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Inner-city tuberculosis in the USA

J E McGowan1, H M Blumberg

  • 1Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia.

The Journal of Hospital Infection
|June 1, 1995
PubMed
Summary

Tuberculosis (TB) is increasing in US inner cities, particularly among vulnerable populations. Addressing this requires improved hospital diagnosis, isolation, and innovative treatment programs for the urban poor.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Epidemiology

Background:

  • Tuberculosis (TB) incidence has risen in recent years in several US regions.
  • Factors contributing to this increase include HIV co-infection, drug-resistant strains, and incomplete treatment among specific populations.

Purpose of the Study:

  • To highlight the epidemiological trends of tuberculosis in urban settings.
  • To discuss the challenges and necessary interventions for controlling TB in inner-city healthcare facilities.

Main Methods:

  • Analysis of TB case data from urban areas, exemplified by Atlanta, Georgia.
  • Review of contributing factors and current control strategies.

Main Results:

  • Inner-city public hospitals bear a significant burden of TB cases.
  • The rise in TB is linked to vulnerable populations including the homeless, non-compliant patients, and immigrants.

Conclusions:

  • Minimizing inner-city TB necessitates enhanced hospital diagnosis and isolation protocols.
  • Innovative treatment strategies, such as directly observed therapy, and addressing legal/ethical issues are crucial for managing non-compliant patients.

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