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Free Content Lessons learned during tuberculosis screening in public medical clinics in Francistown, Botswana [Notes from the field]

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In Botswana, where one quarter of the adult population is infected with the human immunodeficiency virus and the annual tuberculosis (TB) incidence is among the highest globally, intensified TB case finding is needed in health care facilities to detect and treat TB cases early and prevent transmission. During August–December 2009, TB screening was implemented among adults at patient intake in five clinics in Francistown. Among 11 779 TB screenings at intake, 926 were positive. Nineteen patients were diagnosed with TB. Routine TB screening at intake was operationally feasible, but had low yield. Innovative case-finding strategies are needed in Botswana.
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Keywords: Botswana; HIV/AIDS; intensified case finding; tuberculosis

Document Type: Research Article

Affiliations: 1: US Centers for Disease Control and Prevention, Atlanta, Georgia, USA 2: US Centers for Disease Control and Prevention–Botswana, Gaborone, Botswana 3: Botswana National Tuberculosis Program, Gaborone, Botswana

Publication date: 2012-08-01

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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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