Effectiveness of Postmigration Screening in Controlling Tuberculosis Among Refugees: A Historical Cohort Study, 1984-1998
This study assessed the effectiveness of postmigration screening for the control of tuberculosis (TB) among refugee migrants. We conducted a historical cohort study among 24 610 predominantly Southeast Asian refugees who had arrived in Sydney, Australia, between 1984 and 1994. All had been screened...
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Published in | American journal of public health (1971) Vol. 91; no. 11; pp. 1797 - 1799 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Washington, DC
Am Public Health Assoc
01.11.2001
American Public Health Association American Journal of Public Health 2001 |
Subjects | |
Online Access | Get full text |
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Summary: | This study assessed the effectiveness of postmigration screening for the control of tuberculosis (TB) among refugee migrants.
We conducted a historical cohort study among 24 610 predominantly Southeast Asian refugees who had arrived in Sydney, Australia, between 1984 and 1994. All had been screened for TB before arrival and had radiologic follow-up for 18 months after arrival. Incident cases of TB were identified by record linkage analysis with confirmatory review of case notes.
The crude annual incidence rate over 10-year follow-up was 74.9 per 100 000 person-years. Only 29.6% of the cases were diagnosed as a result of routine follow-up procedures.
Enhanced passive case finding is likely to be more effective than active case finding for the control of TB among refugees. |
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Bibliography: | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 ObjectType-Article-1 ObjectType-Feature-2 G. B. Marks designed the study, contributed to the analysis, and wrote the paper. J. Bai undertook the data collection and linkage analysis and contributed to the data analysis and writing of the paper. G. J. Stewart, S. E. Simpson, and E. A. Sullivan contributed to the design, interpretation, and supervision of the study and to the writing of the paper. Peer Reviewed Requests for reprints should be sent to Guy B. Marks, PhD, FRACP, Chest Clinic, Liverpool Hospital, PO Box 103, NSW 2170 Australia (e-mail: g.marks@unsw.edu.au). |
ISSN: | 0090-0036 1541-0048 |
DOI: | 10.2105/AJPH.91.11.1797 |