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TB, TB asociada al VIH, y TB multirresistente en el límite de Tailandia con Myanmar, 2006‐2007
Author(s) -
Hemhongsa Patjuban,
Tasaneeyapan Theerawit,
Swaddiwudhipong Witaya,
Danyuttapolchai Junya,
Pisuttakoon Kanoknart,
Rienthong Somsak,
McCarthy Kimberly,
Varma Melissa J.,
Whitmore Jacqueline,
Varma Jay K.
Publication year - 2008
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2008.02139.x
Subject(s) - thais , tuberculosis , medicine , human immunodeficiency virus (hiv) , public health , traditional medicine , demography , virology , pathology , sociology
Summary Objective To measure the burden and improve management of tuberculosis (TB), HIV‐associated TB and MDR TB in Tak Province, Thailand, which borders Myanmar. Methods From September 2006 to August 2007, we collected uniform data about TB cases and enhanced human immunodeficiency virus (HIV) counselling and testing. We provided mycobacterial culture and drug‐susceptibility testing in public or non‐governmental organization facilities. Patients were classified by nationality and, for non‐Thais, by migration status. Results Of 1662 TB cases in the 12‐month period, 1087 (65%) occurred in non‐Thais. Of non‐Thais, 415 (38%) lived in Myanmar but crossed the border for healthcare. HIV infection was diagnosed in 18% of Thais compared with 12% of non‐Thais ( P < 0.01); HIV status was unknown for 22% of Thais and 27% of non‐Thais ( P = 0.02). Overall, multidrug‐resistant (MDR) TB was diagnosed in 27 patients, 19 (70%) in non‐Thais. Among TB cases never previously treated for TB, no MDR cases were diagnosed in Thais or in Myanmar refugees, but six cases were diagnosed in migrants from Myanmar. Conclusions In Thailand, TB, HIV‐associated TB and MDR TB in migrants from Myanmar are important public health problems; they need to be resolved in both the countries.