Lekarsky Obzor
Volume 65, Issue 7-8, 2016, Pages 281-282

Spectrum of diagnoses among refugees and migrants from Syria, Iraq and afghanistan via Hungary to Austria: Lessons from hegyeshalom health post (Article)

Hajj Ali P.* , Liskova A. , Mrazova M. , Herdics G. , Polonova J. , Suvada J. , Putekova S. , Jankechova M. , Radkova L. , Murgova M. , Bucko L. , Kokorudova G. , Tkacova L. , Bibza M. , Ondova P. , Jackulikova M. , Jackuliakova T. , Zollerova K. , Buriancova K. , Khalil I.
  • a St. Elizabeth University, United States, Slovak Tropic Institute, Emergency Refugees Health Posts, Slovakia
  • b St. Elizabeth University, United States
  • c St. Elizabeth University, United States, Slovak Tropic Institute, Emergency Refugees Health Posts, Slovakia
  • d St. Elizabeth University, United States, Budapest-Keleti, Röszke, Vámosszabadi, Hegyeshalom, Hungary
  • e St. Elizabeth University, United States, Budapest-Keleti, Röszke, Vámosszabadi, Hegyeshalom, Hungary
  • f St. Elizabeth University, United States, Budapest-Keleti, Röszke, Vámosszabadi, Hegyeshalom, Hungary
  • g St. Elizabeth University, United States
  • h St. Elizabeth University, United States
  • i St. Elizabeth University, United States
  • j St. Elizabeth University, United States
  • k St. Elizabeth University, United States, Slovak Tropic Institute, Emergency Refugees Health Posts, Slovakia
  • l Slovak Tropic Institute, Emergency Refugees Health Posts, Slovakia
  • m St. Elizabeth University, United States
  • n St. Elizabeth University, United States, St. Elizabeth Field Hospital Dobova, Slovenia
  • o St. Elizabeth University, United States, St. Elizabeth Field Hospital Dobova, Slovenia
  • p St. Elizabeth University, United States, St. Elizabeth Field Hospital Dobova, Slovenia
  • q St. Elizabeth University, United States
  • r St. Elizabeth University, United States
  • s St. Elizabeth University, United States
  • t Slovak Tropic Institute, Emergency Refugees Health Posts, Slovakia, Budapest-Keleti, Röszke, Vámosszabadi, Hegyeshalom, Hungary

Abstract

Background: Spectrum of infectious and non-infectious diseases among refugees from Syria/Iraq to Hungary/Austria in September 2015 was analyzed. Patients and metods: Respiratory isolates from patients with symptomatic respiratory tract infections (RTI) were obtained from respiratory tract secretions and tested for antimicriobial susceptibility. From September -7th when the Budapest Keleti Railway Station was occupied from migrants/refugees from Middle East via Greece to Austria, we have offered medical service to all who made verbal request. 434 adults and children asked for medical therapy among 45 000 refugees/migrants transported from Serbia back to Hungarian Camp (Vámosszabadi) (Sept. 7th - 14th 2015) and from Dec 1st to Febr 28th in Field Hospital in Dobova (Slovenia). Results: Table 1 shows distribution of infectious and non-infectious diagnoses as reason for medical intervention. Infectious diseases were not the predominant diseases and they presented about 40-45% from all cases, mainly upper RTI, and pneumonia followed by skin and soft tissue including wounds, bites, and insect related infections. Some days, scabies was present in 20-40% of all children and 10-20% of all adults and after upper RTI was second commonest infection. From non-infectious diagnoses, hypertension, insomnia, depression and the neuropsychiatric diseases related to 10-60 days stressful journey were logically very common (1-3). Analyzing the spectrum and susceptibility of bacterial isolates only one case of MRSA and 4PRP of 40 samples (12.5%) has been detected as potential pathogens, causing severe infection. No one case of HIV or tuberculosis (TB) among tropical neglected disease was observed within Sept 8th to Sept 15th 2015 and Dec 1st - Febr 28nd 2016. Conclusions: Spectrum of diagnosis among refugees and migrants from Syria and Iraq to Germany and Austria was similar to the lost population. The spectrum of disease among migrants and refugees from Midlle East to EU is similar to host population of central/eastern Europe. Migration crisis in Central and Eastern Europe led to a massive displacement through 6 countries between September - March 2016/2017 however despite 1,1 million people on the more no major infections outbreaks none been observed. In our experience in about 45 000 migrants only few episodes of infection (pneumonia) have been observed with only sporadic occurrence of resistant strains. Introduction: Within September to November 2015, about 1.1 million of refugees and migrants from Syria and Iraq (90%) and other middle Eastern countries (Afghanistan, Yemen, Central Asian, CIS member states, Pakistan, India) transited from Turkey via Greece, Hungary to Austria we opened urgent (acute) health care: About 45 000 were escaping humanitarian catastrophe 1st week and the rest 1 million in October 2015. Despite of conflicting data (1-6) majoring of patients from this region of middle East States had of tropical or severe infections disease.

Author Keywords

Refugees Migrants' health

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85034084535&partnerID=40&md5=b81eaf28abec52add553fa885ac7dd46
ISSN: 04574214
Original Language: English