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American Academy of Pediatrics
Article

Prevalence of Infectious Diseases Among Internationally Adopted Children

Lisa Saiman, Jane Aronson, Juyan Zhou, Cabilla Gomez-Duarte, Pablo San Gabriel, Maria Alonso, Susan Maloney and Joann Schulte
Pediatrics September 2001, 108 (3) 608-612; DOI: https://doi.org/10.1542/peds.108.3.608
Lisa Saiman
From the *Department of Pediatrics, Columbia University, College of Physicians & Surgeons, New York, New York;
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Jane Aronson
‡Department of Pediatrics, Winthrop-University Hospital, Mineola, New York; and Divisions of
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Juyan Zhou
From the *Department of Pediatrics, Columbia University, College of Physicians & Surgeons, New York, New York;
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Cabilla Gomez-Duarte
From the *Department of Pediatrics, Columbia University, College of Physicians & Surgeons, New York, New York;
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Pablo San Gabriel
From the *Department of Pediatrics, Columbia University, College of Physicians & Surgeons, New York, New York;
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Maria Alonso
‡Department of Pediatrics, Winthrop-University Hospital, Mineola, New York; and Divisions of
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Susan Maloney
§Quarantine and
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Joann Schulte
‖Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, Georgia.
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Abstract

Objective. Internationally adopted children are at increased risk of infections acquired in their country of origin. Ongoing surveillance of this unique population is needed to detect changing epidemiology and provide appropriate care.

Methods. We performed a retrospective cohort study of 504 children adopted from abroad and evaluated from 1997 to 1998 to determine the prevalence of and factors associated with various infectious diseases.

Results. The mean age of the study participants at medical evaluation was 1.6 years; 71% were girls, and they were adopted from 16 countries, including China (48%), Russia (31%), Southeast Asia (8%), Eastern Europe (8%), and Latin America (5%). Overall, 75 (19%) of 404 children tested had tuberculin skin tests ≥10 mm, but all had normal chest radiographs. BCG vaccination (odds ratio [OR]: 7.37; 95% confidence interval [CI]: 3.29, 17.16) and being Russian born (OR: 2.90; 95% CI: 1.68, 5.00) were risk factors for latent tuberculosis infection. Fourteen (2.8%) children had detectable hepatitis B surface antigen, but no child had active hepatitis C, human immunodeficiency virus, or syphilis. Giardia lambliaantigen was detected in 87 (19%) of 461 tested children, and such children were older (mean: 22 months vs 15.5 months) and more likely to have been born in Eastern Europe (OR: 2.82; 95% CI: 1.70, 4.68).

Conclusions. We demonstrated increased rates of latent tuberculosis infection and G lamblia infection than previously reported. Thus, ongoing surveillance of internationally adopted children, international trends in infectious diseases, and appropriate screening will ensure the long-term health of adopted children as well as their families.

  • international adoption
  • latent tuberculosis infection
  • hepatitis B
  • hepatitis C
  • Received November 17, 2000.
  • Accepted January 22, 2001.
  • Copyright © 2001 American Academy of Pediatrics

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Pediatrics
Vol. 108, Issue 3
1 Sep 2001
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Prevalence of Infectious Diseases Among Internationally Adopted Children
Lisa Saiman, Jane Aronson, Juyan Zhou, Cabilla Gomez-Duarte, Pablo San Gabriel, Maria Alonso, Susan Maloney, Joann Schulte
Pediatrics Sep 2001, 108 (3) 608-612; DOI: 10.1542/peds.108.3.608

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Prevalence of Infectious Diseases Among Internationally Adopted Children
Lisa Saiman, Jane Aronson, Juyan Zhou, Cabilla Gomez-Duarte, Pablo San Gabriel, Maria Alonso, Susan Maloney, Joann Schulte
Pediatrics Sep 2001, 108 (3) 608-612; DOI: 10.1542/peds.108.3.608
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