INFECTIOUS DISEASES OF AFGHAN IMMIGRANTS IN THE UNITED STATES: REVIEW OF PUBLISHED REPORTS

Authors

  • Florian H Pilsczek

Abstract

Infectious diseases of immigrants may differ from patients born and resident in the same country,especially if immigrants from Africa or Asia live in Europe or North America. Because the availableinformation is limited published reports of infections of Afghan immigrants in the United States andother countries were analysed. Four reports from the US and 15 reports from other countries wereidentified [7, (46.7%) Pakistan, 5 (33.3%) Iran, 1 (6.7%) United Kingdom, 1 (6.7%) Germany, 1 (6.7%)Israel)]. Reports from the US were case reports or case series of infections with gastro-intestinal parasitesand Mycobacterium tuberculosis (1, 25%), Echinococcus species (2, 50%), and Plasmodium vivax (1,25%). Reports from other countries were case reports, case series, or surveys and investigated infectionswith Echinococcus species (2, 13%), Hepatitis B virus (HBV) (1, 6.7%), M. tuberculosis (6, 40%), P.falciparum (1, 6.7%), Leishmania tropica (3, 20%), Fasciola hepatica (1, 6.7%), and M. leprae (1,6.7%). The reports suggest that Echinococcus species and L. tropica infections can be encountered inAfghan immigrants in the US, and the frequency of a positive PPD (purified protein derivative) responseor HBsAg test was increased. An infectious diseases database specific for the country of residencereadily available to clinicians treating Afghan patients outside of Afghanistan may be useful.Keywords: International Health, Immigrants, Afghanistan

References

Stauffer WM, Weinberg M. Emerging clinical issues in refugees.

Curr Opin Infect Dis 2009;22:436–42.

Burzynski J, Schluger NW. The epidemiology of tuberculosis in

the United States. Semin Respir Crit Care Med 2008;29:492–8.

McCaw BR, DeLay P. Demographics and disease prevalence of

two new refugee groups in San Francisco. The Ethiopian and

Afghan refugees. West J Med 1985;143:271–5.

Carter C, Bonatti H, Hranjec T, Barroso LF, Donowitz G, Sawyer

RG, et al. Epigastric Cystic Echinococcus Involving Stomach,

Liver, Diaphragm, and Spleen in an Immigrant from Afghanistan.

Surg Infect (Larchmt) 2009;10:453–6.

Makaryus AN, Hametz C, Mieres J, Kort S, Carneglia J, Mangion

J. Diagnosis of suspected cardiac echinococcosis with negative

serologies: role of transthoracic, transesophageal, and contrast

echocardiography. Eur J Echocardiogr 2004;5:223–7.

Aboff BM. Febrile illness in an Afghani ‘freedom fighter’. J Tenn

Med Assoc 1989;82:599.

Mumtaz K, Kamani L, Chawla T, Hamid S, Jafri W. Hepatic

cystic echinococcosis: clinical characteristics and outcomes in

Pakistan. Trop Doct 2009;39:215–7.

Graham JC, Gunn M, Hudson M, Orr KE, Craig PS. A mass in

the liver. J Infect 2002;45:121–2.

Quddus A, Luby SP, Jamal Z, Jafar T. Prevalence of hepatitis B

among Afghan refugees living in Balochistan, Pakistan. Int J

Infect Dis 2006;10:242–7.

Ullah S, Shah SH, Rehman AU, Kamal A, Begum N.

Tuberculous lymphadenitis in Afghan refugees. J Ayub Med Coll

Abbottabad 2002;14(2):22–3.

Shah AA, Ahmed S, Shah H, Raziq F. Bone tuberculosis in

Abbottabad. J Pak Med Assoc 1992;42:180–1.

Mirsaeidi MS, Tabarsi P, Radpour O, et al. Differences in

characteristics between Afghani and Iranian patients with

pulmonary tuberculosis. Int J Infect Dis 2007;11:180–2.

Kadivar MR, Ghaneh-Shirazi R, Khavandegaran F, Karimi M.

Epidemiology of tuberculosis among Afghan immigrants in Fars

province, southern Islamic Republic of Iran. East Mediterr Health

J 2007;13:758–64.

Velayati AA, Farnia P, Mirsaeidi M, Reza Masjedi M. The most

prevalent Mycobacterium tuberculosis superfamilies among

Iranian and Afghan TB cases. Scand J Infect Dis 2006;38:463–8.

Krakamp B, Leidig P, Chemaissani A, Stolte M. Oesophageal

ulceration by tuberculosis: a rare cause of dysphagia. Eur J

Gastroenterol Hepatol 1995;7:1123–5.

Farshchian M, Kheirandish A. Clinico-pathological study of 12

cases of patients with leprosy admitted to Sina Hospital, Hamadan,

Iran, from 1991 to 2000. Int J Dermatol 2004;43:906–10.

Liu Y, Weinberg MS, Ortega LS, Painter JA, Maloney SA.

Overseas screening for tuberculosis in U.S.-bound immigrants and

refugees. N Engl J Med 2009;360:2406–15.

Marcos LA, Terashima A, Dupont HL, Gotuzzo E. Strongyloides

hyperinfection syndrome: an emerging global infectious disease.

Trans R Soc Trop Med Hyg 2008;102:314–8.

Brooker S, Mohammed N, Adil K, Agha S, Reithinger R,

Rowland M, Ali I, et al. Leishmaniasis in refugee and local

Pakistani populations. Emerg Infect Dis 2004;10:1681–4.

Edrissian GH, Shahabi S, Pishva E, Hajseyed-Javadi J,

Khaleghian B, Ghorbani M, et al. Imported cases of chloroquineresistant falciparum malaria in Iran. Bull Soc Pathol Exot Filiales

;79:217–21.

Kolaczinski J, Brooker S, Reyburn H, Rowland M. Epidemiology

of anthroponotic cutaneous leishmaniasis in Afghan refugee

camps in northwest Pakistan. Trans R Soc Trop Med Hyg

;98:373–8.

Rowland M, Munir A, Durrani N, Noyes H, Reyburn H. An

outbreak of cutaneous leishmaniasis in an Afghan refugee

settlement in north-west Pakistan. Trans R Soc Trop Med Hyg

;93:133–6.

Dan M, Lichtenstein D, Lavochkin J, Stavorowsky M, Jedwab M,

Shibolet S. Human fascioliasis in Israel. An imported case. Isr J

Med Sci 1981;17:430–2.

Published

2011-03-01