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Minimum package for cross-border TB control and care in the WHO European region: a Wolfheze consensus statement

Dara, Masoud and De Colombani, Pierpaolo and Petrova Benedict, Roumyana and Centis, Rosella and Zellweger, Jean-Pierre and Sandgren, Andreas and Heldal, Einar and Sotgiu, Giovanni and Jansen, Niesje and Bahtijarevic, Rankica and Migliori, Giovanni Battista (2012) Minimum package for cross-border TB control and care in the WHO European region: a Wolfheze consensus statement. European Respiratory Journal, Vol. 40 (5), p. 1081-1090. eISSN 1399-3003. Article.

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DOI: 10.1183/09031936.00053012


The World Health Organization (WHO) European region estimates that more than 400,000 tuberculosis (TB) cases occur in Europe, a large proportion of them among migrants.
A coordinated public health mechanism to guarantee TB prevention, diagnosis, treatment and care across borders is not in place. A consensus paper describing the minimum package of cross-border TB control and care was prepared by a task force following a literature review, and with input from the national TB control programme managers of the WHO European region and the Wolfheze 2011 conference. A literature review focused on the subject of TB in migrants was carried out, selecting documents published during the 11-yr period 2001–2011.
Several issues were identified in cross-border TB control and care, varying from the limited access to early TB diagnosis, to the lack of continuity of care and information during migration, and the availability of, and access to, health services in the new country.
The recommended minimum package addresses the current shortcomings and intends to improve the situation by covering several areas: political commitment (including the implementation of a legal framework for TB cross-border collaboration), financial mechanisms and adequate health service delivery (prevention, infection control, contact management, diagnosis and treatment, and psychosocial support).

Item Type:Article
ID Code:8511
Uncontrolled Keywords:Control, human rights, immigration, multidrug-resistant tuberculosis, tuberculosis, Europe
Subjects:Area 06 - Scienze mediche > MED/01 Statistica medica
Divisions:001 Università di Sassari > 01-a Nuovi Dipartimenti dal 2012 > Scienze Biomediche
Publisher:European Respiratory Society
Deposited On:09 Jan 2013 12:25

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