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Tuberculosis among foreign-born persons in the United States, 1993-1998
E A Talbot1, M Moore, E McCray
1Division of Tuberculosis Elimination, National Center for HIV, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA.
Tuberculosis (TB) cases in foreign-born individuals increased significantly in the US from 1993-1998. Targeted TB control strategies for foreign-born populations are crucial for TB elimination efforts.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Control
Background:
- Immigration significantly sustains tuberculosis (TB) incidence in the United States.
- Understanding TB trends in foreign-born populations is vital for public health initiatives.
Purpose of the Study:
- To analyze trends and characteristics of tuberculosis cases among foreign-born individuals in the US.
- To inform TB program planning and policy development based on foreign-born case data.
Main Methods:
- Descriptive analysis of US tuberculosis surveillance data from 1993 to 1998.
- Examination of demographic and clinical characteristics of foreign-born persons diagnosed with TB.
Main Results:
- Foreign-born TB cases rose by 2.6% (1993-1998), increasing their proportion of total US cases from 29.8% to 41.6%.
- The TB case rate was substantially higher in foreign-born (32.9/100,000) versus US-born (5.8/100,000) individuals.
- Over half of foreign-born cases occurred within 5 years of US arrival; key origin countries included Mexico, Philippines, Vietnam, India, China, Haiti, and South Korea.
Conclusions:
- Reducing the impact of TB in foreign-born populations is essential for achieving US TB elimination goals.
- Tailoring TB control strategies to foreign-born communities and global TB efforts are critical.
- Increased use of directly observed therapy (DOT) showed improved treatment completion rates.
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