“…The immigrant status is a well-known risk factor not only for TB disease but also for the diagnosis delay, with immigrants presenting significantly longer patient delays, which could be considered a proxy for access to healthcare services [3, 5, 7, 11-13, 18, 23-25]. Studies show that immigrants seek medical care at an advanced or intermediate TB stage [23,24,[26][27][28]. Delayed seeking of medical care amongst immigrants is often attributed to an interplay of several factors, such as living and working conditions, legal status, poor access to services, discrimination [24], poor knowledge regarding TB, availability of appropriate awareness materials, communication campaigns in different languages, literacy levels, and different sociocultural beliefs (i.e., preferring traditional healers) [24,29].…”