Reporting Patterns and Characteristics of Tuberculosis among International Travelers, United States, June 2006 to May 2008
Background.As part of efforts to prevent the introduction of communicable diseases into the United States, the Centers for Disease Control and Prevention (CDC) conducts surveillance for selected diseases in international travelers. One of these diseases, tuberculosis (TB), received substantial atten...
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Veröffentlicht in: | Clinical infectious diseases 2009-09, Vol.49 (6), p.885-891 |
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description | Background.As part of efforts to prevent the introduction of communicable diseases into the United States, the Centers for Disease Control and Prevention (CDC) conducts surveillance for selected diseases in international travelers. One of these diseases, tuberculosis (TB), received substantial attention in May 2007 when the CDC issued travel restrictions and a federal isolation order for a person with drug-resistant TB who traveled internationally against public health recommendations. Methods.Reports of TB in international travelers in the CDC's Quarantine Activity Reporting System (QARS) from 1 June 2006 through 31 May 2007 (year 1) were compared with reports from 1 June 2007 through 31 May 2008 (year 2). These reports were classified using the CDC and American Thoracic Society guidelines and analyzed for epidemiologic characteristics and trends. Results.Among QARS reports, 4.6% were classified as active TB disease and 1.7% as no TB disease. Active TB disease reports increased from 2.5% of QARS reports in year 1 to 6.4% in year 2 (P |
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One of these diseases, tuberculosis (TB), received substantial attention in May 2007 when the CDC issued travel restrictions and a federal isolation order for a person with drug-resistant TB who traveled internationally against public health recommendations. Methods.Reports of TB in international travelers in the CDC's Quarantine Activity Reporting System (QARS) from 1 June 2006 through 31 May 2007 (year 1) were compared with reports from 1 June 2007 through 31 May 2008 (year 2). These reports were classified using the CDC and American Thoracic Society guidelines and analyzed for epidemiologic characteristics and trends. Results.Among QARS reports, 4.6% were classified as active TB disease and 1.7% as no TB disease. Active TB disease reports increased from 2.5% of QARS reports in year 1 to 6.4% in year 2 (P<.001). The proportion of active TB disease reports leading to a federal travel restriction increased from 6.8% in year 1 to 15.4% in year 2 (P=.08). Conclusions.The significant increase in reports of international travelers with TB disease likely represents more attention to and a higher index of suspicion for TB. The increased use of federal travel restrictions was associated with the development of new procedures to limit travel for public health reasons. Continued efforts are needed to decrease the number of persons with TB who travel while potentially contagious.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/605437</identifier><identifier>PMID: 19663563</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Oxford: The University of Chicago Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Air travel ; Aircraft ; ARTICLES AND COMMENTARIES ; Bacterial diseases ; Biological and medical sciences ; Centers for Disease Control and Prevention (U.S.) ; Child ; Child, Preschool ; Communicable Disease Control ; Disease control ; Disease prevention ; Epidemiology ; Female ; Global Health ; Human bacterial diseases ; Humans ; Infant ; Infectious diseases ; Male ; Medical sciences ; Middle Aged ; Mycobacterium ; Mycobacterium tuberculosis ; Preventive medicine ; Public health ; Quarantine ; Quarantines ; Registries ; Retrospective Studies ; Risk Factors ; Sentinel Surveillance ; Travel ; Travelers ; Tuberculosis ; Tuberculosis - epidemiology ; Tuberculosis - prevention & control ; Tuberculosis - transmission ; Tuberculosis and atypical mycobacterial infections ; United States - epidemiology ; United States Department of Homeland Security ; Young Adult</subject><ispartof>Clinical infectious diseases, 2009-09, Vol.49 (6), p.885-891</ispartof><rights>2009 Infectious Diseases Society of America</rights><rights>2009 by the Infectious Diseases Society of America 2009</rights><rights>2009 INIST-CNRS</rights><rights>Copyright University of Chicago, acting through its Press Sep 15, 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-1d6a72a5d39ac85d296e973f44e4cf6aa248c5e0731c7e8c12a980bcf79046233</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/27799228$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/27799228$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21911491$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19663563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Modi, Surbhi</creatorcontrib><creatorcontrib>Buff, Ann M.