Abstract:
:A major problem resulting from interrupted tuberculosis (TB) treatment is the development of drug-resistant TB, including multidrug-resistant TB (MDR TB), a more deadly and costly-to-treat form of the disease. Global health systems are not equipped to diagnose and treat the current burden of MDR TB. TB-infected foreign visitors and temporary US residents who leave the country during treatment can experience treatment interruption and, thus, are at greater risk for drug-resistant TB. Using epidemiologic and demographic data, we estimated TB incidence among this group, as well as the proportion of patients referred to transnational care-continuity and management services during relocation; each year, ≈2,827 visitors and temporary residents are at risk for TB treatment interruption, 222 (8%) of whom are referred for transnational services. Scale up of transnational services for persons at high risk for treatment interruption is possible and encouraged because of potential health gains and reductions in healthcare costs for the United States and receiving countries.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Tschampl CA,Garnick DW,Zuroweste E,Razavi M,Shepard DSdoi
10.3201/eid2203.141971subject
Has Abstractpub_date
2016-03-01 00:00:00pages
417-25issue
3eissn
1080-6040issn
1080-6059journal_volume
22pub_type
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