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Updated: Mar 14, 2026

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The MODS method for diagnosis of tuberculosis and multidrug resistant tuberculosis
Published on: August 11, 2008
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Multidrug-resistant tuberculosis and migration to Europe
S Hargreaves1, K Lönnroth2, L B Nellums1
1International Health Unit, Infectious Diseases & Immunity, Imperial College London, UK.
Summary
Multidrug-resistant tuberculosis (MDR-TB) is more common in migrants than native populations in low-incidence European countries. Addressing barriers to MDR-TB diagnosis and treatment in migrants is crucial for public health.
Area of Science:
- Public Health
- Infectious Diseases
- Epidemiology
Background:
- Multidrug-resistant tuberculosis (MDR-TB) presents a higher burden among migrant populations in low-incidence European countries.
- The epidemiological impact of recent migration trends on MDR-TB in the EU/EEA remains unclear.
- Migrants, particularly refugees and asylum seekers, may face increased risks and poorer outcomes related to MDR-TB.
Purpose of the Study:
- To review and synthesize current evidence on MDR-TB and migration in Europe.
- To identify challenges and gaps in MDR-TB management for migrant populations.
- To inform the development of effective strategies for MDR-TB control in this demographic.
Main Methods:
- A narrative review approach was employed.
- Evidence was gathered through an expert panel and comprehensive database searches.
- The review synthesized data on MDR-TB epidemiology, risk factors, and management in migrant populations.
Main Results:
- A significant portion of MDR-TB cases in migrants stem from latent infection reactivation.
- Migrants encounter substantial obstacles in accessing MDR-TB testing and treatment.
- Screening for latent MDR-TB is complicated by limitations in current diagnostic tests and treatment guidelines.
Conclusions:
- Improving MDR-TB diagnosis, treatment, and prevention for migrants is a human rights imperative.
- Transmission of TB from migrants to the general population appears low, primarily occurring within migrant communities.
- Further research is essential to guide effective MDR-TB management strategies for European migrant populations.
Keywords:
DeliveryDrug resistanceEuropeHealth service deliveryLatent tuberculosisMultidrug-resistant tuberculosisScreeningTuberculosismigrationMore Related Videos
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