دورية أكاديمية
أعرض في EDS

Outbreak of tuberculosis among substance users and homeless people in Greater Montréal, Canada, 2003-2016.

التفاصيل البيبلوغرافية
العنوان: Outbreak of tuberculosis among substance users and homeless people in Greater Montréal, Canada, 2003-2016.
المؤلفون: Aho J; Direction régionale de santé publique du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC.; Canadian Field Epidemiology Program, Public health Agency of Canada, Ottawa, ON., Lacroix C; Direction de santé publique du Centre intégré de santé et de services sociaux de la Montérégie-Centre, Longueuil, QC.; Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, QC., Bazargani M; Direction régionale de santé publique du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC., Milot DM; Direction de santé publique du Centre intégré de santé et de services sociaux de la Montérégie-Centre, Longueuil, QC.; Faculté de médecine et des sciences de la santé, Université de Sherbrooke, Sherbrooke, QC., Sylvestre JL; Direction régionale de santé publique du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC., Pucella E; Direction de santé publique du Centre intégré de santé et de services sociaux de Laval, Laval, QC., Trudeau N; Direction de santé publique du Centre intégré de santé et de services sociaux de la Montérégie-Centre, Longueuil, QC., Sicard N; Direction de la protection de la santé publique, Ministère de la Santé et des Services sociaux du Québec, Montréal, QC., Savard N; Direction régionale de santé publique du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC.; Department of Epidemiology, Biostatistics and Occupational health, McGill University, Montréal, QC., Rivest P; Direction régionale de santé publique du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC., Soualhine H; Laboratoire de santé publique du Québec, Sainte-Anne-de-Bellevue, QC., Munoz-Bertrand M; Direction régionale de santé publique du Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, QC.
المصدر: Canada communicable disease report = Releve des maladies transmissibles au Canada [Can Commun Dis Rep] 2017 Mar 02; Vol. 43 (3-4), pp. 72-76. Date of Electronic Publication: 2017 Mar 02 (Print Publication: 2017).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Health Canada Country of Publication: Canada NLM ID: 9303729 Publication Model: eCollection Cited Medium: Print ISSN: 1188-4169 (Print) Linking ISSN: 11884169 NLM ISO Abbreviation: Can Commun Dis Rep Subsets: PubMed not MEDLINE
أسماء مطبوعة: Publication: Ottawa : Health Canada
Original Publication: Ottawa : Health and Welfare Canada, 1992-
مستخلص: Background: In Canada, active tuberculosis (TB) is found mainly among migrants from endemic countries and Indigenous populations. However, cases of active tuberculosis in substance users and homeless persons have been reported in Greater Montréal since 2003.
Objective: To describe the Montréal TB outbreak in terms of the sociodemographic characteristics, risk factors and clinical characteristics of cases, as well as the intensity of public health interventions, the follow-up and identification of locations of potential transmission.
Methods: All cases of active tuberculosis with the same genotype of interest residing in Quebec and epidemiologically linked cases were included in the analysis. Data were retrospectively extracted from routine public health investigations. Characteristics of cases were summarized using Excel. Spatial analysis of locations frequented during cases' infectiousness periods was performed.
Results: Between January 2003 and February 2016 a total of 35 cases were identified. Most (86%) were non-Indigenous people born in Canada. Of these, 28 had several risk factors, including substance use (93%), alcohol abuse (64%), homelessness (46%), comorbidities such as HIV coinfection (36%) and advanced stage of the disease. Seven cases without risk factors were all close contacts of cases. Intensity of case management by public health authorities was high. Locations frequented by cases with risk factors included crack houses, shelters and rehabilitation centers in Montréal's downtown core and a residential setting in a suburban area.
Conclusion: TB outbreaks can occur in marginalized Canadian-born urban populations, especially those with substance use. Tailored interventions in this population may be needed for screening, and earlier identification of both latent and active TB and better linkage to care.
Competing Interests: Conflict of interest: None.
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تواريخ الأحداث: Date Created: 20180518 Latest Revision: 20220318
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC5764733
DOI: 10.14745/ccdr.v43i34a03
PMID: 29770068
قاعدة البيانات: MEDLINE
الوصف
تدمد:1188-4169
DOI:10.14745/ccdr.v43i34a03