Che D, Antoine D
Département des maladies infectieuses, institut de veille sanitaire, 12, rue du Val-d'Osne, 94415 Saint-Maurice cedex, France.
Med Mal Infect. 2009 Mar;39(3):187-90. doi: 10.1016/j.medmal.2008.12.005.
Immigrants, and especially those recently arrived in host countries, are a high-risk group for tuberculosis. In 2006 in France, nearly half of the new cases of tuberculosis were reported in this group. The incidence rate among people born abroad was about seven times higher than that observed in people born in France (38.9/10(5) vs 5.2/10(5)). The incidence was also the highest in districts with a high proportion of socioeconomically vulnerable population, such as Paris and greater Paris area. The characteristics of French born and non-French born cases differed. Patients born abroad were less likely to have pulmonary tuberculosis (68.2% vs 78.2; p<0.001) and were more likely to live in institutions (such as migrant shelters) and to harbor multiresistant tuberculosis strains. A national tuberculosis control program was launched in France in 2007, to decrease the prevalence of tuberculosis in targeted populations.
移民,尤其是那些最近抵达东道国的移民,是结核病的高危群体。2006年在法国,近一半的结核病新病例是在这一群体中报告的。国外出生人群的发病率比法国出生人群高出约7倍(38.9/10万对5.2/10万)。发病率在社会经济弱势群体比例较高的地区也最高,如巴黎和大巴黎地区。法国出生和非法国出生病例的特征有所不同。国外出生的患者患肺结核的可能性较小(68.2%对78.2%;p<0.001),更有可能居住在机构(如移民收容所),并携带多重耐药结核菌株。法国于2007年启动了一项全国结核病控制计划,以降低目标人群中的结核病患病率。