Epidemiology of Human Mycobacterium bovis Disease, California, USA, 2003–2011

We conducted a retrospective review of California tuberculosis (TB) registry and genotyping data to evaluate trends, analyze epidemiologic differences between adult and child case-patients with Mycobacterium bovis disease, and identify risk factors for M. bovis disease. The percentage of TB cases at...

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Main Authors: Mark Gallivan, Neha Shah, Jennifer Flood
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2015-03-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/21/3/14-1539_article
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author Mark Gallivan
Neha Shah
Jennifer Flood
author_facet Mark Gallivan
Neha Shah
Jennifer Flood
author_sort Mark Gallivan
collection DOAJ
description We conducted a retrospective review of California tuberculosis (TB) registry and genotyping data to evaluate trends, analyze epidemiologic differences between adult and child case-patients with Mycobacterium bovis disease, and identify risk factors for M. bovis disease. The percentage of TB cases attributable to M. bovis increased from 3.4% (80/2,384) in 2003 to 5.4% (98/1,808) in 2011 (p = 0.002). All (6/6) child case-patients with M. bovis disease during 2010–2011 had >1 parent/guardian who was born in Mexico, compared with 38% (22/58) of child case-patients with M. tuberculosis disease (p = 0.005). Multivariate analysis of TB case-patients showed Hispanic ethnicity, extrapulmonary disease, diabetes, and immunosuppressive conditions, excluding HIV co-infection, were independently associated with M. bovis disease. Prevention efforts should focus on Hispanic binational families and adults with immunosuppressive conditions. Collection of additional risk factors in the national TB surveillance system and expansion of whole-genome sequencing should be considered.
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spelling doaj.art-91db1b5e19ce4c0aaebd06adc975b9832022-12-22T01:32:28ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592015-03-0121343544310.3201/eid2103.141539Epidemiology of Human Mycobacterium bovis Disease, California, USA, 2003–2011Mark GallivanNeha ShahJennifer FloodWe conducted a retrospective review of California tuberculosis (TB) registry and genotyping data to evaluate trends, analyze epidemiologic differences between adult and child case-patients with Mycobacterium bovis disease, and identify risk factors for M. bovis disease. The percentage of TB cases attributable to M. bovis increased from 3.4% (80/2,384) in 2003 to 5.4% (98/1,808) in 2011 (p = 0.002). All (6/6) child case-patients with M. bovis disease during 2010–2011 had >1 parent/guardian who was born in Mexico, compared with 38% (22/58) of child case-patients with M. tuberculosis disease (p = 0.005). Multivariate analysis of TB case-patients showed Hispanic ethnicity, extrapulmonary disease, diabetes, and immunosuppressive conditions, excluding HIV co-infection, were independently associated with M. bovis disease. Prevention efforts should focus on Hispanic binational families and adults with immunosuppressive conditions. Collection of additional risk factors in the national TB surveillance system and expansion of whole-genome sequencing should be considered.https://wwwnc.cdc.gov/eid/article/21/3/14-1539_articleTuberculosisMycobacterium bovissurveillanceepidemiologytrendszoonoses
spellingShingle Mark Gallivan
Neha Shah
Jennifer Flood
Epidemiology of Human Mycobacterium bovis Disease, California, USA, 2003–2011
Emerging Infectious Diseases
Tuberculosis
Mycobacterium bovis
surveillance
epidemiology
trends
zoonoses
title Epidemiology of Human Mycobacterium bovis Disease, California, USA, 2003–2011
title_full Epidemiology of Human Mycobacterium bovis Disease, California, USA, 2003–2011
title_fullStr Epidemiology of Human Mycobacterium bovis Disease, California, USA, 2003–2011
title_full_unstemmed Epidemiology of Human Mycobacterium bovis Disease, California, USA, 2003–2011
title_short Epidemiology of Human Mycobacterium bovis Disease, California, USA, 2003–2011
title_sort epidemiology of human mycobacterium bovis disease california usa 2003 2011
topic Tuberculosis
Mycobacterium bovis
surveillance
epidemiology
trends
zoonoses
url https://wwwnc.cdc.gov/eid/article/21/3/14-1539_article
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