Author:
Urban Kailey,Payton Colleen,Mamo Blain,Volkman Hannah,Giorgio Katherine,Kennedy Lori,Bomber Yuli Chen,Rodrigues Kristine Knuti,Young Janine,Tumaylle Carol,Matheson Jasmine,Tasslimi Azadeh,Montour Jessica,Jentes Emily
Abstract
AbstractSix refugee screening sites collaborated to estimate the prevalence of hepatitis C virus (HCV) antibodies among newly arrived refugees in the United States from 2010 to 2017, identify demographic characteristics associated with HCV antibody positivity, and estimate missed HCV antibody-positive adults among unscreened refugees. We utilized a cross-sectional study to examine HCV prevalence among refugees (N = 144,752). A predictive logistic regression model was constructed to determine the effectiveness of current screening practices at identifying cases. The prevalence of HCV antibodies among the 64,703 refugees screened was 1.6%. Refugees from Burundi (5.4%), Moldova (3.8%), Democratic Republic of Congo (3.2%), Burma (2.8%), and Ukraine (2.0%) had the highest positivity among refugee arrivals. An estimated 498 (0.7%) cases of HCV antibody positivity were missed among 67,787 unscreened adults. The domestic medical examination represents an opportunity to screen all adult refugees for HCV to ensure timely diagnosis and treatment.
Funder
National Center for Emerging and Zoonotic Infectious Diseases
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health,Epidemiology
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