Incidence of tuberculosis in a community of Senegalese immigrants in Northern Italy.

Important note: Information in this article was accurate in 1999. The state of the art may have changed since the publication date.

Incidence of tuberculosis in a community of Senegalese immigrants in Northern Italy.

Int J Tuberc Lung Dis. 1999 Jan;3(1):18-22. Unique Identifier : AIDSLINE MED/99191953
Scolari C; El-Hamad I; Matteelli A; Signorini L; Bombana E; Moioli R; De Leonardis C; Nava AM; Carosi G; Clinic of Infectious and Tropical Diseases-University of 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.

Keywords: JOURNAL ARTICLE Adolescence Adult Child Child, Preschool *Emigration and Immigration Female Human Incidence Infant Italy/EPIDEMIOLOGY Male Middle Age Retrospective Studies Senegal/ETHNOLOGY Support, Non-U.S. Gov't Tuberculosis, Pulmonary/*EPIDEMIOLOGY
990730
A9971167

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