Hansen's Disease and Complications among Marshallese Persons Residing in Northwest Arkansas, 2003-2017.

Szczegóły
Abstrakt

Tytuł:: Hansen's Disease and Complications among Marshallese Persons Residing in Northwest Arkansas, 2003-2017.
Autorzy:: Labuda SM; Epidemic Intelligences Service, Centers for Diseases Control and Prevention, Atlanta, Georgia.; Arkansas Department of Health, Little Rock, Arkansas.
Williams SH; Arkansas Department of Health, Little Rock, Arkansas.
Mukasa LN; Arkansas Department of Health, Little Rock, Arkansas.
McGhee L; University of Arkansas for the Medical Sciences, Northwest Regional Campus, Fayetteville, Arkansas.
Źródło:: The American journal of tropical medicine and hygiene [Am J Trop Med Hyg] 2020 Nov; Vol. 103 (5), pp. 1810-1812.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Northbrook, IL : American Society of Tropical Medicine and Hygiene
Original Publication: Baltimore.
MeSH Terms:: Native Hawaiian or Other Pacific Islander*
Leprosy/*complications
Leprosy/*epidemiology
Adolescent ; Adult ; Arkansas/epidemiology ; Child ; Female ; Humans ; Leprosy/ethnology ; Male ; Micronesia ; Middle Aged ; Young Adult
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Entry Date(s):: Date Created: 20200909 Date Completed: 20201201 Latest Revision: 20211204
Update Code:: 20240105
PubMed Central ID:: PMC7646809
DOI:: 10.4269/ajtmh.20-0003
PMID:: 32901601
: Czasopismo naukowe

Persons from the Republic of the Marshall Islands have among the highest rates of Hansen's disease (HD) in the world; the largest Marshallese community in the continental United States is in northwest Arkansas. In 2017, the HD Ambulatory Care Clinic in Springdale, Arkansas, informed the Arkansas Department of Health (ADH) that Marshallese persons with HD had severe disease with frequent complications. To characterize their illness, we reviewed ADH surveillance reports of HD among Marshallese persons in Arkansas treated during 2003-2017 ( n = 42). Hansen's Disease prevalence among Marshallese in Arkansas (11.7/10,000) was greater than that in the general U.S. population. Complications included arthritis (38%), erythema nodosum leprosum (21%), and prolonged treatment lasting > 2 years (40%). The majority (82%) of patients treated for > 2 years had documented intermittent therapy. Culturally appropriate support for therapy and adherence is needed in Arkansas.

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