Tuberculosis outbreak in a nursing home involving undocumented migrants and Israeli citizens

Israel Journal of Health Policy Research
Zohar MorR Sheffer

Abstract

OBJECTIVES: Israel has absorbed > 60,000 migrant from the horn of Africa (MHOA) since 2006. No cross-transmission of Mycobacterium tuberculosis from MOHA to Israeli citizens has yet been reported. This study describes the results of contact investigation and laboratory work-out of a unique mixed cluster which included both MOHA and Israeli citizens. Description of the results of epidemiological investigation including laboratory confirmation. This unique Mycobacterium tuberculosis strain included 29 patients: 26 were MOHA and three citizens who immigrated to Israel from the former Soviet Union. This is the first mixed cluster described in Israel, which has not been represented in the SITVIT international database of genotyping markers. The transmission from non-citizens to citizens occurred in a nursing institution, when MOHA infected three other contacts- two of whom were retarded residents, one of them died. The index case was screened before employment, and was permitted to return to wok although his chest X-ray demonstrated radiological findings compatible with tuberculosis. Epidemiological links were found in other 12 MOHA members of the cluster. This report describes cross-transmission of Mycobacterium tuberculosis from n...Continue Reading

References

Sep 15, 2005·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Marylyn M McEwen
Jun 30, 2006·The European Respiratory Journal·C Stein-ZamirD Weiler-Ravell
Aug 4, 2007·American Journal of Respiratory and Critical Care Medicine·Ulf R DahleEinar Heldal
Apr 17, 2008·Australian and New Zealand Journal of Public Health·Judith LittletonJody Lawrence
Mar 20, 2012·BMC Infectious Diseases·Zaza Kamper-JørgensenTroels Lillebaek
Nov 8, 2012·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·Z MorI Grotto
Sep 6, 2014·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·D GoldblattZ Mor
Oct 8, 2014·Scandinavian Journal of Infectious Diseases·Hashem BisharaDaniel Weiler-Ravell
May 10, 2017·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·K LönnrothC Lange

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Citations

Jul 22, 2018·Israel Journal of Health Policy Research·Jonathan M Wortham

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Methods Mentioned

BETA
genotyping
PCR
electrophoresis
X
ray
lavage

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