Tuberculosis among foreign-born persons in Los Angeles County, 1992-1994.

Autor: Zuber PL; Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA., Knowles LS, Binkin NJ, Tipple MA, Davidson PT
Jazyk: angličtina
Zdroj: Tubercle and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease [Tuber Lung Dis] 1996 Dec; Vol. 77 (6), pp. 524-30.
DOI: 10.1016/s0962-8479(96)90050-7
Abstrakt: Objectives: To describe the epidemiology of foreign-born tuberculosis (TB) cases in Los Angeles County and to evaluate current TB screening and follow-up of immigrants and refugees (I&R) to the USA.
Design: Retrospective analysis of the Los Angeles County TB registry between October 1992 and December 1994. We matched all cases who entered the USA during fiscal year 1993 (FY93) with a database from the tracking system of I&R with suspected TB.
Results: Foreign-born persons accounted for 64% of all reported TB cases. Half were born in Mexico or Central America. Standardized incidence rates were 3-5 times higher than those of US-born persons for Mexicans and Central Americans, 6-7 times higher for North-east Asians, and 10-15 times higher for South-east Asians. Among foreign-born cases who arrived during FY93, 5% of the Mexicans and Central Americans, 48% of the North-east Asians and 67% of the South-east Asians were registered by the tracking system.
Conclusion: Mexicans and Central Americans accounted for the majority of cases but had a lower incidence of TB than Asians. The current screening procedures identify a large proportion of cases among recently arrived South-east Asians, but contribute little to the control of TB among Mexicans and Central Americans.
Databáze: MEDLINE
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