Tuberculosis incidence in foreign-born people residing in European countries in 2020

BackgroundEuropean-specific policies for tuberculosis (TB) elimination require identification of key populations that benefit from TB screening.AimWe aimed to identify groups of foreign-born individuals residing in European countries that benefit most from targeted TB prevention screening.MethodsThe...

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Published in:	Euro surveillance : bulletin européen sur les maladies transmissibles Vol. 28; no. 42; p. 1
Main Authors:	Vasiliu, Anca, Köhler, Niklas, Altpeter, Ekkehardt, Ægisdóttir, Tinna Rán, Amerali, Marina, de Oñate, Wouter Arrazola, Bakos, Ágnes, D'Amato, Stefania, Cirillo, Daniela Maria, van Crevel, Reinout, Davidaviciene, Edita, Demuth, Irène, Domínguez, Jose, Duarte, Raquel, Günther, Gunar, Guthmann, Jean-Paul, Hatzianastasiou, Sophia, Holm, Louise Hedevang, Herrador, Zaida, Hribar, Urška, Huberty, Conny, Ibraim, Elmira, Jackson, Sarah, Jensenius, Mogens, Josefsdottir, Kamilla Sigridur, Koch, Anders, Korzeniewska-Kosela, Maria, Kuksa, Liga, Kunst, Heinke, Lienhardt, Christian, Mahler, Beatrice, Makek, Mateja Janković, Muylle, Inge, Normark, Johan, Pace-Asciak, Analita, Petrović, Goranka, Pieridou, Despo, Russo, Giulia, Rzhepishevska, Olena, Salzer, Helmut J F, Marques, Marta Sá, Schmid, Daniela, Solovic, Ivan, Sukholytka, Mariya, Svetina, Petra, Tyufekchieva, Mariya, Vasankari, Tuula, Viiklepp, Piret, Villand, Kersti, Wallenfels, Jiri, Wesolowski, Stefan, Mandalakas, Anna-Maria, Martinez, Leonardo, Zenner, Dominik, Lange, Christoph
Format:	Journal Article
Language:	English
Published:	Sweden Centre Europeen pour la Surveillance Epidemiologique du SIDA (European Centre for the Epidemiological Monitoring of AIDS) 19-10-2023 European Centre for Disease Prevention and Control (ECDC)
Subjects:	Cross-Sectional Studies Disease prevention Epidemiology Europe - epidemiology Humans Immigrants Incidence Medical screening Somalia Tuberculosis Tuberculosis - diagnosis Tuberculosis - epidemiology Somalia Europe refugees migrants TB prevention policy
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Summary:	BackgroundEuropean-specific policies for tuberculosis (TB) elimination require identification of key populations that benefit from TB screening.AimWe aimed to identify groups of foreign-born individuals residing in European countries that benefit most from targeted TB prevention screening.MethodsThe Tuberculosis Network European Trials group collected, by cross-sectional survey, numbers of foreign-born TB patients residing in European Union (EU) countries, Iceland, Norway, Switzerland and the United Kingdom (UK) in 2020 from the 10 highest ranked countries of origin in terms of TB cases in each country of residence. Tuberculosis incidence rates (IRs) in countries of residence were compared with countries of origin.ResultsData on 9,116 foreign-born TB patients in 30 countries of residence were collected. Main countries of origin were Eritrea, India, Pakistan, Morocco, Romania and Somalia. Tuberculosis IRs were highest in patients of Eritrean and Somali origin in Greece and Malta (both > 1,000/100,000) and lowest among Ukrainian patients in Poland (3.6/100,000). They were mainly lower in countries of residence than countries of origin. However, IRs among Eritreans and Somalis in Greece and Malta were five times higher than in Eritrea and Somalia. Similarly, IRs among Eritreans in Germany, the Netherlands and the UK were four times higher than in Eritrea.ConclusionsCountry of origin TB IR is an insufficient indicator when targeting foreign-born populations for active case finding or TB prevention policies in the countries covered here. Elimination strategies should be informed by regularly collected country-specific data to address rapidly changing epidemiology and associated risks.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 Correspondence: Christoph Lange (clange@fz-borstel.de) These authors contributed equally to this work and share first authorship.
ISSN:	1560-7917 1025-496X 1560-7917
DOI:	10.2807/1560-7917.ES.2023.28.42.2300051