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Published on: April 5, 2017
Tuberculosis surveillance in a therapeutic community
1Department of Community Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA.
Tuberculosis (TB) screening and education were integrated into a drug abuse rehabilitation program. This initiative successfully raised awareness and identified positive cases without negatively impacting resident retention.
Area of Science:
- Public Health
- Infectious Diseases
- Addiction Medicine
Background:
- Tuberculosis (TB) disproportionately affects immunocompromised individuals, including those with substance use disorders.
- Daytop Village Inc., a therapeutic community, implemented a TB surveillance and prevention program.
Purpose of the Study:
- To assess the feasibility and impact of integrating TB screening and education into a drug abuse rehabilitation setting.
- To evaluate the prevalence of TB and HIV among clients in a therapeutic community.
Main Methods:
- A TB surveillance and prevention education program was implemented for staff and residents.
- Tuberculosis (TB) screening was conducted on 2,932 clients from March 1991 to September 1992.
- HIV testing was performed on 125 individuals who tested positive for TB.
Main Results:
- 9.2% (272/2,932) of clients screened were positive for TB.
- 22.4% (28/125) of TB-positive clients also tested positive for HIV.
- The TB screening program did not negatively affect resident retention rates.
Conclusions:
- Integrating TB education, screening, and treatment into primary care within therapeutic communities is feasible and effective.
- This model supports the management of infectious diseases among vulnerable populations in addiction rehabilitation settings.
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