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Tuberculosis outbreak in an immigrant reception center in Israel: a clinical and epidemiologic perspective.

Authors
  • Bishara, Hashem
  • Lidji, Moshe
  • Goldblatt, Drora
  • Rorman, Efrat
  • Mor, Zohar
  • Weiler-Ravell, Daniel
Type
Published Article
Journal
Scandinavian Journal of Infectious Diseases
Publisher
Informa UK (Taylor & Francis)
Publication Date
Dec 01, 2014
Volume
46
Issue
12
Pages
906–910
Identifiers
DOI: 10.3109/00365548.2014.951684
PMID: 25290583
Source
Medline
Keywords
License
Unknown

Abstract

Tuberculosis (TB) outbreaks in congregate settings pose a public health concern and a clinical challenge. We report a TB outbreak involving 6 cases of active TB among 28 recent Ethiopian immigrants (EIs) in an immigrant reception center in Israel. The outbreak erupted several weeks after a meticulous pre-immigration TB screening of this group. All five culture-positive TB patients were infected with the CAS1_DELHI family, SIT 25 strain. Pulmonary involvement manifested as only a persistent cough without systemic symptoms. This outbreak occurred because of miscommunication among healthcare staff and between healthcare staff and the EI index case. It was fuelled by the staff ignorance of the social bonds within the group, and the sluggish once-monthly schedule of the on-site TB clinic operated at the reception center, which further lacked radiography facilities. This outbreak highlights the challenges of screening for active TB among immigrants and hard to reach groups.

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