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Review
. 2012 Nov;40(5):1081-90.
doi: 10.1183/09031936.00053012. Epub 2012 May 31.

Minimum package for cross-border TB control and care in the WHO European region: a Wolfheze consensus statement

Masoud Dara  1 , Pierpaolo de Colombani, Roumyana Petrova-Benedict, Rosella Centis, Jean-Pierre Zellweger, Andreas Sandgren, Einar Heldal, Giovanni Sotgiu, Niesje Jansen, Rankica Bahtijarevic, Giovanni Battista Migliori; Wolfheze Transborder Migration Task Force
Collaborators, Affiliations
Free PMC article
Review

Minimum package for cross-border TB control and care in the WHO European region: a Wolfheze consensus statement

Masoud Dara et al. Eur Respir J. 2012 Nov.
Free PMC article

Abstract

The World Health Organization (WHO) European region estimates that more than 400,000 tuberculosis (TB) cases occur in Europe, a large proportion of them among migrants. A coordinated public health mechanism to guarantee TB prevention, diagnosis, treatment and care across borders is not in place. A consensus paper describing the minimum package of cross-border TB control and care was prepared by a task force following a literature review, and with input from the national TB control programme managers of the WHO European region and the Wolfheze 2011 conference. A literature review focused on the subject of TB in migrants was carried out, selecting documents published during the 11-yr period 2001-2011. Several issues were identified in cross-border TB control and care, varying from the limited access to early TB diagnosis, to the lack of continuity of care and information during migration, and the availability of, and access to, health services in the new country. The recommended minimum package addresses the current shortcomings and intends to improve the situation by covering several areas: political commitment (including the implementation of a legal framework for TB cross-border collaboration), financial mechanisms and adequate health service delivery (prevention, infection control, contact management, diagnosis and treatment, and psychosocial support).

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Conflict of interest statement

Statement of Interest

None declared.

Figures

Figure 1–
Figure 1–
Net migration rate in Europe (difference between the number of persons entering and leaving a country during the year per 1,000 persons). Adapted from [5].
Figure 2–
Figure 2–
The minimum package for cross-border tuberculosis (TB) control and care. EU: European Union; LTBI: latent TB infection.
See this image and copyright information in PMC

References

    1. World Health Organization. Global Tuberculosis Control: WHO Report 2011. World Health Organization Document 2011, Publication No. WHO/HTM/TB/2011.16. Geneva, WHO Press, 2011.
    1. European Centre for Disease Preventionand Control/World Health Organization Regional Office for Europe. Tuberculosis Surveillance in Europe 2009. Stockholm, European Centre for Disease Prevention and Control, 2011.
    1. International Migration Law N°25. Glossary on Migration. 2nd Edn. Geneva, International Organization for Migration, 2011.
    1. Kruijshaar ME, Abubakar I, Dedicoat M, et al. Evidence for a national problem: continued rise in tuberculosis case numbers in urban areas outside London. Thorax 2012; 67: 275–277 - PubMed
    1. Index Mundi. Net Migration Rate – Europe. www.indexmundi.com/map/?v=27&r=eu&l=en Date last updated: January 1, 2011.

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