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[The new poor expatriates in the third world].
J L Perret1, M Sane, P S Mbaye
1Services Médicaux, Hôpital Principal, BP 3006, Dakar, Sénégal. jlperret@refer.sn
Summary
Destitute French expatriates in Senegal faced severe health issues like infections, heart failure, and neurological problems due to lack of nutrition and medical care. Social isolation worsened their conditions and delayed aid.
Area of Science:
- Tropical Medicine
- Public Health
- International Health
Background:
- Senegal is a popular tourist destination with low-cost travel options.
- A growing population of destitute travelers is emerging in Senegal.
- Expatriates face unique health challenges when isolated from their home support systems.
Observation:
- Four French expatriates in Senegal developed serious health problems.
- Patients experienced conditions including staphylococcal infections, severe anemia, delirium tremens, and meningoencephalitis.
- All patients were jobless, homeless, and lacked access to proper nutrition and medication.
Findings:
- Untreated infections can spread and cause systemic complications like embolism.
- Severe malnutrition can lead to critical conditions such as high-output cardiac failure.
- Pre-existing conditions or substance abuse can be exacerbated by stress and isolation, leading to neurological issues.
Implications:
- Destitute travelers are at high risk for severe, preventable health conditions.
- Social alienation and lack of resources significantly worsen clinical outcomes.
- Timely intervention by foreign service officials is crucial but often delayed by patient seclusion.