Figure 1. Management of Asymptomatic Refugees for Parasitic Infection if They Received No or Incomplete Pre-departure Treatment and Initial Approach to Persistent Eosinophilia

Alternative Text

1.	If “Refugees from Asia and the Middle East (1) Presumptive albendazole OR stool ova and parasites x 2 or more (2) CBC with differential (3) Presumptive treatment or screen and treat for strongyloidiasis”, then “Treat positive pathogenic parasite detected”, then Q: “Eosinophilia?”
a.	If “Yes”, then “Recheck total eosinophil count in 3-6 months”, then Q: “Eosinophilia?”
i.	If “Yes”, then “Further evaluation of etiology of eosinophilia”
ii.	If “No”, then “Further evaluation, if symptomatic”
b.	If “No”, then “Further evaluation, if symptomatic”
2.	If “Refugees from Loa loa-endemic areas of Africa (1) Presumptive albendazole OR stool ova and parasites x 2 or more (2) CBC with differential (3) Screen for strongyloidiasis and treat if no contraindications (4) Presumptive treatment OR screen for schistosomiasis”, then “Treat positive pathogenic parasite detected”, then Q: “Eosinophilia?”
a.	If “Yes”, then “Recheck total eosinophil count in 3-6 months”, then Q: “Eosinophilia?”
i.	If “Yes”, then “Further evaluation of etiology of eosinophilia”
ii.	If “No”, then “Further evaluation, if symptomatic”
b.	If “No”, then “Further evaluation, if symptomatic”
3.	If “Refugees from non Loa loa-endemic areas of Africa (1) Presumptive albendazole OR stool ova and parasites x 2 or more (2) CBC with differential (3) Presumptive treatment OR screen and treat for strongyloidiasis (4) Presumptive treatment OR screen for schistosomiasis”, then “Treat positive pathogenic parasite detected”, then Q: “Eosinophilia?”
a.	If “Yes”, then “Recheck total eosinophil count in 3-6 months”, then Q: “Eosinophilia?”
i.	If “Yes”, then “Further evaluation of etiology of eosinophilia”
ii.	If “No”, then “Further evaluation, if symptomatic”
b.	If “No”, then “Further evaluation, if symptomatic”