Abstract: In 2010, the requirement for human immunodeficiency virus (HIV) testing of adult refugees prior to US resettlement was removed, thus leading to a potential for missed diagnosis. We reviewed refugee health assessment data and medical charts to evaluate the health status of HIV-infected refugees who arrived in Minnesota during 2000–2007, prior to this 2010 policy change. Among 19,292 resettled adults, 174 were HIV-infected; 169 (97%) were African (median age 26.4 (range: 17–76) years). Charts were abstracted for 157 (124 (79%) with ≥1 year of follow-up). At initial presentation, two of 74 (3%) women were pregnant; 27% became pregnant during follow-up. HIV clinical stage varied (59%, asymptomatic; 11%, mild symptoms; 10%, advanced symptoms; 3%, severe symptoms; 17%, unknown); coinfections were common (51 tuberculosis, 13 hepatitis B, 13 parasites, four syphilis). Prior to arrival 4% had received antiretrovirals. Opportunistic infections were diagnosed among 13%; 2% died from AIDS-related causes. Arrival screening may be needed to identify these HIV-infected refugees and prevent HIV-related morbidity and mortality.
Keywords: HIV; acquired immunodeficiency syndrome; refugees; emigration and immigration; epidemiology
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Lowther, S.A.; Johnson, G.; Hendel-Paterson, B.; Nelson, K.; Mamo, B.; Krohn, K.; Pessoa-Brandão, L.; O'Fallon, A.; Stauffer, W. HIV/AIDS and Associated Conditions among HIV-Infected Refugees in Minnesota, 2000–2007. Int. J. Environ. Res. Public Health 2012, 9, 4197-4209.
Lowther SA, Johnson G, Hendel-Paterson B, Nelson K, Mamo B, Krohn K, Pessoa-Brandão L, O'Fallon A, Stauffer W. HIV/AIDS and Associated Conditions among HIV-Infected Refugees in Minnesota, 2000–2007. International Journal of Environmental Research and Public Health. 2012; 9(11):4197-4209.
Lowther, Sara A.; Johnson, Glenise; Hendel-Paterson, Brett; Nelson, Kailey; Mamo, Blain; Krohn, Kristina; Pessoa-Brandão, Luisa; O'Fallon, Ann; Stauffer, William. 2012. "HIV/AIDS and Associated Conditions among HIV-Infected Refugees in Minnesota, 2000–2007." Int. J. Environ. Res. Public Health 9, no. 11: 4197-4209.