Implementation of new TB screening requirements for U.S.-bound immigrants and refugees - 2007-2014.
For more than two decades, as the number of tuberculosis (TB) cases overall in the United States has declined, the proportion of cases among foreign-born persons has increased. In 2013, the percentage of TB cases among those born outside the country was 64.6%. To address this trend, CDC has develope...
| Publicado en: | MMWR: Morbidity & Mortality Weekly Report Vol. 63; no. 11; pp. 234 - 237 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | Journal Article |
| Publicado: |
Centers for Disease Control & Prevention (CDC)
3/21/2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104048242&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104048242 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01492195 MMW jtl: MMWR: Morbidity & Mortality Weekly Report issn: 01492195 maglogo: N pubinfo: dt: 3/21/2014 vid: 63 iid: 11 pid: 1493 pub: Centers for Disease Control & Prevention (CDC) place: Atlanta, Georgia artinfo: ui: 104048242 NLM24647399 2012516374 NLM24647399 104048242 ppf: 234 ppct: 3 formats: fmt: @attributes: type: P tig: atl: Implementation of new TB screening requirements for U.S.-bound immigrants and refugees - 2007-2014. aug: au: Posey, Drew L Naughton, Mary P Willacy, Erika A Russell, Michelle Olson, Christine K Godwin, Courtney M McSpadden, Pamela S White, Zachary A Comans, Terry W Ortega, Luis S Guterbock, Michael Weinberg, Michelle S Cetron, Martin S sug: subj: Immigrants Legislation and Jurisprudence Health Screening Legislation and Jurisprudence Program Development Refugees Legislation and Jurisprudence Tuberculosis Diagnosis Adolescence Centers for Disease Control and Prevention (U.S.) Child Child, Preschool Drug Resistance, Microbial Emigration and Immigration Interferon-gamma Release Tests Health Screening Methods Mycobacterium Tuberculosis Drug Effects Mycobacterium Tuberculosis Practice Guidelines Sputum Microbiology Tuberculin Test Tuberculosis Epidemiology Tuberculosis Therapy United States Adolescent: 13-18 years Child: 6-12 years Child, Preschool: 2-5 years ab: For more than two decades, as the number of tuberculosis (TB) cases overall in the United States has declined, the proportion of cases among foreign-born persons has increased. In 2013, the percentage of TB cases among those born outside the country was 64.6%. To address this trend, CDC has developed strategies to identify and treat TB in U.S.-bound immigrants and refugees overseas. Each year, approximately 450,000 persons are admitted to the United States on an immigrant visa, and 50,000-70,000 are admitted as refugees. Applicants for either an immigrant visa or refugee status are required to undergo a medical examination overseas before being allowed to travel to the United States. CDC is the federal agency with regulatory oversight of the overseas medical examination, and panel physicians appointed by the U.S. Department of State perform the examinations in accordance with Technical Instructions (TI) provided by CDC's Division of Global Migration and Quarantine (DGMQ). Beginning in 1991, the algorithm for TB TI relied on chest radiographs for applicants aged ≥15 years, followed by sputum smears for those with findings suggestive of TB; no additional diagnostics were used. In 2007, CDC issued enhanced standards for TB diagnosis and treatment, including the addition of sputum cultures (which are more sensitive than smears) as a diagnostic tool and treatment delivered as directly observed therapy (DOT). This report summarizes worldwide implementation of the new screening requirements since 2007. In 2012, the year for which the most recent data are available, 60% of the TB cases diagnosed were in persons with smear-negative, but culture-positive, test results. The results demonstrate that rigorous diagnostic and treatment programs can be implemented in areas with high TB incidence overseas. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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