Reaching the limits of tuberculosis prevention among foreign-born individuals: a tuberculosis-control program perspective.
Analysis of whether assiduous implementation of American Thoracic Society/Centers for Disease Control and Prevention/Infectious Diseases Society of America guidelines for targeted testing and treatment of latent tuberculosis infection could have prevented any of 223 cases of active tuberculosis in foreign-born persons in San Francisco during the period 2002-2003. We report that 62% of these cases were not preventable and conclude that a further reduction in the incidence of tuberculosis among foreign-born persons will be modest without modification of current guidelines.
Walter
Nicholas D
ND
Division of Pulmonary and Critical Care, San Francisco General Hospital, University of California, San Francisco, 94110, USA.
Jasmer
Robert M
RM
Grinsdale
Jennifer
J
Kawamura
L Masae
LM
Hopewell
Philip C
PC
Nahid
Payam
P
D002487:Centers for Disease Control and Prevention, U.S.; D003140:Communicable Disease Control / Q000379:methods*; D004641:Emigration and Immigration; D019983:Guideline Adherence; D006801:Humans; D012495:San Francisco / Q000453:epidemiology; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology / Q000382:microbiology / Q000517:prevention & control*; D014481:United States / Q000453:epidemiology