Tuberculosis among the homeless, United States, 1994–2010

Sapna Bamrah; Rachel Yelk Woodruff; Krista M. Powell; Smita Ghosh; J Kammerer; Maryam B. Haddad

doi:10.5588/ijtld.13.0270

October 11, 2013The International Journal of Tuberculosis and Lung DiseaseOpen Access

Tuberculosis among the homeless, United States, 1994–2010

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Key Points

To characterize homeless individuals diagnosed with tuberculosis and estimate tuberculosis incidence rates among homeless populations in the United States from 1994 to 2010.
Analyzed 270,948 tuberculosis cases reported to the National Tuberculosis Surveillance System between 1994 and 2010 by origin of birth.
Calculated incidence rates using homeless population estimates from the US Department of Housing and Urban Development for 2006–2010.
Evaluated isolate genotyping results to determine transmission clustering among homeless patients.
Homeless individuals accounted for 6% (16,527 of 270,948) of reported cases, with an incidence rate of 36 to 47 cases per 100,000 population in 2006–2010 (an approximately 10-fold increase over the general population).
Homeless patients had over twice the odds of belonging to a genotype cluster and over twice the odds of failing to complete treatment.
US-born and foreign-born homeless patients had 8-fold and 12-fold increased odds of substance abuse, respectively.

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Implication

Surveillance study reveals a tenfold elevated tuberculosis incidence among homeless individuals, indicating an urgent need for targeted public health outreach.

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Cite This Study

Bamrah et al. (2013) studied this question.

synapsesocial.com/papers/6a9562725c8f1b54a216a879 https://doi.org/10.5588/ijtld.13.0270

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Tuberculosis among the homeless, United States, 1994–2010

Key Points

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Tuberculosis among the homeless, United States, 1994–2010

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