PMID: 9554681Apr 29, 1998Paper

Tuberculosis among immigrants and refugees

Archives of Internal Medicine
K DeRiemerA L Reingold

Abstract

Overseas screening of immigrants and refugees applying for a visa to the United States identifies foreign-born individuals who are at high risk for tuberculosis (TB) or who have active TB. The system's effectiveness relies on further medical evaluation and follow-up of foreign-born individuals after their arrival in the United States. Retrospective cohort study of 893 immigrants and refugees who arrived in the United States from July 1, 1992, through December 31, 1993, with a destination of San Francisco, Calif, and a referral for further medical evaluation. Time to report to the local health department after arrival and the yield of active and preventable cases of TB from follow-up medical evaluations. Median time from arrival in the United States to seeking care in San Francisco was 9 days (range, 1-920 days). Of 745 immigrants and refugees (83.4%) who sought further medical evaluation, 51 (6.9%) had active TB and 296 (39.7%) were candidates for preventive therapy. Being a refugee was an independent predictor of failure to seek further medical evaluation in the United States. Class B-1 disease status based on overseas TB screening (odds ratio, 3.5; 95% confidence interval, 2.0-6.2) and being from mainland China (odds ratio, 4...Continue Reading

Citations

Aug 21, 2013·Journal of Immigrant and Minority Health·Jemma AlarcónMargaret J Oxtoby
Jun 26, 2004·BMJ : British Medical Journal·Kristina M AdamsNassim Assefi
Jun 21, 2006·BMC Public Health·Travis C PorcoSarah E Royce
Oct 1, 2005·Journal of Immigrant Health·G Michael Allan, Olga Szafran
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Sep 27, 2005·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Richard FrothinghamCarol Dukes Hamilton
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