OBJECTIVE: From 2011 to 2017 the total number of refugees arrived in Europe, in particular in Italy, climbed dramatically. Our aim was to diagnose pulmonary TB in migrants coming from African coasts through a clinical-based port of arrival (PoA) screening program.METHODS: From 2016 to 2018, migrants coming from the Mediterranean Route were screened with body temperature and the presence of cough directly on the dock: if they were feverish with productive cough, their sputum were examined with NAAT; with dry cough they underwent Chest-X-ray (CXR). Those migrants with positive NAAT or CXR suggestive for TB were admitted in our ward. Moreover, we plotted a SEI simulation of our project to evaluate the epidemiological impact of our screening.RESULTS: Out of 33676 disembarking migrants, 314 (0.9%) had fever and cough: 80 (25.47%) with productive cough underwent NAAT in sputum and 16 resulted positive for TB; 234 (74.52%) with dry cough had a CXR examination and 39 were suggestive for TB, later confirmed by mycobacterial culture. SEI-new model analysis demonstrated that our screening program reduced significantly TB spreading all over the country.CONCLUSIONS: For possible future high migrant flows, PoA screening for TB has to be considered feasible and effective in decreasing TB spreading.

"Diagnosis on the Dock" project: a proactive screening program for diagnosing pulmonary tuberculosis in disembarking refugees and new SEI model

Alaimo, Salvatore;Marino, Andrea;Moscatt, Vittoria;Celesia, Benedetto Maurizio;Ceccarelli, Manuela;Nunnari, Giuseppe;Pulvirenti, Alfredo;Cacopardo, Bruno
2021-01-01

Abstract

OBJECTIVE: From 2011 to 2017 the total number of refugees arrived in Europe, in particular in Italy, climbed dramatically. Our aim was to diagnose pulmonary TB in migrants coming from African coasts through a clinical-based port of arrival (PoA) screening program.METHODS: From 2016 to 2018, migrants coming from the Mediterranean Route were screened with body temperature and the presence of cough directly on the dock: if they were feverish with productive cough, their sputum were examined with NAAT; with dry cough they underwent Chest-X-ray (CXR). Those migrants with positive NAAT or CXR suggestive for TB were admitted in our ward. Moreover, we plotted a SEI simulation of our project to evaluate the epidemiological impact of our screening.RESULTS: Out of 33676 disembarking migrants, 314 (0.9%) had fever and cough: 80 (25.47%) with productive cough underwent NAAT in sputum and 16 resulted positive for TB; 234 (74.52%) with dry cough had a CXR examination and 39 were suggestive for TB, later confirmed by mycobacterial culture. SEI-new model analysis demonstrated that our screening program reduced significantly TB spreading all over the country.CONCLUSIONS: For possible future high migrant flows, PoA screening for TB has to be considered feasible and effective in decreasing TB spreading.
Diagnostic Screening Programs
Mathematical model
Pulmonary
Refugees
Tuberculosis
File in questo prodotto:
File Dimensione Formato  
Pampaloni 2021 - Diagnosis on the dock.pdf

accesso aperto

Descrizione: Versione editoriale articolo principale
Tipologia: Versione Editoriale (PDF)
Dimensione 1.39 MB
Formato Adobe PDF
1.39 MB Adobe PDF Visualizza/Apri
mmc1.docx

accesso aperto

Descrizione: Supplementary material
Tipologia: Altro materiale allegato
Dimensione 20.66 kB
Formato Microsoft Word XML
20.66 kB Microsoft Word XML Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11769/506863
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 1
social impact