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Infectious Diseases in Internationally Adopted Children and Intercountry Discrepancies Among Screening Protocols, A
Elena Chiappini1, Barbara Bortone1, Sara Borgi1
1Department of Health Science, Anna Meyer Children University Hospital, University of Florence, Florence, Italy.
Insights
Internationally adopted children need prompt infectious disease screening due to higher risks. Standardizing health assessments globally is crucial for child welfare and public health.
Area of Science:
- Pediatrics
- Infectious Diseases
- Public Health
Background:
- Internationally adopted children (IAC) present unique health challenges upon arrival.
- These children have an elevated risk for various infectious diseases, including parasitic, viral, and bacterial infections.
- Early detection is vital for effective management and preventing community transmission.
Purpose of the Study:
- To analyze and compare existing health screening protocols for IAC in Europe, the United States, and Canada.
- To highlight variations in current screening approaches.
- To advocate for a standardized international protocol for IAC health assessments.
Main Methods:
- Comparative analysis of screening protocols across different continents.
- Review of current medical guidelines and practices for IAC.
Main Results:
- Significant differences were identified in the screening protocols implemented in Europe, the United States, and Canada.
- Current approaches lack international harmonization.
Conclusions:
- A unified, internationally recognized standard of care for the health management of IAC is necessary.
- Standardization will improve child health outcomes and reduce disease transmission risks.
Abstract:
Internationally adopted children (IAC) require thorough health assessments at time of arrival in the host country. As these children are at higher risk for infectious diseases, such as gastrointestinal parasites, tuberculosis, hepatitis, syphilis, and human immunodeficiency virus, early diagnosis of infectious diseases is fundamental for the optimal management of the child and, also, to reduce the risk of transmission to the adopting community. Comparative analysis of the screening protocols adopted in Europe, the United States, and Canada revealed different approaches to the adopted children. A homogeneous and internationally shared standard of care in the management of IAC should be provided.
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