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[Tuberculosis in asylum seekers]

K Kesseler1, D Maffei, F J Meyer

  • 1Gesundheitsamt Düsseldorf.

Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany))
|October 1, 1995
PubMed
Summary

Tuberculosis screening for asylum seekers is crucial. A study found active tuberculosis in 48 of 4058 individuals, highlighting the need for mandatory chest radiographs and prompt treatment programs.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Radiology

Context:

  • Prospective study conducted in North Rhine Westphalia, Germany (1992-1994).
  • Analysis of 4058 asylum seekers aged 1-89 years.
  • Involved 9 Public Health Offices.

Purpose:

  • To assess the prevalence of tuberculosis (TB) among asylum seekers.
  • To evaluate the effectiveness of current screening methods.
  • To determine the need for improved TB control strategies in this population.

Summary:

  • Chest radiographs revealed old specific changes in 444 individuals and active tuberculosis in 48 asylum seekers, confirmed microbiologically.
  • Tuberculin skin tests were positive in 81% of evaluated individuals, with significant variations based on country of origin.
  • Prevalence of positive tuberculin tests was notably higher in asylum seekers compared to individuals born in Germany.

Impact:

  • Highlights the significant public health burden of tuberculosis among asylum seekers.
  • Underscores the urgent need for mandatory chest radiography upon arrival.
  • Recommends the implementation of controlled curative or preventive chemotherapy programs to mitigate TB transmission.

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