AI Article Synopsis
- Tuberculosis incidence in the US is decreasing, but the foreign-born population is increasingly affected, making up a larger share of TB cases.
- In a study of 1,149 confirmed TB cases in Florida, over 25% of the cases in foreign-born individuals were linked to recent transmission, with more than 33% diagnosed within 5 years of immigration.
- Key risk factors for TB transmission among this group include younger age, being from the Americas, homelessness, drug use, and certain TB lineages, highlighting important areas for public health intervention.
Article Abstract
As tuberculosis (TB) incidence decreases in the US, foreign-born persons continue to account for a larger proportion of the burden. In these cross-sectional analyses of 1149 culture-confirmed TB cases genotyped using spoligotyping and 24-locus MIRU, we show that over a quarter of cases among the foreign-born population in Florida resulted from recent transmission of the Mycobacterium tuberculosis complex. In addition, over a third of these cases occurred among persons who had immigrated 5 years or less prior to their diagnosis. Although recent immigration was not a significant predictor of TB transmission, younger age, birthplace in the Americas, homelessness, drug use and TB lineage are risk factors for TB transmission among the foreign-born population in Florida. These data provide actionable insights into TB transmission among the foreign-born population in Florida.
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| http://dx.doi.org/10.1016/j.meegid.2015.08.038 | DOI Listing |
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