title: The tubercular disease in immigrants without documents: new diagnostic settings adopted in Milan, Italy.
abstract: The tubercular disease (TB) is "the disease of poverty and people in need", spread in the poorest countries and among the less wealthy people of the western world (immigrants). In Italy the health authority has recently defined precise diagnostic and therapeutic patterns for TB. The social and health Association Naga in Milan with the Regional Reference Centre for TB, designed a screening system. In Naga's surgery all the undocumented immigrants, coming to Italy from countries with high TB incidence (> 100/100000) and high immigration rates, are screened by a questionnaire created by the Swiss Lung League; the suspect cases are sent to a designed centre for a second level of investigation. The use of this form allows to set a first selection based on the patients' anamnestic history, thus avoiding the intradermal reaction that, due to its low selectivity, could cause a 4 times higher crowding of the designed secondary centers.
authors.affiliation: Naga - onlus, Milan, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Olivani
authors.forename: L
authors.initials: L
authors.lastname: Codecasa
authors.forename: A
authors.initials: A
authors.lastname: Colucci
authors.forename: S
authors.initials: S
authors.lastname: Della Valle
authors.forename: L
authors.initials: L
authors.lastname: Mai
authors.forename: M
authors.initials: M
authors.lastname: Marceca
authors.forename: D
authors.initials: D
authors.lastname: Panizzut
authors.forename: E
authors.initials: E
authors.lastname: Sachsel
mesh_terms: D000293:Adolescent; D000328:Adult; D003226:Congresses as Topic; D003906:Developing Countries / Q000706:statistics & numerical data; D042241:Early Diagnosis; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008297:Male; D008400:Mass Chest X-Ray; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D011203:Poverty / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000453:epidemiology*