Tuberculosis Disease Among Nonimmigrant Visa Holders Reported to US Quarantine Stations, January 2011–June 2016
US-bound immigrants and refugees undergo a mandatory overseas medical examination that includes tuberculosis screening; this exam is not routinely required for temporary visitors applying for non-immigrant visas (NIV) to visit, work, or study in the United States. US health departments and foreign m...
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Published in: | Journal of immigrant and minority health Vol. 26; no. 5; pp. 823 - 829 |
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01-10-2024
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Abstract | US-bound immigrants and refugees undergo a mandatory overseas medical examination that includes tuberculosis screening; this exam is not routinely required for temporary visitors applying for non-immigrant visas (NIV) to visit, work, or study in the United States. US health departments and foreign ministries of health report tuberculosis cases in travelers to Centers for Disease Control and Prevention Quarantine Stations. We reviewed cases reported to this passive surveillance system from January 2011 to June 2016. Of 1252 cases of tuberculosis in travelers reported to CDC, 114 occurred in travelers with a long-term NIV. Of these, 83 (73%) were infectious; 18 (16%) with multidrug-resistant tuberculosis (MDR TB) and one with extensively drug-resistant tuberculosis (XDR TB). We found evidence that NIV holders are diagnosed with tuberculosis disease in the United States. Given that long-term NIV holders were over-represented in this data set, despite the small proportion (4%) of overall non-immigrant admissions they represent, expanding the US overseas migration health screening program to this population might be an efficient intervention to further reduce tuberculosis in the United States. |
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AbstractList | US-bound immigrants and refugees undergo a mandatory overseas medical examination that includes tuberculosis screening; this exam is not routinely required for temporary visitors applying for non-immigrant visas (NIV) to visit, work, or study in the United States. US health departments and foreign ministries of health report tuberculosis cases in travelers to Centers for Disease Control and Prevention Quarantine Stations. We reviewed cases reported to this passive surveillance system from January 2011 to June 2016. Of 1252 cases of tuberculosis in travelers reported to CDC, 114 occurred in travelers with a long-term NIV. Of these, 83 (73%) were infectious; 18 (16%) with multidrug-resistant tuberculosis (MDR TB) and one with extensively drug-resistant tuberculosis (XDR TB). We found evidence that NIV holders are diagnosed with tuberculosis disease in the United States. Given that long-term NIV holders were over-represented in this data set, despite the small proportion (4%) of overall non-immigrant admissions they represent, expanding the US overseas migration health screening program to this population might be an efficient intervention to further reduce tuberculosis in the United States. US-bound immigrants and refugees undergo a mandatory overseas medical examination that includes tuberculosis screening; this exam is not routinely required for temporary visitors applying for non-immigrant visas (NIV) to visit, work, or study in the United States. US health departments and foreign ministries of health report tuberculosis cases in travelers to Centers for Disease Control and Prevention Quarantine Stations. We reviewed cases reported to this passive surveillance system from January 2011 to June 2016. Of 1252 cases of tuberculosis in travelers reported to CDC, 114 occurred in travelers with a long-term NIV. Of these, 83 (73%) were infectious; 18 (16%) with multidrug-resistant tuberculosis (MDR TB) and one with extensively drug-resistant tuberculosis (XDR TB). We found evidence that NIV holders are diagnosed with tuberculosis disease in the United States. Given that long-term NIV holders were over-represented in this data set, despite the small proportion (4%) of overall non-immigrant admissions they represent, expanding the US overseas migration health screening program to this population might be an efficient intervention to further reduce tuberculosis in the United States.US-bound immigrants and refugees undergo a mandatory overseas medical examination that includes tuberculosis screening; this exam is not routinely required for temporary visitors applying for non-immigrant visas (NIV) to visit, work, or study in the United States. US health departments and foreign ministries of health report tuberculosis cases in travelers to Centers for Disease Control and Prevention Quarantine Stations. We reviewed cases reported to this passive surveillance system from January 2011 to June 2016. Of 1252 cases of tuberculosis in travelers reported to CDC, 114 occurred in travelers with a long-term NIV. Of these, 83 (73%) were infectious; 18 (16%) with multidrug-resistant tuberculosis (MDR TB) and one with extensively drug-resistant tuberculosis (XDR TB). We found evidence that NIV holders are diagnosed with tuberculosis disease in the United States. Given that long-term NIV holders were over-represented in this data set, despite the small proportion (4%) of overall non-immigrant admissions they represent, expanding the US overseas migration health screening program to this population might be an efficient intervention to further reduce tuberculosis in the United States. |
