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[Tuberculosis found among foreigners and treated at the National Hiroshima Hospital or Hiroshima Anti-Tuberculosis
H Sato1, E Shigeto, Y Yokozaki
1National Hiroshima Hospital, Japan.
Abstract:
In this study, we investigated 31 foreign patients who had been diagnosed as having pulmonary tuberculosis at the National Hiroshima Hospital or Hiroshima Anti-Tuberculosis Association between 1982 to 1995. Their age ranged from 17 to 63 years, and all of them had been in Japan for less than five years. Twelve of the patients came from South America, 18 from Asia, and one from Egypt. Seven Peruvians had been infected in a tuberculosis outbreak. The reasons of their immigration were job-seeking (14 out of 31), education (8 out of 31), and marriage to Japanese men (6 out of 31). None of them were illegal immigrants. In four women who had married Japanese men, various symptoms such as cough, sputum, and slight fever came on during pregnancy, however, none of them had been diagnosed as having tuberculosis, and consequently they had received no medication during pregnancy. In 6 out of the 8 patients who were college students, their sputa were negative for tubercle bacilli, and they could be treated by chemotherapy as outpatients. In provincial cities, every effort should be made to detect tuberculosis among members of the foreign community who are living under different environments and conditions.
Insights
This study examined 31 foreign patients with pulmonary tuberculosis in Japan. Early detection of tuberculosis in foreign communities is crucial, especially for immigrants and students.
Area of Science:
- Medical Microbiology
- Public Health
- Epidemiology
Context:
- Investigated 31 foreign patients diagnosed with pulmonary tuberculosis in Japan between 1982-1995.
- Patients' ages ranged from 17-63, with less than five years residency in Japan.
- Geographic origins included South America (12), Asia (18), and Egypt (1).
Purpose:
- To analyze the characteristics and immigration reasons of foreign tuberculosis patients.
- To highlight the importance of tuberculosis detection in foreign communities in Japan.
- To understand challenges in diagnosing tuberculosis in non-native populations.
Summary:
- Immigration reasons included job-seeking (14), education (8), and marriage (6).
- Seven Peruvian patients were linked to a tuberculosis outbreak.
- Four pregnant women married to Japanese men presented with symptoms but were undiagnosed during pregnancy.
Impact:
- Underscores the need for proactive tuberculosis screening in foreign communities, particularly in provincial areas.
- Highlights potential diagnostic delays in specific demographics, such as pregnant foreign women.
- Suggests tailored public health strategies for immigrant and international student populations to combat tuberculosis transmission.