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. 2017 Aug;97(2):433-435.
doi: 10.4269/ajtmh.16-0674. Epub 2017 Jul 19.

Active Tuberculosis Case Finding in Haiti

Jack Masur  1 , Serena P Koenig  2 , Pierrot Julma  1 , Oksana Ocheretina  3 , Maria A Durán-Mendicuti  2 , Daniel W Fitzgerald  3 , Jean W Pape  3   1
Affiliations

Active Tuberculosis Case Finding in Haiti

Jack Masur et al. Am J Trop Med Hyg. 2017 Aug.

Abstract

In 2010, Haiti suffered from a devastating earthquake; data on the impact on the tuberculosis (TB) epidemic are limited. From January to June 2013, we conducted active case finding at the household level in a slum in Port-au-Prince. Community health workers identified individuals with cough ≥ 2 weeks, and referred them for evaluation. Contact tracing was conducted for patients with active TB. Of an estimated 7,500 residents screened, 394 (5%) had cough and were tested for TB. One hundred (25%) were diagnosed with active TB; 53 (53%) were smear positive. Ninety of these TB index cases provided 317 contacts, and 44 (14%) were diagnosed with active TB; 17 (39%) were smear positive. Overall, 144 TB cases were detected in 6 months (1,920/100,000; national estimate 200/100,000). We found a high burden of undiagnosed TB in Port-au-Prince 3 years after the earthquake. Further assessment of the burden of TB is indicated.

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