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Impact of radiographic screening of more than 34 000 asylum seeker children

Bert A. Wolters, Onno W. Akkerman, Yvonne Aartsma, Wiel C.M. de Lange, Elisabeth H. Schölvinck, Tjip S. van der Werf, Rob van Hest
European Respiratory Journal 2019; DOI: 10.1183/13993003.00579-2019
Bert A. Wolters
1Public Health TB Clinic, Regional Public Health Service Groningen, Groningen, the Netherlands
2Public Health TB Clinic, Regional Public Health Service Drenthe, Assen, the Netherlands
3University of Groningen, University Medical Centre Groningen, Department of Pulmonology and Tuberculosis, Groningen, the Netherlands
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  • For correspondence: bert.wolters@ggd.groningen.nl
Onno W. Akkerman
3University of Groningen, University Medical Centre Groningen, Department of Pulmonology and Tuberculosis, Groningen, the Netherlands
4University of Groningen, University Medical Centre Groningen, TB centre Beatrixoord, Haren, the Netherlands
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Yvonne Aartsma
1Public Health TB Clinic, Regional Public Health Service Groningen, Groningen, the Netherlands
2Public Health TB Clinic, Regional Public Health Service Drenthe, Assen, the Netherlands
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Wiel C.M. de Lange
3University of Groningen, University Medical Centre Groningen, Department of Pulmonology and Tuberculosis, Groningen, the Netherlands
4University of Groningen, University Medical Centre Groningen, TB centre Beatrixoord, Haren, the Netherlands
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Elisabeth H. Schölvinck
5University of Groningen, University Medical Centre Groningen, Department of Paediatrics, Groningen, the Netherlands
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Tjip S. van der Werf
3University of Groningen, University Medical Centre Groningen, Department of Pulmonology and Tuberculosis, Groningen, the Netherlands
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Rob van Hest
1Public Health TB Clinic, Regional Public Health Service Groningen, Groningen, the Netherlands
2Public Health TB Clinic, Regional Public Health Service Drenthe, Assen, the Netherlands
3University of Groningen, University Medical Centre Groningen, Department of Pulmonology and Tuberculosis, Groningen, the Netherlands
6Public Health TB Clinic, Regional Public Health Service Fryslân, Leeuwarden, the Netherlands
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Extract

Europe is facing a refugee crisis in which hundreds of thousands of displaced persons, often originating from tuberculosis (TB) high-endemic countries, risked their lives for a safer and better future in the European Union (EU) [1]. Among these asylum seekers a considerable proportion were accompanied or unaccompanied minors [2, 3]. Screening practices for TB and latent TB infection (LTBI) among refugees are highly variable in the EU [4, 5]. Details of practices, including mandatory radiographic screening for intrathoracic TB among children of all ages, and aggregate yield of TB entry screening among asylum seekers in the Netherlands from 2012 to September 2015 have been described [1, 6]. Entry screening for LTBI was not routine. We present the results of radiographic TB screening among >34 000 asylum seeker children in the Netherlands 2013–2017 (age groups suggested by the authors) and discuss options for policy changes.

Footnotes

This manuscript has recently been accepted for publication in the European Respiratory Journal. It is published here in its accepted form prior to copyediting and typesetting by our production team. After these production processes are complete and the authors have approved the resulting proofs, the article will move to the latest issue of the ERJ online. Please open or download the PDF to view this article.

Conflict of interest: Dr. Wolters has nothing to disclose.

Conflict of interest: Dr. Akkerman has nothing to disclose.

Conflict of interest: Dr. Aartsma has nothing to disclose.

Conflict of interest: Dr. de Lange has nothing to disclose.

Conflict of interest: Dr. Schölvinck has nothing to disclose.

Conflict of interest: Dr. van der Werf has nothing to disclose.

Conflict of interest: Dr. Van Hest has nothing to disclose.

  • Copyright ©ERS 2019
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Impact of radiographic screening of more than 34 000 asylum seeker children
Bert A. Wolters, Onno W. Akkerman, Yvonne Aartsma, Wiel C.M. de Lange, Elisabeth H. Schölvinck, Tjip S. van der Werf, Rob van Hest
European Respiratory Journal Jan 2019, 1900579; DOI: 10.1183/13993003.00579-2019

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Impact of radiographic screening of more than 34 000 asylum seeker children
Bert A. Wolters, Onno W. Akkerman, Yvonne Aartsma, Wiel C.M. de Lange, Elisabeth H. Schölvinck, Tjip S. van der Werf, Rob van Hest
European Respiratory Journal Jan 2019, 1900579; DOI: 10.1183/13993003.00579-2019
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