Nederlands Tijdschrift voor Geneeskunde
Volume 145, Issue 17, 2001, Pages 823-826

Tuberculosis screening coverage in immigrants: Marked decrease after entry screening [Dekkingsgraad van tuberculosescreening bij immigranten: Sterke afname bij vervolgscreening] (Article)

Bwire R. , Verver S. , Annëe-Van Bavel J.A.C.M. , Kouw P. , Keizer S.T. , Borgdorff M.W.*
  • a Kon. Ned. C. Ver. tot bestri. der TB, Postbus 146, 2501 CC Den Haag, Netherlands
  • b Kon. Ned. C. Ver. tot bestri. der TB, Postbus 146, 2501 CC Den Haag, Netherlands
  • c Kon. Ned. C. Ver. tot bestri. der TB, Postbus 146, 2501 CC Den Haag, Netherlands
  • d Kon. Ned. C. Ver. tot bestri. der TB, Postbus 146, 2501 CC Den Haag, Netherlands
  • e Kon. Ned. C. Ver. tot bestri. der TB, Postbus 146, 2501 CC Den Haag, Netherlands
  • f Kon. Ned. C. Ver. tot bestri. der TB, Postbus 146, 2501 CC Den Haag, Netherlands

Abstract

Objective. To estimate the coverage of bi-annual follow-up screening for tuberculosis amongst immigrants, excluding asylum seekers. Design. Retrospective cohort study. Methods. Participation in bi-annual chest X-ray screening during the first 18 months was recorded for immigrants who underwent entry screening in 1996 in the following Dutch municipal health services (MHS's): Zuid-Kennemerland (Haarlem), Flevoland (Lelystad), Midden-Brabant (Tilburg) en West-Friesland (Hoorn). The number of immigrants that had left the country before the subsequent screening was taken into account in the Zuid-Kennemerland MHS data on screening coverage. Results. Of the 2147 immigrants who underwent entry screening in 1996 (48% men and 52% women; 68% aged 15-34 years), 1075 (50%; range: 29-76) returned for the first follow-up screening and 620 (29%; 21-61) returned for the second. In MHS Zuid-Kennemerland, 113 of the 777 immigrants who had a chest X-ray at entry had left the country before the first follow-up screening, and another 89 had left before the second. Of the remaining persons, who were probably still in the Netherlands, 454 (68%; 454/777 = 58%) returned for the first follow-up screening, and 166 (29%: 166/777 = 21%) returned for the second. Conclusion. The coverage of screening for tuberculosis in immigrants decreased after the obligatory entry screening, even when corrected for those who left the country.

Author Keywords

[No Keywords available]

Index Keywords

Netherlands immigrant human middle aged Cohort Studies Aged screening Humans Mass Chest X-Ray lung tuberculosis Adolescent male Tuberculosis, Pulmonary female Article Retrospective Studies major clinical study adult thorax radiography Emigration and Immigration Patient Dropouts National Health Programs
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0035962310&partnerID=40&md5=36f5a4b44c452414a9cc14c402d62db7
ISSN: 00282162
Cited by: 8
Original Language: Dutch