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Tuberculin reactivity in United States and foreign-born Latinos: Results of a community-based screening program

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  • Perez-Stable, E.J.
  • Slutkin, G.
  • Paz, E.A.
  • Hopewell, P.C.

Abstract

Because of the concern that we were underestimating the prevalence of tuberculosis within the Latino community in San Francisco, we undertook a community-based screening program directed largely towards recent immigrants. Of 1,871 intermediate-strength (5 TU) tuberculin tests applied and read, 37 per cent of the reactions were ≥10 mm. Significant reactions were found in 53 per cent of foreign-born persons compared to 7 per cent of those born in the United States. Persons older than 20 years of age were more likely to have significant reactions compared to younger Latinos. Among the foreign-born, the frequency of significant reactions was not influenced by the length of stay in the US or a history of BCG (bacille Calmette-Guerain) vaccination. Two foreign-born children were found to have current tuberculosis. The prevalence of tuberculin reactors among US-born Latino children was 3 per cent, which suggests that undetected transmission of tuberculosis may be occurring. We conclude that Latino immigrants should be systematically screened for tuberculosis.

Suggested Citation

  • Perez-Stable, E.J. & Slutkin, G. & Paz, E.A. & Hopewell, P.C., 1986. "Tuberculin reactivity in United States and foreign-born Latinos: Results of a community-based screening program," American Journal of Public Health, American Public Health Association, vol. 76(6), pages 643-646.
  • Handle: RePEc:aph:ajpbhl:1986:76:6:643-646_3
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    Cited by:

    1. Catalina Amuedo-Dorantes & Susan Pozo, 2011. "New evidence on the role of remittances on healthcare expenditures by Mexican households," Review of Economics of the Household, Springer, vol. 9(1), pages 69-98, March.

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