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Tackling TB in migrants arriving at Europe’s southern border by Lara Goscé; Enrico Girardi; Kasim Allel; Daniela Maria Cirillo; Lucia Barcellini; Giovanna Stancanelli; Alberto Matteelli; Hassan Hagphrast-Bidgoli; Ibrahim Abubakar is a Medicine article available to read on EtoBox.

What is Tackling TB in migrants arriving at Europe’s southern border about?

Over a quarter of the individuals diagnosed with tuberculosis [TB] in the European Union region are born outside of the area and the proportion has been increasing steadily. Italy is a low TB incidence country with over 50% of TB cases in the foreign-born population primarily due to the high numbers of migrants entering the country via land or sea. As a case study to evaluate the value of screening in newly arrived migrants, the EDETECT-TB project in Italy implemented and evaluated active TB screening in the migrant population at first reception centres to ensure early diagnosis to avoid further spread. Based on a cost-effectiveness analysis from a program provider perspective, a decision tree model allowed the assessment of the value for money of case finding by estimating the cost per case of active TB detected compared with the status quo of no screening. The analysis confirmed that early case detection is a cost-effective intervention in areas with migrants arriving from high TB risk settings. Targeted post-arrival early screening of high TB risk vulnerable new entrants to Italy has a potential role in reducing the spread of TB among migrants.

Who reads Tackling TB in migrants arriving at Europe’s southern border?

Author

Lara Goscé; Enrico Girardi; Kasim Allel; Daniela Maria Cirillo; Lucia Barcellini; Giovanna Stancanelli; Alberto Matteelli; Hassan Hagphrast-Bidgoli; Ibrahim Abubakar

Publisher

Elsevier BV

Published

2021

Language

EN

Field

Medicine (Health Sciences)