Evidence map›Paper›PMID 26175381›Full record

ArticleCanadian family physician Medecin de famille canadien2015

Health status of newly arrived refugees in Toronto, Ont: Part 1: infectious diseases.

Vanessa J Redditt, Praseedha Janakiram, Daniela Graziano, Meb Rashid

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Article
  5. Review
  6. "'Palliative care and social practice · 2025
    Article
  7. Review
  8. Who is Black? The urgency of accurately defining the Black population when conducting health research in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Infectious Diseases among Refugee Children.Children (Basel, Switzerland) · 2019
    Review
  16. Oral healthcare experiences of humanitarian migrants in Montreal, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2019
    Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Vanessa J ReddittFellow in the Global Health and Vulnerable Populations program in the Department of Family and Community Medicine (DFCM) at the University of Toronto in Ontario. vredditt@gmail.com.
Praseedha JanakiramStaff physician at the Crossroads Clinic at Women's College Hospital and Lecturer in the DFCM at the University of Toronto.
Daniela GrazianoSummer research intern at the Crossroads Clinic through the Women's College Hospital Institute for Health System Solutions and Virtual Care program.
Meb RashidDirector of the Crossroads Clinic and Lecturer in the DFCM at the University of Toronto.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the prevalence of selected infectious diseases among newly arrived refugee patients and whether there is variation by key demographic factors.

designRetrospective chart review.

settingPrimary care clinic for refugee patients in Toronto, Ont.

participantsA total of 1063 refugee patients rostered at the clinic from December 2011 to June 2014.

main outcome measuresDemographic information (age, sex, and region of birth); prevalence of HIV, hepatitis B, hepatitis C, Strongyloides, Schistosoma, intestinal parasites, gonorrhea, chlamydia, and syphilis infections; and varicella immune status.

resultsThe median age of patients was 29 years and 56% were female. Refugees were born in 87 different countries. Approximately 33% of patients were from Africa, 28% were from Europe, 14% were from the Eastern Mediterranean Region, 14% were from Asia, and 8% were from the Americas (excluding 4% born in Canada or the United States). The overall rate of HIV infection was 2%. The prevalence of hepatitis B infection was 4%, with a higher rate among refugees from Asia (12%, P < .001). Hepatitis B immunity was 39%, with higher rates among Asian refugees (64%, P < .001) and children younger than 5 years (68%, P < .001). The rate of hepatitis C infection was less than 1%. Strongyloides infection was found in 3% of tested patients, with higher rates among refugees from Africa (6%, P = .003). Schistosoma infection was identified in 15% of patients from Africa. Intestinal parasites were identified in 16% of patients who submitted stool samples. Approximately 8% of patients were varicella nonimmune, with higher rates in patients from the Americas (21%, P < .001).

conclusionThis study highlights the importance of screening for infectious diseases among refugee patients to provide timely preventive and curative care. Our data also point to possible policy and clinical implications, such as targeted screening approaches and improved access to vaccinations and therapeutics.

Indexed as

Health StatusAdolescentAdultAgedAmbulatory Care FacilitiesChildChild, PreschoolCommunicable DiseasesFemaleHumansInfantInfant, NewbornMaleMass ScreeningMiddle AgedOntario

Identifiers

PMID26175381
PMCPMC4501620

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.