Bishara H, Rorman E, Mor Z, Shechter-Amram D, Weiler-Ravell D
Nazareth Tuberculosis Clinic, Nazareth Hospital, Faculty of Medicine in Galilee Bar-Ilan University, Nazareth, Israel.
National Public Health Laboratory, Ministry of Health, Tel Aviv, Israel.
Int J Tuberc Lung Dis. 2014 Dec;18(12):1502-4. doi: 10.5588/ijtld.14.0429.
A tuberculosis (TB) outbreak with six definite and four probable cases, caused by a Beijing strain isolate, occurred in an Arab rural community in north Israel. Using epidemiological investigation and strain genotyping, we identified the source case as an incarcerated immigrant. This outbreak illustrates how a systematic breakdown in TB prevention and control measures at multiple levels, within prisons and upon exiting prison, can result in rapid, cross-ethnic transmission of TB to a low-risk population. The close social bonds in this rural community and downsizing of the regional TB clinic staff may also have contributed to the magnitude of this outbreak.
以色列北部一个阿拉伯农村社区发生了一起结核病疫情，由一株北京基因型菌株引起，确诊病例6例，疑似病例4例。通过流行病学调查和菌株基因分型，我们确定传染源为一名被监禁的移民。此次疫情表明，监狱内部以及出狱后多个层面的结核病预防和控制措施系统性失灵，可导致结核病迅速跨种族传播至高风险人群。该农村社区紧密的社会关系以及地区结核病诊所工作人员的缩减也可能促使了此次疫情的规模扩大。
