Tuberculosis outbreak in an immigrant reception center in Israel: a clinical and epidemiologic perspective

Autor:	Daniel Weiler-Ravell, Moshe Lidji, Efrat Rorman, Zohar Mor, Drora Goldblatt, Hashem Bishara
Rok vydání:	2014
Předmět:	Adult Male Microbiology (medical) medicine.medical_specialty Pediatrics Tuberculosis media_common.quotation_subject Immigration Emigrants and Immigrants Disease Outbreaks Mycobacterium Cohort Studies Young Adult Active tb Health care medicine Persistent cough Humans Mass Screening Israel Child Index case media_common General Immunology and Microbiology business.industry Public health Outbreak General Medicine medicine.disease Infectious Diseases Child Preschool Family medicine Female Ethiopia Public Health Contact Tracing business
Zdroj:	Scandinavian Journal of Infectious Diseases. 46:906-910
ISSN:	1651-1980 0036-5548
DOI:	10.3109/00365548.2014.951684
Popis:	Tuberculosis (TB) outbreaks in congregate settings pose a public health concern and a clinical challenge. We report a TB outbreak involving 6 cases of active TB among 28 recent Ethiopian immigrants (EIs) in an immigrant reception center in Israel. The outbreak erupted several weeks after a meticulous pre-immigration TB screening of this group. All five culture-positive TB patients were infected with the CAS1_DELHI family, SIT 25 strain. Pulmonary involvement manifested as only a persistent cough without systemic symptoms. This outbreak occurred because of miscommunication among healthcare staff and between healthcare staff and the EI index case. It was fuelled by the staff ignorance of the social bonds within the group, and the sluggish once-monthly schedule of the on-site TB clinic operated at the reception center, which further lacked radiography facilities. This outbreak highlights the challenges of screening for active TB among immigrants and hard to reach groups.
Databáze:	OpenAIRE
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