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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 1

Definitions of immigration classifications, United States

Immigration classification Definition
Refugee
 A person located outside the United States who demonstrates he or she was persecuted or has a fear of persecution because of race, religion, nationality, political opinion, or membership in a particular social group and is not firmly resettled in another country (18).
Asylee (asylum seeker)
 Any person who meets the definition of a refugee and is already in the United States or seeking admission at a port of entry (19).
Parolee (Cuban and Haitian Family Reunification Parole Programs)
 Persons from Cuba and Haiti who have family members who are US citizens or lawful permanent residents, who are able to come to the United States without waiting for immigrant visas to become available (20).
Special immigrant visa (holders
 There are many categories; however, the children included in this study are children of Iraqi and Afghan translators who are interpreters who have worked with the US Armed Forces or under the chief of mission authority at the US embassy in Baghdad or Kabul (21).
Victim of human trafficking A person who has been recruited, harbored, or transported for compelled labor or commercial sex acts through the use of force, fraud, or coercion (22).

Main Article

References
  1. World Health Organization. Global TB report 2018 [cited 2019 Feb 25]. https://apps.who.int/iris/bitstream/handle/10665/274453/9789241565646-eng.pdf
  2. Dodd  PJ, Gardiner  E, Coghlan  R, Seddon  JA. Burden of childhood tuberculosis in 22 high-burden countries: a mathematical modelling study. Lancet Glob Health. 2014;2:e453–9. DOIPubMedGoogle Scholar
  3. De Bruijn  B. The living conditions and well-being of refugees. United Nations Development Program, New York City 2018 [cited 2019 Feb 25]. http://hdr.undp.org/sites/default/files/hdrp_2009_25.pdf
  4. US Citizenship and Immigration Services. Special immigrants [cited 2019 Feb 25]. https://www.uscis.gov/humanitarian/special-immigrants
  5. Coburn  N, Sharan  T. Out of harm’s way? Perspectives of the special immigrant visa program for Afghanistan, July 2016 [cited 2019 Feb 25]. http://www.hollingscenter.org/wp-content/uploads/2016/09/SIV-Full-Report.pdf
  6. World Health Organization. Tuberculosis country profiles: Cuba [cited 2019 Feb 25]. https://extranet.who.int/sree/Reports?op=Replet&name=%2FWHO_HQ_Reports%2FG2%2FPROD%2FEXT%2FTBCountryProfile&ISO2=CU&LAN=EN&outtype=html
  7. Wasem  RE. Immigration policy on Haitian migrants. Congressional Research Service, May 17, 2011 [cited 2019 Feb 25]. https://fas.org/sgp/crs/row/RS21349.pdf
  8. Krogstad  JM. Surge in Cuban immigration to U.S. continued through 2016. Pew Research Center, January 13, 2017 [cited 2019 Feb 25]. http://www.pewresearch.org/fact-tank/2017/01/13/cuban-immigration-to-u-s-surges-as-relations-warm
  9. Centers for Disease Control and Prevention. Tuberculosis technical instructions for panel physicians; 2018 [cited 2019 Mar 14]. https://www.cdc.gov/immigrantrefugeehealth/exams/ti/panel/tuberculosis-panel-technical-instructions.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fimmigrantrefugeehealth%2Fexams%2Fti%2Fpanel%2Ftuberculosis-implementation.html
  10. Taylor  EM, Painter  J, Posey  DL, Zhou  W, Shetty  S. Latent tuberculosis infection among immigrant and refugee children arriving in the United States: 2010. J Immigr Minor Health. 2016;18:966–70. DOIPubMedGoogle Scholar
  11. Hayes  EB, Talbot  SB, Matheson  ES, Pressler  HM, Hanna  AB, McCarthy  CA. Health status of pediatric refugees in Portland, ME. Arch Pediatr Adolesc Med. 1998;152:564–8. DOIPubMedGoogle Scholar
  12. Geltman  PL, Radin  M, Zhang  Z, Cochran  J, Meyers  AF. Growth status and related medical conditions among refugee children in Massachusetts, 1995-1998. Am J Public Health. 2001;91:1800–5. DOIPubMedGoogle Scholar
  13. Sheikh  M, Pal  A, Wang  S, MacIntyre  CR, Wood  NJ, Isaacs  D, et al. The epidemiology of health conditions of newly arrived refugee children: a review of patients attending a specialist health clinic in Sydney. J Paediatr Child Health. 2009;45:509–13. DOIPubMedGoogle Scholar
  14. Gray  K, Wood  N, Gunasekera  H, Sheikh  M, Hazelton  B, Barzi  F, et al. Vitamin d and tuberculosis status in refugee children. Pediatr Infect Dis J. 2012;31:521–3. DOIPubMedGoogle Scholar
  15. Lucas  M, Nicol  P, McKinnon  E, Whidborne  R, Lucas  A, Thambiran  A, et al. A prospective large-scale study of methods for the detection of latent Mycobacterium tuberculosis infection in refugee children. Thorax. 2010;65:442–8. DOIPubMedGoogle Scholar
