Review of infectious diseases in refugees and asylum seekers—current status and going forward

Abstract An unprecedented rise in the number of asylum seekers and refugees was seen in Europe in 2015, and it seems that numbers are not going to be reduced considerably in 2016. Several studies have tried to estimate risk of infectious diseases associated with migration but only very rarely these...

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Main Authors: Andreas Halgreen Eiset, Christian Wejse
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-09-01
Series:Public Health Reviews
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40985-017-0065-4
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author Andreas Halgreen Eiset
Christian Wejse
author_facet Andreas Halgreen Eiset
Christian Wejse
author_sort Andreas Halgreen Eiset
collection DOAJ
description Abstract An unprecedented rise in the number of asylum seekers and refugees was seen in Europe in 2015, and it seems that numbers are not going to be reduced considerably in 2016. Several studies have tried to estimate risk of infectious diseases associated with migration but only very rarely these studies make a distinction on reason for migration. In these studies, workers, students, and refugees who have moved to a foreign country are all taken to have the same disease epidemiology. A common disease epidemiology across very different migrant groups is unlikely, so in this review of infectious diseases in asylum seekers and refugees, we describe infectious disease prevalence in various types of migrants. We identified 51 studies eligible for inclusion. The highest infectious disease prevalence in refugee and asylum seeker populations have been reported for latent tuberculosis (9–45%), active tuberculosis (up to 11%), and hepatitis B (up to 12%). The same population had low prevalence of malaria (7%) and hepatitis C (up to 5%). There have been recent case reports from European countries of cutaneous diphtheria, louse-born relapsing fever, and shigella in the asylum-seeking and refugee population. The increased risk that refugees and asylum seekers have for infection with specific diseases can largely be attributed to poor living conditions during and after migration. Even though we see high transmission in the refugee populations, there is very little risk of spread to the autochthonous population. These findings support the efforts towards creating a common European standard for the health reception and reporting of asylum seekers and refugees.
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spelling doaj.art-46745c2aa3144412895a6f39850045df2022-12-21T22:50:55ZengFrontiers Media S.A.Public Health Reviews2107-69522017-09-0138111610.1186/s40985-017-0065-4Review of infectious diseases in refugees and asylum seekers—current status and going forwardAndreas Halgreen Eiset0Christian Wejse1Department of Public Health, Aarhus UniversityDepartment of Public Health, Aarhus UniversityAbstract An unprecedented rise in the number of asylum seekers and refugees was seen in Europe in 2015, and it seems that numbers are not going to be reduced considerably in 2016. Several studies have tried to estimate risk of infectious diseases associated with migration but only very rarely these studies make a distinction on reason for migration. In these studies, workers, students, and refugees who have moved to a foreign country are all taken to have the same disease epidemiology. A common disease epidemiology across very different migrant groups is unlikely, so in this review of infectious diseases in asylum seekers and refugees, we describe infectious disease prevalence in various types of migrants. We identified 51 studies eligible for inclusion. The highest infectious disease prevalence in refugee and asylum seeker populations have been reported for latent tuberculosis (9–45%), active tuberculosis (up to 11%), and hepatitis B (up to 12%). The same population had low prevalence of malaria (7%) and hepatitis C (up to 5%). There have been recent case reports from European countries of cutaneous diphtheria, louse-born relapsing fever, and shigella in the asylum-seeking and refugee population. The increased risk that refugees and asylum seekers have for infection with specific diseases can largely be attributed to poor living conditions during and after migration. Even though we see high transmission in the refugee populations, there is very little risk of spread to the autochthonous population. These findings support the efforts towards creating a common European standard for the health reception and reporting of asylum seekers and refugees.http://link.springer.com/article/10.1186/s40985-017-0065-4Infectious diseasesRefugeesAsylum seekersMigrants
spellingShingle Andreas Halgreen Eiset
Christian Wejse
Review of infectious diseases in refugees and asylum seekers—current status and going forward
Public Health Reviews
Infectious diseases
Refugees
Asylum seekers
Migrants
title Review of infectious diseases in refugees and asylum seekers—current status and going forward
title_full Review of infectious diseases in refugees and asylum seekers—current status and going forward
title_fullStr Review of infectious diseases in refugees and asylum seekers—current status and going forward
title_full_unstemmed Review of infectious diseases in refugees and asylum seekers—current status and going forward
title_short Review of infectious diseases in refugees and asylum seekers—current status and going forward
title_sort review of infectious diseases in refugees and asylum seekers current status and going forward
topic Infectious diseases
Refugees
Asylum seekers
Migrants
url http://link.springer.com/article/10.1186/s40985-017-0065-4
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