International Journal of Tuberculosis and Lung Disease
Volume 3, Issue 1, 1999, Pages 18-22

Incidence of tuberculosis in a community of Senegalese immigrants in Northern Italy (Article)

Scolari C. , El-Hamad I. , Matteelli A.* , Signorini L. , Bombana E. , Moioli R. , De Leonardis C. , Nava A.M. , Carosi G.
  • a Clin. of Infect. and Trop. Diseases, University of Brescia, Brescia, Italy
  • b Clin. of Infect. and Trop. Diseases, University of Brescia, Brescia, Italy
  • c Clin. of Infect. and Trop. Diseases, University of Brescia, Brescia, Italy, Clin. of Infect. and Trop. Diseases, Piazza Spedali Civili, 1, 25125 Brescia, Italy
  • d Clin. of Infect. and Trop. Diseases, University of Brescia, Brescia, Italy
  • e Clin. of Infect. and Trop. Diseases, University of Brescia, Brescia, Italy
  • f District Health Unit 18, Brescia, Italy
  • g District Health Unit 18, Brescia, Italy
  • h District Health Unit 18, Brescia, Italy
  • i Clin. of Infect. and Trop. Diseases, University of Brescia, Brescia, Italy

Abstract

SETTING: Tuberculosis is the world's foremost cause of death from a single infectious agent among adults. Although morbidity and mortality rates are highest in low income countries, industrialized countries have also faced a recent resurgence of the tuberculosis epidemic. In Europe and the United States increasing tuberculosis incidence rates are observed, particularly among persons with the human immunodeficiency virus infection and immigrants from highly endemic countries. OBJECTIVE: To measure the incidence of tuberculosis in a retrospective cohort of Senegalese immigrants in a closed community. DESIGN: During 1991, 721 of 794 (91%) community residents were actively screened using the tuberculin skin test and chest X-ray. In 1995 the out-patient clinical charts and the tuberculosis notification registers were reviewed to determine tuberculosis incidence. RESULTS AND CONCLUSION: A total of 328 subjects (45.4% of those screened) was retrospectively followed for a cumulative period of 10 147 months. Ten cases of active tuberculosis were detected. The annual incidence rate for tuberculosis was 11.8/1000, compared to 15.1/100 000 in the general population. Tuberculosis incidence was similar in subjects with a positive (12.3/1000), compared to a negative baseline tuberculin test (12.5/1000). Tuberculosis incidence is very high, and recent infections might account for a substantial proportion of cases among immigrants living in closed communities.

Author Keywords

Incidence tuberculosis immigrants

Index Keywords

human immigration middle aged priority journal population risk Senegal Humans human tissue Adolescent male Tuberculosis, Pulmonary female tuberculosis Infant Child, Preschool Incidence Article Retrospective Studies major clinical study adult tuberculin test Emigration and Immigration Italy cause of death Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033018829&partnerID=40&md5=7bc292ff1dfbed081ea186e5f63d069a
ISSN: 10273719
Cited by: 18
Original Language: English