 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
 |
| l |
McKenna MT, McCray E, Onorato I. The
|
|
|
epidemiology of TB among foreign-born
|
|
|
persons in the US, 1986-1993. (NEJM 1995).
|
|
|
– |
55%
of cases diagnosed < 5 yrs; 30% < 1 yr post-
|
|
|
arrival
|
|
|
|
– |
More
cases in younger immigrants than older
|
|
|
immigrants,
but lower case rate: cohort effect?
|
|
|
|
– |
Largest
relative difference between US-born and FB
|
|
|
TB
rates is among aged <15 yrs
|
|
|
|
– |
substantial recent transmission around time
of
|
|
|
immigration
(pre and post)
|
|