Dara, M;
Solovic, I;
Sotgiu, G;
D'Ambrosio, L;
Centis, R;
Tran, R;
Goletti, D;
... Migliori, GB; + view all
(2016)
Tuberculosis care among refugees arriving in Europe: a ERS/WHO Europe Region survey of current practices.
European Respiratory Journal
, 48
(3)
pp. 808-817.
10.1183/13993003.00840-2016.
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Abstract
No evidence exists on tuberculosis (TB) and latent TB infection (LTBI) management policies among refugees in European countries. A questionnaire investigating screening and management practices among refugees was sent to 38 national TB programme representatives of low and intermediate TB incidence European countries/territories of the WHO European Region. Out of 36 responding countries, 31 (86.1%) reported screening for active TB, 19 for LTBI, and eight (22.2%) reporting outcomes of LTBI treatment. Screening for TB is based on algorithms including different combinations of symptom-based questionnaires, bacteriology and chest radiography and LTBI screening on different combinations of tuberculin skin test and interferon-γ release assays. In 22 (61.1%) countries, TB and LTBI screening are performed in refugee centres. In 22 (61.1%) countries, TB services are organised in collaboration with the private sector. 27 (75%) countries answered that screening for TB is performed as per national and international guidelines, while 19 (52.7%) gave the same answer with regards to LTBI screening. Infection control measures are inadequate in several of the countries surveyed. There is need for improved coordination of TB screening in Europe to implement the End TB Strategy and achieve TB elimination.
| Type: | Article |
|---|---|
| Title: | Tuberculosis care among refugees arriving in Europe: a ERS/WHO Europe Region survey of current practices |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1183/13993003.00840-2016 |
| Publisher version: | http://dx.doi.org/10.1183/13993003.00840-2016 |
| Language: | English |
| Additional information: | This is an author-submitted, peer-reviewed version of a manuscript that has been accepted for publication in the European Respiratory Journal, prior to copy-editing, formatting and typesetting. This version of the manuscript may not be duplicated or reproduced without prior permission from the copyright owner, the European Respiratory Society. The publisher is not responsible or liable for any errors or omissions in this version of the manuscript or in any version derived from it by any other parties. The final, copy-edited, published article, which is the version of record, is available without a subscription 18 months after the date of issue publication. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Respiratory System, Union Standards, TB Control, Countries, Elimination |
| UCL classification: | UCL |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1508381 |
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