Tuberculosis screening among immigrants holding a hunger strike in churches.
Int J Tuberc Lung Dis
; 7(12 Suppl 3): S412-6, 2003 Dec.
Article
en En
| MEDLINE
| ID: mdl-14677831
ABSTRACT
SETTING:
In January 2001, approximately 600 immigrants held a sit-down and hunger strike in several churches in Barcelona to force the Spanish government to comply with demands to regulate their immigration status. Following the diagnosis of a case of smear-positive pulmonary tuberculosis (TB) in one of the immigrants, we performed a large contact investigation.OBJECTIVES:
To describe contact investigation procedures used in this setting and to evaluate contact investigation results.METHODS:
Demographic variables were collected, and tuberculin skin tests (TST) and chest radiograph examinations were performed. Odds ratios (OR) with 95% confidence intervals (CI) were calculated and logistic regression was used for multivariate analyses.RESULTS:
A total of 541 TSTs were performed. Of these, 86% were read and 40.5% yielded a positive reaction with an induration >14 mm. In a multivariate analysis, the risk of presenting a TST induration >14 mm was found to be three times higher among those aged >35 years compared to those <24 years (OR 3.40; 95%CI 1.76-6.59), and for immigrants from Bangladesh (OR 3.14; 95%CI 1.16-6.10) and Pakistan (OR 2.04; 95%CI 1.11-3.73) compared to those from India. A total of 314 chest radiographs examinations were performed and three additional cases of TB were identified, yielding a TB prevalence of 0.7%.CONCLUSIONS:
By focusing efforts and conducting targeted TB screening in this high-risk population, it was possible to complete the intervention in only 3 days. A high prevalence of TB infection and TB disease was found.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pobreza
/
Tuberculosis Pulmonar
/
Tamizaje Masivo
/
Trazado de Contacto
/
Emigración e Inmigración
Tipo de estudio:
Diagnostic_studies
/
Evaluation_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Aspecto:
Determinantes_sociais_saude
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
Revista:
Int J Tuberc Lung Dis
Año:
2003
Tipo del documento:
Article
País de afiliación:
España