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June 26, 2001; 56 (12) International Newsletter

International Newsletter

Antonio Culebras
First published June 26, 2001, DOI: https://doi.org/10.1212/WNL.56.12.26A
Antonio Culebras
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International Newsletter
Antonio Culebras
Neurology Jun 2001, 56 (12) 26A-27A; DOI: 10.1212/WNL.56.12.26A

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Europe will need 44 million immigrants by the year 2,050 because population growth is not keeping pace with economic development. Immigrants are needed to work in agriculture, construction, and other services to sustain the European economy. In Germany, the country with the largest contingent of immigrants, 7 million are legal whereas 1 million are illegal. On the entire continent, nearly 3 million immigrants have no legal documentation. Authorities in Spain, which serves as a European bridge for Africa and Latin America, estimate that 300,000 immigrants are without papers. Immigrants to Europe come from Africa, the Balkans, India, Turkey, and Latin America. Their health has become a central concern for sanitation authorities, particularly in Spain and some other countries where illegal immigrants are smuggled in. It is not just AIDS and tuberculosis but parasitic diseases, seldom seen by local physicians, that are introduced by the newcomers. It is now common to see onchocerciasis, a lymphatic filariasis that causes blindness, cerebral malaria that is often fatal, and neurocysticercosis—the modern great simulator.

More than 300,000 Ecuadorians have immigrated to Spain in recent years. In rural areas of Ecuador, neurocysticercosis affects 1 in 5 inhabitants. Two percent of Ecuadorians carry Taenia solium, a 3-meter tapeworm that causes neurocysticercosis. This statistic suggests that 6,000 Ecuadorians living in Spain are potential transmitters of eggs laid by the taenia in the intestine of the carrier. The eggs are generated daily in the hundreds of thousands by proglottids of T. solium and may find their way via fecal contamination …

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