Ormerod L P
Chest Clinic, Blackburn Royal Infirmary, Lancs, UK.
J Infect. 1998 Jul;37(1):39-40. doi: 10.1016/s0163-4453(98)90432-7.
new immigrant screening in the 1980s showed that the official Port of Arrival (POA) system performed poorly, that there was a significant yield in terms of clinical tuberculosis, and that preventive measures (chemoprophylaxis and BCG) were appropriate in a substantial minority Data for the 1990s was sought for comparison.
prospective data on new immigrant screening for 1990-1994 inclusive in the Blackburn, Hyndburn and Ribble Valley local government areas were analysed, and compared with previous 1983-1988 data.
of the 2242 new immigrants screened, 1333 were from Pakistan, 604 from India and 305 from the rest of the world. A total of 898 (40%) were found via the POA system, but 1344 (60%) were only identified by local links with the Family Health Services Authority (FHSA). Ten cases of active tuberculosis were found (0.45%), chemoprophylaxis was given to 19/465 (4.1%) of children aged 0-15 years, and BCG vaccination to 530/1705 (31%) of those aged under 30 years.
between 1990-1994 the official POA system continued to perform poorly. The yield of new tuberculosis cases detected was lower than in the 1980s. Chemoprophylaxis at 4% and BCG vaccination at 31% showed that preventive health measures were appropriate for over one-third of new immigrants aged under 30.
20世纪80年代的新移民筛查显示，官方的入境口岸（POA）系统表现不佳，临床结核病检出率较高，且在相当一部分人中采取预防措施（化学预防和卡介苗接种）是合适的。现寻求20世纪90年代的数据进行比较。
分析了1990 - 1994年（含）在布莱克本、欣德本和里布尔谷地方政府辖区进行的新移民筛查的前瞻性数据，并与1983 - 1988年的前期数据进行比较。
在接受筛查的2242名新移民中，1333名来自巴基斯坦，604名来自印度，305名来自世界其他地区。通过POA系统共发现898人（40%），但另有1344人（60%）是通过与家庭健康服务管理局（FHSA）的当地联系才得以识别。发现10例活动性结核病（0.45%），对19/465名（4.1%）0 - 15岁儿童进行了化学预防，对530/1705名（31%）30岁以下人群进行了卡介苗接种。
1990 - 1994年间，官方的POA系统继续表现不佳。新检测出的结核病病例数低于20世纪80年代。4%的化学预防率和31%的卡介苗接种率表明，预防保健措施适用于超过三分之一的30岁以下新移民。
