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Abstract

Persons fleeing Ukraine since February 2022 have potentially higher risk of tuberculosis (TB) vs all European Union countries. Interest of active TB screening among this population is debated and not widely adopted. In this screening intervention by a network of TB centres in France, the number needed to screen (NNS) was 862 to find one case. This experience shows that this strategy may be relevant for TB control in situations of massive displacement, similar to that following the Russian invasion.

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/content/10.2807/1560-7917.ES.2023.28.12.2300155
2023-03-23
2024-10-09
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2023.28.12.2300155
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References

  1. Council of the European Union. Ukraine: Council unanimously introduces temporary protection for persons fleeing the war. Press release. 4 Mar 2022. Available from: https://www.consilium.europa.eu/en/press/press-releases/2022/03/04/ukraine-council-introduces-temporary-protection-for-persons-fleeing-the-war/
  2. Ministère de l’Intérieur. Instruction relative à la mise en œuvre de la décision du Conseil de l'Union européenne du 5 mars 2022, prise en application de l'article 5 de la directive 2001/55/CE du Conseil du 20 juillet 2001. [Instruction on the implementation of the Decision of the Council of the European Union of 5 March 2022 pursuant to Article 5 of Council Directive 2001/55/EC of 20 July 2001]. Paris: Journal officiel de la République française; 2022. French. Available from: https://www.legifrance.gouv.fr/circulaire/id/45302?page=1&pageSize=10&query=+INTV2208085J&searchField=ALL&searchType=ALL&tab_selection=all&typePagination=DEFAULT
  3. European Centre for Disease Prevention and Control (ECDC). Tuberculosis surveillance and monitoring in Europe 2021 – 2019 data. Stockholm: ECDC; 2021. Available from: https://www.ecdc.europa.eu/en/publications-data/tuberculosis-surveillance-and-monitoring-europe-2021-2019-data
  4. Dahl V, Migliori GB, Lange C, Wejse C. War in Ukraine: an immense threat to the fight against tuberculosis. Eur Respir J. 2022;59(4):2200493.  https://doi.org/10.1183/13993003.00493-2022  PMID: 35450921 
  5. Vignier N, Halley des Fontaines V, Billette de Villemeur A, Cazenave-Roblot F, Hoen B, Chauvin F, et al. Public health issues and health rendezvous for migrants from conflict zones in Ukraine: A French practice guideline. Infect Dis Now. 2022;52(4):193-201.  https://doi.org/10.1016/j.idnow.2022.04.006  PMID: 35483634 
  6. Haut conseil de la santé publique (HCSP). Avis relatif aux recommandations concernant la visite médicale des étrangers primo-arrivants en provenance de pays tiers. [Medical examination of newly arrived foreigners]. Paris: HCSP. [Accessed: 14 Feb 2023]. French. Available from: https://www.hcsp.fr/Explore.cgi/avisrapportsdomaine?clefr=672
  7. Haut conseil de la santé publique (HCSP). Avis relatif à la détermination d’un seuil pratique pour définir un pays de haute endémicité tuberculeuse. May 18 2018. [Determination of a threshold of high tuberculosis endemicity]. Paris: HCSP. [Accessed: 14 Feb 2023]. French. Available from: https://www.hcsp.fr/explore.cgi/avisrapportsdomaine?clefr=668
  8. Lailler G, Comolet T, Riva E, Combroure JC. Les activités de maîtrise de la tuberculose menées par les Centres de lutte antituberculeuse. Bilan en 2016 et perspectives. Bull Epidemiol Hebd (Paris). 2018; (6-7):121-4. Available from: http://invs.santepubliquefrance.fr/ beh/2018/6-7/2018_6-7_4.htm
  9. Ministère des solidarités et santé. Instruction DGS/SP2/2020/224 du 8 décembre 2020 relative à la mise en place de la réforme des centres de lutte anti tuberculeuse (CLAT). [Instruction DGS/SP2/2020/224 of 8 December 2020 on the implementation of the reform of tuberculosis control centres (CLAT)]. Paris: Journal officiel de la République française; 2021. French. Available from: https://www.legifrance.gouv.fr/circulaire/id/45119?tab_selection=circ&searchField=ALL&query=*&page=1&init=true&dateSignature
