Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Eur Respir J. 2014 Apr;43(4):1159-71. doi: 10.1183/09031936.00117213. Epub 2013 Oct 10.

Tuberculosis transmission between foreign- and native-born populations in the EU/EEA: a systematic review.

Author information

  • 1European Centre for Disease Prevention and Control, Stockholm, Sweden.

Abstract

Tuberculosis (TB) control programmes of many low TB incidence countries of the European Union/European Economic Area (EU/EEA) perceive challenges in controlling TB due to high numbers of TB in migrants from high-incidence countries. To assess the extent of TB transmission from the foreign-born to the native-born population, we quantitatively investigated the dynamics of TB transmission between these populations in the EU/EEA, using published molecular epidemiological studies. We searched PubMed and EMBASE databases from 1990 to August 2012. We identified 15 studies performed during 1992-2007 covering 12,366 cases, of which median (range) 49.2% (17.7%-86.4%) were foreign-born. The proportion of clustered isolates ranged between 8.5% and 49.1% of the total number of TB cases genotyped and among these, foreign-born cases were equally or more likely to have unique isolates compared to native-born cases. One third of the clusters were "mixed", i.e. composed of foreign- and native-born cases, involving 0-34.2% of all genotyped cases. Cross-transmission among foreign and native populations was bidirectional, with wide differences across studies. This systematic review provides evidence that TB in a foreign-born population does not have a significant influence on TB in the native population in EU/EEA.

PMID:
24114966
[PubMed - in process]
PMCID:
PMC3971120
Free PMC Article

Images from this publication.See all images (3)Free text

Figure 1–
Figure 2–
Figure 3–
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for HighWire Icon for PubMed Central
    Loading ...
    Write to the Help Desk