{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:46:16Z","timestamp":1792079176485,"version":"4.4.0"},"reference-count":31,"publisher":"American Society of Tropical Medicine and Hygiene","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,15]]},"abstract":"<jats:title>ABSTRACT.<\/jats:title>\n                  <jats:p>\n                    Global displacement has brought increasingly diverse migrant populations into health systems with limited experience managing large-scale humanitarian arrivals, yet contemporary data describing infectious, environmental, and noncommunicable disease burden across heterogeneous newcomer groups remain scarce. A cross-sectional analysis of 1,844 consecutively screened newly arrived individuals who completed the U.S. domestic medical examination at the University of Oklahoma Center for Travel and Immigrant Health between October 2019 and May 2025 was conducted. Screening was performed in accordance with Centers for Disease Control and Prevention Refugee Health Domestic Guidance, with programmatic adaptations. The cohort represented more than 25 countries of origin, with substantial variation across key indicators.\n                    <jats:italic>Strongyloides stercoralis<\/jats:italic>\n                    seropositivity was 14.6% overall, highest among arrivals from Vietnam (27.1%) and Cuba (25.0%). Eosinophilia exhibited low sensitivity (\u223c12%) for\n                    <jats:italic>S. stercoralis<\/jats:italic>\n                    seropositivity. Elevated blood lead levels (\u22653.5\n                    <jats:italic>\u00b5<\/jats:italic>\n                    g\/dL) occurred in 19.2% of those tested, concentrated among young Afghan children. Latent tuberculosis infection was identified in 8.9% of patients, with marked country-level gradients. Predeparture antiparasitic therapy coverage was modest (albendazole: 42.2%; ivermectin: 34.2%). Only 6.8% of eligible women had ever undergone cervical cancer screening. Noncommunicable disease burdens varied widely by country of origin. The diverse infectious, environmental, and chronic disease profiles observed across countries of origin highlight the limitations of uniform post-arrival screening. These data support risk-stratified approaches that include targeted infectious disease testing based on country of origin and epidemiological exposures, universal predeparture hepatitis B triple-panel screening, strengthened pediatric lead surveillance, and cancer screening pathways.\n                  <\/jats:p>","DOI":"10.4269\/ajtmh.26-0352","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:11:23Z","timestamp":1792077083000},"source":"Crossref","is-referenced-by-count":0,"title":["Infectious, Environmental, and Chronic Disease Burden among 1,844 Newly Arrived Humanitarian Migrants in Oklahoma, 2019\u20132025"],"prefix":"10.4269","author":[{"given":"Shelby","family":"Beamon","sequence":"first","affiliation":[{"name":"Department of Family Medicine, The University of Oklahoma Health Campus, Oklahoma City, Oklahoma, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Kenney","sequence":"additional","affiliation":[{"name":"College of Medicine, The University of Oklahoma Health Campus, Oklahoma City, Oklahoma, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"George","sequence":"additional","affiliation":[{"name":"College of Medicine, The University of Oklahoma Health Campus, Oklahoma City, Oklahoma, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Cupps","sequence":"additional","affiliation":[{"name":"College of Medicine, The University of Oklahoma Health Campus, Oklahoma City, Oklahoma, USA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nelson Iv\u00e1n","family":"Agudelo Higuita","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, The University of Oklahoma Health Campus, Oklahoma City, Oklahoma, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"b1","article-title":"Five Takeaways from the 2024 UNHCR Global Trends Report.","year":"2024"},{"key":"b2","article-title":"Annual Public Health Global Review 2024.","year":"2025"},{"key":"b3","article-title":"Refugee Health Domestic Guidance.","year":"2024"},{"key":"b4","article-title":"Infographics: New Arrival Health Overviews, Federal Fiscal Year 2013\u20132023.","year":"2024"},{"key":"b5","article-title":"Vietnamese Refugees in Oklahoma.","year":"2026"},{"key":"b6","article-title":"Senate Committee Studies Oklahoma\u2019s Afghan Refugee Program.","year":"2023"},{"key":"b7","article-title":"Fact Sheet: Resources for CHNV Parolees.","year":"2024"},{"issue":"43","key":"b8","series-title":"MMWR Morb Mortal Wkly Rep","first-page":"1509","article-title":"Update of the blood lead reference value \u2013 United States, 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