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International adoption: infectious diseases issues.

Laurie C Miller1

  • 1New England Medical Center, Boston, MA 02111, USA. lmiller1@tufts-nemc.org

Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
|January 19, 2005
PubMed
Summary

International adoptees may face health risks like infectious diseases due to orphanage conditions. Post-adoption screening and management by infectious disease consultants are crucial for their well-being.

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Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Public Health

Background:

  • Over 220,000 children adopted internationally by U.S. families since 1986.
  • Significant numbers adopted from China and Russia, often from orphanage settings.
  • Orphanage environments pose risks including malnutrition, neglect, and infectious disease exposure.

Purpose of the Study:

  • To highlight the importance of specialized screening for international adoptees.
  • To outline key infectious diseases of concern in this population.
  • To define the role of infectious disease consultants in pre- and post-adoption care.

Main Methods:

  • Review of medical records and pre-adoptive health assessments.
  • Post-arrival screening for specific infectious diseases.
  • Evaluation of vaccination status and management of identified conditions.

Main Results:

  • Identified infectious diseases of concern: Hepatitis B/C, syphilis, HIV, tuberculosis, intestinal parasites.
  • Consultants advise on travel, review records, and assess vaccination adequacy.
  • Consultants aid in screening, evaluation, and management of post-adoption health issues.

Conclusions:

  • International adoptees require targeted medical evaluations post-arrival.
  • Infectious disease consultants play a vital role in ensuring the health of adopted children.
  • Proactive screening and management are essential for international adoptees' long-term health.

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