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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Main Authors: 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
Format: Article
Language:English
Published: Wiley 2018-01-01
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.
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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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