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Overseas Gonorrhea Screening Among Newly Arrived Refugees During 2018

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Abstract

We assessed the overseas gonorrhea results reported in the CDC’s Electronic Disease Notification (EDN) system among refugees ≥ 15 years old who arrived in the United States during 2018. Of 18,720 refugees, 57 (0.4%) tested positive. Among those with a positive test, 31 (54.5%) were born in the Democratic Republic of the Congo, followed by 12 (21.1%) from Afghanistan. Thirty-three (57.9%) cases were female. Fifty-one cases (89.4%) were between 15 and 44 years of age; 25 (43.9%) were ages 15–24 and 26 (45.6%) were ages 25–44. Among the cases, 56 (98.2%) were treated overseas with the recommended therapy of ceftriaxone and azithromycin. Our findings suggest that the risk of gonorrhea in refugees is similar to that in the U.S. Given recent worldwide increases in gonorrhea, additional monitoring among refugees are necessary to assess the appropriateness of the gonorrhea screening requirement in the overseas medical examination.

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References

  1. World Health Organization. Report on global sexually transmitted infection surveillance, 2018. 2018. https://www.who.int/reproductivehealth/publications/stis-surveillance-2018/en/. Accessed 22 Dec 2020.

  2. Newman L, et al. Global estimates of the prevalence and incidence of four curable sexually transmitted infections in 2012 based on systematic review and global reporting. PLoS ONE. 2015;10(12):e0143304–e0143304.

    Article  Google Scholar 

  3. World Health Organization. Report on global sexually transmitted infection surveillance 2015. 2016.

  4. Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance 2018. 2018. https://www.cdc.gov/std/stats18/tables/21.htm. Accessed 26 Aug 2020.

  5. Centers for Disease Control and Prevention. Gonorrhea - CDC Fact Sheet (Detailed Version). 2016. https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea-detailed.htm.

  6. World Health Organization. Report on the health of refugees and migrants in the WHO European Region: no public health without refugee and migrant health (2018). 2018.

  7. Stauffer WM, et al. Sexually transmitted infections in newly arrived refugees: is routine screening for Neisseria gonorrheae and Chlamydia trachomatis infection indicated? Am J Trop Med Hyg. 2012;86(2):292–5.

    Article  Google Scholar 

  8. Centers for Disease Control and Prevention. CDC Immigration Requirements: Technical Instructions for Gonorrhea for Panel Physicians. 2017. https://www.cdc.gov/immigrantrefugeehealth/exams/ti/panel/technical-instructions/panel-physicians/gonorrhea.html.

  9. Workowski KA, Bolan GA. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1–137.

    Article  Google Scholar 

  10. St Cyr S, et al. Update to CDC’s treatment guidelines for gonococcal infection, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(50):1911–6.

    Article  Google Scholar 

  11. Lee D, et al. Disease surveillance among newly arriving refugees and immigrants - electronic disease notification system, United States, 2009. Morb Mortal Wkly Rep (MMWR). 2013;62:1–20.

    Google Scholar 

  12. World Health Organization. World Health Organization Global adult estimates of chlamydia, gonorrhoea, trichomoniasis and syphilis including maternal and congenital syphilis, 2016. 2016. https://www.who.int/reproductivehealth/topics/rtis/STIs-Estimates.pdf?ua=1.

  13. United Sates Department of Homeland Secutiry. 2018 Yearbook of immigration statistics. Washington, D.C.: U.S. Department of Homeland Secutiry; 2019.

    Google Scholar 

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Authors and Affiliations

  1. Immigrant, Refugee, and Migrant Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA, 30303, USA

    Kiara R. Butler, Deborah Lee & Drew L. Posey

  2. Travelers’ Health Branch, Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA, 30303, USA

    Michelle Hollberg

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  1. Kiara R. Butler
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  2. Deborah Lee
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  3. Michelle Hollberg
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  4. Drew L. Posey
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Correspondence to Kiara R. Butler.

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Butler, K.R., Lee, D., Hollberg, M. et al. Overseas Gonorrhea Screening Among Newly Arrived Refugees During 2018. J Immigrant Minority Health 23, 1354–1358 (2021). https://doi.org/10.1007/s10903-021-01270-z

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  • DOI: https://doi.org/10.1007/s10903-021-01270-z

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