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Effectiveness of the Immigration Medical Surveillance Program for tuberculosis in Ontario

Uppaluri, Aparna ; Naus, Monika ; Heywood, Neil ; Brunton, James ; Kerbel, Diane ; Wobeser, Wendy

Canadian journal of public health = Revue canadienne de sante publique, 2002, Vol.93(2), pp.88-91 [Tạp chí có phản biện]

ISSN: 0008-4263 ; PMID: 11963526 Version:1

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  • Nhan đề:
    Effectiveness of the Immigration Medical Surveillance Program for tuberculosis in Ontario
  • Tác giả: Uppaluri, Aparna ; Naus, Monika ; Heywood, Neil ; Brunton, James ; Kerbel, Diane ; Wobeser, Wendy
  • Chủ đề: Emigration and Immigration ; Population Surveillance -- Methods ; Tuberculosis -- Epidemiology
  • Là 1 phần của: Canadian journal of public health = Revue canadienne de sante publique, 2002, Vol.93(2), pp.88-91
  • Mô tả: Citizenship and Immigration Canada (CIC) screens immigrants for TB and permits those with inactive pulmonary TB to enter Canada conditionally, subject to medical surveillance; we studied this program in Ontario. This was an administrative database study with linkage of national and provincial data. In 1994-95, 1,341 cases of foreign-born active TB were diagnosed and a CIC record was found for 1,095. 149 (14%) were classified for surveillance and 142 were included in the analysis. A significant proportion (39/142: 27%) were diagnosed either before or as a result of immigration screening in Canada. These persons had arrived as visitors or refugees and were excluded from further analysis. Only 21 of the remaining 103 persons (20%) with immigration screening before the diagnosis of TB adhered to surveillance. Only 1 of 16 (6%) eligible persons was given therapy to prevent future episodes of active TB. Most presented with symptoms (82/103:82%) suggesting potential for TB transmission in Ontario. The current TB surveillance system for high-risk immigrants to Ontario is not effective in identifying and treating latent infection, and thus not effective in preventing future cases.
  • Ngôn ngữ: English
  • Số nhận dạng: ISSN: 0008-4263 ; PMID: 11963526 Version:1

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