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Immigrant Arrival and Tuberculosis among Large Immigrant- and Refugee-Receiving Countries, 2005-2009
Zachary White1, John Painter1, Paul Douglas2
1Division of Global Migration and Quarantine, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Tuberculosis control in immigrant populations is a global health priority. Collaborative efforts among major immigrant-receiving countries can significantly reduce tuberculosis and multidrug-resistant tuberculosis cases.
Area of Science:
- Public Health
- Epidemiology
- Immigration Health
Background:
- Tuberculosis (TB) control in foreign-born populations presents a significant public health challenge for major immigrant- and refugee-receiving nations.
- The Immigration and Refugee Health Working Group (IRHWG) comprises Australia, Canada, New Zealand, the United Kingdom, and the United States, all facing this issue.
Purpose of the Study:
- To identify and compare the immigration patterns and distribution of TB cases among foreign-born individuals in IRHWG member countries.
- To inform the development of targeted and collaborative interventions for TB control.
Main Methods:
- Analysis of data stratified by year and country of birth from 2005 to 2009 from the five IRHWG countries.
- Comparison of immigration totals, TB case totals, and multidrug-resistant TB (MDR TB) case totals from source countries.
Main Results:
- Between 2005 and 2009, IRHWG countries recorded 31,785,002 arrivals, 77,905 TB cases, and 888 MDR TB cases.
- India, China, Vietnam, and the Philippines were the source countries for 41.4% of foreign-born TB cases and 42.7% of foreign-born MDR TB cases.
Conclusions:
- Collaborative initiatives among these nations can lead to substantial improvements in TB control.
- Targeted strategies focusing on high-burden source countries are crucial for effective TB elimination in immigrant populations.
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