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Volume 15, Number 11—November 2009

Research

Imported Infectious Diseases in Mobile Populations, Spain

Begoña Monge-Maillo, B. Carolina Jiménez, José A. Pérez-Molina, Francesca Norman, Miriam Navarro, Ana Pérez-Ayala, Juan M. Herrero, Pilar Zamarrón, and Rogelio López-VélezComments to Author 
Author affiliations: Ramón y Cajal Hospital, Madrid, Spain

Main Article

Table 3

Disease diagnoses in immigrants, by area of origin, Tropical Medicine Unit, Ramón y Cajal Hospital, Madrid, Spain, 1989–2008*

Diagnostic category and disease Total population, no. (%), N = 2,198 Sub-Saharan Africans, no. (%), n = 1,564 Latin Americans, no. (%), n = 634 p value
Tropical infectious diseases
Filariasis 421 (19.2) 418 (26.7) 3 (0.4) 0.001
Intestinal parasites 242 (11.0) 162 (10.4) 80 (12.6) 0.15
Malaria 212 (9.6) 199 (12.7) 13 (2.1) 0.001
Chagas disease 101 (4.5) 0 101 (15.9)
Schistosomiasis 39 (1.8) 38 (2.4) 1 (0.2) 0.001
Cysticercosis 31 (1.4) 3 (0.2) 28 (4.4 ) 0.001
Transmissible infectious diseases
Latent tuberculosis 716 (32.6) 596 (61.2) 120 (18.9) 0.001
Active tuberculosis 107 (4.8) 52 (3.3) 55 (8.7) 0.001
Hepatotropic virus, acute infection† 31 (1.4) 27 (1.7) 4 (0.6) 0.075
Hepatotropic virus, chronic infection‡ 262 (11.9) 257 (16.4) 10 (1.6) 0.001
Sexually transmitted infections§ 107 (4.9) 92 (5.9) 15 (2.4) 0.002
HIV infection 97 (4.4) 82 (5.2) 15 (2.4) 0.005
Leprosy 8 (0.4) 3 (0.2) 5 (0.8) 0.02
Common infectious diseases
Respiratory infections 61 (2.8) 36 (2.3) 25 (3.9) 0.013
Gastrointestinal bacterial infections 92 (4.2) 69 (4.4) 23 (3.6) 0.705
Urinary infections 69 (3.1) 45 (2.9) 24 (3.8) 0.135
Skin infections 80 (3.6) 71 (4.5) 9 (1.4) 0.001
Infrequent infections 36 (1.7 ) 20 (1.3) 16 (2.5) 0.025
Noninfectious diseases 596 (27.1) 430 (27.5) 166 (26.2) 0.978

*Because each patient could have >1 diagnosis, the number of cases can be higher than the number of patients. Percentages have been calculated as number of cases divided by number of patients in each group (total population, sub-Sahara African immigrants, or, Latin American immigrants).
†Acute infections with hepatotropic virus caused by hepatitis A virus, hepatitis B virus, hepatitis E virus, cytomegalovirus, and Epstein-Barr virus
‡Chronic infections with hepatotropic virus were caused by hepatitis B virus, hepatitis C virus, and hepatitis D virus.
§Sexually transmitted infections comprised syphilis, bacterial vaginosis, trichomoniasis, gonococcal urethritis, Chlamydia trachomatis, and genital herpes virus.

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