Tuberculosis in a Migrant Population: Integrated Management of a Case through the Prevention Department and Hospital Services

Author:

Fiorito Nahuel1,Piacentini Daniela2,Cian Serena1,Voltolini Anna1,Fagherazzi Jacopo1ORCID,Bino Erica1,Brancher Marika1,De Luca Giorgia1,Battistin Marica1,Manzi Mattia1,Marcotrigiano Vincenzo1,Vedana Angela3,Napoli Christian45ORCID,Cinquetti Sandro1

Affiliation:

1. Prevention Department, Local Health Authority “ULSS 1 Dolomiti”, 32100 Belluno, Italy

2. Infectious Diseases Unit, Specialistic Area Department, Local Health Authority “ULSS 1 Dolomiti”, 32100 Belluno, Italy

3. Department of Statistical Sciences, University of Padova, 35122 Padova, Italy

4. Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, 00185 Rome, Italy

5. National Institute for Health, Migration and Poverty, 00153 Rome, Italy

Abstract

Among numerous public health actions, the Prevention Departments of Local Health Authorities take charge of the migrant asylum-seeking population for health assessments, for the implementation of preventive activities, and for any consequent actions. This report describes two cases of tuberculosis in Belluno Province managed by a multidisciplinary team made up of healthcare workers that involved numerous diagnostic, clinical, and prophylactic implications, as well as an analysis of the epidemiological aspects related to the incidence of cases along the migration route. Although the cases occurred in a northeastern Italian territory, the management methods described here may represent good practices to share on this operational line, which can promote the strengthening of cooperation between Health Authorities and Emergency Reception Centers to correctly identify cases of active tuberculosis that may not have been initially screen-detected.

Publisher

MDPI AG

Reference28 articles.

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3. Pathogenesis, immunology, and diagnosis of latent Mycobacterium tuberculosis infection;Ahmad;Clin. Dev. Immunol.,2011

4. Moroni, M., Esposito, R., and Antinori, S. (2014). Malattie Infettive. Ottava Edizione, Edra Masson.

5. Holmes, K.K., Bertozzi, S., Bloom, B.R., and Jha, P. (2017). Tuberculosis. Major Infectious Diseases, The International Bank for Reconstruction and Development/The World Bank. [3rd ed.].

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