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Previous Volume 341:1539-1540 November 11, 1999 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Since 1986, families in the United States have adopted more than 125,000 children from other countries. These children, who have usually been in institutional care before adoption, come from countries with many endemic diseases, including hepatitis B, tuberculosis, and infection with intestinal parasites. The children have lived in crowded conditions, sometimes with poor standards of hygiene and inadequate nutrition. Orphanage workers are rarely if ever screened for transmissible diseases. The children themselves are often malnourished, suffer from emotional and physical neglect, and are vulnerable to infectious agents. The Americans who adopt from overseas tend to be middle-class families who reside . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Stein, M. T., Faber, S., Berger, S. P., Kliman, G. (2004). International Adoption: A 4-Year-Old Child With Unusual Behaviors Adopted at 6 Months of Age. Pediatrics 114: 1425-1431 [Full Text]  
• Chen, L. H., Barnett, E. D., Wilson, M. E. (2003). Preventing Infectious Diseases during and after International Adoption. ANN INTERN MED 139: 371-378 [Abstract] [Full Text]  
• Stead, W. W., Ridzon, R., Curtis, A., Hargreaves, J. (2000). Tuberculosis in a Child in North Dakota. NEJM 342: 1918-1919 [Full Text]  
• (2000). Tuberculosis Outbreak Linked to Child. JWatch Infect. Diseases 2000: 14-14 [Full Text]