title: Tuberculosis control in big cities and urban risk groups in the European Union: a consensus statement.
abstract: In low-incidence countries in the European Union (EU), tuberculosis (TB) is concentrated in big cities, especially among certain urban high-risk groups including immigrants from TB high-incidence countries, homeless people, and those with a history of drug and alcohol misuse. Elimination of TB in European big cities requires control measures focused on multiple layers of the urban population. The particular complexities of major EU metropolises, for example high population density and social structure, create specific opportunities for transmission, but also enable targeted TB control interventions, not efficient in the general population, to be effective or cost effective. Lessons can be learnt from across the EU and this consensus statement on TB control in big cities and urban risk groups was prepared by a working group representing various EU big cities, brought together on the initiative of the European Centre for Disease Prevention and Control. The consensus statement describes general and specific social, educational, operational, organisational, legal and monitoring TB control interventions in EU big cities, as well as providing recommendations for big city TB control, based upon a conceptual TB transmission and control model.
authors.affiliation: Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, the Netherlands.
authors.forename: N A
authors.initials: NA
authors.lastname: van Hest
authors.forename: R W
authors.initials: RW
authors.lastname: Aldridge
authors.forename: G
authors.initials: G
authors.lastname: de Vries
authors.forename: A
authors.initials: A
authors.lastname: Sandgren
authors.forename: B
authors.initials: B
authors.lastname: Hauer
authors.forename: A
authors.initials: A
authors.lastname: Hayward
authors.forename: W
authors.initials: W
authors.lastname: Arrazola de Oñate
authors.forename: W
authors.initials: W
authors.lastname: Haas
authors.forename: L R
authors.initials: LR
authors.lastname: Codecasa
authors.forename: J A
authors.initials: JA
authors.lastname: Caylà
authors.forename: A
authors.initials: A
authors.lastname: Story
authors.forename: D
authors.initials: D
authors.lastname: Antoine
authors.forename: A
authors.initials: A
authors.lastname: Gori
authors.forename: L
authors.initials: L
authors.lastname: Quabeck
authors.forename: J
authors.initials: J
authors.lastname: Jonsson
authors.forename: M
authors.initials: M
authors.lastname: Wanlin
authors.forename: Å
authors.initials: Å
authors.lastname: Orcau
authors.forename: A
authors.initials: A
authors.lastname: Rodes
authors.forename: M
authors.initials: M
authors.lastname: Dedicoat
authors.forename: F
authors.initials: F
authors.lastname: Antoun
authors.forename: H
authors.initials: H
authors.lastname: van Deutekom
authors.forename: St
authors.initials: S
authors.lastname: Keizer
authors.forename: I
authors.initials: I
authors.lastname: Abubakar
mesh_terms: D002947:Cities; D032921:Consensus; D005060:Europe / Q000453:epidemiology; D005062:European Union; D006801:Humans; D015994:Incidence; D014376:Tuberculosis / Q000453:epidemiology / Q000517:prevention & control*; D014505:Urban Population