Current Infectious Disease Reports

, Volume 15, Issue 3, pp 222–231 | Cite as

Presumptive Treatment and Medical Screening for Parasites in Refugees Resettling to the United States

  • William M. StaufferEmail author
  • Paul T. Cantey
  • Susan Montgomery
  • LeAnne Fox
  • Monica E. Parise
  • Olga Gorbacheva
  • Michelle Weinberg
  • Annelise Doney
  • Lisa Rotz
  • Martin S. Cetron
Tropical, Travel and Emerging Infections (L Chen, Section Editor)


More than 50,000 refugees are resettled to the United States annually, many from areas highly endemic for parasites. Some of these infections present little clinical consequence after migration, but others are responsible for morbidity and mortality. The Centers for Disease Control and Prevention has issued predeparture presumptive treatment and postarrival medical guidelines for the management of parasites. Although these guidelines are evidence based, there remain significant challenges to presumptive treatment programs in refugees. Gaps in the evidence continue; resettling populations are continually changing, thus altering the epidemiology; and there are logistical and cost barriers to fully implementing recommendations. This article will review the evolution and status of current guidelines, as well as identify gaps and challenges to full implementation. It is imperative for clinicians serving this population to be familiar with interventions received by refugees, since previous treatment will impact screening, diagnostic evaluation, and treatment decisions.


Intestinal parasites Schistosomiasis Refugees Presumptive therapy Screening Strongyloidiasis 



We extend our gratitude to Drew Posey for his early work and thoughts on this project.

Conflict of Interest Statement

William M. Stauffer declares that he has no conflict of interest.

Paul T. Cantey declares that he has no conflict of interest.

Susan Montgomery declares that she has no conflict of interest.

LeAnne Fox declares that she has no conflict of interest.

Monica E. Parise declares that she has no conflict of interest.

Olga Gorbacheva declares that she has no conflict of interest.

Michelle Weinberg declares that she has no conflict of interest.

Annelise Doney declares that she has no conflict of interest.

Lisa Rotz declares that she has no conflict of interest.

Martin S. Cetron declares that he has no conflict of interest.


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Copyright information

© Springer Science+Business Media New York (outside the USA) 2013

Authors and Affiliations

  • William M. Stauffer
    • 1
    • 5
    Email author
  • Paul T. Cantey
    • 2
  • Susan Montgomery
    • 2
  • LeAnne Fox
    • 2
  • Monica E. Parise
    • 2
  • Olga Gorbacheva
    • 3
    • 4
  • Michelle Weinberg
    • 5
  • Annelise Doney
    • 5
  • Lisa Rotz
    • 5
  • Martin S. Cetron
    • 5
  1. 1.Department of Medicine, Division of Infectious Diseases and International MedicineUniversity of MinnesotaMinneapolisUSA
  2. 2.Division of Parasitic Diseases and Malaria, Center for Global Health, Centers for Disease Control and PreventionAtlantaUSA
  3. 3.International Organization for MigrationGenevaSwitzerland
  4. 4.International Organization for MigrationKathmanduNepal
  5. 5.Division of Global Migration and QuarantineCenters for Disease Control and PreventionAtlantaUSA

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