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Plan Beta for tuberculosis: it's time to think seriously about poorly ventilated congregate settings

Yates, TA; Tanser, F; Abubakar, I; (2016) Plan Beta for tuberculosis: it's time to think seriously about poorly ventilated congregate settings. International Journal of Tuberculosis and Lung Disease , 20 (1) pp. 5-10. 10.5588/ijtld.15.0494. Green open access

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Abstract

Globally, the rates of decline in tuberculosis (TB) incidence are disappointing, but in line with model predictions regarding the likely impact of the DOTS strategy. Here, we review evidence from basic epidemiology, molecular epidemiology and modelling, all of which suggest that, in high-burden settings, the majority of Mycobacterium tuberculosis transmission may occur in indoor congregate settings. We argue that mass environmental modifications in these places might have a significant impact on TB control and suggest a research agenda that might inform interventions of this nature. The necessary technology exists and, critically, implementation would not be dependent on health care workers who are in short supply in the communities worst affected by TB.

Type: Article
Title: Plan Beta for tuberculosis: it's time to think seriously about poorly ventilated congregate settings
Location: France
Open access status: An open access version is available from UCL Discovery
DOI: 10.5588/ijtld.15.0494
Publisher version: http://dx.doi.org/10.5588/ijtld.15.0494
Language: English
Additional information: This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health > Infection and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/1475624
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