Tuberculosis control in big cities and urban risk groups in the European Union: a consensus statement | National Resource for Infection Control (NRIC)

Tuberculosis control in big cities and urban risk groups in the European Union: a consensus statement

Journal article
Abstract: 
In low-incidence countries in the European Union (EU), tuberculosis (TB) is concentrated in big cities, especially among certain urban high-risk groups including immigrants from TB high-incidence countries, homeless people, and those with a history of drug and alcohol misuse. Elimination of TB in European big cities requires control measures focused on multiple layers of the urban population. The particular complexities of major EU metropolises, for example high population density and social structure, create specific opportunities for transmission, but also enable targeted TB control interventions, not efficient in the general population, to be effective or cost effective. Lessons can be learnt from across the EU and this consensus statement on TB control in big cities and urban risk groups was prepared by a working group representing various EU big cities, brought together on the initiative of the European Centre for Disease Prevention and Control. The consensus statement describes general and specific social, educational, operational, organisational, legal and monitoring TB control interventions in EU big cities, as well as providing recommendations for big city TB control, based upon a conceptual TB transmission and control model.
Authors: 
van Hest NAAldridge RWde Vries GSandgren AHauer BHayward AArrazola de Oñate WHaas WCodecasa LRCaylà JAStory AAntoine DGori AQuabeck LJonsson JWanlin MOrcau ÀRodes ADedicoat MAntoun Fvan Deutekom HKeizer STAbubakar I. EurosurveillanceVolume 19Issue 906 March 2014
Category: 
Control
Epidemiology
Prevention