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  1. Health status of pediatric refugees in Portland, Me.

    Article - En anglais

    @a kgroumd : An understanding of the health conditions affecting pediatric refugees is essential to providing responsible health care for them when they arrive in the United States.

    Objective 

    To assess the health status of pediatric refugees in an area of increased refugee resettlement.

    Design 

    Retrospective medical records review.

    Setting 

    Ambulatory clinic at Maine Medical Center in Portland, a community and referral hospital.

    Patients 

    One hundred thirty-two refugees and immigrants aged 2 months through 18 years who had initial health care evaluations during 1994 and 1995.

    Results 

    Sixty-six patients arrived from Africa, 22 from the former Yugoslavia, and the remainder from the former Soviet Union, Middle Asia, Southeast Asia, and Latin America.

    The mean age of the patients was 10 years ; 56 (42.4%) were female.

    The overall health status of most of the children was good, with most having appropriate weight and height for age.

    Dental caries and dermatologic conditions were the most prevalent findings on physical examination.

    Two patients had evidence of traumatic injuries.

    The results of tuberculin (Mantoux) tests were positive (= 10 mm) in 45 (35.2%) of 128 children for whom results were noted, hepatitis B surface antigen was detected in 5 (4.0%) of 124 children, and hepatitis B surface antibody was detected in 26 (21.1%) of 123 children.

    Five (16.7%) of 30 children younger than 6 years had elevated blood lead levels (...)

    Mots-clés Pascal : Système santé, Pédiatrie, Réfugié, Rétrospective, Dépistage, Forme clinique, Ethnie, Conduite à tenir, Etats Unis, Amérique du Nord, Amérique, Organisation santé

    Mots-clés Pascal anglais : Health system, Pediatrics, Refugee, Retrospective, Medical screening, Clinical form, Ethnic group, Clinical management, United States, North America, America, Public health organization

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0312629

    Code Inist : 002B30A03B. Création : 27/11/1998.