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Scandinavian Journal of Public Health
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Varicella Among Immigrants from the Tropics, a Health Problem

Helge Kjersem

Helge Kjersem M.D. Department of Diagnostic Bacteriology Statens Seruminstitut Amager Boulevard 80 DK-2300 Copenhagen S, Denmark

Søren Jepsen

From the Asylum Department, Danish Red Cross, and the Department of Treponematoses, Statens Seruminstitut, Copenhagen, Denmark

The incidence of varicella in Tamil refugees in Denmark was evaluated. Of 256 Tamils, 44% developed varicella infection in the first few months after arrival, representing 38% of the adults, and 68% of the children. During approximately four months' observation in Denmark, 75% of the refugees with no history of varicella developed a typical infection whereas only 2% of those with a history of varicella developed the disease. Tropical refugees with a negative history of varicella must therefore be considered non-immune. Nine of 44 fertile women were pregnant. Two aquired the varicella infection during the first-trimester, none in relation to delivery. By organizing a health-check on arrival, prophylactic measures can reduce the health hazard of varicella infection in refugees from the tropics.

Key Words: varicella • pregnancy • Tamils • health organization • migration medicine.

Scandinavian Journal of Public Health, Vol. 18, No. 3, 171-174 (1990)
DOI: 10.1177/140349489001800303
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