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Estimating the Impact of Newly Arrived Foreign-Born Persons on Tuberculosis in the United States 英文参考文献.docVIP

Estimating the Impact of Newly Arrived Foreign-Born Persons on Tuberculosis in the United States 英文参考文献.doc

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Estimating the Impact of Newly Arrived Foreign-Born Persons on Tuberculosis in the United States 英文参考文献

EstimatingtheImpactofNewlyArrivedForeign-Born PersonsonTuberculosisintheUnitedStates YecaiLiu1*,JohnA.Painter1,DrewL.Posey1,KevinP.Cain2,MichelleS.Weinberg1,SusanA.Maloney3, LuisS.Ortega1,MartinS.Cetron1 1Division of Global Migration and Quarantine, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America, 2Division of Tuberculosis Elimination, CentersforDisease Control andPrevention,Atlanta,Georgia, UnitedStatesofAmerica, 3InternationalEmergingInfectionsProgram,ThailandMinistryof PublicHealth–U.S.CentersforDiseaseControlandPreventionCollaboration,Nonthaburi,Thailand Abstract Background: Among approximately 163.5 million foreign-born persons admitted to the United States annually, only 500,000immigrantsandrefugeesarerequiredtoundergooverseastuberculosis(TB)screening.Itisunclearwhatextentof theunscreenednonimmigrantvisitorscontributestotheburdenofforeign-bornTBintheUnitedStates. Methodology/PrincipalFindings:Wedefinedforeign-bornpersonswithin1yearafterarrivalintheUnitedStatesas‘‘newly arrived’’,andutilizeddatafromU.S.DepartmentofHomelandSecurity,U.S.CentersforDiseaseControlandPrevention,and WorldHealthOrganizationtoestimatetheincidenceofTBamongnewlyarrivedforeign-bornpersonsintheUnitedStates. During2001through2008,11,500TBincidentcases,including291multidrug-resistantTBincidentcases,wereestimatedto occuramong20,989,738person-yearsforthe1,479,542,654newlyarrivedforeign-bornpersonsintheUnitedStates.Ofthe 11,500estimatedTBincidentcases,41.6%(4,783)occurredamongimmigrantsandrefugees,36.6%(4,211)amongstudents/ exchange visitors and temporary workers, 13.8% (1,589) among tourists and business travelers, and 7.3% (834) among CanadianandMexicannonimmigrantvisitorswithoutanI-94form(e.g.,arrival-departurerecord).Thetop3newlyarrived foreign-born populations with the largest estimated TB incident cases per 100,000 admissions were immigrants and refugees fromhigh-incidence countries (e.g., 2008 WHO-estimated TB incidence rate of $100cases/100,000

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