hosp Infant Mex. 503Vol. 67, Noviembre-Diciembre 2010. Boletin medico del Hospital Infantil de Mexico

  38. Brodine SK, Thomas A, Huang R, et al. Community based parasitic screening and treatment of Sudanese refugees: application and assessment of Centers for Disease Control guidelines. Am J Trop Med Hyg. 2009;80:425–30.

    PubMed  Google Scholar 

  39. Chang AH, Perry S, Du JN, Agunbiade A, Polesky A, Parsonnet J. Decreasing intestinal parasites in recent northern California refugees. Am. J. Trop. Med. Hyg. 2013;88(1):191–7. https://doi.org/10.4269/ajtmh.2012.12-0349.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Rapoport AB, McCormick D, Cohen PA. Screening for Schistosoma mansoni and Strongyloides stercoralis infection among Brazilian immigrants in the United States. Open Forum Infect Dis. 2015;2(1):ofv003. Published online 2015 Jan 8. https://doi.org/10.1093/ofid/ofv003. PMCID: PMC4438884.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Khan K, Heidebrecht C, Sears J, Chan A, Rashid M, Greenaway C, Stauffer W, Narasiah L, Pottie K; Canadian Collaboration for Immigrant and Refugee Health, guidelines for immigrant health, Appendix 8: intestinal parasites—Strongyloides and Schistosoma: evidence review for newly arriving immigrants and refugees http://www.cmaj.ca/content/suppl/2010/06/07/cmaj.090313.DC1/imm-para-8-at.pdf. This document reviews evidence on parasitic infection in refugee populations, the value of serologic testing and treatment of strongyloidiasis and schistosomiasis, and the use of ivermectin and praziquantel for treating strongyloidiasis and schistosomiasis.

  42. Redditt VJ, Janakiram P, Graziano D, Rashid M. Health status of newly arrived refugees in Toronto, Ont: part 1: infectious diseases. Can Fam Physician. 2015;61(7):e303–9. PMCID: PMC4501620

    PubMed  PubMed Central  Google Scholar 

  43. CDC-DPDx-schistosomiasis infection—laboratory diagnosis. Available from: https://www.cdc.gov/dpdx/schistosomiasis/dx.html

  44. Illinois Refugee Health Program. 2015 Annual screening summary report. Available from: http://www.dph.illinois.gov/sites/default/files/publications/publicationscmh2015-refugee-program-ar.pdf

  45. • Citizenship and Immigration Canada. Statistics and open data. Available from: www.cic.gc.ca/english/resources/statistics/

  46. López-Vélez R, Huerga H, Turrientes MC. Infectious diseases in immigrants from the perspective of a tropical medicine referral unit. Am J Trop Med Hyg. 2003;69(1):115–21.

    PubMed  Google Scholar 

  47. Monge-Maillo B, Jiménez BC, Pérez-Molina JA, Norman F, Navarro M, Pérez-Ayala A, et al. Imported infectious diseases in mobile populations, Spain. Emerg Infect Dis. 2009;15:1745–52.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Monge-Maillo B, López-Vélez R, Norman FF, Ferrere-González F, Martínez-Pérez Á, Pérez-Molina JA. Screening of imported infectious diseases among asymptomatic sub-Saharan African and Latin American immigrants: a public health challenge. Am J Trop Med Hyg. 2015;92:848–56.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Bocanegra C, Salvador F, Sulleiro E, Sánchez-Montalvá A, Pahissa A, Molina I. Screening for imported diseases in an immigrant population: experience from a teaching hospital in Barcelona, Spain. Am J Trop Med Hyg. 2014;91:1277–81.

    Article  PubMed  PubMed Central  Google Scholar 

  50. •• Delcor N, Maruri B, Arandes A, Guiu I, Essadik H, Soley M, et al. Infectious diseases in sub-Saharan immigrants to Spain. Am. J. Trop. Med. Hyg. 2016;94(4):750–6. https://doi.org/10.4269/ajtmh.15-0583. This paper describes infectious diseases in newly arrived sub-Saharan immigrants after standardized health visits at an international health center in Barcelona, Spain.

