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Effectiveness of a screening program for HBV, HCV, and HIV infections in African migrants to Sicily

Digestive and Liver Diseases Oct 15, 2021

Prestileo T, Di Marco V, Dino O, et al. - Migrants from Africa are at risk of contracting viral infections during their journey. Researchers herein investigated risk factors for contracting hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) infections.

  • A total of 2,639 of 2,751 (95.9%) migrants who arrived in western Sicily were offered early screening for infections.

  • A questionnaire administered to evaluate risk factors was completed by 1,911 migrants (72.4%).

  • 257 (9.7%) migrants were positive for HBsAg, 24 (0.9%) were anti-HCV positive and 57 (2.2%) had HIV infection.

  • Women and people who endured physical and/or sexual violence had higher prevalence of HBV infection, while higher prevalence of HIV infection was noted among women who were in Libya for a long period and endured physical and/or sexual violence.

  • HCV infection was observed in correlation with age more than 18.

  • There were 77% of 57 individuals with HIV infection who remained in care, 79% of 70 chronic HBV hepatitis cases who initiated nucleot(s)ide analogues and 61% of 18 HCV-RNA positive cases who were provided direct-acting antiviral therapy.

  • Overall infectious disease screening programs for migrants were effective and feasible.

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