Bulletin de la Société de pathologie exotique (1990)
Volume 88, Issue 1, 1995, Pages 24-28

Study of an HIV positive, tropical origin population in a refugee center in France [Etude d'une population d'origine tropicale, VIH positive, dans un centre de réfugiés en France.] (Article)

Bourée P.* , Lamour P. , Bisaro F. , Didier E.
  • a Département des Maladies parasitaires et tropicales, Hôpital Bicêtre, Kremlin-Bicêtre, France
  • b Département des Maladies parasitaires et tropicales, Hôpital Bicêtre, Kremlin-Bicêtre, France
  • c Département des Maladies parasitaires et tropicales, Hôpital Bicêtre, Kremlin-Bicêtre, France
  • d Département des Maladies parasitaires et tropicales, Hôpital Bicêtre, Kremlin-Bicêtre, France

Abstract

The study describes HIV positive refugee patients, who were seen over a 3 years period at COMEDE, a dispensary for foreign nationals. COMEDE offered a HIV test to every patient, and it followed up on the disease and its prevention. Out of 5,234 tests, 328 were positive (6.3%). Less than 5% of the patients refused the test. All the patients returned for the result; 88.4% were African and 11.3% Haitian. The mean age was 31.5 years. The male/female sex ratio was 1.28. In this study, 94.5% of the HIV patients were HIV1, 3% HIV2 and 2.5% carried both strains; 78% were asymptomatic, 7% had ARC and 12.5% had AIDS. The prevalence of tuberculosis was high (10.6%), especially for AIDS patients (65%); Treponematosis prevalence was 13% and toxoplasmosis was 62.8%; 40% had intestinal parasites. 36.4% of the women became pregnant during the study; 41% of the pregnancies were terminated, while 27% went full term. The proportion of missing patients after 6 months was high (57%) because of numerous factors which prevented them from returning. This study shows the importance of proposing a HIV test to this immigrant population, although follow-up is difficult, due to social and economic factors.

Author Keywords

[No Keywords available]

Index Keywords

Human immunodeficiency virus 2 refugee Human immunodeficiency virus infection France human Refugees middle aged Acquired Immunodeficiency Syndrome Colombia HIV Seropositivity ethnology Haiti Humans male female Africa Article HIV-2 AIDS related complex tropic climate adult Tropical Climate AIDS-Related Complex HIV-1 Human immunodeficiency virus 1 Bangladesh acquired immune deficiency syndrome
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029185897&partnerID=40&md5=0c3f7c9abad82f993109d175070de6fe
ISSN: 00379085
Cited by: 6
Original Language: French