Kelly PM; Scott L; Krause, Vicki

Author(s)

Kelly PM

Scott L

Krause, Vicki

Publication Date

2002-11-01

Abstract

East Timorese refugees evacuated to Darwin, Australia, September 1999. Presentation of the process and results of tuberculosis (TB) screening in a previously unscreened refugee population. Screening for TB by clinical examination (all persons) and chest X-ray (CXR) (persons over 12 years of age and those of any age with respiratory symptoms) and sputum microscopy and mycobacterial culture (abnormal CXR). Seventy-six patients were diagnosed with TB (38 culture-positive for Mycobacterium tuberculosis, including 11 sputum smear-positive). Of 89 positive mycobacterial cultures, 51 were non-tuberculous mycobacteria (NTM). Of the M. tuberculosis isolates, 82.2% were fully sensitive, 17.2% were resistant to isoniazid and 8.6% were resistant to isoniazid and streptomycin. Fifty-three consecutively diagnosed patients with TB were HIV-negative. The TB burden in this population was very high (point prevalence of 542/100,000 for smear-positive and 2,060/100,000 for culture-positive cases). Rates of culture for NTM were also high. Information from this study assisted the implementation of a National TB Control Programme for East Timor in February 2000. The challenges for public health authorities in East Timor to provide a successful TB control programme are enormous. The apparently low prevalence of drug resistance and HIV co-infection in the population is encouraging.

Affiliation

Centre for Disease Control, Department of Health & Community Services, Darwin, Northern Territory, Australia. paulk@menzies.edu.au.

Citation

Int J Tuberc Lung Dis . 2002 Nov;6(11):980-7.

ISSN

1027-3719

Pubmed ID

https://pubmed.ncbi.nlm.nih.gov/12475144/?otool=iaurydwlib

Link

https://hdl.handle.net/10137/6803

MESH subject

Adolescent

Adult

Antitubercular Agents

Child

Child, Preschool

Female

Health Services Needs and Demand

Humans

Indonesia

Infant

Male

Mass Chest X-Ray

Middle Aged

Mycobacterium tuberculosis

Population Surveillance

Refugees

Tuberculosis, Multidrug-Resistant

Tuberculosis, Pulmonary

Title

Tuberculosis in east timorese refugees: implications for health care needs in East Timor.

Type of document

Journal Article

Entity Type

Publication

Author(s)	Kelly PM Scott L Krause, Vicki
Publication Date	2002-11-01
Abstract	East Timorese refugees evacuated to Darwin, Australia, September 1999. Presentation of the process and results of tuberculosis (TB) screening in a previously unscreened refugee population. Screening for TB by clinical examination (all persons) and chest X-ray (CXR) (persons over 12 years of age and those of any age with respiratory symptoms) and sputum microscopy and mycobacterial culture (abnormal CXR). Seventy-six patients were diagnosed with TB (38 culture-positive for Mycobacterium tuberculosis, including 11 sputum smear-positive). Of 89 positive mycobacterial cultures, 51 were non-tuberculous mycobacteria (NTM). Of the M. tuberculosis isolates, 82.2% were fully sensitive, 17.2% were resistant to isoniazid and 8.6% were resistant to isoniazid and streptomycin. Fifty-three consecutively diagnosed patients with TB were HIV-negative. The TB burden in this population was very high (point prevalence of 542/100,000 for smear-positive and 2,060/100,000 for culture-positive cases). Rates of culture for NTM were also high. Information from this study assisted the implementation of a National TB Control Programme for East Timor in February 2000. The challenges for public health authorities in East Timor to provide a successful TB control programme are enormous. The apparently low prevalence of drug resistance and HIV co-infection in the population is encouraging.
Affiliation	Centre for Disease Control, Department of Health & Community Services, Darwin, Northern Territory, Australia. paulk@menzies.edu.au.
Citation	Int J Tuberc Lung Dis . 2002 Nov;6(11):980-7.
ISSN	1027-3719
Pubmed ID	https://pubmed.ncbi.nlm.nih.gov/12475144/?otool=iaurydwlib
Link	https://hdl.handle.net/10137/6803
MESH subject	Adolescent Adult Antitubercular Agents Child Child, Preschool Female Health Services Needs and Demand Humans Indonesia Infant Male Mass Chest X-Ray Middle Aged Mycobacterium tuberculosis Population Surveillance Refugees Tuberculosis, Multidrug-Resistant Tuberculosis, Pulmonary
Title	Tuberculosis in east timorese refugees: implications for health care needs in East Timor.
Type of document	Journal Article
Entity Type	Publication

Tuberculosis in east timorese refugees: implications for health care needs in East Timor.

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