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HIV/AIDS and Associated Conditions among HIV-Infected Refugees in Minnesota, 2000–2007

Author

Listed:
  • Sara A. Lowther

    (Centers for Disease Control and Prevention, 1600 Clifton Road, MS A-04, Atlanta, GA 30333, USA
    Minnesota Department of Health (MDH), Saint Paul, MN 55164, USA)

  • Glenise Johnson

    (Minnesota Department of Health (MDH), Saint Paul, MN 55164, USA)

  • Brett Hendel-Paterson

    (Department of Medicine—Global Health, University of Minnesota, Minneapolis, MN 55455, USA
    HealthPartners Regions Hospital, Saint Paul, MN 55104, USA)

  • Kailey Nelson

    (Minnesota Department of Health (MDH), Saint Paul, MN 55164, USA
    Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA)

  • Blain Mamo

    (Minnesota Department of Health (MDH), Saint Paul, MN 55164, USA)

  • Kristina Krohn

    (Department of Medicine—Global Health, University of Minnesota, Minneapolis, MN 55455, USA)

  • Luisa Pessoa-Brandão

    (Minnesota Department of Health (MDH), Saint Paul, MN 55164, USA)

  • Ann O'Fallon

    (Minnesota Department of Health (MDH), Saint Paul, MN 55164, USA)

  • William Stauffer

    (Department of Medicine—Global Health, University of Minnesota, Minneapolis, MN 55455, USA
    Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA)

Abstract

In 2010, the requirement for human immunodeficiency virus (HIV) testing of adult refugees prior to US resettlement was removed, thus leading to a potential for missed diagnosis. We reviewed refugee health assessment data and medical charts to evaluate the health status of HIV-infected refugees who arrived in Minnesota during 2000–2007, prior to this 2010 policy change. Among 19,292 resettled adults, 174 were HIV-infected; 169 (97%) were African (median age 26.4 (range: 17–76) years). Charts were abstracted for 157 (124 (79%) with ≥1 year of follow-up). At initial presentation, two of 74 (3%) women were pregnant; 27% became pregnant during follow-up. HIV clinical stage varied (59%, asymptomatic; 11%, mild symptoms; 10%, advanced symptoms; 3%, severe symptoms; 17%, unknown); coinfections were common (51 tuberculosis, 13 hepatitis B, 13 parasites, four syphilis). Prior to arrival 4% had received antiretrovirals. Opportunistic infections were diagnosed among 13%; 2% died from AIDS-related causes. Arrival screening may be needed to identify these HIV-infected refugees and prevent HIV-related morbidity and mortality.

Suggested Citation

  • Sara A. Lowther & Glenise Johnson & Brett Hendel-Paterson & Kailey Nelson & Blain Mamo & Kristina Krohn & Luisa Pessoa-Brandão & Ann O'Fallon & William Stauffer, 2012. "HIV/AIDS and Associated Conditions among HIV-Infected Refugees in Minnesota, 2000–2007," IJERPH, MDPI, vol. 9(11), pages 1-13, November.
    • Handle: RePEc:gam:jijerp:v:9:y:2012:i:11:p:4197-4209:d:21536
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