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Volume 26, Number 8—August 2020
CME ACTIVITY - Synopsis

Tuberculosis in Internationally Displaced Children Resettling in Harris County, Texas, USA, 2010–20151

Gabriella S. Lamb2Comments to Author , Andrea T. Cruz, Elizabeth A. Camp, Michelle Javier, Jessica Montour, Tamisha Piper, Umair A. Shah, and Jeffrey R. Starke
Author affiliations: Baylor College of Medicine, Houston, Texas, USA (G.S. Lamb, A.T. Cruz, E.A. Camp, M. Javier, J.R. Starke); US Committee for Refugees and Immigrants, Austin, Texas, USA (J. Montour); Harris County Public Health Refugee Health Screening Program, Houston (T. Piper, U.A. Shah)

Main Article

Table 3

Tests for TB infection performed and test results by immigration classification in migrant children, Harris County, Texas, USA, 2010–2015*

Higher-risk groups

Lower-risk groups
Refugee, n = 4,246
Asylee, n = 173
VHT, n = 16
Parolee, n = 851
SIV holder, n = 704
Test(s) performed








TST alone
1,381 (32.5)
30 (17.3)
1 (6.3)

168 (19.7)
300 (42.6)
1.08 (0.96–1.23)
<0.001
IGRA alone
2,558 (60.2)
137 (79.2)
15 (93.8)

642 (75.4)
349 (49.6)
1.12 (0.99–1.26)
TST and IGRA
204 (4.8)
4 (2.3)
0

22 (2.6)
29 (4.1)
1.45 (1.06–1.98)
Result








TST positive
196/1,589 (12.3)
4/35 (11.4)
0

7/190 (3.7)
25/329 (7.6)
2.14 (1.45–3.15)
<0.001
IGRA positive
142/2,819 (5.0)
5/141 (3.5)
0

5/664 (0.8)
9/389 (2.3)
3.84 (2.21–6.68)
<0.001
Total positive tests 311 (7.3) 9 (5.2) 0 10 (1.2) 34 (4.8) 2.67 (1.94–3.68) <0.001

*Values are no. (%) or no. positive/no. tested (%) except as indicated. IGRA, interferon gamma release assay; OR, odds ratio; SIV, special immigrant visa; TST, tuberculin skin test; VHT, victim of human trafficking.
p value using χ2 test.

Main Article

1Preliminary results from this study were presented at the North American Union TB Conference, February 28–March 3, 2018, Chicago, IL, USA.

2Current affiliation: Harvard Medical School, Boston, Massachusetts, USA.

Page created: April 29, 2020
Page updated: July 17, 2020
Page reviewed: July 17, 2020
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