Skip to main content

Currently Skimming:

Appendix E Estimating the Number of Tuberculosis Cases That Can Be Prevented by a Program of Screening and Preventive Therapy of Newly Arrived Immigrants to the United States from Countries with a High Rate of Tuberculosis a
Pages 234-243

The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.


From page 234...
... Although this does not qualify as a high tuberculosis burden on the global scale, it is nearly 2.5 times the rate of infection estimated for the United States. Because of the large number of immigrants to the United States from Mexico, nearly one-quarter of all cases of tuberculosis among the foreign-born in the United States occur among individuals born in Mexico.
From page 235...
... One uses the risk of developing tuberculosis given a positive tuberculin skin test in a population at high risk for infection and with a mixture of old and new infections. The other method uses country- and region-specific annual incidence rates estimated for newly arrived immigrants during the first 5 years in the United States.
From page 236...
... 236 u o ~ ·_1 ~ U 5-, - o of En A o FLU 5o u H ._' V)
From page 238...
... Immigrant flows into the United States are constantly changing, and the number of immigrants coming from any one country can change dramatically from year to year. The most recent data for the number of immigrants entering the United States was from a 1996 Immigration and Naturalization Service summary.
From page 239...
... The estimates assume that all individuals from high-tuberculosis-risk countries would be retested by the tuberculin skin test in the United States and that all tuberculin skin test-positive individuals would receive a chest radiograph and an evaluation by a physician. The costs for therapy are for 80 percent of those infected (assuming that 20 percent will have contraindications to therapy or will decline treatment)
From page 240...
... of Legal 1-Year During F Organization Region Country Immigrants TB Risk 5 Years Africa Cape Verde 719 0.00176 6 Ethiopia 4,622 0.00176 41 Ghana 4,387 0.00176 38 Kenya 777 0.00176 7 Liberia 680 0.00176 6 Nigeria 6,426 0.00176 56 South Africa 1,309 0.00176 11 Americas Bolivia 590 0.00068 2 Equador 4,816 0.00068 16 Haiti 9,189 0.00399 183 Peru 5,929 0.00068 20 Eastern Mediterranean Pakistan 8,278 0.00113 47 Somalia 369 0.00176 3 Sudan 805 0.00176 7 Europe Southeast Asia Bangladesh 6,484 0.00113 37 India 30,089 0.00113 170 Indonesia 483 0.00113 3 Myanmar 1,031 0.00113 6 Western Pacific Cambodia 1,047 0.00113 6 China 34,512 0.00169 292 Hong Kong 5,824 0.00169 49 Philippines 39,204 0.00268 525 Rep. Korea 9,479 0.00171 81 Vietnam 10,030 0.00360 181 Subtotal 187,079 0 Mexico 52,946 0.00109 287 Total 240,025 2,081
From page 241...
... APPENDIX E 241 No. of entry- Country- 5-Year Pacific Specific Cases TB Risk for No.
From page 242...
... Many public health departments will not be prepared for implementation of this kind of program and will incur significant costs in starting up programs for largescale tuberculin skin testing and treatment of individuals with latent infection. However, it must also be noted that these start-up costs will yield benefits to other programs for tuberculin skin testing and treatment of latent infection that will be needed in the same communities.
From page 243...
... The epidemiology of tuberculosis among foreign-born persons in the United States, 1986 to 1993.


This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More information on Chapter Skim is available.