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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 BoogaardComments to Author , Erika Slump, Henrieke J. Schimmel, Wim van der Hoek, Susan van den Hof, and Gerard de Vries
Author affiliations: European Programme for Intervention Epidemiology Training, European Centre for Disease Prevention and Control, Stockholm, Sweden (J. van den Boogaard); National Institute for Public Health and the Environment, Bilthoven, the Netherlands (J. van den Boogaard, E. Slump, H.J. Schimmel, W. van der Hoek, S. van den Hof, G. de Vries)

Main Article

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).

Main Article

Page created: March 17, 2020
Page updated: March 17, 2020
Page reviewed: March 17, 2020
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