Skin-Test Screening and Tuberculosis Transmission among the Homeless
We describe the implementation of a mandatory tuberculosis (TB) screening program that uses symptom screening and tuberculin skin testing in homeless shelters. We used the results of DNA fingerprinting of Mycobacterium tuberculosis isolates to evaluate the effect of the program on TB incidence and t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Centers for Disease Control and Prevention
2002-11-01
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| Series: | Emerging Infectious Diseases |
| Subjects: | |
| Online Access: | https://wwwnc.cdc.gov/eid/article/8/11/02-0306_article |
| _version_ | 1828496683133042688 |
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| author | Po-Marn Kong Jan Tapy Patricia Calixto William J. Burman Randall R. Reves Zhenhua Yang M. Donald Cave |
| author_facet | Po-Marn Kong Jan Tapy Patricia Calixto William J. Burman Randall R. Reves Zhenhua Yang M. Donald Cave |
| author_sort | Po-Marn Kong |
| collection | DOAJ |
| description | We describe the implementation of a mandatory tuberculosis (TB) screening program that uses symptom screening and tuberculin skin testing in homeless shelters. We used the results of DNA fingerprinting of Mycobacterium tuberculosis isolates to evaluate the effect of the program on TB incidence and transmission. After the program was implemented, the proportion of cases among homeless persons detected by screening activities increased, and the estimated TB incidence decreased from 510 to 121 cases per 100,000 population per year. Recent transmission, defined by DNA fingerprinting analysis as clustered patterns occurring within 2 years, decreased from 49% to 14% (p=0.03). Our results suggest that the shelter-based screening program decreased the incidence of TB by decreasing its transmission among the homeless. |
| first_indexed | 2024-12-11T12:32:51Z |
| format | Article |
| id | doaj.art-b7d3fd04f8344923b2d3183c95a700e9 |
| institution | Directory Open Access Journal |
| issn | 1080-6040 1080-6059 |
| language | English |
| last_indexed | 2024-12-11T12:32:51Z |
| publishDate | 2002-11-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Emerging Infectious Diseases |
| spelling | doaj.art-b7d3fd04f8344923b2d3183c95a700e92022-12-22T01:07:11ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592002-11-018111280128410.3201/eid0811.020306Skin-Test Screening and Tuberculosis Transmission among the HomelessPo-Marn KongJan TapyPatricia CalixtoWilliam J. BurmanRandall R. RevesZhenhua YangM. Donald CaveWe describe the implementation of a mandatory tuberculosis (TB) screening program that uses symptom screening and tuberculin skin testing in homeless shelters. We used the results of DNA fingerprinting of Mycobacterium tuberculosis isolates to evaluate the effect of the program on TB incidence and transmission. After the program was implemented, the proportion of cases among homeless persons detected by screening activities increased, and the estimated TB incidence decreased from 510 to 121 cases per 100,000 population per year. Recent transmission, defined by DNA fingerprinting analysis as clustered patterns occurring within 2 years, decreased from 49% to 14% (p=0.03). Our results suggest that the shelter-based screening program decreased the incidence of TB by decreasing its transmission among the homeless.https://wwwnc.cdc.gov/eid/article/8/11/02-0306_articlehomelessnesstuberculosistuberculin skin testingDNA fingerprintingUnited States |
| spellingShingle | Po-Marn Kong Jan Tapy Patricia Calixto William J. Burman Randall R. Reves Zhenhua Yang M. Donald Cave Skin-Test Screening and Tuberculosis Transmission among the Homeless Emerging Infectious Diseases homelessness tuberculosis tuberculin skin testing DNA fingerprinting United States |
| title | Skin-Test Screening and Tuberculosis Transmission among the Homeless |
| title_full | Skin-Test Screening and Tuberculosis Transmission among the Homeless |
| title_fullStr | Skin-Test Screening and Tuberculosis Transmission among the Homeless |
| title_full_unstemmed | Skin-Test Screening and Tuberculosis Transmission among the Homeless |
| title_short | Skin-Test Screening and Tuberculosis Transmission among the Homeless |
| title_sort | skin test screening and tuberculosis transmission among the homeless |
| topic | homelessness tuberculosis tuberculin skin testing DNA fingerprinting United States |
| url | https://wwwnc.cdc.gov/eid/article/8/11/02-0306_article |
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