</creatorcontrib><creatorcontrib>Lawson, Carl J.</creatorcontrib><creatorcontrib>Rodriguez, Daniel</creatorcontrib><creatorcontrib>Kirking, Hannah L.</creatorcontrib><creatorcontrib>Lipman, Harvey</creatorcontrib><creatorcontrib>Fishbein, Daniel B.</creatorcontrib><title>Reporting Patterns and Characteristics of Tuberculosis among International Travelers, United States, June 2006 to May 2008</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><addtitle>Clinical Infectious Diseases</addtitle><description>Background.As part of efforts to prevent the introduction of communicable diseases into the United States, the Centers for Disease Control and Prevention (CDC) conducts surveillance for selected diseases in international travelers. One of these diseases, tuberculosis (TB), received substantial attention in May 2007 when the CDC issued travel restrictions and a federal isolation order for a person with drug-resistant TB who traveled internationally against public health recommendations. Methods.Reports of TB in international travelers in the CDC's Quarantine Activity Reporting System (QARS) from 1 June 2006 through 31 May 2007 (year 1) were compared with reports from 1 June 2007 through 31 May 2008 (year 2). These reports were classified using the CDC and American Thoracic Society guidelines and analyzed for epidemiologic characteristics and trends. Results.Among QARS reports, 4.6% were classified as active TB disease and 1.7% as no TB disease. Active TB disease reports increased from 2.5% of QARS reports in year 1 to 6.4% in year 2 (P<.001). The proportion of active TB disease reports leading to a federal travel restriction increased from 6.8% in year 1 to 15.4% in year 2 (P=.08). Conclusions.The significant increase in reports of international travelers with TB disease likely represents more attention to and a higher index of suspicion for TB. The increased use of federal travel restrictions was associated with the development of new procedures to limit travel for public health reasons. Continued efforts are needed to decrease the number of persons with TB who travel while potentially contagious.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Air travel</subject><subject>Aircraft</subject><subject>ARTICLES AND COMMENTARIES</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Centers for Disease Control and Prevention (U.S.)</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Communicable Disease Control</subject><subject>Disease control</subject><subject>Disease prevention</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Global Health</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mycobacterium</subject><subject>Mycobacterium tuberculosis</subject><subject>Preventive medicine</subject><subject>Public health</subject><subject>Quarantine</subject><subject>Quarantines</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sentinel Surveillance</subject><subject>Travel</subject><subject>Travelers</subject><subject>Tuberculosis</subject><subject>Tuberculosis - epidemiology</subject><subject>Tuberculosis - prevention & control</subject><subject>Tuberculosis - transmission</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>United States - epidemiology</subject><subject>United States Department of Homeland Security</subject><subject>Young Adult</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVuLFDEQhRtR3Iv6D5QoqC-2Jp37o4yXXV1x0V4QX0JNOq099iSzSVpcf70ZetgBQZ9SxfnqVJJTVfcIfk6wEi8E5ozKG9Uh4VTWgmtys9SYq5opqg6qo5RWGBOiML9dHRAtBOWCHla_P7lNiHnw39A55OyiTwh8hxbfIYIt_ZDyYBMKPWqnpYt2GkMaCrMOZeTUbycgD8HDiNoIP93oYnqGLvyQXYc-Z8iutO8m71CDsUA5oA9wta3VnepWD2Nyd3fncXXx5nW7OKnPPr49Xbw8qy1TLNekEyAb4B3VYBXvGi2clrRnzDHbC4CGKcsdlpRY6ZQlDWiFl7aXGjPRUHpcPZ19NzFcTi5lsx6SdeMI3oUpGY0lYUqzLfnkv6SQotxbygI--gtchal8xJhMQ7TmslB7NxtDStH1ZhOHNcQrQ7DZhmbm0Ar4YOc2Ldeu22O7lArweAdAsjD2Ebwd0jVXVhLCNCncw5kL0-bfy-7PzCrlEPceUmrdNKro9ayX4N2vax3ij_J8Krk5-fLVvFqQtj1v35uW_gEZSb8Q</recordid><startdate>20090915</startdate><enddate>20090915</enddate><creator>Modi, Surbhi</creator><creator>Buff, Ann M.</creator><creator>Lawson, Carl J.</creator><creator>Rodriguez, Daniel</creator><creator>Kirking, Hannah L.</creator><creator>Lipman, Harvey</creator><creator>Fishbein, Daniel B.</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T2</scope><scope>7T7</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20090915</creationdate><title>Reporting Patterns and Characteristics of Tuberculosis among International Travelers, United States, June 2006 to May 2008</title><author>Modi, Surbhi ; Buff, Ann M. ; Lawson, Carl J. ; Rodriguez, Daniel ; Kirking, Hannah L. ; Lipman, Harvey ; Fishbein, Daniel B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-1d6a72a5d39ac85d296e973f44e4cf6aa248c5e0731c7e8c12a980bcf79046233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Air travel</topic><topic>Aircraft</topic><topic>ARTICLES AND COMMENTARIES</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Centers for Disease Control and Prevention (U.S.)