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Letters |21 July 2015

Tuberculosis Incidence in Immigrants and Refugees

Azariyas A. Challa, MD, PhD

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TO THE EDITOR:
Liu and colleagues (1) attribute the recent decline in tuberculosis (TB) cases among newly arrived, foreign-born persons in the United States to the increase in smear-negative/culture-positive cases diagnosed overseas among immigrants and refugees, as a result of the Centers for Disease Control and Prevention's implementation of the culture-based algorithm. This observation seems plausible until one considers that many foreign-born persons, including visitors, students, temporary workers, and unauthorized aliens, are not screened before admittance to the United States (2). In fact, immigrants and refugees constitute only approximately one third of the estimated 1.3 million...
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Challa AA. Tuberculosis Incidence in Immigrants and Refugees. Ann Intern Med. 2015;163:149–150. doi: 10.7326/L15-5111

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Published: Ann Intern Med. 2015;163(2):149-150.

DOI: 10.7326/L15-5111

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