    Article  Google Scholar 

  51. Salvador F, Molina I, Sulleiro E, Burgos J, Curran A, Van den Eynde E, et al. Tropical diseases screening in immigrant patients with human immunodeficiency virus infection in Spain. Am. J. Trop. Med. Hyg. 2013;88(6):1196–202. https://doi.org/10.4269/ajtmh.12-0714.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  52. •• Herbinger K, Alberer M, Berens-Riha N, Schunk M, Bretzel G, von Sonnenburg F, et al. Spectrum of imported infectious diseases: a comparative prevalence study of 16,817 German travelers and 977 immigrants from the tropics and subtropics. Am. J. Trop. Med. Hyg. 2016;94(4):757–66. https://doi.org/10.4269/ajtmh.15-0731. This retrospective analysis shows a large spectrum of imported IDs among returning German travelers and immigrants, which varies greatly based not only on travel destination and origin of immigrants, but also on type of travel

    Article  PubMed  PubMed Central  Google Scholar 

  53. Mockenhaupt F, Barbre K, Jensenius M, Larsen C, Barnett E, Stauffer W, Rothe C, Asgeirsson H, Hamer D, Esposito D, Gautret P, Schlagenhauf P. Profile of illness in Syrian refugees: a GeoSentinel analysis, 2013 to 2015. Euro Surveill. 2016;21(10). doi: https://doi.org/10.2807/1560-7917.ES.2016.21.10.30160

  54. Maaßen W, Wiemer D, Frey 1C, Kreuzberg C, Tannich E, Hinz R, et al. Microbiological screenings for infection control in unaccompanied minor refugees: the German Armed Forces Medical Service’s experience. Military Medical Research. 2017;4:13. https://doi.org/10.1186/s40779-017-0123-8. PMCID: PMC5402321

    Article  PubMed  PubMed Central  Google Scholar 

  55. • Deniaud F, Rouessé C, Collignon A, Domingo A, Rigal L. Failure to offer parasitology screening to vulnerable migrants in France: epidemiology and consequences. Sante. 2010;20(4):201–8.

    PubMed  Google Scholar 

  56. Monpierre O, Baudino P, Rio-Rene P, Maurice S, Malvy D, Receveur MC. Global health of unaccompanied refugee minors in Gironde (France) between 2011 and 2013. Bull Soc Pathol Exot. 2016;109:99–106. https://doi.org/10.1007/s13149-016-0476-3. PMID: 26860845

    Article  CAS  PubMed  Google Scholar 

  57. Pierre Baudino. Etat de sant´e des mineurs isol´es ´etrangers accueillis en Gironde entre 2011 et ´ 2013. Masters Thesis, Université de Bordeaux, Medecine humaine et pathologie. 2015. HAL Id: dumas-01157256 https://dumas.ccsd.cnrs.fr/dumas-01157256

  58. Chernet A, Kling K, Sydow V, Kuenzli E, Hatz C, Utzinger J, et al. Accuracy of diagnostic tests for Schistosoma mansoni infection in asymptomatic Eritrean refugees: serology and POC-CCA against stool microscopy. Clin Infect Dis. 2017; https://doi.org/10.1093/cid/cix366. This study was to evaluate the accuracy of a combination of microscopy, different serological tests, and POC-CCA tests for the screening of Eritrean refugees in Switzerland for schistosomiasis

  59. • Beltrame A, Guerriero M, AnghebenA GF, Requena-Mendez A, Zammarchi L, et al. Accuracy of parasitological and immunological tests for the screening of human schistosomiasis in immigrants and refugees from African countries: an approach with latent class analysis. PLoS Negl Trop Dis. 2017;11(6):e0005593. https://doi.org/10.1371/journal.pntd.0005593. This study was to evaluate the accuracy of different tests for the screening of schistosomiasis in African migrants in Italy

    Article  PubMed  PubMed Central  Google Scholar 

  60. Riccardi N, Nosenzo F, Peraldo F, Sarocchi F, Taramasso L, Traverso P, et al. Increasing prevalence of genitourinary schistosomiasis in Europe in the migrant era: neglected no more? PLOS Neglected Tropical Diseases. 2017; https://doi.org/10.1371/journal.pntd.0005237.

