RESUMEN
Recent immigrantyouth have multiple health needs that need to be adapted to the context of migration. School health services provide a systematic health check to allyoung immigrants starting school in Geneva, including a tuberculin skin test if coming from a middle or high incidence country. Positive tests are confirmed with Interferon Gamma Release Assay (IGRA) and if indicated, offered treatment of latent tuberculosis even in the absence of clear guidelines. Collective and individual benefits outweigh the difficult logistics: reducing risk of reactivation of latent tuberculosis for populations living in promiscuity, effective collaboration between primary care and school health services to answer the needs of these underserved youth.
Asunto(s)
Emigrantes e Inmigrantes , Huésped Inmunocomprometido , Ensayos de Liberación de Interferón gamma , Tuberculosis Latente/diagnóstico , Servicios de Salud Escolar , Estudiantes , Prueba de Tuberculina , Adolescente , Antituberculosos/uso terapéutico , Quimioterapia Combinada , Diagnóstico Precoz , Hepatitis B Crónica/complicaciones , Humanos , Ensayos de Liberación de Interferón gamma/métodos , Tuberculosis Latente/tratamiento farmacológico , Masculino , Radiografías Pulmonares Masivas , Tamizaje Masivo , Filipinas , Factores de Riesgo , Instituciones Académicas , Suiza , Resultado del Tratamiento , Tuberculosis/diagnósticoRESUMEN
The Child and youth health service of the Canton of Geneva is an important actor in support of abused children attending school. Incidence of child abuse is stable at around 3.5 per 1,000 school children. Physical, psychological abuse and neglect are the types most frequently encountered. The main risk factors for abuse are precarious socio-economic situations, parenting issues and finally issues related to young people themselves. Although the incidence of abuse is stable in recent years, with respect to the growing number of children attending school, we can conclude that the absolute number of children at risk increases, confirming the need to develop and maintain common policies and prevention actions in this area.