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Infectious disease risks among refugees from North Korea

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Title: Infectious disease risks among refugees from North Korea
Authors: Nishiura, Hiroshi Browse this author →KAKEN DB
Lee, Hyojung Browse this author
Yuan, Baoyin Browse this author
Endo, Akira Browse this author
Akhmetzhanov, Andrei R. Browse this author
Chowell, Gerardo Browse this author
Keywords: Migration
Risk assessment
Democratic People's Republic of Korea
Issue Date: Jan-2018
Publisher: Elsevier
Journal Title: International journal of infectious diseases
Volume: 66
Start Page: 22
End Page: 25
Publisher DOI: 10.1016/j.ijid.2017.10.021
PMID: 29126812
Abstract: Objectives: The characteristics of disease in North Korea, including severe malnutrition and infectious disease risks, have not been openly and widely analyzed. This study was performed to estimate the risks of infectious diseases among refugees from North Korea. Methods: A literature review of clinical studies among North Korean defectors was conducted to statistically estimate the risks of infectious diseases among North Korean subjects. Results: A total of six groups of data from five publications covering the years 2004 to 2014 were identified. Tuberculosis and viral hepatitis appeared to be the two most common infectious diseases, especially among adult refugees. When comparing the risks of infectious diseases between North Korean and Syrian refugees, it is critical to remember that Plasmodium vivax malaria has been endemic in North Korea, while cutaneous leishmaniasis has frequently been seen among Syrian migrants. Conclusions: Valuable datasets from health surveys of defectors were reviewed. In addition to tuberculosis and viral hepatitis, which were found to be the two most common infectious diseases, a special characteristic of North Korean defectors was Plasmodium vivax malaria. This needs to be added to the list of differential diagnoses for pyretic patients.
Type: article
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 西浦 博

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