TB among refugees from Ukraine in European countries

BACKGROUND: Since the Russian Federation’s invasion of Ukraine, millions of refugees have moved to neighbouring European countries. We assessed the burden of TB in these refugees and surveyed screening approaches. METHODS: We conducted a survey among 30 European Union/European Economic Area and 13 o...

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Main Authors: G. de Vries, J.P. Guthmann, B. Häcker, B. Hauer, K. Nordstrand, A. Nowinski, H. Soini
Format: Article
Language:English
Published: International Union Against Tuberculosis and Lung Disease (The Union) 2024-04-01
Series:IJTLD Open
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Online Access:https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000004/art00004
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author G. de Vries
J.P. Guthmann
B. Häcker
B. Hauer
K. Nordstrand
A. Nowinski
H. Soini
author_facet G. de Vries
J.P. Guthmann
B. Häcker
B. Hauer
K. Nordstrand
A. Nowinski
H. Soini
author_sort G. de Vries
collection DOAJ
description BACKGROUND: Since the Russian Federation’s invasion of Ukraine, millions of refugees have moved to neighbouring European countries. We assessed the burden of TB in these refugees and surveyed screening approaches. METHODS: We conducted a survey among 30 European Union/European Economic Area and 13 other European countries, requesting population data on migrant residents and refugees with country of birth (COB) Ukraine, the number of TB notifications among people with COB Ukraine and countries’ screening policies for refugees from Ukraine. RESULTS: In 2021, the number of migrants born in Ukraine was 1.7 million in the 34 responding countries, and increased with 5.2 million refugees from Ukraine to 6.9 million in 2022. These countries notified 207 TB cases in people with COB Ukraine in 2021 (TB notification rate 12.0/100,000) and 887 in 2022 (TB notification rate 12.8/100,000), of which 228 (26%) had multidrug-resistant/rifampicin-resistant TB (MDR/RR-TB). TB notification rates were higher in countries advising screening for all (16.9/100,000) or specific groups of refugees from Ukraine (14.7/100,000) compared to those without screening (7.2/100,000). CONCLUSION: TB rates found in people from Ukraine were lower than the expected rate of 44 per 100,000, but higher in host countries recommending screening. Our study underscores the need for adequate TB health services for refugees from Ukraine to ensure tailored diagnosis and treatment, especially for MDR/RR-TB.
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spelling doaj-art-d86ca24f52b44430b423d91723aff1b72025-01-21T10:36:56ZengInternational Union Against Tuberculosis and Lung Disease (The Union)IJTLD Open3005-75902024-04-011416617310.5588/ijtldopen.24.00624TB among refugees from Ukraine in European countriesG. de Vries0J.P. Guthmann1B. Häcker2B. Hauer3K. Nordstrand4A. Nowinski5H. Soini6National Institute for Public Health and the Environment, Bilthoven, The Netherlands;Santé publique France, Saint-Maurice, France;German Central Committee against Tuberculosis (DZK), Berlin,Robert Koch Institute, Berlin, Germany;Norwegian Institute of Public Health, Oslo, Norway;Department of Tuberculosis Epidemiology and Surveillance, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland;Finnish Institute for Health and Welfare, Helsinki, FinlandBACKGROUND: Since the Russian Federation’s invasion of Ukraine, millions of refugees have moved to neighbouring European countries. We assessed the burden of TB in these refugees and surveyed screening approaches. METHODS: We conducted a survey among 30 European Union/European Economic Area and 13 other European countries, requesting population data on migrant residents and refugees with country of birth (COB) Ukraine, the number of TB notifications among people with COB Ukraine and countries’ screening policies for refugees from Ukraine. RESULTS: In 2021, the number of migrants born in Ukraine was 1.7 million in the 34 responding countries, and increased with 5.2 million refugees from Ukraine to 6.9 million in 2022. These countries notified 207 TB cases in people with COB Ukraine in 2021 (TB notification rate 12.0/100,000) and 887 in 2022 (TB notification rate 12.8/100,000), of which 228 (26%) had multidrug-resistant/rifampicin-resistant TB (MDR/RR-TB). TB notification rates were higher in countries advising screening for all (16.9/100,000) or specific groups of refugees from Ukraine (14.7/100,000) compared to those without screening (7.2/100,000). CONCLUSION: TB rates found in people from Ukraine were lower than the expected rate of 44 per 100,000, but higher in host countries recommending screening. Our study underscores the need for adequate TB health services for refugees from Ukraine to ensure tailored diagnosis and treatment, especially for MDR/RR-TB.https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000004/art00004tuberculosisepidemiologyrefugeesscreeningukraine
spellingShingle G. de Vries
J.P. Guthmann
B. Häcker
B. Hauer
K. Nordstrand
A. Nowinski
H. Soini
TB among refugees from Ukraine in European countries
IJTLD Open
tuberculosis
epidemiology
refugees
screening
ukraine
title TB among refugees from Ukraine in European countries
title_full TB among refugees from Ukraine in European countries
title_fullStr TB among refugees from Ukraine in European countries
title_full_unstemmed TB among refugees from Ukraine in European countries
title_short TB among refugees from Ukraine in European countries
title_sort tb among refugees from ukraine in european countries
topic tuberculosis
epidemiology
refugees
screening
ukraine
url https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2024/00000001/00000004/art00004
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