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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: 01 August 2012

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  • The International Journal of Tuberculosis and Lung Disease (IJTLD) is for clinical research and epidemiological studies on lung health, including articles on TB, TB-HIV and respiratory diseases such as COVID-19, asthma, COPD, child lung health and the hazards of tobacco and air pollution. Individuals and institutes can subscribe to the IJTLD online or in print – simply email us at [email protected] for details.

    The IJTLD is dedicated to understanding lung disease and to the dissemination of knowledge leading to better lung health. To allow us to share scientific research as rapidly as possible, the IJTLD is fast-tracking the publication of certain articles as preprints prior to their publication. Read fast-track articles.

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