Ongoing tuberculosis transmission among second-generation Ethiopian immigrants

被引:4
|
作者
Bishara, H. [1 ,2 ,3 ,4 ]
Green, M. [4 ]
Chemtob, D. [5 ,6 ]
Saffouri, A. [3 ,7 ,8 ]
Zelikman, L. [9 ]
Weiler-Ravell, D. [1 ,2 ,3 ]
机构
[1] Galilee Med Ctr, Pulm Div, Nahariyya, Israel
[2] Galilee Med Ctr, TB Ctr, Nahariyya, Israel
[3] Bar Ilan Univ, Fac Med Galilee, Safed, Israel
[4] Univ Haifa, Fac Social Welf & Hlth Sci, Sch Publ Hlth, Haifa, Israel
[5] Minist Hlth, Dept TB & AIDS, Jerusalem, Israel
[6] Hebrew Univ Jerusalem, Hadassah Med Sch, Braun Sch Publ Hlth & Community Med, Jerusalem, Israel
[7] Nazareth Hosp, TB Clin, Nazareth, Israel
[8] Nazareth Hosp, Internal Med, Nazareth, Israel
[9] Minist Hlth, Afula, Israel
来源
EPIDEMIOLOGY AND INFECTION | 2020年 / 148卷
关键词
Epidemiology; infectious disease; public health; Tuberculosis (TB); UNITED-STATES; COUNTRY;
D O I
10.1017/S0950268820001715
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Despite considerable efforts to control tuberculosis (TB) among Ethiopian immigrants in Israel, an outbreak of TB among second-generation Ethiopian immigrants that involved native Israelis occurred between January 2011 and December 2019. The aim of this article is to report on this outbreak and discuss the patient and health system barriers that led to its propagation. Overall, 13 culture-positive TB patients were diagnosed in this outbreak. An additional 36 cases with identical mycobacterium tuberculosis genotypes were identified through cross-checking with the National TB Laboratory Registry. Among the 32 close contacts of the index case, 18 (56.3%) reported for screening and treatment of latent TB infection (LTBI) was recommended for 11 (61.1%) of them. However, none completed treatment and eight eventually developed TB. Of the 385 close contacts identified in this outbreak, 286 (74.3%) underwent contact investigation, 154 (53.8%) were recommended LTBI treatment, but only 26 (16.9%) completed the treatment. Routine contact investigation and treatment practice measures failed to contain the cascade of infection and disease, leading to the spread of the infecting strain of TB. This report highlights the challenges to identify the high-risk group and address barriers to care among such a vulnerable population.
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页数:4
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