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Internationally adopted children: not only infectious diseases!
Camilla Totaro1, Barbara Bortone1, Pasqua Putignano1
1Department of Health Sciences, Meyer Children's University Hospital, University of Florence, Viale Pieraccini 24, 50100 Florence, Italy.
Journal of Travel Medicine
|May 23, 2018
Summary
Special needs affect 17.1% of internationally adopted children (IAC), with fetal alcohol spectrum disorders (FASD) being most common. Russian children showed a particularly high prevalence of FASD.
Area of Science:
- Pediatrics
- Public Health
- Genetics
Background:
- International adoption presents unique challenges for child health.
- Data on the prevalence of special needs in internationally adopted children (IAC) is limited.
- Early identification and intervention are crucial for improving outcomes in this population.
Purpose of the Study:
- To determine the prevalence of special needs among IAC screened at a single center in Italy.
- To identify the most common special needs observed in this cohort.
- To highlight specific concerns, such as FASD in children from certain regions.
Main Methods:
- Retrospective review of screening data from 422 IAC.
- Data collected at a single center in Italy between 2015 and 2016.
- Analysis of prevalence rates for various special needs, with a focus on FASD, cleft lip/palate, and congenital malformations.
Main Results:
- Overall prevalence of special needs was 17.1% (72 out of 422 children).
- Fetal alcohol spectrum disorders (FASD) were the most frequent condition (7.1%), followed by congenital malformations (4.7%) and cleft lip/palate (1.9%).
- A significant proportion of Russian children (48.1%) presented with FASD.
Conclusions:
- Internationally adopted children exhibit a notable prevalence of special needs, particularly FASD.
- Targeted screening for conditions like FASD is essential, especially for children from regions with higher risk.
- Further research is needed to understand the long-term health implications and support requirements for IAC.
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