Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.

<h4>Background</h4>Among approximately 163.5 million foreign-born persons admitted to the United States annually, only 500,000 immigrants and refugees are required to undergo overseas tuberculosis (TB) screening. It is unclear what extent of the unscreened nonimmigrant visitors contribut...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yecai Liu, John A Painter, Drew L Posey, Kevin P Cain, Michelle S Weinberg, Susan A Maloney, Luis S Ortega, Martin S Cetron
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2012
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/494aa3f8aa5543fb9edd39c2eff1421e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:494aa3f8aa5543fb9edd39c2eff1421e
record_format	dspace
spelling	oai:doaj.org-article:494aa3f8aa5543fb9edd39c2eff1421e2021-11-18T07:26:40ZEstimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.1932-620310.1371/journal.pone.0032158https://doaj.org/article/494aa3f8aa5543fb9edd39c2eff1421e2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22384165/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Among approximately 163.5 million foreign-born persons admitted to the United States annually, only 500,000 immigrants and refugees are required to undergo overseas tuberculosis (TB) screening. It is unclear what extent of the unscreened nonimmigrant visitors contributes to the burden of foreign-born TB in the United States.<h4>Methodology/principal findings</h4>We defined foreign-born persons within 1 year after arrival in the United States as "newly arrived", and utilized data from U.S. Department of Homeland Security, U.S. Centers for Disease Control and Prevention, and World Health Organization to estimate the incidence of TB among newly arrived foreign-born persons in the United States. During 2001 through 2008, 11,500 TB incident cases, including 291 multidrug-resistant TB incident cases, were estimated to occur among 20,989,738 person-years for the 1,479,542,654 newly arrived foreign-born persons in the United States. Of the 11,500 estimated TB incident cases, 41.6% (4,783) occurred among immigrants and refugees, 36.6% (4,211) among students/exchange visitors and temporary workers, 13.8% (1,589) among tourists and business travelers, and 7.3% (834) among Canadian and Mexican nonimmigrant visitors without an I-94 form (e.g., arrival-departure record). The top 3 newly arrived foreign-born populations with the largest estimated TB incident cases per 100,000 admissions were immigrants and refugees from high-incidence countries (e.g., 2008 WHO-estimated TB incidence rate of ≥100 cases/100,000 population/year; 235.8 cases/100,000 admissions, 95% confidence interval [CI], 228.3 to 243.3), students/exchange visitors and temporary workers from high-incidence countries (60.9 cases/100,000 admissions, 95% CI, 58.5 to 63.3), and immigrants and refugees from medium-incidence countries (e.g., 2008 WHO-estimated TB incidence rate of 15-99 cases/100,000 population/year; 55.2 cases/100,000 admissions, 95% CI, 51.6 to 58.8).<h4>Conclusions/significance</h4>Newly arrived nonimmigrant visitors contribute substantially to the burden of foreign-born TB in the United States. To achieve the goals of TB elimination, direct investment in global TB control and strategies to target nonimmigrant visitors should be considered.Yecai LiuJohn A PainterDrew L PoseyKevin P CainMichelle S WeinbergSusan A MaloneyLuis S OrtegaMartin S CetronPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 2, p e32158 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Yecai Liu John A Painter Drew L Posey Kevin P Cain Michelle S Weinberg Susan A Maloney Luis S Ortega Martin S Cetron Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.
description	<h4>Background</h4>Among approximately 163.5 million foreign-born persons admitted to the United States annually, only 500,000 immigrants and refugees are required to undergo overseas tuberculosis (TB) screening. It is unclear what extent of the unscreened nonimmigrant visitors contributes to the burden of foreign-born TB in the United States.<h4>Methodology/principal findings</h4>We defined foreign-born persons within 1 year after arrival in the United States as "newly arrived", and utilized data from U.S. Department of Homeland Security, U.S. Centers for Disease Control and Prevention, and World Health Organization to estimate the incidence of TB among newly arrived foreign-born persons in the United States. During 2001 through 2008, 11,500 TB incident cases, including 291 multidrug-resistant TB incident cases, were estimated to occur among 20,989,738 person-years for the 1,479,542,654 newly arrived foreign-born persons in the United States. Of the 11,500 estimated TB incident cases, 41.6% (4,783) occurred among immigrants and refugees, 36.6% (4,211) among students/exchange visitors and temporary workers, 13.8% (1,589) among tourists and business travelers, and 7.3% (834) among Canadian and Mexican nonimmigrant visitors without an I-94 form (e.g., arrival-departure record). The top 3 newly arrived foreign-born populations with the largest estimated TB incident cases per 100,000 admissions were immigrants and refugees from high-incidence countries (e.g., 2008 WHO-estimated TB incidence rate of ≥100 cases/100,000 population/year; 235.8 cases/100,000 admissions, 95% confidence interval [CI], 228.3 to 243.3), students/exchange visitors and temporary workers from high-incidence countries (60.9 cases/100,000 admissions, 95% CI, 58.5 to 63.3), and immigrants and refugees from medium-incidence countries (e.g., 2008 WHO-estimated TB incidence rate of 15-99 cases/100,000 population/year; 55.2 cases/100,000 admissions, 95% CI, 51.6 to 58.8).<h4>Conclusions/significance</h4>Newly arrived nonimmigrant visitors contribute substantially to the burden of foreign-born TB in the United States. To achieve the goals of TB elimination, direct investment in global TB control and strategies to target nonimmigrant visitors should be considered.
format	article
author	Yecai Liu John A Painter Drew L Posey Kevin P Cain Michelle S Weinberg Susan A Maloney Luis S Ortega Martin S Cetron
author_facet	Yecai Liu John A Painter Drew L Posey Kevin P Cain Michelle S Weinberg Susan A Maloney Luis S Ortega Martin S Cetron
author_sort	Yecai Liu
title	Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.
title_short	Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.
title_full	Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.
title_fullStr	Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.
title_full_unstemmed	Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.
title_sort	estimating the impact of newly arrived foreign-born persons on tuberculosis in the united states.
publisher	Public Library of Science (PLoS)
publishDate	2012
url	https://doaj.org/article/494aa3f8aa5543fb9edd39c2eff1421e
work_keys_str_mv	AT yecailiu estimatingtheimpactofnewlyarrivedforeignbornpersonsontuberculosisintheunitedstates AT johnapainter estimatingtheimpactofnewlyarrivedforeignbornpersonsontuberculosisintheunitedstates AT drewlposey estimatingtheimpactofnewlyarrivedforeignbornpersonsontuberculosisintheunitedstates AT kevinpcain estimatingtheimpactofnewlyarrivedforeignbornpersonsontuberculosisintheunitedstates AT michellesweinberg estimatingtheimpactofnewlyarrivedforeignbornpersonsontuberculosisintheunitedstates AT susanamaloney estimatingtheimpactofnewlyarrivedforeignbornpersonsontuberculosisintheunitedstates AT luissortega estimatingtheimpactofnewlyarrivedforeignbornpersonsontuberculosisintheunitedstates AT martinscetron estimatingtheimpactofnewlyarrivedforeignbornpersonsontuberculosisintheunitedstates
_version_	1718423405396492288

Estimating the impact of newly arrived foreign-born persons on tuberculosis in the United States.

Ejemplares similares