  61. Poddighe D, Castelli L, Pulcrano G, Grosini A, Balzaretti M, Spadaro S, et al. Urinary schistosomiasis in an adolescent refugee from Africa: an uncommon cause of hematuria and an emerging infectious disease in Europe. J Immigr Minor Health. 2016;18:1237–40. https://doi.org/10.1007/s10903-015-0272-3. PMID: 26335551

    Article  PubMed  Google Scholar 

  62. Manzardo C, Treviño B, Gómez i Prat J, Cabezos J, Monguí E, Clavería I, et al. Communicable diseases in the immigrant population attended to in a tropical medicine unit: epidemiological aspects and public health issues. Travel Med Infect Dis. 2008 Jan-Mar;6(1-2):4–11. https://doi.org/10.1016/j.tmaid.2007.11.002.

    Article  PubMed  Google Scholar 

  63. European Centre for Disease Prevention and Control. Rapid risk assessment: local transmission of Schistosoma haematobium in Corsica, France. Stockholm: The Centre; 2015. http://ecdc.europa.eu/en/publications/Publications/risk-assessment-Schistosoma%20haematobium-Corsica-update_TOR1N6.pdf

  64. •• Boissier J, Grech-Angelini S, Webster BL, Allienne JF, Huyse T, Mas-Coma S, et al. Outbreak of urogenital schistosomiasis in Corsica (France): an epidemiological case study. Lancet Infect Dis. 2016;16:971–9. https://doi.org/10.1016/S1473-3099(16)00175-4. This paper presents an updated account of the epidemiological studies investigating the outbreak of urogenital schistosomiasis in Corsica (France)

    Article  PubMed  Google Scholar 

  65. Berry A, Fillaux J, Martin-Blondel G, Boissier J, Iriart X, Marchou B, et al. Evidence for a permanent presence of schistosomiasis in Corsica, France, 2015. Euro Surveill. 2016; 21(1).

  66. Australian Government, Department of Immigration and Border Protection. Australia’s offshore humanitarian programme: 2015–16 http://www.border.gov.au/ReportsandPublications/Documents/statistics/australia-offshore-humanitarian-programme-2015-16.pdf

  67. The Royal Australasian College of Physicians policy on refugee and asylum seeker health, Royal Australasian College of Physicians, May 2015 https://www.racp.edu.au/docs/default-source/advocacy-library/policy-on-refugee-and-asylum-seeker-health.pdf

  68. • Chaves NJ, Paxton G, Biggs BA, Thambiran A, Smith M, Williams J, Gardiner J, Davis JS; On behalf of the Australasian Society for Infectious Diseases and Refugee Health Network of Australia Guidelines writing group. Recommendations for comprehensive post-arrival health assessment for people from refugee-like backgrounds. https://www.asid.net.au/documents/item/1225. These are the Australian guidelines for post-arrival health assessment in refugee-like populations. It provides detail on 39 studies including more than 30,000 people from refugee-like backgrounds from primary care, primary, and tertiary care refugee and asylum seeker health services and detention centers around Australia, presented by age and region of origin.

  69. Caruana SR, Kelly HA, Ngeow JY, Ryan NJ, Bennett CM, Chea L, et al. Undiagnosed and potentially lethal parasite infections among immigrants and refugees in Australia. J Travel Med. 2006;13(4):233–9.

