Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Oct 1;26(10):942-948.
doi: 10.5588/ijtld.22.0186.

Country differences and determinants of yield in programmatic migrant TB screening in four European countries

D Menezes  1 , D Zenner  2 , R Aldridge  1 , S R Anderson  3 , G de Vries  4 , C Erkens  5 , V Marchese  6 , A Matteeli  6 , M Muzyamba  3 , J Nederby-Öhd  7 , J van Rest  5 , I Spruijt  5 , J Were  3 , K Lönnroth  7 , I Abubakar  8 , F Cobelens  9
Affiliations

Country differences and determinants of yield in programmatic migrant TB screening in four European countries

D Menezes et al. Int J Tuberc Lung Dis. .

Abstract

INTRODUCTION The WHO End TB Strategy emphasises early diagnosis and screening of TB in high-risk groups, including migrants. We analysed TB yield data from four large migrant TB screening programmes to inform TB policy.METHODS We pooled routinely collected individual TB screening episode data from Italy, the Netherlands, Sweden and the United Kingdom under the European Union Commission E-DETECT.TB grant, described characteristics of the screened population, and analysed TB case yield.RESULTS We collected data on 2,302,260 screening episodes among 2,107,016 migrants, mostly young adults aged 18-44 years (77.8%) from Asia (78%) and Africa (18%). There were 1,658 TB cases detected through screening, with substantial yield variation (per 100,000): 201.1 for Sweden (95% confidence intervals CI 111.4-362.7), 68.9 (95% CI 65.4-72.7) for the United Kingdom, 83.2 (95% CI 73.3-94.4) for the Netherlands and 653.6 (95% CI 445.4-958.2) in Italy. Most TB cases were notified among migrants from Asia (n = 1,206, 75/100,000) or Africa (n = 370, 76.4/100,000), and among asylum seekers (n = 174, 131.5/100,000), migrants to the Netherlands (n = 101, 61.9/100,000) and settlement visa migrants to the United Kingdom (n = 590, 120.3/100,000).CONCLUSIONS We found considerable variations in yield across programmes, types of migrants and country of origin. These variations may be partly explained by differences in migration patterns and programmatic characteristics.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Age distribution of the screened population by screening programme. The numbers on the bars refer to numbers of screens, the vertical axis depicts percentage of age groups among all screens in the respective programme
Figure 2
Figure 2
Screened population, by programme, migrant typology and world region of origin. The numbers on the bars refer to numbers of screens (Africa and Asia only), the vertical axis depicts percentage of world regions among the respective migrant type stratified by programme SE: Sweden, NL: the Netherlands, IT: Italy
Figure 3
Figure 3. TB yields (rates per 100,000) by programme, countries of birth/ nationalities and migration type.
NB: the y axis denotes a logarithmic scale.
See this image and copyright information in PMC

References

    1. World Health Organization. Global tuberculosis report 2019
    1. World Health Organization. Global strategy and targets for tuberculosis prevention, care and control after 2015. 2014. [accessed May 21, 2017]. http://www.who.int/tb/post2015_strategy/en/
    1. Stop TB Partnership. The potential Impact of the COVID-19 Response on Tuberculosis in High-Burden Countries: A Modelling Analysis. http://www.stoptb.org/assets/documents/news/Modeling%20Report_1%20May%20... .
    1. Report 19 - The Potential Impact of the COVID-19 Epidemic on HIV, TB and Malaria in Low- and Middle-Income Countries. Imperial College London; [accessed May 25, 2020]. http://www.imperial.ac.uk/medicine/departments/school-public-health/infe...
    1. Matteelli A, Rendon A, Tiberi S, et al. Tuberculosis elimination: where are we now? European Respiratory Review. 27(148) - PMC - PubMed

Publication types