Active tuberculosis screening among the displaced population fleeing Ukraine, France, February to October 2022

Author:

Guthmann Jean-Paul1,Fraisse Philippe2,Bonnet Isabelle3,Robert Jérôme3

Affiliation:

1. Santé publique France, Saint Maurice, France

2. Réseau National des Centres de lutte antituberculeuse (CLAT), Strasbourg, and Groupe pour la recherche et l’enseignement en pneumo-infectiologie de la Société de pneumologie de langue française, Paris, France

3. Centre National de Référence des Mycobactéries, Laboratoire de Bactériologie-Hygiène, Site Pitié-Salpêtrière, Groupe hospitalo-universitaire APHP, Sorbonne Université, and CIMI-Paris, Inserm U1135, Sorbonne Université, Paris, France

Abstract

Persons fleeing Ukraine since February 2022 have potentially higher risk of tuberculosis (TB) vs all European Union countries. Interest of active TB screening among this population is debated and not widely adopted. In this screening intervention by a network of TB centres in France, the number needed to screen (NNS) was 862 to find one case. This experience shows that this strategy may be relevant for TB control in situations of massive displacement, similar to that following the Russian invasion.

Publisher

European Centre for Disease Control and Prevention (ECDC)

Subject

Virology,Public Health, Environmental and Occupational Health,Epidemiology

Reference21 articles.

1. Council of the European Union. Ukraine: Council unanimously introduces temporary protection for persons fleeing the war. Press release. 4 Mar 2022. Available from: https://www.consilium.europa.eu/en/press/press-releases/2022/03/04/ukraine-council-introduces-temporary-protection-for-persons-fleeing-the-war/

2. Ministère de l’Intérieur. Instruction relative à la mise en œuvre de la décision du Conseil de l'Union européenne du 5 mars 2022, prise en application de l'article 5 de la directive 2001/55/CE du Conseil du 20 juillet 2001. [Instruction on the implementation of the Decision of the Council of the European Union of 5 March 2022 pursuant to Article 5 of Council Directive 2001/55/EC of 20 July 2001]. Paris: Journal officiel de la République française; 2022. French. Available from: https://www.legifrance.gouv.fr/circulaire/id/45302?page=1&pageSize=10&query=+INTV2208085J&searchField=ALL&searchType=ALL&tab_selection=all&typePagination=DEFAULT

3. European Centre for Disease Prevention and Control (ECDC). Tuberculosis surveillance and monitoring in Europe 2021 – 2019 data. Stockholm: ECDC; 2021. Available from: https://www.ecdc.europa.eu/en/publications-data/tuberculosis-surveillance-and-monitoring-europe-2021-2019-data

4. War in Ukraine: an immense threat to the fight against tuberculosis.;Dahl;Eur Respir J,2022

5. Public health issues and health rendezvous for migrants from conflict zones in Ukraine: A French practice guideline.;Vignier;Infect Dis Now,2022

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