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Free Content Increased risk of tuberculosis among health care workers in Samara Oblast, Russia: analysis of notification data

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SETTING: Samara Oblast, Russia.

OBJECTIVE: To compare the rates of tuberculosis (TB) in health care workers (HCWs) working in TB services, general health services (GHS) and the general population in a region of the Russian Federation.

DESIGN: Analysis of notification rates of TB among HCWs, GHS workers and the general population during the 9-year period from 1994 to 2002.

RESULTS: During 1994–2002, TB incidence among staff employed at the TB services in Samara Oblast was ten times higher than among the general population, reaching 741.6/100000 person years at risk. Staff working at in-patient TB facilities were found to be at highest risk, with an incidence rate ratio of 17.7 (95%CI 11.6–27.0) compared to HCWs at the GHS.

CONCLUSIONS: HCWs at TB services in the Russian Federation are at substantially increased risk for TB, suggesting significant risks from nosocomial transmission. Control of institutional spread of TB in the Russian Federation is an area that requires urgent attention, especially given the epidemic of human immunodeficiency virus that Russia is currently witnessing.
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Keywords: Russia; health care workers; tuberculosis

Document Type: Regular Paper

Affiliations: 1: Department of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom 2: The Business School, Imperial College, London, United Kingdom 3: Department of Infectious Diseases, Guy's, King's and St Thomas' Medical School, London, United Kingdom 4: Samara Oblast Health Department, Samara, Russian Federation

Publication date: 2005-01-01

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  • The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.

    Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website

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