Tuberculosis in Russia and the Problem of Multiple Drug Resistance

Yerokhin, V. V.; Punga, V. V.; Rybka, Ludmila

doi:10.1111/j.1749-6632.2001.tb11370.x

Cited by 19 publications

(9 citation statements)

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“…In this review, we observed that, globally, the level of TB in prisons has been reported much higher than that of TB in the general population [1,2,5,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29]. The WHO estimated a prevalence of TB in prisons about 10-to 100-fold higher than the prevalence in the general population [30].…”

Section: Evidence Of Prevalence Of Tb In Prisonsmentioning

confidence: 99%

Review of the prevalence and drug resistance of tuberculosis in prisons: a hidden epidemic

2014

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SUMMARY The prison setting has been often cited as a possible reservoir of tuberculosis (TB) including multidrug-resistant (MDR)-TB. This is particularly true in low-income, high TB prevalence countries in Sub-Saharan Africa. A systemic literature review was done to assess the prevalence, drug resistance and risk factors for acquiring TB in the prison population. Our review indicated a high prevalence of TB in prisons which is reported to be 3- to 1000-fold higher than that found in the civilian population, indicating evidence and the need for public health policy formulation. In addition, high levels of MDR and extensively drug-resistant (XDR)-TB have been reported from prisons, which is a warning call to review prison TB control strategy. Multiple risk factors such as overcrowding, poor ventilation, malnutrition, human immunodeficiency virus (HIV), and others have fuelled the spread of TB in prisons. Furthermore, the impact extends beyond the prison walls; it affects the civilian population, because family visits, prison staff, and members of the judiciary system could be potential portals of exit for TB transmission. The health of prisoners is a neglected political and scientific issue. Within these background conditions, it is suggested that political leaders and scientific communities should work together and give special attention to the control of TB and MDR-TB in prisons. If not, TB in prisons will remain a neglected global problem and threatens national and international TB control programmes. Further researches are required on the prevalence and drug resistance of smear-negative TB in prisons. In addition, evidence of the circulating strains and transmission dynamics inside prisons is also warranted.

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Section: Evidence Of Prevalence Of Tb In Prisonsmentioning

confidence: 99%

Review of the prevalence and drug resistance of tuberculosis in prisons: a hidden epidemic

2014

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“…Rising rates of tuberculosis (TB) ( 1 ) and increasing resistance of drugs are substantial barriers to successful patient management and TB control programs. Russia, named by the World Health Organization as one of the 22 countries with the highest TB prevalence, has seen increasing rates of TB and HIV during the past decade ( 2 – 6 ) and high levels of resistance, particularly to multiple drugs ( 7 , 8 ).…”

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confidence: 99%

Differentiation of Tuberculosis Strains in a Population with Mainly Beijing-family Strains

Nikolayevskyy

Gopaul

Balabanova

et al. 2006

Emerg. Infect. Dis.

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“…29,30 Globally, cases of MDRTB (and the difficult subset of XDR cases), have been a source of great concern, especially in Russia and parts of the former Soviet Union, and certain regions in China, Korea, Brazil, and South Africa. [31][32][33][34][35][36][37] However, as noted earlier, MDRTB has stayed at low levels in the United States, despite immigration to this country from many parts of the globe. In fact, it is interesting to note that cases of MDRTB have generally fallen at faster rates than cases of tuberculosis generally.…”

Section: Active Tuberculosismentioning

confidence: 99%

The Epidemiology of Tuberculosis in the United States

Burzynski

Schluger

2008

Semin Respir Crit Care Med

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Effective control of tuberculosis (TB) requires an understanding of the changing epidemiology of the disease. An understanding of the epidemiology is needed for public health departments to respond with appropriate program-planning decisions. Following a marked decline in the incidence of tuberculosis in the United States over several decades, the incidence escalated dramatically and peaked in 1992. The resurgence of TB reflected several factors, including deteriorating social conditions, dismantling of the public health infrastructure, dwindling support for tuberculosis clinics and services, the new epidemic of HIV/AIDS with highly susceptible individuals at risk, and immigration of individuals from countries with high rates of TB. Since 1992, there has been a substantial decline in new cases. The success in reducing the tuberculosis burden reflects several factors, including improved public health efforts, physician and patient education, infection control measures, and the use of directly observed therapy (DOT). By 2006, cases of TB in the United States had reached historic lows. Currently, a majority of cases of TB occur in foreign-born individuals, reflecting immigration from countries with high endemic rates of TB. Future efforts to curtail the incidence of TB will require vigilant public health efforts, improving education of patients and health care personnel, identifying mechanisms and routes of transmission, and assuring adequate treatment and prophylactic regimens among infected individuals.

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Tuberculosis in Russia and the Problem of Multiple Drug Resistance

Cited by 19 publications

References 0 publications

Review of the prevalence and drug resistance of tuberculosis in prisons: a hidden epidemic

Review of the prevalence and drug resistance of tuberculosis in prisons: a hidden epidemic

Differentiation of Tuberculosis Strains in a Population with Mainly Beijing-family Strains

The Epidemiology of Tuberculosis in the United States

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