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[Thiamine deficiency among Chinese workers in Israel]
Amalia Kleiner-Baumgarten1, Aviel Sidi, Mahmoud Abu-Shakra
1Internal Medicine Day-Hospital Unit, Soroka University Medical Center, Faculty of Health Sciences, Ben Gurion University, Beer Sheva.
Harefuah
|June 14, 2003
Summary
A fatal case of beriberi disease in a construction worker highlighted widespread thiamine deficiency among Chinese laborers in Israel. Many workers had subclinical thiamine deficiency due to poor diet and employer neglect.
Area of Science:
- Nutritional Science
- Public Health
- Tropical Medicine
Context:
- A fatal case of refractory metabolic acidosis in a Chinese construction worker in Israel prompted an investigation into potential thiamine deficiency.
- The case presented with edema and sensory loss in the legs, suggestive of beriberi disease.
Purpose:
- To investigate the prevalence of thiamine deficiency in Chinese construction workers in Israel following a fatal case.
- To identify dietary and occupational factors contributing to thiamine deficiency in this population.
Summary:
- A fatal case of beriberi disease in a 23-year-old Chinese construction worker led to screening of his colleagues.
- Thiamine deficiency was confirmed in two symptomatic workers and subclinically in 56.5% of 46 asymptomatic workers.
- Nutritional evaluation revealed inadequate thiamine intake due to limited food variety, dietary preferences, cooking methods, and employer oversight.
Impact:
- Highlights the potential for widespread, undiagnosed thiamine deficiency and beriberi disease in migrant worker populations.
- Emphasizes the need for clinical awareness among healthcare providers regarding thiamine deficiency in seemingly healthy migrant workers.
- Underscores the importance of nutritional support and employer responsibility in preventing deficiency diseases in vulnerable populations.