High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands

Three quarters of tuberculosis (TB) patients in the Netherlands are foreign-born; 26% are from Eritrea or Somalia. We analyzed TB incidence rates in asylum seekers from Eritrea and Somalia in the first 5 years after arrival in the Netherlands (2013–2017) and performed survival analysis with Cox prop...

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Detalles Bibliográficos
Autores principales: van den Boogaard, Jossy, Slump, Erika, Schimmel, Henrieke J., van der Hoek, Wim, van den Hof, Susan, de Vries, Gerard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2020
Materias:
Synopsis
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101101/
https://www.ncbi.nlm.nih.gov/pubmed/32186488
http://dx.doi.org/10.3201/eid2604.190123
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author van den Boogaard, Jossy
Slump, Erika
Schimmel, Henrieke J.
van der Hoek, Wim
van den Hof, Susan
de Vries, Gerard
author_facet van den Boogaard, Jossy
Slump, Erika
Schimmel, Henrieke J.
van der Hoek, Wim
van den Hof, Susan
de Vries, Gerard
author_sort van den Boogaard, Jossy
collection PubMed
description Three quarters of tuberculosis (TB) patients in the Netherlands are foreign-born; 26% are from Eritrea or Somalia. We analyzed TB incidence rates in asylum seekers from Eritrea and Somalia in the first 5 years after arrival in the Netherlands (2013–2017) and performed survival analysis with Cox proportional hazards regression to analyze the effect of age and sex on the risk for TB. TB incidence remained high 5 years after arrival in asylum seekers from Eritrea (309 cases/100,000 person-years) and Somalia (81 cases/100,000 person-years). Age >18 years was associated with a higher risk for TB in asylum seekers from Eritrea (3.4 times higher) and Somalia (3.7 times higher), and male sex was associated with a 1.6 times higher risk for TB in asylum seekers from Eritrea. Screening and treating asylum seekers from high-incidence areas for latent TB infection upon arrival would further reduce TB incidence in the Netherlands.
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spelling pubmed-71011012020-04-03 High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands van den Boogaard, Jossy Slump, Erika Schimmel, Henrieke J. van der Hoek, Wim van den Hof, Susan de Vries, Gerard Emerg Infect Dis Synopsis Three quarters of tuberculosis (TB) patients in the Netherlands are foreign-born; 26% are from Eritrea or Somalia. We analyzed TB incidence rates in asylum seekers from Eritrea and Somalia in the first 5 years after arrival in the Netherlands (2013–2017) and performed survival analysis with Cox proportional hazards regression to analyze the effect of age and sex on the risk for TB. TB incidence remained high 5 years after arrival in asylum seekers from Eritrea (309 cases/100,000 person-years) and Somalia (81 cases/100,000 person-years). Age >18 years was associated with a higher risk for TB in asylum seekers from Eritrea (3.4 times higher) and Somalia (3.7 times higher), and male sex was associated with a 1.6 times higher risk for TB in asylum seekers from Eritrea. Screening and treating asylum seekers from high-incidence areas for latent TB infection upon arrival would further reduce TB incidence in the Netherlands. Centers for Disease Control and Prevention 2020-04 /pmc/articles/PMC7101101/ /pubmed/32186488 http://dx.doi.org/10.3201/eid2604.190123 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Synopsis
van den Boogaard, Jossy
Slump, Erika
Schimmel, Henrieke J.
van der Hoek, Wim
van den Hof, Susan
de Vries, Gerard
High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands
title High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands
title_full High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands
title_fullStr High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands
title_full_unstemmed High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands
title_short High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands
title_sort high incidence of active tuberculosis in asylum seekers from eritrea and somalia in the first 5 years after arrival in the netherlands
topic Synopsis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7101101/
https://www.ncbi.nlm.nih.gov/pubmed/32186488
http://dx.doi.org/10.3201/eid2604.190123
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