Gastroenteritis Outbreaks in 2 Tourist Resorts, Dominican Republic
نویسندگان
چکیده
Nine patients originated from Somalia, Ethiopia, or Yemen. Few cases have previously been reported from this area (3), although Ethiopian migrants have been shown to have an egg positivity of 0.4% on routine screening (4). Patients 5 and 6 had not returned to Africa for >20 years, suggesting that they acquired their infection in Europe. Therefore, a risk factor may exist that is specifi c to this ethnic group within the United Kingdom. Six cases were diagnosed at 1 hospital. All 6 patients reported current or past use of locally bought khat, a leaf chewed for its stimulant properties. It is imported fresh to the United Kingdom from Africa and is an ideal environment for the survival of Fasciola cercariae. It is used most commonly by migrants from the Horn of Africa and Yemen and has been reported in association with acute fascioliasis in the United Kingdom (5). Use of imported khat may explain the apparently higher incidence of fascioliasis in this ethnic group residing in the United Kingdom. Despite the described parallel rise in human and veterinary fascioliasis, none of these cases provide clear evidence that recent human cases resulted from zoonotic transmission within the United Kingdom. Most cases occurred in migrants from the Horn of Africa and Yemen, some of whom may have acquired Fasciola spp. in their country of origin; other cases appear likely to have been acquired in the United Kingdom, possibly due to use of imported khat. Physicians need a heightened awareness of fascioliasis when investigating impaired liver function or abnormal abdominal imaging in migrants or travelers from high-risk areas.
منابع مشابه
Malaria and Travel to the Dominican Republic
To the Editor: The rise in international travel to malaria-endemic areas in recent years has been followed by an increase in the number of cases diagnosed in countries where malaria is not endemic (1). Tourist areas of the Dominican Republic have traditionally been considered to be low risk for malaria transmission. However, over the past few years, sporadic descriptions of imported falciparum ...
متن کامل1471A Pilot Study to Introduce Voluntary Medical Male Circumcision for HIV Prevention in Areas of High Prevalence of the Dominican Republic
Circumcision for HIV Prevention in Areas of High Prevalence of the Dominican Republic Maximo Brito, MD, MPH; Leonel Lerebours, MD; Shaveta Khosla, MPH; Claudio Volquez, MD; Emmanuel Basora, MD; Roberto Flete, MD; Flavia Lantigua, MD; Riqui Rosario; Luis Rodriguez MD; Mathius Fernandez, MD; Yeycy Donastorg, MD; Robert Bailey, PhD, MPH; University of Illinois at Chicago, Chicago, IL; Clinica de F...
متن کاملTourist Restaurant in Nagasaki, Japan Genogroup II Norovirus Strain from a Outbreaks Attributable to a Single Multiprefectural Spread of Gastroenteritis
متن کامل
Rotavirus genotypes in Costa Rica, Nicaragua, Honduras and the Dominican Republic.
In this study, 574 stool samples from children with gastroenteritis were obtained from different hospitals in Costa Rica, Honduras, Nicaragua and the Dominican Republic during 2005-2006. Diarrhea stool samples were analyzed for rotavirus by ELISA and typed by the RT-PCR-based method. Unusual strains were detected: G1P6, G2P8, G3P6, G9P4 and mixed infections. Recent studies have indicated that u...
متن کاملSerial Foodborne Norovirus Outbreaks Associated with Multiple Genotypes
Noroviruses (NoV) have been recognized as an important pathogen associated with acute gastroenteritis worldwide during the past three decades. In the spring of 2012, a series of foodborne outbreaks in tourist groups were reported to Xiamen Center for Disease Control and Prevention, Xiamen, Fujian province, China. Among a total of 268 tourists in 7 groups, the prevalence rate of acute gastroente...
متن کامل