Influence of Migration on Tuberculosis in a Semi-Urban Area

Molina-Salas, Yolanda; Campos, María de las Mercedes Lomas; Romera-Guirado, Francisco José; Romera-Guirado, María Jesús

doi:10.1016/j.arbr.2014.06.004

Cited by 4 publications

(4 citation statements)

References 19 publications

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“…In most resource-limited settings, a significant portion of urban health-service seekers come from rural areas, sometimes travelling long distances, due to lack of quality health services in remote areas. In addition, frequent bidirectional movements of people between urban and rural areas [24] for various purposes may increase disease transmission. Since most project-driven TB case-finding efforts use accessibility, feasibility, and yield as criteria for selection of intervention sites, there is a high probability that remote, rural, and low-case-notifying areas will be left behind.…”

Section: Discussionmentioning

confidence: 99%

High urban tuberculosis case notification rates can be misleading: evidence from an urban setting in Ethiopia

Datiko¹,

Hadgu²,

Jerene³

et al. 2020

BMC Public Health

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Background: Tuberculosis (TB) is a major public health problem. Its magnitude the required interventions are affected by changes in socioeconomic condition and urbanization. Ethiopia is among the thirty high burden countries with increasing effort to end TB. We aimed to describe the case notification rate (CNR) for urban tuberculosis (TB) and estimate the percentage of TB patients who are not from the catchment population. Methods: This cross-sectional study used data from TB registers from 2014/15 to 2017/18. We calculated the CNR and treatment success rate for the study area. Results: Of 2892 TB cases registered, 2432 (84%) were from Adama City, while 460 (16%) were from other sites. The total TB CNR (including TB cases from Adama and other sites) was between 153 and 218 per 100,000 population. However, the adjusted TB CNR (excluding cases outside Adama City) was lower, between 135 and 179 per 100,000. Of 1737 TB cases registered, 1652 (95%) were successfully treated. About 16% of TB cases notified contributing to CNR of 32 per 100,000 population is contributed by TB cases coming from outside of Adama city. The CNR of 32 per 100,000 population (ranging from 18 to 46 per 100,000) for Adama City was from the patients that came from the surrounding rural areas who sought care in the town. Conclusion: Although the TB CNR in Adama City was higher than the national CNR, about one-fifth of TB cases came from other sites-which led to overestimating the urban CNR and underestimating the CNR of neighboring areas. TB programs should disaggregate urban TB case notification data by place of residence to accurately identify the proportion of missed cases.

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Section: Discussionmentioning

confidence: 99%

High urban tuberculosis case notification rates can be misleading: evidence from an urban setting in Ethiopia

Datiko¹,

Hadgu²,

Jerene³

et al. 2020

BMC Public Health

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“…Migration from high-incidence countries (defined as incidence as ≥20 tuberculosis (TB) cases/100,000 inhabitants/year) is known to contribute notably to TB burden in low-incidence countries (<20 TB cases/100,000 inhabitants/year) using the thresholds previously proposed by the Wolfheze working group [4] and adopted in the EU monitoring framework [5] [6][7][8][9][10][11][12][13][14]. Persons with latent TB infection as well as patients with active TB and multidrug-resistant (MDR) TB can easily move from one country to another in the EU.…”

Section: Introductionmentioning

confidence: 99%

The effect of migration within the European Union/European Economic Area on the distribution of tuberculosis, 2007 to 2013

et al. 2016

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Immigration from tuberculosis (TB) high-incidence countries is known to contribute notably to the TB burden in low-incidence countries. However, the effect of migration enabled by the free movement of persons within the European Union (EU)/European Economic Area (EEA) on TB notification has not been analysed. We analysed TB surveillance data from 29 EU/EEA countries submitted for the years 2007-2013 to The European Surveillance System. We used place of birth and nationality as proxy indicators for native, other EU/EEA and non-EU/EEA origin of the TB cases and analysed the characteristics of the subgroups by origin. From 2007-2013, a total of 527,467 TB cases were reported, of which 129,781 (24.6%) were of foreign origin including 12,566 (2.4%) originating from EU/EEA countries other than the reporting country. The countries reporting most TB cases originating from other EU/EEA countries were Germany and Italy, and the largest proportion of TB cases in individuals came from Poland (n=1,562) and Romania (n=6,285). At EU/ EEA level only a small proportion of foreign TB cases originated from other EU/EEA countries, however, the uneven distribution of this presumed importation may pose a challenge to TB programmes in some countries.

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“…Este predominio de varones esta en concordancia con lo hallado de forma constante en otras áreas 99,184,204,240,248,250,251 . La predominancia de tuberculosis en varones tradicionalmente se ha atribuido a la presencia en ellos de más factores de riesgo 252 , algo que se corrobora en nuestro estudio, donde el 75,2 % de los hombres nativos (143/190) presentaron algún factor o situación de riesgo frente al 51,3 % de las mujeres nativas (39/79) (p = 0,000; OR = 3,12; IC 95 % 1, 41 Al igual que en otros estudios, la enfermedad tuberculosa en los pacientes inmigrantes de nuestro estudio, aparecía con mayor frecuencia en los 5 primeros años de su estancia en nuestro país 242,259,260 . En Madrid el 84 % de los inmigrantes con enfermedad tuberculosa llevaban menos de 5 años viviendo en España, en la provincia de Soria fueron el 68,9 % (31/45) La enfermedad tuberculosa se ha asociado en diversos estudios a mayor consumo de sustancias tóxicas en la población autóctona 242,253…”

Section: Sexo Y Distribución Etariaunclassified

“…La situación varía mucho entre los países de origen analizados, aunque el número de cepas por países es muy escaso para extraer conclusiones. En nuestro estudio, al igual que en otros 242 , Se observa que la prescripción de una pauta de 4 fármacos esta relacionada con la condición de ser inmigrante (tabla 41). Sin embargo, es posible que esta diferencia sea progresivamente menos notoria ya que las recomendaciones desde 2008 son tratar de inicio con 4 fármacos hasta la llegado de los resultados del antibiograma 34,96 .…”

Section: Radiografíaunclassified

Evolución de la tuberculosis en la provincia de Soria 1994-2013: diagnóstico microbiológico

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Influence of Migration on Tuberculosis in a Semi-Urban Area

Cited by 4 publications

References 19 publications

High urban tuberculosis case notification rates can be misleading: evidence from an urban setting in Ethiopia

High urban tuberculosis case notification rates can be misleading: evidence from an urban setting in Ethiopia

The effect of migration within the European Union/European Economic Area on the distribution of tuberculosis, 2007 to 2013

Evolución de la tuberculosis en la provincia de Soria 1994-2013: diagnóstico microbiológico

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