Coinfections between Persistent Parasitic Neglected Tropical Diseases and Viral Infections among Prisoners from Sub-Saharan Africa and Latin America
In Swiss prisons, more than 70% of detained people are foreigners and over one-third originate from sub-Saharan Africa or Latin America. These two regions are endemic for various tropical diseases and viral infections, which persist after migration to nonendemic countries. Parasitic infections (schi...
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Format: | Article |
Language: | English |
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Wiley
2018-01-01
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Series: | Journal of Tropical Medicine |
Online Access: | http://dx.doi.org/10.1155/2018/7218534 |
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author | Lilian Da Silva Santos Hans Wolff François Chappuis Pedro Albajar-Viñas Marco Vitoria Nguyen-Toan Tran Stéphanie Baggio Giuseppe Togni Nicolas Vuilleumier François Girardin Francesco Negro Laurent Gétaz |
author_facet | Lilian Da Silva Santos Hans Wolff François Chappuis Pedro Albajar-Viñas Marco Vitoria Nguyen-Toan Tran Stéphanie Baggio Giuseppe Togni Nicolas Vuilleumier François Girardin Francesco Negro Laurent Gétaz |
author_sort | Lilian Da Silva Santos |
collection | DOAJ |
description | In Swiss prisons, more than 70% of detained people are foreigners and over one-third originate from sub-Saharan Africa or Latin America. These two regions are endemic for various tropical diseases and viral infections, which persist after migration to nonendemic countries. Parasitic infections (schistosomiasis; strongyloidiasis) and cooccurrent viral infections (HIV, hepatitis B (HBV), and hepatitis C (HCV)) are especially of concern for clinical care but have been neglected in empirical research. These diseases often remain silent for years before causing complications, especially if they occur concomitantly. Our research aimed to study the prevalence rates and coinfections of two neglected tropical diseases, namely, Strongyloides stercoralis and Schistosoma sp. and viral infections among sub-Saharan Africans (SSA) and Latin Americans (LA) in Switzerland’s largest pretrial prison. We carried out a cross-sectional prevalence study using a standardized questionnaire and serological testing. Among the 201 participants, 85.6% were SSA and 14.4% LA. We found the following prevalence ratios: 3.5% of HIV (4.1% in SSA, 0% in LA), 12.4% of chronic HBV (14.5% in SSA, 0% in LA), 2.0% of viraemic HCV (1.7% in SSA, 3.4% in LA), and 8.0% of strongyloidiasis (8.1% in SSA, 6.9% in LA). The serological prevalence of schistosomiasis among SSA was 20.3% (not endemic in Latin America). Two infections were simultaneously detected in SSA: 4.7% were coinfected with schistosomiasis and chronic HBV. Four other coinfections were detected among SSA: schistosomiasis-HIV, HIV-chronic HBV, HIV-HCV, and schistosomiasis-strongyloidiasis. To conclude, the high prevalence rates of persistent viral and parasitic infections and their potential coinfections among SSA and LA detained migrants highlight the need to implement control strategies and programs that reach people in detention centers in nonendemic countries. |
format | Article |
id | doaj-art-98916fd35b2541dd8eeadd9ccbf34fcb |
institution | Kabale University |
issn | 1687-9686 1687-9694 |
language | English |
publishDate | 2018-01-01 |
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series | Journal of Tropical Medicine |
spelling | doaj-art-98916fd35b2541dd8eeadd9ccbf34fcb2025-02-03T06:14:00ZengWileyJournal of Tropical Medicine1687-96861687-96942018-01-01201810.1155/2018/72185347218534Coinfections between Persistent Parasitic Neglected Tropical Diseases and Viral Infections among Prisoners from Sub-Saharan Africa and Latin AmericaLilian Da Silva Santos0Hans Wolff1François Chappuis2Pedro Albajar-Viñas3Marco Vitoria4Nguyen-Toan Tran5Stéphanie Baggio6Giuseppe Togni7Nicolas Vuilleumier8François Girardin9Francesco Negro10Laurent Gétaz11Division of Prison Health, Geneva University Hospitals and University of Geneva, Geneva, SwitzerlandDivision of Prison Health, Geneva University Hospitals and University of Geneva, Geneva, SwitzerlandDivision of Tropical and Humanitarian Medicine, Geneva University Hospitals and University of