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Ahead of Print -Asymptomatic Malaria and Other Infections in Children Adopted from Ethiopia, United States, 2006–2011 - Volume 21, Number 7—July 2015 - Emerging Infectious Disease journal - CDC

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Ahead of Print -Asymptomatic Malaria and Other Infections in Children Adopted from Ethiopia, United States, 2006–2011 - Volume 21, Number 7—July 2015 - Emerging Infectious Disease journal - CDC



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Volume 21, Number 7—July 2015

Dispatch

Asymptomatic Malaria and Other Infections in Children Adopted from Ethiopia, United States, 2006–2011

Senait M. Adebo, Judith K. Eckerle, Mary E. Andrews, Cynthia R. Howard, and Chandy C. JohnComments to Author 
Author affiliations: Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA (S.M. Adebo)University of Minnesota, Minneapolis, Minnesota, USA (J.K. Eckerle, M.E. Andrews, C.R. Howard, C.C. John)Indiana University, Indianapolis, Indiana, USA (C.C. John)

Abstract

We screened 52 children adopted from Ethiopia for malaria because they had previously lived in a disease-endemic region or had past or current hepatomegaly or splenomegaly. Seven (13.5%) children had asymptomatic malaria parasitemia by microscopy (n = 2) or PCR (n = 5). Our findings suggest that adoptees at risk for asymptomatic malaria should be screened, preferably by PCR.
International adoptees are at increased risk for infectious diseases (1). During 2007–2012, Ethiopia was 1 of the top 5 countries of origin for children who were adopted by persons in the United States (2), but few studies have been published on children from Ethiopia who were adopted by persons in the United States (3). Malaria caused by Plasmodium falciparumP. vivax, and, less frequently, P. ovale is endemic to several regions in Ethiopia (4). Children adopted from Ethiopia are often living in orphanages in Addis Ababa, an area free of malaria, at the time of their adoption, but they may have lived in a malaria-endemic area before their transfer to the orphanage. The prevalence of asymptomatic malaria parasitemia among these children is not known.

Dr. Adebo works as a hospitalist pediatrician at the Children’s Hospital of Philadelphia. Her primary research interests are global health and international adoption issues.

References

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Tables

Suggested citation for this article: Adebo SM, Eckerle JK, Andrews ME, Howard CR, John CC. Asymptomatic malaria and other infections in children adopted from Ethiopia, United States, 2006–2011. Emerg Infect Dis. 2015 Jul [date cited]. http://dx.doi.org/10.3201/eid2107.141933
DOI: 10.3201/eid2107.141933

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