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Immigration and tuberculosis among children on the United States-Mexico border, County of San Diego, California.
Pediatrics. 1999 Jul; 104(1):e8.Ped

Abstract

OBJECTIVE

To identify factors contributing to a 400% increase in tuberculosis among children in San Diego County, California, from 1985 to 1993.

DESIGN

Review of medical records of reported cases in 1989, 1991, and 1993 and their source case.

RESULTS

Of 192 children with tuberculosis, the largest increase was observed in children younger than 5 years old, of whom 77.4% were born in the United States, 67.8% had a foreign-born parent, 73.1% came from a non-English-speaking household, and 46.2% were known to visit Mexico. Of 28 source cases, 82.1% were born outside the United States, primarily in Mexico (67.9%). Resistance to at least one first-line antituberculous drug was identified in 27.5% of isolates from children and in 33.3% of isolates from source cases.

CONCLUSIONS

The increase in tuberculosis and high level of drug-resistance among children born in the United States may be attributed to transmission outside of the United States or within the United States from household contacts born in countries in which tuberculosis is highly endemic.

Authors+Show Affiliations

Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10390294

Citation

Kenyon, T A., et al. "Immigration and Tuberculosis Among Children On the United States-Mexico Border, County of San Diego, California." Pediatrics, vol. 104, no. 1, 1999, pp. e8.
Kenyon TA, Driver C, Haas E, et al. Immigration and tuberculosis among children on the United States-Mexico border, County of San Diego, California. Pediatrics. 1999;104(1):e8.
Kenyon, T. A., Driver, C., Haas, E., Valway, S. E., Moser, K. S., & Onorato, I. M. (1999). Immigration and tuberculosis among children on the United States-Mexico border, County of San Diego, California. Pediatrics, 104(1), e8.
Kenyon TA, et al. Immigration and Tuberculosis Among Children On the United States-Mexico Border, County of San Diego, California. Pediatrics. 1999;104(1):e8. PubMed PMID: 10390294.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Immigration and tuberculosis among children on the United States-Mexico border, County of San Diego, California. AU - Kenyon,T A, AU - Driver,C, AU - Haas,E, AU - Valway,S E, AU - Moser,K S, AU - Onorato,I M, PY - 1999/7/2/pubmed PY - 1999/7/2/medline PY - 1999/7/2/entrez SP - e8 EP - e8 JF - Pediatrics JO - Pediatrics VL - 104 IS - 1 N2 - OBJECTIVE: To identify factors contributing to a 400% increase in tuberculosis among children in San Diego County, California, from 1985 to 1993. DESIGN: Review of medical records of reported cases in 1989, 1991, and 1993 and their source case. RESULTS: Of 192 children with tuberculosis, the largest increase was observed in children younger than 5 years old, of whom 77.4% were born in the United States, 67.8% had a foreign-born parent, 73.1% came from a non-English-speaking household, and 46.2% were known to visit Mexico. Of 28 source cases, 82.1% were born outside the United States, primarily in Mexico (67.9%). Resistance to at least one first-line antituberculous drug was identified in 27.5% of isolates from children and in 33.3% of isolates from source cases. CONCLUSIONS: The increase in tuberculosis and high level of drug-resistance among children born in the United States may be attributed to transmission outside of the United States or within the United States from household contacts born in countries in which tuberculosis is highly endemic. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/10390294/Immigration_and_tuberculosis_among_children_on_the_United_States_Mexico_border_County_of_San_Diego_California_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=10390294 DB - PRIME DP - Unbound Medicine ER -