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Tuberculosis control in Europe and international migration
H L Rieder1, J P Zellweger, M C Raviglione
1Tuberculosis Section, International Union Against Tuberculosis and Lung Disease, Paris, France.
The European Respiratory Journal
|August 1, 1994
Summary
European countries should screen incoming foreign populations for tuberculosis (TB) and M. tuberculosis infection. This proactive approach identifies high-risk individuals for timely treatment and prevention, improving public health outcomes.
Area of Science:
- Public Health
- Infectious Disease Epidemiology
- International Migration Health
Background:
- Tuberculosis (TB) is a growing concern among foreign populations in Europe.
- International migration presents unique challenges for TB control.
- Existing surveillance systems can identify at-risk groups.
Purpose of the Study:
- To provide recommendations for tuberculosis control in European countries concerning international migration.
- To outline strategies for identifying and managing TB in foreign populations.
Main Methods:
- Consensus-based position paper development by a Task Force.
- Review of tuberculosis epidemiology in relation to migration.
- Analysis of surveillance and screening strategies.
Main Results:
- Foreign populations represent an increasing proportion of TB cases in Europe.
- Screening high-risk foreign groups identifies many individuals benefiting from interventions.
- Effective TB control requires integrated surveillance and culturally sensitive services.
Conclusions:
- European countries should implement robust TB notification systems.
- Screening of high-incidence/prevalence foreign groups for TB and M. tuberculosis infection is recommended.
- Comprehensive, culturally sensitive services are crucial for intervention follow-up and treatment efficacy.