TY - JOUR
T1 - Country differences and determinants of yield in programmatic migrant TB screening in four European countries
AU - Menezes, D.
AU - Zenner, D.
AU - Aldridge, R.
AU - Anderson, S. R.
AU - de Vries, G.
AU - Erkens, C.
AU - Marchese, V.
AU - Matteeli, A.
AU - Muzyamba, M.
AU - Nederby-Öhd, J.
AU - van Rest, J.
AU - Spruijt, I.
AU - Were, J.
AU - Lönnroth, K.
AU - Abubakar, I.
AU - Cobelens, F.
N1 - Publisher Copyright:
© 2022 The Union.
PY - 2022/10/1
Y1 - 2022/10/1
N2 - 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.
AB - 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.
KW - migrants
KW - screening programmes
KW - tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=85138657625&partnerID=8YFLogxK
U2 - 10.5588/ijtld.22.0186
DO - 10.5588/ijtld.22.0186
M3 - Article
C2 - 36163670
AN - SCOPUS:85138657625
SN - 1027-3719
VL - 26
SP - 942
EP - 948
JO - International Journal of Tuberculosis and Lung Disease
JF - International Journal of Tuberculosis and Lung Disease
IS - 10
ER -
