Community strategies to tackle tuberculosis according to the WHO region of origin of immigrant communities
Autor: | H. O. Essadek, J. Mendioroz, I. C. Guiu, I. Barrabeig, L. Clotet, P. álvarez, A. Rodés, J. Gómez i Prat, null Barcelona Health Region Tuberculosis Preventi |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Tuberculosis business.industry Health Policy media_common.quotation_subject 030231 tropical medicine Immigration Public Health Environmental and Occupational Health Ethnic group Psychological intervention International health Original Articles medicine.disease 03 medical and health sciences 0302 clinical medicine Family medicine Intervention (counseling) Chemoprophylaxis Community health medicine 030212 general & internal medicine business media_common |
Zdroj: | Public Health Action. 8:135-140 |
ISSN: | 2220-8372 |
DOI: | 10.5588/pha.18.0011 |
Popis: | Setting: Tuberculosis (TB) control requires the proper identification and treatment of affected patients and investigation of their contacts. In certain vulnerable immigrant groups, however, these tasks may be hindered due to their ethnic and sociocultural characteristics. Objective: To analyse the results of a community programme designed to locate hard-to-reach immigrants with TB. Design: Descriptive study of all cases diagnosed with confirmed TB referred to the Public and Community Health team of the Drassanes International Health Unit in Barcelona during 2012-2014 due to difficulties in tracing these patients. Both cases and contacts were categorised based on their World Health Organization region of origin. The sociodemographic characteristics of each group and the community interventions carried out during the tracing period are described. Results: A total of 122 cases and 316 contacts were detected. As a result of community-based strategies, 73% of the initial cases completed treatment; 3.8% of the contacts were diagnosed with TB, 91.7% of whom were treated appropriately; 17.1% contacts had latent infection, 79.3% of whom completed chemoprophylaxis. Conclusions: Intervention strategies with a community approach for follow-up and control of TB in certain immigrant communities seem to be effective. |
Databáze: | OpenAIRE |
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