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[Multiresistant tuberculosis in New York]

M Salfinger1

  • 1New York State Department of Health, Wadsworth Center for Laboratories and Research, Albany 12201-0509.

Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|October 5, 1993
PubMed
Summary
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New York faces a worsening tuberculosis crisis with inadequate healthcare preparedness. Drug-resistant tuberculosis, fueled by poverty and HIV, is rapidly spreading, especially in hospitals.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Epidemiology

Context:

  • New York City's tuberculosis (TB) situation is more severe than in the 1960s.
  • The healthcare system is less prepared to manage the current TB burden.
  • Poverty and the Human Immunodeficiency Virus (HIV) epidemic exacerbate TB control challenges.

Purpose:

  • To highlight the escalating tuberculosis crisis in New York.
  • To underscore the impact of socioeconomic factors and co-infections on TB control.
  • To report on the prevalence of multidrug-resistant tuberculosis (MDR-TB) in healthcare settings.

Summary:

  • Tuberculosis extent is greater in New York, with a less prepared healthcare system compared to the 1960s.
  • Poverty and the HIV epidemic negatively impact tuberculosis control efforts.

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  • Nosocomial multidrug-resistant tuberculosis has created an explosive situation, with 33% rifampin resistance in previously treated patients in 1991.

    • Impact:

    • The findings indicate a critical public health emergency requiring urgent intervention.
    • Highlights the need for improved TB surveillance and infection control measures.
    • Underscores the importance of addressing social determinants of health in infectious disease management.