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Migrant Pathology Screening in the Pediatric Population: A Five-Year Retrospective Study From a Level II Hospital
Luísa Castello-Branco Ribeiro1, Filipa Paixão1, Francisca Costa1
1Pediatric Service, Child and Youth Department, Hospital Professor Doutor Fernando Fonseca, Amadora, PRT.
Insights
Screening migrant children in Portugal identified significant health issues, including anemia, tuberculosis, and parasitic infections. This highlights the importance of proactive health monitoring for this growing population.
Area of Science:
- Pediatrics
- Public Health
- Immigration Health
Background:
- Portugal has seen a rise in its migrant population.
- A screening program for endemic pathologies in asymptomatic migrant children was established in 2015 at Professor Doutor Fernando Fonseca Hospital.
- The program aimed for early diagnosis and treatment of health issues in migrant children.
Purpose of the Study:
- To identify and characterize the main findings of the migrant pathology screening.
- To assess the health status of asymptomatic migrant children and adolescents in Portugal.
Main Methods:
- A retrospective and descriptive study was conducted.
- Data was collected from asymptomatic children and adolescents undergoing opportunistic screening between January 2016 and April 2021.
- Microsoft Excel® was used for data analysis.
Main Results:
- 256 participants were included, with 53.5% females and a median age of 8 years and 2 months.
- The majority of participants were from Guinea-Bissau (29.7%), Angola (19.1%), and Cape Verde (12.1%).
- 38.7% of participants had screening alterations, including anemia (30.9%), tuberculosis (2.7%), parasitic infections (9.8%), HIV (0.4%), and Hepatitis B (1.6%).
- 42.6% of participants had an incomplete vaccination schedule.
Conclusions:
- The migrant pathology screening protocol effectively detected significant diseases in children and adolescents.
- The protocol is a valuable tool for monitoring the health of the migrant pediatric population.
- Early detection and intervention are crucial for improving health outcomes in migrant children.
Introduction:
The migrant population residing in Portugal has been growing. In 2015, the pediatrics department at Professor Doutor Fernando Fonseca Hospital, a level II hospital, implemented a screening for endemic pathologies in asymptomatic migrant children to enable their timely diagnosis and treatment. This study aimed to identify and characterize the main findings in the migrant pathology screening.
Methods:
This was a retrospective and descriptive study of asymptomatic children and adolescents who underwent opportunistic screening for migrant pathology in a hospital setting between January 2016 and April 2021. Data analysis was performed using Microsoft Excel®.
Results:
A total of 256 individuals were included in the study; 53.5% (137/256) were female, with a median age of eight years and two months (minimum five months; maximum 17 years and 10 months). The majority of the participants were from Guinea-Bissau (29.7%, 76/256), Angola (19.1%, 49/256) and Cape Verde (12.1%, 31/256) and had been residents in Portugal for a median time of five months (minimum two days; maximum three years and five months). A total of 42.6% (109/256) participants did not have the Portuguese vaccination schedule updated. Screening was carried out in an outpatient setting in 71.9% (184/256) of individuals. A total of 38.7% (99/256) presented screening alterations, including 65 anemia cases (18 caused by iron deficiency and one by sickle cell anemia), 5 cases of tuberculosis infection and 1 case of pulmonary tuberculosis, 1 of human immunodeficiency virus infection, 3 hepatitis B virus infection cases, 20 of parasitic infections and 2 cases of female genital mutilations.
Conclusion:
The revised migrant pathology screening protocol enabled the detection of diseases with a significant impact on the health of individual children and adolescents. This protocol serves as a practical tool for accurately monitoring the health status of this population.
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