Study Raises Fear Of TB In Immigrants
Shows Foreign-Born Residents Far More Likely To Carry Tuberculosis, Including Drug-Resistant Types
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(CBS/AP)
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TB rates were highest among residents from lower Africa and parts of Southeast Asia. Most drug-resistant TB cases also were from foreign-born residents, the study noted.
The researchers called for wider testing, including efforts to seek out latent cases of TB from long-term immigrant residents in certain populations.
Rates of at least 250 TB cases per 100,000 were found among people from African countries such as Ethiopia, Kenya and Somalia and from Southeast Asian nations including Vietnam, Cambodia and the Philippines.
By comparison, the overall rate of TB in the U.S. is fewer than 5 per 100,000, according to researchers at the Centers of Disease Control and Prevention, whose study is based on data from 2001-06. Their findings are being published in Wednesday's Journal of the American Medical Association.
Dr. Henry Blumberg of Emory University's medical school said the research shows "that it's in the interest of the United States to try to enhance global TB efforts."
Of those infected, drug-resistant TB was found in 20 percent of recent immigrants from Vietnam and 10 percent of foreign-born residents overall, compared with a little more than 4 percent of U.S.-born residents.
Public health officials worry that drug-resistant TB could become a worldwide scourge because of global travel and immigration. The issue made headlines last year when an Atlanta attorney with drug-resistant TB flew to several countries. Tests later showed he did not infect anyone on those flights.
U.S. law requires TB screening for people who want to immigrate to the United States, said the CDC's Dr. Kevin Cain, the study's lead author.
Another step that would help curb the rise of tuberculosis, he said, would be to find and treat latent TB infections. He said the study helps identify which foreign-born groups would be most appropriate for such an effort.
While most TB cases come from recent arrivals, a significant number involve people who have lived in the United States for at least 20 years, the study authors said. Most of these likely resulted from latent infections acquired years earlier abroad, they wrote.
Latent, non-contagious infections mean germs are present but the body is able to fight off symptoms. Latent infections can morph into active disease, causing contagious illness, at any time, particularly as people age and their immune systems weaken.
Latent infections are detected with skin tests and treated with nine months of antibiotics. Foreign-born U.S. residents aren't routinely tested for latent TB. And with more than 37 million foreign-born people living in the United States, giving all of them skin tests "would be daunting to say the least," Cain said.
© MMVIII The Associated Press. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.
- Since San Francisco is now proudly advertizing on TV that it''s a "sanctuary city" and telling illegals they should come there & the city will protect them from the evil immigration laws of the US, any & all sick illegals should get sent to San Francisco.
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- Thanks to illegal immigrants, who have no disease checks, TB has been re-introduced into the U. S.
AIDS is also being spread rapidly by illegal immigrants also. Who knows what else these people are
bringing to this country? One thing is certain: It''s the U. S. legal citizen taxpayers that pays these types of costs
associated with illegal immigration, and the problem
will only become worse, more complex, and more
expensive to solve. - Reply to this comment
- Are these the same illegals that wipe their behinds with tomatoes?
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- Hold all immigrants in a 6 month quarantine at Gitmo and they pay for their food and lodging by making a pre-immigration $ deposit prior to immigration.
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Illegals should be required to wear condoms over their heads.
As we have been taught, condoms solve all public health problems.- Reply to this comment
- It''s okay. When Obama gives free health care to the 12,000,000 + illegal aliens, all will be well.
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- NO ONE SHOULD BE ADMITTED TO THE UNITED STATES OR CANADA WITHOUT HAVING A CERTIFIED HEALTH EXAMINATION! THESE FREAKIN'' IMMIGRANTS ARE GOING TO OUR GROCERY STORES AND COUGHING ALL OVER THE VEGETABLES AND FOOD AND TO OUR SCHOOLS AND COUGHING ALL OVER OUR KIDS! KEEP THEM THE HELL OUT OF HERE!
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- Not to worry more than half of US citizens & all of the illegals will get health care-only problem is them bringing it into the gated communities they cut grass in-those must be protected at all cost.
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- A few months ago a local TV station in Arkansas reported the rise in TB in northwest Arkansas and even a few cases of leporacy. One local official attributed this to illegal aliens, mostly from Mexico. .... The state quickly silenced the report. Tyson and other food processors employ a lot of illegal aliens and you don%u2019t want to make the rich folks mad at you.
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