title: Tuberculosis in the aftermath of the 2010 earthquake in Haiti.
abstract: OBJECTIVE
  In 2010, Haiti sustained a devastating earthquake that crippled the health-care infrastructure in the capital city, Port-au-Prince, and left 1.5 million people homeless. Subsequently, there was an increase in reported tuberculosis in the affected population.
  
  
  METHODS
  We conducted active tuberculosis case finding in a camp for internally displaced persons and a nearby slum. Community health workers screened for tuberculosis at the household level. People with persistent cough were referred to a physician. The National Tuberculosis Program continued its national tuberculosis reporting system.
  
  
  METHODS
  Even before the earthquake, Haiti had the highest tuberculosis incidence in the Americas. About half of the tuberculosis cases occur in the Port-au-Prince region.
  
  
  RESULTS
  The number of reported tuberculosis cases in Haiti has increased after the earthquake, but data are too limited to determine if this is due to an increase in tuberculosis burden or to improved case detection. Compared to previous national estimates (230 per 100,000 population), undiagnosed tuberculosis was threefold higher in a camp for internally displaced persons (693 per 100,000) and fivefold higher in an urban slum (1165 per 100,000). With funding from the World Health Organization (WHO), active case finding is now being done systematically in slums and camps.
  
  
  CONCLUSIONS
  Household-level screening for prolonged cough was effective in identifying patients with active tuberculosis in this study. Without accurate data, early detection of rising tuberculosis rates is challenging; data collection should be incorporated into pragmatic disease response programmes.
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Serena P
authors.initials: SP
authors.lastname: Koenig
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Vanessa
authors.initials: V
authors.lastname: Rouzier
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Stalz Charles
authors.initials: SC
authors.lastname: Vilbrun
authors.affiliation: Haitian National Tuberculosis Program (Programme National de Lutte contre la Tuberculose, PNLT), Port-au-Prince, Haiti .
authors.forename: Willy
authors.initials: W
authors.lastname: Morose
authors.affiliation: Department of Medicine, Stanford University, Palo Alto, United States of America (USA).
authors.forename: Sean E
authors.initials: SE
authors.lastname: Collins
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Patrice
authors.initials: P
authors.lastname: Joseph
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Diessy
authors.initials: D
authors.lastname: Decome
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Oksana
authors.initials: O
authors.lastname: Ocheretina
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Stanislas
authors.initials: S
authors.lastname: Galbaud
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Lauren
authors.initials: L
authors.lastname: Hashiguchi
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Julma
authors.initials: J
authors.lastname: Pierrot
authors.affiliation: Haitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), 33 Boulevard Harry Truman, BP 15727, Port-au-Prince, Haiti .
authors.forename: Jean William
authors.initials: JW
authors.lastname: Pape
mesh_terms: D004190:Disasters; D055866:Earthquakes; D006205:Haiti / Q000453:epidemiology; D006801:Humans; D014376:Tuberculosis / Q000175:diagnosis* / Q000453:epidemiology*; D014944:World Health Organization