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Correspondence
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Volume 344:1170 April 12, 2001 Number 15
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Schistosoma haematobium

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To the Editor: In the text accompanying their clinical image of Schistosoma haematobium, Kaplan and Meyers (Oct. 12 issue)1 state that "schistosomiasis is not thought to occur in Somalia." We disagree. Schistosomiasis needs to be considered in the differential diagnosis of unexplained hematuria in Somali immigrants. Schistosomiasis is a major health problem in Somalia; it is found in 36 percent of the population, including children. Essentially all reported cases in Somalia are thought to be due to S. haematobium.2 Although the frequency of schistosomiasis among East African immigrants in the United States is largely unknown, 15 of 60 Somali refugees . . . [Full Text of this Article]

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