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Table 4 Clinical features of rescued sea migrants seen at the MSF-MoH clinic at Augusta harbor (Italy) from Aug 1–Dec 31, 2014, stratified by region of origin

From: Dangerous crossing: demographic and clinical features of rescued sea migrants seen in 2014 at an outpatient clinic at Augusta Harbor, Italy

Variable

TOTAL

Syria, Palestine, Iraq

Othersa

P-value b

 

n

(%)

n

(%)

n

(%)

 

Outcome of tuberculosis screening

       

Total

2593

(100)

1227

(100)

1366

(100)

 

 No clinical suspicion

2573

(99)

1225

(99)

1348

(99)

<0.001

 Clinical suspicion, not confirmed

10

(<1)

1

(<1)

9

(<1)

0.02

 Clinical suspicion, confirmed

1

(<1)

0

(0)

1

(<1)

 

 Previously confirmed and already on therapy

2

(<1)

0

(0)

2

(<1)

 

 Not recorded

7

(<1)

1

(<1)

6

(<1)

 

Presenting conditions

       

Total

2987c

(100)

1393c

(100)

1594c

(100)

 

 Respiratory

629

(21)

320

(23)

309

(19)

0.02

 Dermatological

585

(20)

159

(11)

426

(27)

<0.001

 Trauma

344

(12)

152

(11)

192

(12)

 

 Gastrointestinal

299

(10)

157

(11)

142

(9)

0.03

 Neurological

233

(8)

94

(7)

139

(9)

0.05

 Medical check-upd

125

(4)

107

(8)

18

(1)

<0.001

 Dental

104

(3)

48

(3)

56

(4)

 

 Ophthalmological

98

(3)

40

(3)

58

(4)

 

 Urogenital

79

(3)

35

(3)

44

(3)

 

 Cardiovascular incl. hypertension

53

(2)

49

(4)

4

(<1)

<0.001

 Fever

52

(2)

25

(2)

27

(2)

 

 Gyneco-obstetric

51

(2)

31

(2)

20

(1)

0.04

 Endocrinological

25

(1)

20

(1)

5

(<1)

<0.001

 Mental-health related

17

(1)

10

(1)

7

(<1)

 

 Othere

290

(10)

145

(10)

145

(9)

 

 Not recorded

3

(<1)

1

(<1)

2

(<1)

 

Symptoms’ onset

       

Total

2593

(100)

1227

(100)

1366

(100)

 

 Before migration

373

(14)

216

(18)

157

(11)

<0.001

 During migration

1873

(72)

761

(62)

1112

(81)

<0.001

 Since arrival

218

(8)

140

(11)

78

(6)

<0.001

 Does not applyf

127

(5)

108

(9)

19

(1)

<0.001

 Not recorded

2

(<1)

2

(<1)

0

(0)

 

Presence of chronic disease (definitions below)

       

Total

2593

(100)

1227

(100)

1366

(100)

 

 Yes

291

(11)

232

(19)

59

(4)

<0.001

 No/Not recorded

2302

(89)

995

(81)

1307

(96)

 

Burden of chronic disease

       

Total

313g

(100)

254g

(100)

59g

(100)

 

 Cardiovascular

86

(27)

81

(32)

5

(8)

<0.001

 Diabetes

53

(17)

48

(19)

5

(8)

0.05

 Orthopedic

33

(11)

27

(11)

6

(10)

 

 Gastrointestinal

30

(10)

21

(8)

9

(15)

 

 Chronic lung disease

18

(6)

14

(6)

4

(7)

 

 Neurological

15

(5)

12

(5)

3

(5)

 

 Urogenital

10

(3)

5

(2)

5

(8)

0.01

 Dermatological

3

(1)

3

(1)

0

(0)

 

 Endocrinologicalh

3

(1)

3

(1)

0

(0)

 

 Otheri

62

(20)

40

(16)

22

(37)

<0.001

  1. aAll other nationalities
  2. bSignificant P-values only (<0.05) are shown in the table
  3. cFor each patient we could record a maximum of two clinical conditions (16 % of patients seen)
  4. dPatients consulting mostly for blood pressure, blood sugar or temperature check
  5. eMost common: fatigue, discomfort, pain (myalgia, arthralgia, skeletal pain, etc.), otitis/otalgia, abscess, dizziness, dehydration, agitation and panic attack, anemia, rheumatic disease, need for chronic medications, loss of eyeglasses, malnutrition, palpitation, hearing loss
  6. fFor patients coming for check-up
  7. g22 patients (all from the group “Syria, Palestine, Iraq”) presented with 2 chronic diseases, mainly cardiovascular disease and diabetes
  8. hHypothyroidism and hyperthyroidism
  9. iMost common: congenital diseases (e.g. anemia), autoimmune diseases, disabilities, mental illnesses, nephrolithiasis, renal failure, chronic ear or eye disease, prostatic hypertrophy
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Conflict and Health

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