Migration: an opportunity for the improved management of tuberculosis worldwide

作者: Dennis Falzon , Matteo Zignol , Paul Nunn , Giovanni Battista Migliori , Mario C. Raviglione

DOI: 10.2427/7524

关键词: VulnerabilityEpidemiologyHealth careEnvironmental healthInequalityPublic healthTuberculosisDiseaseMedicinePopulation

摘要: Migration, both within and between countries, has increased worldwide in recent years. While migration itself need not present a risk to health, it is often characterized by stress individual vulnerability disease inequalities access care. Migrants from high tuberculosis (TB) prevalence countries may be at of TB before leaving their country, during travel after resettlement. In many high-income more than half the cases emerging today occur patients born another country. less affluent shifts epidemiology associated with population movements are also being reported. Foreign-born persons face several barriers care new country as result inadequate knowledge of, or coverage by, health services, differences culture language, lack money, comorbidity, concern about discrimination fear expulsion. National authorities apply different policies screen migrants for provide preventive curative treatment, varying coverage, yield effectiveness. If screening use, needs fit into broader national strategy management. Appropriate treatment provided manner conducive its full completion. This critical patient public health. We discuss main associations based on data publications surveillance, policy practice.

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