Geneva, Geneva, SwitzerlandDepartment of Control of Neglected Tropical Diseases, World Health Organization, Geneva, SwitzerlandDepartment of HIV/AIDS & Global Hepatitis Program, World Health Organization, Geneva, SwitzerlandDivision of Prison Health, Geneva University Hospitals and University of Geneva, Geneva, SwitzerlandDivision of Prison Health, Geneva University Hospitals and University of Geneva, Geneva, SwitzerlandMicrobiology Laboratory, Unilabs, Coppet, SwitzerlandDivision of Laboratory Medicine, Department of Genetics and Laboratory Medicine, Geneva University Hospitals and Faculty of Medicine, Geneva, SwitzerlandMedical Direction, Geneva University Hospitals and University of Geneva, Geneva, SwitzerlandDepartment of Gastroenterology and Hepatology, Geneva University Hospitals, Geneva, SwitzerlandDivision of Prison Health, Geneva University Hospitals and University of Geneva, Geneva, SwitzerlandIn Swiss prisons, more than 70% of detained people are foreigners and over one-third originate from sub-Saharan Africa or Latin America. These two regions are endemic for various tropical diseases and viral infections, which persist after migration to nonendemic countries. Parasitic infections (schistosomiasis; strongyloidiasis) and cooccurrent viral infections (HIV, hepatitis B (HBV), and hepatitis C (HCV)) are especially of concern for clinical care but have been neglected in empirical research. These diseases often remain silent for years before causing complications, especially if they occur concomitantly. Our research aimed to study the prevalence rates and coinfections of two neglected tropical diseases, namely, Strongyloides stercoralis and Schistosoma sp. and viral infections among sub-Saharan Africans (SSA) and Latin Americans (LA) in Switzerland’s largest pretrial prison. We carried out a cross-sectional prevalence study using a standardized questionnaire and serological testing. Among the 201 participants, 85.6% were SSA and 14.4% LA. We found the following prevalence ratios: 3.5% of HIV (4.1% in SSA, 0% in LA), 12.4% of chronic HBV (14.5% in SSA, 0% in LA), 2.0% of viraemic HCV (1.7% in SSA, 3.4% in LA), and 8.0% of strongyloidiasis (8.1% in SSA, 6.9% in LA). The serological prevalence of schistosomiasis among SSA was 20.3% (not endemic in Latin America). Two infections were simultaneously detected in SSA: 4.7% were coinfected with schistosomiasis and chronic HBV. Four other coinfections were detected among SSA: schistosomiasis-HIV, HIV-chronic HBV, HIV-HCV, and schistosomiasis-strongyloidiasis. To conclude, the high prevalence rates of persistent viral and parasitic infections and their potential coinfections among SSA and LA detained migrants highlight the need to implement control strategies and programs that reach people in detention centers in nonendemic countries.http://dx.doi.org/10.1155/2018/7218534 |
spellingShingle | Lilian Da Silva Santos Hans Wolff François Chappuis Pedro Albajar-Viñas Marco Vitoria Nguyen-Toan Tran Stéphanie Baggio Giuseppe Togni Nicolas Vuilleumier François Girardin Francesco Negro Laurent Gétaz Coinfections between Persistent Parasitic Neglected Tropical Diseases and Viral Infections among Prisoners from Sub-Saharan Africa and Latin America Journal of Tropical Medicine |
title | Coinfections between Persistent Parasitic Neglected Tropical Diseases and Viral Infections among Prisoners from Sub-Saharan Africa and Latin America |
title_full | Coinfections between Persistent Parasitic Neglected Tropical Diseases and Viral Infections among Prisoners from Sub-Saharan Africa and Latin America |
title_fullStr | Coinfections between Persistent Parasitic Neglected Tropical Diseases and Viral Infections among Prisoners from Sub-Saharan Africa and Latin America |
title_full_unstemmed | Coinfections between Persistent Parasitic Neglected Tropical Diseases and Viral Infections among Prisoners from Sub-Saharan Africa and Latin America |
title_short | Coinfections between Persistent Parasitic Neglected Tropical Diseases and Viral Infections among Prisoners from Sub-Saharan Africa and Latin America |
title_sort | coinfections between persistent parasitic neglected tropical diseases and viral infections among prisoners from sub saharan africa and latin america |
url | http://dx.doi.org/10.1155/2018/7218534 |
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