Author | Gulati, Reena K. Posey, Drew L. Regan, Joanna J. Vonnahme, Laura A. Shaw, Kate M. Hollberg, Michelle R. |
Author_xml | – sequence: 1 givenname: Laura A. surname: Vonnahme fullname: Vonnahme, Laura A. organization: Division of Global Migration and Quarantine, Centers for Disease Control and Prevention – sequence: 2 givenname: Kate M. surname: Shaw fullname: Shaw, Kate M. organization: Division of Global Migration and Quarantine, Centers for Disease Control and Prevention – sequence: 3 givenname: Reena K. surname: Gulati fullname: Gulati, Reena K. organization: Division of Global Migration and Quarantine, Centers for Disease Control and Prevention – sequence: 4 givenname: Michelle R. surname: Hollberg fullname: Hollberg, Michelle R. organization: Division of Global Migration and Quarantine, Centers for Disease Control and Prevention – sequence: 5 givenname: Drew L. surname: Posey fullname: Posey, Drew L. organization: Division of Global Migration and Quarantine, Centers for Disease Control and Prevention – sequence: 6 givenname: Joanna J. orcidid: 0000-0002-9179-6694 surname: Regan fullname: Regan, Joanna J. email: jregan@cdc.gov organization: Division of Global Migration and Quarantine, Centers for Disease Control and Prevention |
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Cites_doi | 10.15585/mmwr.mm6711a2 10.1513/AnnalsATS.201508-547OC 10.1067/mic.2000.103555 10.1513/AnnalsATS.201908-623OC 10.1371/journal.pone.0032158 10.1371/journal.pone.0124116 10.1016/j.jpeds.2022.01.049 10.1016/j.tmaid.2013.09.007 10.7326/M14-2082 10.2105/AJPH.2015.302662 10.1016/j.tmaid.2017.06.007 10.1016/j.tmaid.2013.10.016 10.4269/ajtmh.15-0300 10.1001/jama.1994.03520130069035 10.5588/ijtld.10.0370 |
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Keywords | Travelers Visa status Tuberculosis Overseas screening Migration |
Language | English |
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– ident: 1601_CR7 – volume: 44 start-page: 137 issue: 8 year: 1995 ident: 1601_CR23 publication-title: MMWR Morb Mortal Wkly Rep contributor: fullname: Centers for Disease C, Prevention – volume: 272 start-page: 1031 issue: 13 year: 1994 ident: 1601_CR24 publication-title: JAMA, J Am Med Assoc doi: 10.1001/jama.1994.03520130069035 contributor: fullname: CR Driver – volume: 28 start-page: 233 issue: 3 year: 2000 ident: 1601_CR25 publication-title: Am J Infect Control doi: 10.1067/mic.2000.103555 contributor: fullname: PD Wang – ident: 1601_CR16 – volume: 6 start-page: 843 issue: 10 year: 2002 ident: 1601_CR22 publication-title: Botswana Int J Tuberc Lung Dis contributor: fullname: TA Kenyon – volume: 7 issue: 2 year: 2012 ident: 1601_CR8 publication-title: PLoS ONE doi: 10.1371/journal.pone.0032158 contributor: fullname: Y Liu – ident: 1601_CR18 – volume: 63 start-page: 234 issue: 11 year: 2014 ident: 1601_CR19 publication-title: MMWR Morb Mortal Wkly Rep contributor: fullname: DL Posey – ident: 1601_CR26 – volume: 17 start-page: 1401 issue: 11 year: 2020 ident: 1601_CR6 publication-title: Ann Am Thorac Soc doi: 10.1513/AnnalsATS.201908-623OC contributor: fullname: Y Liu – volume: 13 start-page: 522 issue: 4 year: 2016 ident: 1601_CR10 publication-title: Ann Am Thorac Soc doi: 10.1513/AnnalsATS.201508-547OC contributor: fullname: JM Collins – volume: 93 start-page: 747 issue: 4 year: 2015 ident: 1601_CR15 publication-title: Am J Trop Med Hyg doi: 10.4269/ajtmh.15-0300 contributor: fullname: C DeSisto – ident: 1601_CR20 – ident: 1601_CR2 |
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SubjectTerms | Adolescent Adult Aged Comparative Law Disease control Disease prevention Drug resistance Emigrants and Immigrants - statistics & numerical data Epidemiology Female Health Humans Immigrants International & Foreign Law Long term Male Medical screening Medicine Medicine & Public Health Middle Aged Migration Multidrug resistance Original Paper Physical examinations Private International Law Public Health Quarantine Refugees Screening Tests Sociology Surveillance Surveillance systems Travel Tuberculosis Tuberculosis - epidemiology Tuberculosis - ethnology Tuberculosis - prevention & control Tuberculosis, Multidrug-Resistant - epidemiology Tuberculosis, Multidrug-Resistant - ethnology United States - epidemiology Visitors Young Adult |
Title | Tuberculosis Disease Among Nonimmigrant Visa Holders Reported to US Quarantine Stations, January 2011–June 2016 |
URI | https://link.springer.com/article/10.1007/s10903-024-01601-w https://www.ncbi.nlm.nih.gov/pubmed/38834868 https://www.proquest.com/docview/3106861953 https://www.proquest.com/docview/3064921132 https://pubmed.ncbi.nlm.nih.gov/PMC11413147 |
Volume | 26 |
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