Malaria in Illegal Chinese Immigrants, Italy

Malaria Clusters among Illegal Chinese Immigrants to Europe through Africa

“…An initial cluster of 22 cases was described during summer 2000 in the Lombardy Region ( 3 ). A cluster of six cases was detected in Tuscany during the same period ( 4 ).…”

Health of Chinese Illegal Immigrants Who Arrived by Boat on the West Coast of Canada in 1999

“…There are many studies of screening exams for legal immigrants and refugees (7,8), but because of their very nature, only three past studies have examined the general health 1 Assistant Professor, Department of Family Medicine University of Alberta, Edmonton, Alberta, Canada. 2 Research Coordinator, Department of Family Medicine University of Alberta, Edmonton, Alberta, Canada. 3 Correspondence should be directed to Dr. Michael Allan, Department of Family Medicine, 225 College Plaza, University of Alberta, Edmonton, Alberta, Canada T6G 2C8; e-mail: michael.…”

“…In the case of illegal or undocumented immigrants, the public health and cost information is generally unknown and the concerns are therefore often more intensified (1)(2)(3)(4). The number of illegal immigrants in any country is unknown but is conservatively estimated at 3 to 4 million in the United States (5) and 200,000 in Canada (6).…”

Knowledge gaps in the diagnosis and management of patients with tropical diseases presenting to Canadian emergency departments: are the gaps being met?

“…The literature demonstrated major gaps in the diagnosis and management of tropical diseases. 2,3 Nonspecific symptoms, 3,9,14,19,[33][34][35][36][37] a lack of awareness of the diseases in nonendemic regions, [15][16][17][18][19]35,38 and the failure of physicians to elicit a travel history [2][3][4]8,11,15,17,40,41 were reported to lead to both delays in diagnosis and misdiagnoses. Incorrect treatment and absence of necessary monitoring led to inappropriate management .3,22,35,42-47,49 Of the five studies with an emergency medicine focus, three studies showed missed or delayed diagnosis of malaria by emergency physicians in 38.0 to 47.0% of cases, with hepatitis, gastroenteritis, and viral illnesses accounting for the most common misdiagnoses.…”

“…3,9,14,19,[33][34][35][36][37] Many studies have demonstrated that misdiagnosis and delays in diagnosis result from a lack of awareness of these tropical diseases among clinicians in nonendemic regions [15][16][17][18][19]35,38 and the failure of the treating physician to elicit a travel history. [2][3][4]9,11,15,17,[39][40][41] Physicians often provide incorrect treatment for tropical diseases due to either misdiagnosing patients or not possessing the knowledge to prescribe evidence-based management. 3,22,35,[42][43][44][45][46][47] Given that emergency physicians are a common point of first contact into the health care system, it is imperative that they correctly identify and manage these patients as misdiagnosis and mismanagement can lead to prolonged illness or serious adverse events.…”