Tuberculosis in Tropical Areas and Immigrants

摘要: About 95% of cases and 98% deaths due to tuberculosis (TB) occurs in tropical countries while temperate low incidence countries, a disproportionate portion TB is diagnosed immigrants. Urbanization, poverty, poor housing conditions ventilation, nutritional status, education level, the HIV co-epidemic, growing impact chronic such as diabetes are main determinants current epidemiology areas. care these contests complicated by several barriers geographical accessibility, educational, cultural, socio-psychological gender issues. High quality microbiological radiological facilities not widely available erratic supply anti-TB drugs may affects areas from time time. Nevertheless recent years, control programs reached major achievements demonstrated indicators. Migrants have an high risk acquire before migration. Moreover, after migration, they exposed additional factors for acquiring new infection or reactivate it stressful living conditions, social inequalities, overcrowded housing, malnutrition, substance abuse, limited access health care. mass screening migrants been implemented endemic but present limitations. Screening should represent stand-alone intervention, component wider approach integrated with other healthcare activities ensure migrants.