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Free Content Active case finding for tuberculosis among high-risk groups in low-incidence countries [State of the art series. Case finding/screening. Number 3 in the series]

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Abstract:

In low-incidence countries, tuberculosis (TB) is now largely concentrated in high-risk groups such as migrants, homeless people, illicit drug users, alcoholics and prisoners. This has led to increased efforts to implement targeted active case finding for TB among specific populations. This review examines the evidence supporting active case finding in migrants and social risk groups, as well as the cost-effectiveness of interventions. While data from observational studies support active case finding in defined high-risk groups, further research to determine the effectiveness of specific tools and the cost-effectiveness of screening strategies is needed to inform evidence-based control methods in low-incidence countries. Inevitably, addressing TB in low-incidence countries will depend on effective disease control in high-burden countries.

Keywords: active case finding; homelessness; low-incidence countries; migrants; tuberculosis

Document Type: Research Article

DOI: http://dx.doi.org/10.5588/ijtld.12.0920

Affiliations: 1: Tuberculosis Section, Respiratory Diseases Department, Health Protection Agency, Colindale, London, UK; Research Department of Infection and Population Health, University College London, London, UK 2: Tuberculosis Section, Respiratory Diseases Department, Health Protection Agency, Colindale, London, UK 3: TB Department, Municipal Public Health Service Rotterdam–Rijnmond, Rotterdam, The Netherlands 4: KNCV Tuberculosis Foundation, The Hague, The Netherlands 5: Research Department of Infection and Population Health, University College London, London, UK 6: Institut de Veille Sanitaire, Paris, France

Publication date: May 1, 2013

More about this publication?
  • 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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