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
Hauptverfasser: Modi, Surbhi, Buff, Ann M., Lawson, Carl J., Rodriguez, Daniel, Kirking, Hannah L., Lipman, Harvey, Fishbein, Daniel B.
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container_end_page 891
container_issue 6
container_start_page 885
container_title Clinical infectious diseases
container_volume 49
creator Modi, Surbhi
Buff, Ann M.
Lawson, Carl J.
Rodriguez, Daniel
Kirking, Hannah L.
Lipman, Harvey
Fishbein, Daniel B.
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
doi_str_mv 10.1086/605437
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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&lt;.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 &amp; 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&amp;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&lt;.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 &amp; 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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&lt;.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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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
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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