Reaching the limits of tuberculosis prevention among foreign-born individuals: a tuberculosis-control program perspective. |
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| Authors: | Nicholas D Walter Robert M Jasmer Jennifer Grinsdale L Masae Kawamura Philip C Hopewell Payam Nahid |
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| Affiliation: | Division of Pulmonary and Critical Care, San Francisco General Hospital, University of California, San Francisco, 94110, USA. |
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| Abstract: | Analysis of whether assiduous implementation of American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America guidelines for targeted testing and treatment of latent tuberculosis infection could have prevented any of 223 cases of active tuberculosis in foreign-born persons in San Francisco during the period 2002-2003. We report that 62% of these cases were not preventable and conclude that a further reduction in the incidence of tuberculosis among foreign-born persons will be modest without modification of current guidelines. |
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