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Published on: September 5, 2017
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An overview of tuberculosis and migration.
P Dhavan1, H M Dias2, J Creswell3
1International Organization for Migration, Geneva.
Summary
Migrants face increased risks of tuberculosis (TB) due to health determinants and migration pathways. A new framework, adapted from the WHO End TB Strategy, calls for migrant-inclusive plans to reduce TB burden globally.
Area of Science:
- Global Health
- Epidemiology
- Migration Studies
Background:
- Migration is a significant global phenomenon impacting nearly one billion people worldwide.
- Migrants face diverse risks to their physical, mental, and social well-being, with specific subgroups experiencing heightened vulnerability.
- Determinants of health and tuberculosis (TB) interact, increasing migrants' susceptibility to infection, disease, and adverse treatment outcomes, positioning them as a key population for TB control.
Purpose of the Study:
- To provide an overview of migration trends, pathways, social determinants, and their impact on TB.
- To introduce a framework for TB prevention and reduction among migrants, aligned with global health strategies.
- To highlight the need for migrant-inclusive national TB plans and multisectoral action.
Main Methods:
- Review of migration trends and their intersection with TB epidemiology.
- Adaptation of the World Health Organization's End TB Strategy for migrant populations.
- Analysis of social determinants of health influencing TB in migrants.
Main Results:
- Migrants are a key population for TB due to complex health and social factors encountered during migration.
- A comprehensive framework is proposed for migrant-sensitive TB prevention and care.
- The framework emphasizes inclusive national TB plans, intersectoral policies, and supportive systems.
Conclusions:
- Urgent need for migrant-inclusive national TB strategies and multisectoral action to address TB in this vulnerable population.
- Further operational research is crucial to evaluate proposed approaches and scale up effective interventions.
- High-level political commitment is essential to achieve global TB targets by prioritizing migrant health.
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