World Health Organization, Regional Office for Europe, Copenhagen, Denmark.
Eur Respir J. 2012 Nov;40(5):1081-90. doi: 10.1183/09031936.00053012. Epub 2012 May 31.
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).
世界卫生组织（WHO）欧洲区域估计，欧洲有超过 40 万例结核病（TB）病例，其中很大一部分是移民。目前还没有建立一个协调的公共卫生机制来保障跨境的 TB 预防、诊断、治疗和护理。一份描述跨境 TB 控制和护理最低一揽子计划的共识文件是由一个工作组在文献回顾的基础上，并在 WHO 欧洲区域国家结核病控制规划管理人员和 2011 年沃尔赫泽会议的参与下编写的。进行了一次关于移民中结核病问题的文献综述，选择了 2001-2011 年期间发表的文件。跨境 TB 控制和护理方面存在几个问题，从早期 TB 诊断机会有限，到移民期间护理和信息的连续性缺乏，以及新国家的卫生服务的提供和可及性。所建议的最低一揽子计划针对当前的不足之处，并打算通过覆盖几个领域来改善这种状况：政治承诺（包括实施 TB 跨境合作的法律框架）、财政机制和充足的卫生服务提供（预防、感染控制、接触管理、诊断和治疗以及社会心理支持）。
