Community Based Parasitic Screening and Treatment of Sudanese Refugees: Application and Assessment of Centers for Disease Control Guidelines Journal Articles uri icon

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  • Centers for Disease Control guidelines for schistosomiasis and strongyloidiasis in Sudanese and Somali refugees are not widely implemented. Given limited prevalence data, we conducted a seroprevalence study of schistosomiasis, strongyloidiasis, and loiasis in Sudanese refugees across diverse ages. Sudanese refugees, ages 4-78, were recruited via community organizations. Half of the patients (86/172), were seropositive for schistosomiasis (46/171; 26.9%), strongyloidiasis (56/172; 33%), or both (16/171; 9.4%). No Loa loa infections were detected. Infection rates were similar in adults and children except that no schistosomiasis was detected in children < 4 years of age at the time of immigration to the United States. The high prevalence of schistosomiasis and strongyloidiasis in a community-based sample of Sudanese confirms the urgency for compliance with CDC refugee health guidelines. We detected no co-infection with Loa loa using the most sensitive serologic techniques, allowing use of ivermectin, the most effective treatment of strongyloidiasis.


  • Brodine, Stephanie K
  • Nou, John
  • Burbelo, Peter
  • Reed, Sharon L
  • Wilkins, Patricia
  • Nutman, Thomas
  • Leake, John
  • Wolf, Jamie
  • Huang, Robert
  • Moser, Kathleen
  • Thomas, Anne
  • Mehta, Shamir
  • Harbertson, Judith
  • Ramanathan, Roshan

publication date

  • March 1, 2009

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