Prevalence of Tuberculosis in Children After Natural Disasters, Bohol, Philippines

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  Murray, Kristy O. ; Castillo-Carandang, Nina T. ; Mandalakas, Anna M. ; Cruz, Andrea T. ; Leining, Lauren M. ; Gatchalian, Salvacion R.
• Corporate Authors:
  on behalf of the PEER Health Bohol Pediatric Study Team
• Description:
  In 2013, a severe earthquake and typhoon affected Bohol, Philippines. To assess the postdisaster risk for emergence of Mycobacterium tuberculosis infection in children, we conducted a cross-sectional multistage cluster study to estimate the prevalence of tuberculin skin test (TST) positivity and tuberculosis (TB) in children from 200 villages in heavily affected and less affected disaster areas. Of the 5,476 children we enrolled, 355 were TST-positive (weighted prevalence 6.4%); 16 children had active TB. Fourteen (7%) villages had >20% TST-positive prevalence. Although prevalence did not differ significantly between heavily affected and less affected areas, living in a shelter with >25 persons approached significance. TST positivity was independently associated with older age, prior TB treatment, known contact with a person with TB, and living on a geographically isolated island. We found a high TST-positive prevalence, suggesting that national programs should consider the differential vulnerability of children and the role of geographically isolated communities in TB emergence.
• Subjects:
  Bacteria Children Cluster Survey Epidemiology Natural Disasters Pediatric Tuberculosis Philippines Prevalence Prevalence Of Tuberculosis In Children After Natural Disasters, Bohol, Philippines Research Tuberculosis And Other Mycobacteria

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• Source:
  Emerg Infect Dis. 25(10):1884-1892
• Pubmed ID:
  31538561
• Pubmed Central ID:
  PMC6759243
• Document Type:
  Journal Article
• Volume:
  25
• Issue:
  10
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:545bafc38d19c004e2baafa9bdb986bdb47c5369435aeeabe9317e1c1ba5d533
• Download URL:
  https://stacks.cdc.gov/view/cdc/82965/cdc_82965_DS1.pdf
• File Type:
  [PDF - 1.83 MB ]