在2020年居住在欧洲国家的外国出生者中结核病发病率
Anca Vasiliu1, Niklas Köhler2,3,4, Ekkehardt Altpeter5
1Baylor College of Medicine, Department of Pediatrics, Global and Immigrant Health, Global Tuberculosis Program, Houston, Texas, United States.
概括
欧洲的结核病 (TB) 查政策需要更有针对性. 原产国结核病发病率是不够的;针对欧洲外国出生人口的具体数据对于有效预防结核病至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病控制和控制传染病
背景情况:
- 欧洲结核病 (TB) 消除政策需要确定关键人群以进行有针对性的结核病查.
- 有效的策略需要了解欧洲国家外国出生居民的结核病负担.
研究的目的:
- 确定在欧洲出生在国外的群体,他们最能从有针对性的结核病预防查中受益.
- 以数据驱动的洞察力为欧洲结核病消除战略提供信息.
主要方法:
- 一项跨部门调查收集了2020年来自30个欧洲国家的外国出生的结核病患者的数据.
- 结核病发病率 (IRs) 在原籍国和居住国之间进行了比较,对结核病贡献率最高的国家进行了比较.
主要成果:
- 数据包括9116名外国出生的结核病患者,主要来源包括厄立特里亚,印度,巴基斯坦,摩洛哥,罗马尼亚和索马里.
- 与原籍国相比,在特定欧洲国家的某些外国出生群体 (例如,希腊和马耳他的厄立特里亚和索马里患者) 中,结核病IR显著更高.
- 总体而言,TB IR在居住国家通常低于原产国,但特定的子组显示风险较高.
结论:
- 仅仅依靠原产国结核病发病率是不足以针对外国出生的人口在欧洲进行结核病查和预防.
- 结核病消除战略必须包括定期收集的,关于外国出生的人口的国家特定数据,以适应不断变化的流行病学和风险.
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