    Article  PubMed  Google Scholar 

  70. Rice JE, Skull SA, Pearce C, Mulholland N, Davie G, Carapetis JR. Screening for intestinal parasites in recently arrived children from East Africa. J Paediatr Child Health. 2003;39(6):456–9.

    Article  CAS  PubMed  Google Scholar 

  71. Martin JA, Mak DB. Changing faces: a review of infectious disease screening of refugees by the Migrant Health Unit, Western Australia in 2003 and 2004. Med J Aust. 2006;185(11–12):607–10.

    PubMed  Google Scholar 

  72. Raman S, Wood N, Webber M, Taylor K, Isaacs D. Matching health needs of refugee children with services: how big is the gap? Aust N Z J Public Health. 2009;33(5):466–70.

    Article  PubMed  Google Scholar 

  73. Davis J, Weber M. A prospective audit of 215 newly arrived African refugees. J Paediatr Child Health. 2007;42(A13).

  74. Tiong ACD, Patel MS, Gardiner J, Ryan R, Linton KS, Walker K a, et al. Health issues in newly arrived African refugees attending general practice clinics in Melbourne. Med J Aust. 2006;185(11):602–6.

    PubMed  Google Scholar 

  75. Gibney KB, Mihrshahi S, Torresi J, Marshall C, Leder K, Biggs BA. The profile of health problems in African immigrants attending an infectious disease unit in Melbourne, Australia. Am J Trop Med Hyg. 2009;80(5):805–11.

    PubMed  Google Scholar 

  76. Sheikh M, Pal A, Wang S, MacIntyre CR, Wood NJ, Isaacs D, et al. The epidemiology of health conditions of newly arrived refugee children: a review of patients attending a specialist health clinic in Sydney. J Paediatr Child Health. 2009 Sep;45(9):509–13.

    Article  PubMed  Google Scholar 

  77. Mutch RC, Cherian S, Nemba K, Geddes JS, Rutherford DM, Chaney GM, et al. Tertiary paediatric refugee health clinic in Western Australia: analysis of the first 1026 children. J Paediatr Child Health. 2012;48(7):582–7.

    Article  PubMed  Google Scholar 

  78. Johnston V, Smith L, Roydhouse H. The health of newly arrived refugees to the top end of Australia: results of a clinical audit at the Darwin Refugee Health Service. Aust J Prim Health. 2012 Jan;18(3):242–7.

    Article  PubMed  Google Scholar 

  79. Chaves NJ, Gibney KB, Leder, O’Brien DP, Marshall C, Biggs BA. Screening practices for infectious diseases among Burmese refugees in Australia. Emerg Infect Dis. 2009;15:1769–72. https://doi.org/10.3201/eid1511.090777.

    Article  PubMed  PubMed Central  Google Scholar 

  80. Paxton GA, Sangster KJ, Maxwell EL, McBride CRJ, Drewe RH. Post-arrival health screening in Karen refugees in Australia. PLoS ONE. 2012;7(5):e38194. https://doi.org/10.1371/journal.pone.0038194.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  81. McLeod A, Reeve M. The health status of quota refugees screened by New Zealand’s Auckland Public Health Service between 1995 and 2000. N Z Med J. 2005;118(1224):U1702.

    PubMed  Google Scholar 

  82. Rungan S, Reeve AM, Reed PW, Voss L. Health needs of refugee children younger than 5 years arriving in New Zealand. Pediatr Infect Dis J. 2013 Dec;32(12):e432–6.

    Article  PubMed  Google Scholar 

  83. The Auckland Regional Public Health Service. http://www.arphs.govt.nz/health-information/promoting-health-wellbeing/refugee-health/service

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This article is part of the Topical Collection on Tropical Diseases in Conflict Regions

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Adeel, A.A. Schistosomiasis in International Refugees and Migrant Populations. Curr Trop Med Rep 4, 256–267 (2017). https://doi.org/10.1007/s40475-017-0128-0

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