</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Communicable Disease Control</topic><topic>Disease control</topic><topic>Disease prevention</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Global Health</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mycobacterium</topic><topic>Mycobacterium tuberculosis</topic><topic>Preventive medicine</topic><topic>Public health</topic><topic>Quarantine</topic><topic>Quarantines</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sentinel Surveillance</topic><topic>Travel</topic><topic>Travelers</topic><topic>Tuberculosis</topic><topic>Tuberculosis - epidemiology</topic><topic>Tuberculosis - prevention & control</topic><topic>Tuberculosis - transmission</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>United States - epidemiology</topic><topic>United States Department of Homeland Security</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Modi, Surbhi</creatorcontrib><creatorcontrib>Buff, Ann M.</creatorcontrib><creatorcontrib>Lawson, Carl J.</creatorcontrib><creatorcontrib>Rodriguez, Daniel</creatorcontrib><creatorcontrib>Kirking, Hannah L.</creatorcontrib><creatorcontrib>Lipman, Harvey</creatorcontrib><creatorcontrib>Fishbein, Daniel B.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Modi, Surbhi</au><au>Buff, Ann M.</au><au>Lawson, Carl J.</au><au>Rodriguez, Daniel</au><au>Kirking, Hannah L.</au><au>Lipman, Harvey</au><au>Fishbein, Daniel B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reporting Patterns and Characteristics of Tuberculosis among International Travelers, United States, June 2006 to May 2008</atitle><jtitle>Clinical infectious diseases</jtitle><stitle>Clinical Infectious Diseases</stitle><addtitle>Clinical Infectious Diseases</addtitle><date>2009-09-15</date><risdate>2009</risdate><volume>49</volume><issue>6</issue><spage>885</spage><epage>891</epage><pages>885-891</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>Background.As part of efforts to prevent the introduction of communicable diseases into the United States, the Centers for Disease Control and Prevention (CDC) conducts surveillance for selected diseases in international travelers. One of these diseases, tuberculosis (TB), received substantial attention in May 2007 when the CDC issued travel restrictions and a federal isolation order for a person with drug-resistant TB who traveled internationally against public health recommendations. Methods.Reports of TB in international travelers in the CDC's Quarantine Activity Reporting System (QARS) from 1 June 2006 through 31 May 2007 (year 1) were compared with reports from 1 June 2007 through 31 May 2008 (year 2). These reports were classified using the CDC and American Thoracic Society guidelines and analyzed for epidemiologic characteristics and trends. Results.Among QARS reports, 4.6% were classified as active TB disease and 1.7% as no TB disease. Active TB disease reports increased from 2.5% of QARS reports in year 1 to 6.4% in year 2 (P<.001). The proportion of active TB disease reports leading to a federal travel restriction increased from 6.8% in year 1 to 15.4% in year 2 (P=.08). Conclusions.The significant increase in reports of international travelers with TB disease likely represents more attention to and a higher index of suspicion for TB. The increased use of federal travel restrictions was associated with the development of new procedures to limit travel for public health reasons. Continued efforts are needed to decrease the number of persons with TB who travel while potentially contagious.</abstract><cop>Oxford</cop><pub>The University of Chicago Press</pub><pmid>19663563</pmid><doi>10.1086/605437</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Air travel Aircraft ARTICLES AND COMMENTARIES Bacterial diseases Biological and medical sciences Centers for Disease Control and Prevention (U.S.) Child Child, Preschool Communicable Disease Control Disease control Disease prevention Epidemiology Female Global Health Human bacterial diseases Humans Infant Infectious diseases Male Medical sciences Middle Aged Mycobacterium Mycobacterium tuberculosis Preventive medicine Public health Quarantine Quarantines Registries Retrospective Studies Risk Factors Sentinel Surveillance Travel Travelers Tuberculosis Tuberculosis - epidemiology Tuberculosis - prevention & control Tuberculosis - transmission Tuberculosis and atypical mycobacterial infections United States - epidemiology United States Department of Homeland Security Young Adult |
title | Reporting Patterns and Characteristics of Tuberculosis among International Travelers, United States, June 2006 to May 2008 |
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