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Orphan airlift. Enteric pathogens isolated from Vietnamese children immigrating to the United States

R Goldsmith, F Stark, C Smith

    JAMA
    |May 10, 1976
    PubMed

    Insights

    Vietnamese infants airlifted to the US carried bacterial and parasitic pathogens, including enteropathogenic Escherichia coli and Giardia lamblia. This likely led to illness in caregivers, highlighting potential public health concerns during population displacement.

    Area of Science:

    • Microbiology
    • Infectious Diseases
    • Public Health

    Background:

    • Stool specimens were collected from Vietnamese infants during a mass airlift to the United States.
    • Understanding the prevalence of enteric pathogens in this population is crucial for public health preparedness.

    Purpose of the Study:

    • To identify bacterial and parasitic agents in the stool specimens of Vietnamese infants.
    • To assess the potential transmission of these agents to caregivers.

    Main Methods:

    • Stool cultures were performed on 367 infant specimens to isolate bacterial pathogens.
    • Parasitic identification was conducted on 88 specimens.
    • Caregiver health and stool cultures were monitored for evidence of transmission.

    Main Results:

    • 49% of infant stool specimens yielded one or more bacterial pathogens, primarily enteropathogenic Escherichia coli (E. coli).
    • Parasites such as Giardia lamblia, Ascaris lumbricoides, and Entamoeba histolytica were identified.
    • 48% of adult caregivers reported diarrhea, with E. coli isolated from their stool cultures, suggesting transmission.

    Conclusions:

    • Infants arriving via mass airlift can harbor significant enteric pathogens.
    • There is a demonstrable risk of pathogen transmission from infants to their caregivers.
    • These findings underscore the importance of health screenings and infection control during population resettlement.

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