  10. Naufal F, Chaisson LH, Robsky KO, Delgado-Barroso P, Alvarez-Manzo HS, Miller CR, et al. Number needed to screen for TB in clinical, structural or occupational risk groups. Int J Tuberc Lung Dis. 2022;26(6):500-8.  https://doi.org/10.5588/ijtld.21.0749  PMID: 35650693 
  11. Guthmann JP, Laporal S, Lévy-Bruhl D. La tuberculose maladie en France en 2018. Faible incidence nationale, forte incidence dans certains territoires et groupes de population. Bull Epidemiol Hebd (Paris). 2020; (10-11):196-203. Available from: http://beh.santepubliquefrance.fr/beh/2020/10-11/2020_10-11_1.html
  12. Institut national de la statistique et des études économiques (INSEE). Étrangers par nationalité détaillée. Recensement de la population 2019. [Foreigners and immigrants in 2019. Detailed nationalities and countries of birth - Census of Population]. Paris: INSEE. [Accessed: 20 Mar 2023.] French. Available from: https://www.insee.fr/fr/statistiques/6478065?sommaire=6478362
  13. United Nations Refugee Agency (UNHCR). Operational data portal. Ukraine refugee situation. Geneva: UNHCR. [Accessed: 14 Feb 2023]. Available from: https://data.unhcr.org/en/situations/ukraine#_ga=2.14069111.1340351102.1675866931-785840434.1675866931
  14. Fiebig L, Hauer B, Andrés M, Haas W. Tuberculosis screening in asylum seekers in Germany, 2015: characteristics of cases and yield. Eur Respir J. 2017;50(4):1602550.  https://doi.org/10.1183/13993003.02550-2016  PMID: 29074541 
  15. Spruijt I, Haile DT, Erkens C, van den Hof S, Goosen S, Ten Kate A, et al. Strategies to reach and motivate migrant communities at high risk for TB to participate in a latent tuberculosis infection screening program: a community-engaged, mixed methods study among Eritreans. BMC Public Health. 2020;20(1):315.  https://doi.org/10.1186/s12889-020-8390-9  PMID: 32164637 
  16. Solomos Z, Botsi C, Georgakopoulou T, Lytras T, Tsiodras S, Puchner KP. Active case finding of pulmonary TB in a European refugee camp: lessons learnt from Oinofyta hosting site in Greece. Trop Med Int Health. 2021;26(9):1068-74.  https://doi.org/10.1111/tmi.13626  PMID: 33991376 
  17. Pampaloni A, Locatelli ME, Venanzi Rullo E, Alaimo S, Cosentino F, Marino A, et al. "Diagnosis on the Dock" project: A proactive screening program for diagnosing pulmonary tuberculosis in disembarking refugees and new SEI model. Int J Infect Dis. 2021;106:98-104.  https://doi.org/10.1016/j.ijid.2021.03.032  PMID: 33737130 
  18. Wahedi K, Biddle L, Bozorgmehr K. Cost-effectiveness of targeted screening for active pulmonary tuberculosis among asylum-seekers: A modelling study with screening data from a German federal state (2002-2015). PLoS One. 2020;15(11):e0241852.  https://doi.org/10.1371/journal.pone.0241852  PMID: 33151980 
  19. Collin SM, Wurie F, Muzyamba MC, de Vries G, Lönnroth K, Migliori GB, et al. Effectiveness of interventions for reducing TB incidence in countries with low TB incidence: a systematic review of reviews. Eur Respir Rev. 2019;28(152):180107.  https://doi.org/10.1183/16000617.0107-2018  PMID: 31142548 
  20. Heuvelings CC, de Vries SG, Greve PF, Visser BJ, Bélard S, Janssen S, et al. Effectiveness of interventions for diagnosis and treatment of tuberculosis in hard-to-reach populations in countries of low and medium tuberculosis incidence: a systematic review. Lancet Infect Dis. 2017;17(5):e144-58.  https://doi.org/10.1016/S1473-3099(16)30532-1  PMID: 28291722 
  21. European Centre for Disease Prevention and Control (ECDC). Testing for tuberculosis infection and screening for tuberculosis disease among refugees arriving in European countries from Ukraine. Stockholm: ECDC; 2022. Available from: https://www.ecdc.europa.eu/en/news-events/testing-tuberculosis-infection-and-screening-tuberculosis-disease-among-incoming
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