  16. US Department of State Bureau of Population, Refugees, and Migration. Refugee Processing Center; 2018 [cited 2019 Feb 25]. http://ireports.wrapsnet.org
  17. Busch-Armendariz  N, Nale  NL, Kamerr-Kerwick  M, Kellison  JB, Torres  MIM, Cook-Heffron  L, et al. Human trafficking by the numbers: the initial benchmark of prevalence and economic impact for Texas. The University of Texas at Austin, School of Social Work, Institute on Domestic Violence and Sexual Assault; 2016 [cited 2019 Feb 25]. https://repositories.lib.utexas.edu/bitstream/handle/2152/44597/idvsa-2016-human-trafficking-by-the-numbers.pdf
  18. US Citizenship and Immigration Services. Refugees [cited 2019 Mar 18]. https://www.uscis.gov/humanitarian/refugees-asylum/refugees
  19. US Citizenship and Immigration Services. Asylum [cited 2019 Mar 18]. https://www.uscis.gov/humanitarian/refugees-asylum/asylum
  20. US Citizenship and Immigration Services. The Cuban family reunification parole program [cited 2019 Mar 18]. https://www.uscis.gov/humanitarian/humanitarian-parole/cuban-family-reunification-parole-program
  21. US Department of State – Bureau of Consular Affairs. Special immigrant visas (SIVs) for Iraqi and Afghan translators/interpreters [cited 2019 Mar 18]. https://travel.state.gov/content/travel/en/us-visas/immigrate/siv-iraqi-afghan-translators-interpreters.html
  22. National Human Trafficking Hotline. Federal law [cited 2019 Mar 25]. https://humantraffickinghotline.org/what-human-trafficking/federal-law
  23. World Health Organization Member States. Regional offices [cited 2019 Feb 25] https://www.who.int/about/regions/en
  24. Mazurek  GH, Jereb  J, Vernon  A, LoBue  P, Goldberg  S, Castro  K; IGRA Expert Committee; Centers for Disease Control and Prevention (CDC). Updated guidelines for using Interferon Gamma Release Assays to detect Mycobacterium tuberculosis infection - United States, 2010. MMWR Recomm Rep. 2010;59(RR-5):1–25.PubMedGoogle Scholar
  25. Lewinsohn  DM, Leonard  MK, LoBue  PA, Cohn  DL, Daley  CL, Desmond  E, et al. Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention clinical practice guidelines: diagnosis of tuberculosis in adults and children. Clin Infect Dis. 2017;64:e1–33. DOIPubMedGoogle Scholar
  26. Graham  SM, Cuevas  LE, Jean-Philippe  P, Browning  R, Casenghi  M, Detjen  AK, et al. Clinical case definitions for classification of intrathoracic tuberculosis in children: an update. Clin Infect Dis. 2015;61(Suppl 3):S179–87. DOIPubMedGoogle Scholar
  27. Centers for Disease Control and Prevention. Tuberculosis—United States, 2018. MMWR. 2019 [cited 2019 May 10]. https://www.cdc.gov/mmwr/volumes/68/wr/mm6811a2.htm
  28. Seddon  JA, Paton  J, Nademi  Z, Keane  D, Williams  B, Williams  A, et al. The impact of BCG vaccination on tuberculin skin test responses in children is age dependent: evidence to be considered when screening children for tuberculosis infection. Thorax. 2016;71:932–9. DOIPubMedGoogle Scholar
  29. van Zyl-Smit  RN, Zwerling  A, Dheda  K, Pai  M. Within-subject variability of interferon-g assay results for tuberculosis and boosting effect of tuberculin skin testing: a systematic review. PLoS One. 2009;4:e8517. DOIPubMedGoogle Scholar
  30. World Health Organization. Tuberculosis country profile [cited 2019 Feb 25]. https://www.who.int/tb/country/data/profiles/en/
  31. Pediatric Tuberculosis Collaborative Group. Targeted tuberculin skin testing and treatment of latent tuberculosis infection in children and adolescents. Pediatrics. 2004;114(s4):1175–201. DOIGoogle Scholar
  32. Seddon  JA, Shingadia  D. Epidemiology and disease burden of tuberculosis in children: a global perspective. Infect Drug Resist. 2014;7:153–65.PubMedGoogle Scholar
  33. Young  J, O’Connor  ME. Risk factors associated with latent tuberculosis infection in Mexican American children. Pediatrics. 2005;115:e647–53. DOIPubMedGoogle Scholar
  34. Gounder  CR, Driver  CR, Scholten  JN, Shen  H, Munsiff  SS. Tuberculin testing and risk of tuberculosis infection among New York City schoolchildren. Pediatrics. 2003;111:e309–15. DOIPubMedGoogle Scholar
  35. American Academy of Pediatrics Committee on Infectious Diseases. Red Book: report of the Committee on Infectious Diseases. Elk Grove Village (IL): American Academy of Pediatrics; 2018.
  36. Howley  MM, Painter  JA, Katz  DJ, Graviss  EA, Reves  R, Beavers  SF, et al.; Tuberculosis Epidemiologic Studies Consortium. Evaluation of QuantiFERON-TB gold in-tube and tuberculin skin tests among immigrant children being screened for latent tuberculosis infection. Pediatr Infect Dis J. 2015;34:35–9. DOIPubMedGoogle Scholar
  37. The BCG World Atlas 2nd Edition [cited 2019 Mar 14]. http://www.bcgatlas.org

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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