International Journal of Tuberculosis and Lung Disease
Volume 21, Issue 8, 2017, Pages 840-851
Tuberculosis and latent tuberculous infection screening of migrants in Europe: Comparative analysis of policies, surveillance systems and results (Review)
Kunst H.* ,
Burman M. ,
Arnesen T.M. ,
Fiebig L. ,
Hergens M.-P. ,
Kalkouni O. ,
Klinkenberg E. ,
Orcau A. ,
Soini H. ,
Sotgiu G. ,
Zenner D. ,
De Vries G.
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a
Blizard Institute, Barts and London School of Medicine and Dentistry, Queen Mary University, 4 Newark Street, London, E12AT, United Kingdom, Department of Respiratory Medicine, Barts Health NHS Trust, London, United Kingdom
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b
Blizard Institute, Barts and London School of Medicine and Dentistry, Queen Mary University, 4 Newark Street, London, E12AT, United Kingdom, Department of Respiratory Medicine, Barts Health NHS Trust, London, United Kingdom
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c
Department of Tuberculosis, Norwegian Institute of Public Health, Blood Borne and Sexually Transmitted Infections, Oslo, Norway
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d
Department for Infectious Disease Epidemiology, Robert Koch Institute, Berlin, Germany
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e
Department of Medicine Solna, Infectious Disease Unit, Karolinska Institute, Solna, Sweden, Department of Public Health Sciences, Division of Social Medicine, Karolinska Institutet, Stockholm, Sweden
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f
Department of Epidemiological Surveillance and Interventions, Hellenic Center for Disease Control and Prevention, Office for Respiratory Diseases, Athens, Greece
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g
KNCV Tuberculosis Foundation, Hague, Netherlands, Department of Global Health, Academic Medical Centre, Amsterdam Institute for Global Health and Development, Amsterdam, Netherlands
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h
TB Programme, Agency of Public Health of Barcelona, Barcelona, Spain, CIBER de Epidemiologia y Salud Publica, Barcelona, Spain
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i
Department of Health Security, National Institute for Health and Welfare, Helsinki, Finland
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j
Department of Biomedical Sciences, Clinical Epidemiology and Medical Statistics Unit, University of Sassari, Sassari, Italy
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k
Centre for Infectious Disease Surveillance and Control, Public Health England, London, United Kingdom, Institute of Global Health, University College London, London, United Kingdom
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l
NCV Tuberculosis Foundation, Hague, Netherlands, Centre for Infectious Disease Control, National Institute for Public Health and Environment, Bilthoven, Netherlands
Abstract
Migration patterns into and within Europe have changed over the last decade. In 2015, European Union (EU) countries received over 1.2 million asylum requests, more than double the number registered in the previous year. This review compares the published literature on policies for tuberculosis (TB) and latent tuberculous infection (LTBI) screening in EU and European Free Trade Association (EFTA) countries with the existing TB/LTBI screening programmes for migrants in 11 EU/EFTA countries based on a survey of policy and surveillance systems. In addition, we provide a systematic review of the literature on the yield of screening migrants for active TB and LTBI in Europe. Published studies provide limited information about screening coverage and the yield of screening evaluations in EU/EFTA countries. Furthermore, countries use different screening strategies and settings, and different definitions for coverage and yield of screening for active TB and LTBI. We recommend harmonising case definitions, reporting standards and policies for TB/ LTBI screening. To achieve TB elimination targets, a European platform for multi-country data collection and analysis, sharing of countries' policies and practices, and harmonisation of migrant screening strategies is needed. © 2017 The Union.
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Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85018905507&doi=10.5588%2fijtld.17.0036&partnerID=40&md5=f3518f4555e946e7dd5ed857c9f310d7
DOI: 10.5588/ijtld.17.0036
ISSN: 10273719
Cited by: 24
Original Language: English