Scanning electron micrograph of Mycobacterium tuberculosis
Scanning electron micrograph of Mycobacterium tuberculosis.
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Consensus on the management of tuberculosis in migrants

International research collaboration finds higher vulnerability of migrants for tuberculosis

Global migration has increased in recent decades due to war, conflict, persecutions, and natural disasters, but also secondary to increased opportunities related to work or study. A group of international experts that collaborate in the Tuberculosis Network European Trialsgroup (TBnet), led by Heinke Kunst from Queen Mary College of London, Berit Lange from the Epidemiology Department at the Helmholtz Centre for Infection Research (HZI), Christoph Lange from the Research Center Borstel and Anca Vasiliu from Baylor College of Medicine, has now identified the risk for tuberculosis and comorbidities in migrants to the European Union/European Economic Area and the United Kingdom (EU/EEA/&UK).

The researchers found a higher vulnerability of migrants for tuberculosis, including an increased risk of extrapulmonary disease, antimicrobial drug resistance of tuberculosis bacilli, HIV co-infection and worse treatment outcomes when compared to host populations. Tuberculosis is an infectious disease and the leading cause of death in infections worldwide. The researchers developed consensus recommendations for the management of tuberculosis prevention, screening and care in migrants to the EU/EEA/&UK.

“Here we provide an evidence basis and recommendations for European countries relevant to reduce tuberculosis burden in migrants. We are currently working to establish similar evidence-based guidelines for Germany“, says Berit Lange from HZI. 

Recommendations include screening migrants for TB/latent TB according to country data, a minimal package for TB care in drug susceptible/resistant TB, implementation of migrant-sensitive strategies, free healthcare and preventive treatment for migrants with HIV co-infection. They agree that migrants do not “import” tuberculosis on large scale into EU/EEA/&UK and that better measures must be taken for prevention, diagnosis and treatment of this preventable and treatable disease in migrants.

Original publication

Kunst H*, Lange B*, Hovardovska O, Bockey A, Zenner D, Andersen AB, Hargreaves S, Pareek M, Friedland JS, Wejse C, Bothamley G, Guglielmetti L, Chesov D, Tiberi S, Matteelli A, Mandalakas AM, Heyckendorf J, Eimer J, Malhotra A, Zamora J, Vasiliu A, Lange C for the TBnet. Tuberculosis in adult migrants in Europe: a TBnet consensus statement. European Respiratory Journal 2024; DOI: https://doi.org/10.1183/13993003.01612-2024 

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