In 245 IAC tested, 2% had evidence of recent HAV infection, 3% with HBV, and one child with HCV, no cases of HIV were found. One child had antibodies against syphilis (anti-Trpa-AB positivity) and 2% were latently infected with tuberculosis. We found 30% infected with pathogenic intestinal parasites. Only 46% had serologic evidence of immunization against HBV.
Infectious diseases detected by screening after arrival to Denmark in internationally adopted children
Agnethe Vale Nielsen, Jesper Kjaergaard, Tine Marie Pedersen, Ida Glode Helmuth, Ulrikka Nygaard, Helle Winter Nielsen, Vibeke Brix Christensen, Jørgen Anders Lindholm Kurtzhals, Anja Poulsen
Acta Paediatrica 2019 October 3
AIM: To show the prevalence of selected infectious diseases among internationally adopted children (IAC) in Denmark.
BACKGROUND: Each year approximately 200 IAC arrive in Denmark. These are at increased risk of infectious diseases rarely seen in Danish children. Studies from the 1990s showed that 60% of IAC had infectious diseases, and that the majority of these were undetected without screening.
METHODS: The study is a prospective study of medical records from children seen in the adoption clinic at Copenhagen University Hospital in the period 2009-2013. Screening was done for hepatitis A (HAV), B (HBV) and C (HCV),, syphilis, HIV, tuberculosis (TB), and intestinal parasites.
RESULTS: In 245 IAC tested, 2% had evidence of recent HAV infection, 3% with HBV, and one child with HCV, no cases of HIV were found. One child had antibodies against syphilis (anti-Trpa-AB positivity) and 2% were latently infected with tuberculosis. We found 30% infected with pathogenic intestinal parasites. Only 46% had serologic evidence of immunization against HBV.
CONCLUSION: The prevalence of infections in IAC was lower than previously reported but compared to the general population, a higher prevalence of intestinal parasites, hepatitis, and tuberculosis was found. We recommend that IAC are offered screening shortly after arrival.
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