TY - JOUR
T1 - Minimum package for cross-border TB control and care in the WHO European region
T2 - A Wolfheze consensus statement
AU - Dara, Masoud
AU - De Colombani, Pierpaolo
AU - Petrova-Benedict, Roumyana
AU - Centis, Rosella
AU - Zellweger, Jean Pierre
AU - Sandgren, Andreas
AU - Heldal, Einar
AU - Sotgiu, Giovanni
AU - Jansen, Niesje
AU - Bahtijarevic, Rankica
AU - Migliori, Giovanni Battista
PY - 2012/11/1
Y1 - 2012/11/1
N2 - 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).
AB - 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).
KW - Control
KW - Europe
KW - Human rights
KW - Immigration
KW - Multidrug-resistant tuberculosis
KW - Tuberculosis
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U2 - 10.1183/09031936.00053012
DO - 10.1183/09031936.00053012
M3 - Article
C2 - 22653772
AN - SCOPUS:84866978237
VL - 40
SP - 1081
EP - 1090
JO - European Journal of Respiratory Diseases
JF - European Journal of Respiratory Diseases
SN - 0903-1936
IS - 5
ER -