Volume 26, Number 4—April 2020
Synopsis
High Incidence of Active Tuberculosis in Asylum Seekers from Eritrea and Somalia in the First 5 Years after Arrival in the Netherlands
Jossy van den Boogaard
, Erika Slump, Henrieke J. Schimmel, Wim van der Hoek, Susan van den Hof, and Gerard de Vries
, Erika Slump, Henrieke J. Schimmel, Wim van der Hoek, Susan van den Hof, and Gerard de Vries
Table 1
Characteristics of asylum seekers from Eritrea and Somalia in whom active TB was detected, the Netherlands, 2013–2017
| Characteristic | Total study population | Country of origin |
p value† | |
|---|---|---|---|---|
| Eritrea | Somalia | |||
| Population size, no. |
26,057 |
21,182 |
4,875 |
NA |
| Arrivals per year | ||||
| 2013 | 3,741 (14.4) | 911 (4.3) | 2,830 (58.1) | <0.001 |
| 2014 | 5,353 (20.5) | 4,168 (19.7) | 1,185 (24.3) | <0.001 |
| 2015 | 8,889 (34.1) | 8,378 (39.6) | 511 (10.5) | <0.001 |
| 2016 | 3,484 (13.4) | 3,250 (15.3) | 234 (4.8) | <0.001 |
| 2017 |
4.590 (17.6) |
4,475 (21.1) |
115 (2.4) |
<0.001 |
| Age group | ||||
| <18 y | 10,750 (41.3) | 7,320 (34.6) | 3,430 (70.4) | <0.001 |
| >18 y |
15,307 (58.7) |
13,862 (65.4) |
1,445 (29.6) |
<0.001 |
| Sex | ||||
| F | 10,731 (41.2) | 8,191 (38.7) | 2,520 (51.7) | <0.001 |
| M |
15,326 (58.8) |
12,991 (61.3) |
2,355 (48.3) |
<0.001 |
| Persons with prevalent TB | 78 (0.3) | 61 (0.3) | 17 (0.4) | 0.48 |
| Of whom had PTB |
59/78 (75.6) |
49/61 (80.3) |
10/17 (62.5) |
0.068 |
| Persons with incident TB | 468 (1.8) | 338 (1.6) | 130 (2.7) | <0.001‡ |
| Of whom had PTB | 238/468 (50.9) | 181/338 (53.6) | 57/130 (43.5) | 0.060 |
| Detected in follow-up screening | 77/468 (16.5) | 67/338 (19.8) | 10/130 (7.6) | 0.002 |
*Values are no. (%) unless indicated. NA, not applicable; PTB, pulmonary tuberculosis; TB, tuberculosis.
†Case-patients from Eritrea compared with those from Somalia.
‡Proportion of incident cases cannot truly be compared between case-patients from Eritrea and those from Somalia because follow-up time was different (median of 28 months for case-patients from Eritrea versus 49 months for those from Somalia).
Page created: March 17, 2020
Page updated: March 17, 2020
Page reviewed: March 17, 2020
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