High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands
Three quarters of tuberculosis (TB) patients in the Netherlands are foreign-born; 26% are from Eritrea or Somalia. We analyzed TB incidence rates in asylum seekers from Eritrea and Somalia in the first 5 years after arrival in the Netherlands (2013–2017) and performed survival analysis with Cox prop...
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Centers for Disease Control and Prevention
2020-04-01
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Online Access: | https://wwwnc.cdc.gov/eid/article/26/4/19-0123_article |
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doaj-5d103e9daa5a440494e93ffca60ffdf12020-11-25T01:49:23ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592020-04-0126467568110.3201/eid2604.190123High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the NetherlandsJossy van den BoogaardErika SlumpHenrieke J. SchimmelWim van der HoekSusan van den HofGerard de VriesThree quarters of tuberculosis (TB) patients in the Netherlands are foreign-born; 26% are from Eritrea or Somalia. We analyzed TB incidence rates in asylum seekers from Eritrea and Somalia in the first 5 years after arrival in the Netherlands (2013–2017) and performed survival analysis with Cox proportional hazards regression to analyze the effect of age and sex on the risk for TB. TB incidence remained high 5 years after arrival in asylum seekers from Eritrea (309 cases/100,000 person-years) and Somalia (81 cases/100,000 person-years). Age >18 years was associated with a higher risk for TB in asylum seekers from Eritrea (3.4 times higher) and Somalia (3.7 times higher), and male sex was associated with a 1.6 times higher risk for TB in asylum seekers from Eritrea. Screening and treating asylum seekers from high-incidence areas for latent TB infection upon arrival would further reduce TB incidence in the Netherlands.https://wwwnc.cdc.gov/eid/article/26/4/19-0123_articletuberculosis and other mycobacteriaTBincidenceasylum seekersEritreaSomalia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jossy van den Boogaard Erika Slump Henrieke J. Schimmel Wim van der Hoek Susan van den Hof Gerard de Vries |
spellingShingle |
Jossy van den Boogaard Erika Slump Henrieke J. Schimmel Wim van der Hoek Susan van den Hof Gerard de Vries High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands Emerging Infectious Diseases tuberculosis and other mycobacteria TB incidence asylum seekers Eritrea Somalia |
author_facet |
Jossy van den Boogaard Erika Slump Henrieke J. Schimmel Wim van der Hoek Susan van den Hof Gerard de Vries |
author_sort |
Jossy van den Boogaard |
title |
High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands |
title_short |
High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands |
title_full |
High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands |
title_fullStr |
High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands |
title_full_unstemmed |
High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands |
title_sort |
high incidence of active tuberculosis in asylum seekers from eritrea and somalia in the first 5 years after arrival in the netherlands |
publisher |
Centers for Disease Control and Prevention |
series |
Emerging Infectious Diseases |
issn |
1080-6040 1080-6059 |
publishDate |
2020-04-01 |
description |
Three quarters of tuberculosis (TB) patients in the Netherlands are foreign-born; 26% are from Eritrea or Somalia. We analyzed TB incidence rates in asylum seekers from Eritrea and Somalia in the first 5 years after arrival in the Netherlands (2013–2017) and performed survival analysis with Cox proportional hazards regression to analyze the effect of age and sex on the risk for TB. TB incidence remained high 5 years after arrival in asylum seekers from Eritrea (309 cases/100,000 person-years) and Somalia (81 cases/100,000 person-years). Age >18 years was associated with a higher risk for TB in asylum seekers from Eritrea (3.4 times higher) and Somalia (3.7 times higher), and male sex was associated with a 1.6 times higher risk for TB in asylum seekers from Eritrea. Screening and treating asylum seekers from high-incidence areas for latent TB infection upon arrival would further reduce TB incidence in the Netherlands. |
topic |
tuberculosis and other mycobacteria TB incidence asylum seekers Eritrea Somalia |
url |
https://wwwnc.cdc.gov/eid/article/26/4/19-0123_article |
work_keys_str_mv |
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