Medicina Clinica
Volume 125, Issue 6, 2005, Pages 210-212

Tuberculosis and immigration in a health sanitary area in Madrid, Spain. Trends in 1994-2003 [Tuberculosis e inmigración en un área sanitaria de Madrid. Situación epidemiológica y evolución en la década 1994-2003] (Article)

Arce Arnáez A.* , Iñigo Martínez J. , Cabello Ballesteros L. , Burgoa Arenales M.
  • a Servicio de Salud Pública Área 11, Madrid, Spain, Servicio de Salud Pública Área 11, Benimamet, 24, 2, 28021 Madrid, Spain
  • b Servicio de Regulación Sanitaria, Consejería de Sanidad y Consumo, Comunidad de Madrid, Madrid, Spain
  • c Servicio de Salud Pública Área 11, Madrid, Spain
  • d Servicio de Salud Pública Área 11, Madrid, Spain

Abstract

BACKGROUND AND OBJECTIVE: To describe trends and epidemiological characteristics of immigrant and native populations with tuberculosis. POPULATION AND METHOD: Population-based, descriptive analysis of case data reported to the Regional Registry of Tuberculosis Cases from 1994 to 2003 living in the south of Madrid, Spain (755,202 inhabitants). RESULTS: The number of cases reported was 2211, of which 269 (12.1%) were foreign-born persons. Tuberculosis incidence declined from 46.6/100,000 in 1994 (2.9% immigrants) to 25.2/100,000 in 2003 (35.8% immigrants) (p < 0,001). Foreign-born persons with tuberculosis had come to Spain from Latin America-Caribbean (56%), Africa (30%) and Europe (11%). Of the foreign-born, 73.6% developed active tuberculosis within 5 years of arrival (50.9% within 2 years). CONCLUSIONS: The incidence of tuberculosis has declined in the study area but the tendency to decrease has come to a halt because of cases occurring among immigrants. Among those for whom the date of Spain entry was known, a half arrived 2 years or less prior to the diagnosis of tuberculosis. We stress that tuberculosis control programs must target such at-risk population.

Author Keywords

Madrid Immigration tuberculosis Epidemiology

Index Keywords

immigration human controlled study Aged morbidity Central America hygiene Adolescent male Spain female tuberculosis Infant newborn Africa high risk population Incidence Article adult tuberculosis control Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-23844482078&doi=10.1157%2f13077375&partnerID=40&md5=33ecc2359d9982fbb79f90721264ac47
DOI: 10.1157/13077375
ISSN: 00257753
Cited by: 28
Original Language: Spanish