International Journal of Tuberculosis and Lung Disease
Volume 9, Issue 5, 2005, Pages 528-533

Outbreak of tuberculosis in a migrants' shelter, Paris, France, 2002 (Article)

Valin N. , Antoun F. , Chouaïd C.* , Renard M. , Dautzenberg B. , Lalande V. , Ayache B. , Morin P. , Sougakoff W. , Thiolet J.M. , Truffot-Pernot C. , Jarlier V. , Decludt B.
  • a Institut de Veille Sanitaire, Saint-Maurice, France
  • b Direction de l'Action Sociale, de l'Enfance et de la Santé, Mairie de Paris, Paris, France
  • c Hôpital Saint Antoine, Paris, France, Service de Pneumologie, Hôpital Saint Antoine, 184 rue du faubourg Saint Antoine, 75012 Paris, France
  • d Centre National de Reference de la Resistance des Mycobacteries aux Antituberculeux, Hôpital Pitié-Salpêtrière, Paris, France
  • e Service de Pneumologie, Hôpital Pitié-Salpêtrière, Paris, France
  • f Hôpital Saint Antoine, Paris, France
  • g Direction de l'Action Sociale, de l'Enfance et de la Santé, Mairie de Paris, Paris, France
  • h Direction de l'Action Sociale, de l'Enfance et de la Santé, Mairie de Paris, Paris, France
  • i Centre National de Reference de la Resistance des Mycobacteries aux Antituberculeux, Hôpital Pitié-Salpêtrière, Paris, France
  • j Direction des Affaires Sanitaires et Sociales, Paris, France
  • k Centre National de Reference de la Resistance des Mycobacteries aux Antituberculeux, Hôpital Pitié-Salpêtrière, Paris, France
  • l Centre National de Reference de la Resistance des Mycobacteries aux Antituberculeux, Hôpital Pitié-Salpêtrière, Paris, France
  • m Institut de Veille Sanitaire, Saint-Maurice, France

Abstract

SETTING: An overcrowded 362-bed migrants' shelter in Paris, France. OBJECTIVES: To investigate an outbreak of tuberculosis (TB), to identify a common source of contamination and to prevent further transmission. METHODS: The outbreak was identified by radiographic screening and an active search for undeclared hospital treated cases, completed by strain phenotyping and a search for contact cases. RESULTS: Between October 2001 and October 2002, 56 cases of active TB were identified, 30 by radiological screening and 20 by contacting neighbouring hospitals. All cases involved men, with a median age of 30 years. Pulmonary involvement was present in 54% of cases, and nine patients were sputum smear-positive. Thirty-four of the 37 phenotyped strains clustered together. CONCLUSION: The grouping of the cases in time and place, the large number of cases with early-stage disease and the identical RFLP banding patterns of most of the isolates indicate that this outbreak results from transmission that occurred in France. This report underlines the need for public health departments in industrialised countries to maintain effective anti-tuberculosis control programmes. © 2005 The Union.

Author Keywords

Migrants outbreak tuberculosis Epidemiology prevention

Index Keywords

Polymorphism, Restriction Fragment Length bacterium contamination immigrant bacterial transmission sputum smear France human middle aged priority journal Aged housing restriction fragment length polymorphism Humans lung tuberculosis Adolescent male Tuberculosis, Pulmonary Aged, 80 and over tuberculosis Incidence Disease Outbreaks Article epidemic major clinical study adult tuberculosis control Transients and Migrants Crowding radiodiagnosis phenotype
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-20844447343&partnerID=40&md5=67ea11cb4320ba61a79320fff752826a
ISSN: 10273719
Cited by: 21
Original Language: English