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The Minimum Package for Cross-Border TB Control and Care in the WHO European Region: a Wolfheze Consensus Statement

M Dara, P de Colombani, R Petrova-Benedict, R Centis, JP Zellweger, A Sandgren, E Heldal, G Sotgiu, N Jansen, R Bahtijarevic, GB Migliori on behalf of the members of the Wolfheze Transborder Migration Task Force*
European Respiratory Journal 2012; DOI: 10.1183/09031936.00053012
M Dara
*World Health Organization, Regional Office for Europe. Copenhagen, Denmark
#KNCV Tuberculosis Foundation, The Hague, The Netherlands
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P de Colombani
*World Health Organization, Regional Office for Europe. Copenhagen, Denmark
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R Petrova-Benedict
¶International Organization for Migration, Migration Health Division (MHD), Regional Office, Brussels, Belgium
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R Centis
+World Health Organization Collaborating Centre for Tuberculosis and Lung Diseases, Fondazione S. Maugeri, Care and Research Institute, Tradate, Italy
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JP Zellweger
§Swiss Lung Association, Bern, Switzerland
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A Sandgren
fEuropean Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden
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E Heldal
**International Union Against Tuberculosis and Lung Disease, Paris, France
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G Sotgiu
##Epidemiology and Medical Statistics Unit, Dept of Biomedical Sciences, University of Sassari, Sassari, Italy
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N Jansen
#KNCV Tuberculosis Foundation, The Hague, The Netherlands
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R Bahtijarevic
¶¶United Nation Development Programme, Sarajevo, Bosnia and Herzegovina
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GB Migliori
+World Health Organization Collaborating Centre for Tuberculosis and Lung Diseases, Fondazione S. Maugeri, Care and Research Institute, Tradate, Italy
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  • For correspondence: giovannibattista.migliori@fsm.it
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Abstract

The World Health Organization (WHO) European Region estimates that more than 400,000 tuberculosis (TB) cases occur in Europe, a large proportion of them among migrants.

A coordinated public health mechanism to guarantee TB prevention, diagnosis, treatment and care across borders is not in place. A consensus paper describing the minimum package of cross-border TB control and care was prepared by a Task Force following a literature review and the inputs from the National TB Control Programme managers of the WHO European Region and the Wolfheze 2011 Conference.

A literature review focused on the subject of TB in migrants was carried out, selecting documents published during the eleven-year period 2001–2011.

Several issues were identified in cross-border TB control and care, varying from the limited access to early TB diagnosis, to the lack of continuity of care and information during migration, and the availability of, and access to, health services in the new country.

The recommended minimum package addresses the current shortcoming and intends to improve the situation by covering several areas: political commitment (including the implementation of a legal framework for TB cross-border collaboration), financial mechanisms, and adequate health service delivery (prevention, infection control, contact management, diagnosis and treatment, psychosocial support).

  • Control
  • europe
  • human rights
  • immigration
  • MDR-TB
  • TB
  • ERS
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The Minimum Package for Cross-Border TB Control and Care in the WHO European Region: a Wolfheze Consensus Statement
M Dara, P de Colombani, R Petrova-Benedict, R Centis, JP Zellweger, A Sandgren, E Heldal, G Sotgiu, N Jansen, R Bahtijarevic, GB Migliori
European Respiratory Journal Jan 2012, erj00530-2012; DOI: 10.1183/09031936.00053012

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The Minimum Package for Cross-Border TB Control and Care in the WHO European Region: a Wolfheze Consensus Statement
M Dara, P de Colombani, R Petrova-Benedict, R Centis, JP Zellweger, A Sandgren, E Heldal, G Sotgiu, N Jansen, R Bahtijarevic, GB Migliori
European Respiratory Journal Jan 2012, erj00530-2012; DOI: 10.1183/09031936.00053012
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