MMWR Morb Mortal Wkly Rep. 1996 Nov 29;45(47):1032-6.
During 1986-1995, the number of tuberculosis (TB) cases among foreign-born persons in the United States increased 61%, from 4925 cases (22% of the national total) to 7930 cases (35% of the national total). This increase probably reflected, in part, the immigration of persons from regions of the world that have a high incidence of TB. In 1995, 22% of all foreign-born persons with TB (8% of the national total) were born in Mexico; of these, 81% were reported by the four U.S. states bordering Mexico--Arizona, California, New Mexico, and Texas. In 1995, local health departments in these states conducted an epidemiologic study to characterize patterns of immigration and migration among foreign-born Hispanic patients with TB and their behaviors in seeking health care. This report summarizes the findings of the analysis, which indicate that collaborative efforts for controlling TB should include and extend beyond border areas and that drug-susceptibility testing should be conducted for all TB isolates.
1986年至1995年期间，美国出生在国外的人群中结核病（TB）病例数增加了61%，从4925例（占全国总数的22%）增至7930例（占全国总数的35%）。这一增长部分可能反映了来自世界上结核病高发地区人群的移民情况。1995年，所有出生在国外的结核病患者中有22%（占全国总数的8%）出生在墨西哥；其中，81%是由与墨西哥接壤的美国四个州——亚利桑那州、加利福尼亚州、新墨西哥州和得克萨斯州报告的。1995年，这些州的地方卫生部门开展了一项流行病学研究，以描述出生在国外的西班牙裔结核病患者的移民和迁徙模式以及他们寻求医疗保健的行为。本报告总结了分析结果，结果表明，控制结核病的合作努力应包括边境地区并扩展到边境地区以外，并且应对所有结核分枝杆菌分离株进行药敏试验。
