TB INFECTION AND MARGINAL GROUPS. A SURVEY IN THE FLORENTINE TERRITORY

TB infection comes again into notice in Western Europe in connection with the problem of upgrowth of immigration and related risk factors as poverty, homelessness, drug addiction, AIDS. This research work analyses prevalence of TB infection among 214 subjects of marginal groups, in which reside above mentioned risk factors. Sample involves immigrants from various countries, Gipsies, drug addicts, HIV-affected, alcoholics, prisoners, people, living with TB-affected. We use a model of regression analysis to evaluate the degree of influence of various risk factors and positive Mantoux. Certain inequality is educed between immigrants constituting marginal groups and immigrants socially organized (Gypsies, Chinese, those, who have permanent residence) in prevalence of positive Mantoux.

1. Broekmans F.F. European framework for tuberculosis control and elimination in countries with a low incidence. Recommendations of the World Health Organization (WHO), International Union Against Tuberculosis and Lung Disease (IUATLD) and Royal Netherlands Tuberculosis Association (KNCV) Working Group / F.F. Broekmans [et al.] // Eur Respir J. - 2002. - Vol. 19(4). - Р. 590-592.

2. DeRiemer K. Tuberculosis among immigrants and refugees / K. DeRiemer [et al.] // Arch Intern Med. - 1998. - Vol. 158. - Р. 753-760.

3. Dye C. Consensus statement. Global burden of tuberculosis: estimated incidence, prevalence and mortality by country. WHO Global Surveillance and Monitoring Project / C. Dye [et al.] // JAMA. - 1999. - Vol. 282 (7). - Р. 677-686.

4. Gazzard B. Tuberculosis, HIV and the developing world / B. Gazzard // Clin Med. - 2001. - Vol. 1. - Р. 62-68.

5. Grange J. Tuberculosis in disavantaged groups / J. Grange [et al.] // Curr Opin Pulm Med. - 2001. - Vol. 7. - Р. 160-164.

6. Iademarco M.F. Epidemiology of tuberculosis / M.F. Iademarco [et al.] // Semin Respir Infect. - 2003. - Vol. 18(4). - Р. 225-240.

7. McCray E. The epidemiology of tuberculosis in the United States / E. McCray [et al.] // Clin Chest Med. - 1997. - Vol. 18 (1). - Р. 99-113.

8. Raviglione M.C. Evolution of WHO policies for tuberculosis control, 1948-2001 / M.C. Raviglione [et al.] // Lancet. - 2002. - Vol. 359(2). - Р. 775-780.

9. Raviglione M.C. Global Epidemiology of tuberculosis. Morbidity and mortality of a worldwide epidemic / M.C. Raviglione [et al.] // JAMA. - 1995. - Vol. 273(3). - Р. 220-226.

10. Watkins R.E. Predicting tuberculosis among migrant group / R.E. Watkins [et al.] // Epidemiol Infect 2002. - Vol. 129. - Р. 623-628.

11. WHO. Global tuberculosis control. WHO Report 2003. - Geneva, 2003.