CDC studies of registry data (2)
l Zuber PT, McKenna MT, et al.  Long-term risk of
tuberculosis among foreign-born persons in the
United States. (JAMA 1997)
Long term residents arriving aged > 5 yrs have TB rate
2-6 times the rate of those who arrived before their 5th
birthday Imported TB responsible for most FB TB
Selective screening needs to be adapted to local
circumstances – places of origin, SES, migration
patterns