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TB, HIV-associated TB and multidrug-resistant TB on Thailand's border with Myanmar, 2006-2007.
Trop Med Int Health. 2008 Oct; 13(10):1288-96.TM

Abstract

OBJECTIVE

To measure the burden and improve management of tuberculosis (TB), HIV-associated TB and MDR TB in Tak Province, Thailand, which borders Myanmar.

METHODS

From September 2006 to August 2007, we collected uniform data about TB cases and enhanced human immunodeficiency virus (HIV) counselling and testing. We provided mycobacterial culture and drug-susceptibility testing in public or non-governmental organization facilities. Patients were classified by nationality and, for non-Thais, by migration status.

RESULTS

Of 1662 TB cases in the 12-month period, 1087 (65%) occurred in non-Thais. Of non-Thais, 415 (38%) lived in Myanmar but crossed the border for healthcare. HIV infection was diagnosed in 18% of Thais compared with 12% of non-Thais (P < 0.01); HIV status was unknown for 22% of Thais and 27% of non-Thais (P = 0.02). Overall, multidrug-resistant (MDR) TB was diagnosed in 27 patients, 19 (70%) in non-Thais. Among TB cases never previously treated for TB, no MDR cases were diagnosed in Thais or in Myanmar refugees, but six cases were diagnosed in migrants from Myanmar.

CONCLUSIONS

In Thailand, TB, HIV-associated TB and MDR TB in migrants from Myanmar are important public health problems; they need to be resolved in both the countries.

Authors+Show Affiliations

Tak Provincial Public Health Office, Tak, Thailand.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

18721186

Citation

Hemhongsa, Patjuban, et al. "TB, HIV-associated TB and Multidrug-resistant TB On Thailand's Border With Myanmar, 2006-2007." Tropical Medicine & International Health : TM & IH, vol. 13, no. 10, 2008, pp. 1288-96.
Hemhongsa P, Tasaneeyapan T, Swaddiwudhipong W, et al. TB, HIV-associated TB and multidrug-resistant TB on Thailand's border with Myanmar, 2006-2007. Trop Med Int Health. 2008;13(10):1288-96.
Hemhongsa, P., Tasaneeyapan, T., Swaddiwudhipong, W., Danyuttapolchai, J., Pisuttakoon, K., Rienthong, S., McCarthy, K., Varma, M. J., Whitmore, J., & Varma, J. K. (2008). TB, HIV-associated TB and multidrug-resistant TB on Thailand's border with Myanmar, 2006-2007. Tropical Medicine & International Health : TM & IH, 13(10), 1288-96. https://doi.org/10.1111/j.1365-3156.2008.02139.x
Hemhongsa P, et al. TB, HIV-associated TB and Multidrug-resistant TB On Thailand's Border With Myanmar, 2006-2007. Trop Med Int Health. 2008;13(10):1288-96. PubMed PMID: 18721186.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - TB, HIV-associated TB and multidrug-resistant TB on Thailand's border with Myanmar, 2006-2007. AU - Hemhongsa,Patjuban, AU - Tasaneeyapan,Theerawit, AU - Swaddiwudhipong,Witaya, AU - Danyuttapolchai,Junya, AU - Pisuttakoon,Kanoknart, AU - Rienthong,Somsak, AU - McCarthy,Kimberly, AU - Varma,Melissa J, AU - Whitmore,Jacqueline, AU - Varma,Jay K, Y1 - 2008/08/20/ PY - 2008/8/30/pubmed PY - 2008/12/17/medline PY - 2008/8/30/entrez SP - 1288 EP - 96 JF - Tropical medicine & international health : TM & IH JO - Trop Med Int Health VL - 13 IS - 10 N2 - OBJECTIVE: To measure the burden and improve management of tuberculosis (TB), HIV-associated TB and MDR TB in Tak Province, Thailand, which borders Myanmar. METHODS: From September 2006 to August 2007, we collected uniform data about TB cases and enhanced human immunodeficiency virus (HIV) counselling and testing. We provided mycobacterial culture and drug-susceptibility testing in public or non-governmental organization facilities. Patients were classified by nationality and, for non-Thais, by migration status. RESULTS: Of 1662 TB cases in the 12-month period, 1087 (65%) occurred in non-Thais. Of non-Thais, 415 (38%) lived in Myanmar but crossed the border for healthcare. HIV infection was diagnosed in 18% of Thais compared with 12% of non-Thais (P < 0.01); HIV status was unknown for 22% of Thais and 27% of non-Thais (P = 0.02). Overall, multidrug-resistant (MDR) TB was diagnosed in 27 patients, 19 (70%) in non-Thais. Among TB cases never previously treated for TB, no MDR cases were diagnosed in Thais or in Myanmar refugees, but six cases were diagnosed in migrants from Myanmar. CONCLUSIONS: In Thailand, TB, HIV-associated TB and MDR TB in migrants from Myanmar are important public health problems; they need to be resolved in both the countries. SN - 1365-3156 UR - https://www.unboundmedicine.com/medline/citation/18721186/TB_HIV_associated_TB_and_multidrug_resistant_TB_on_Thailand's_border_with_Myanmar_2006_2007_ L2 - https://doi.org/10.1111/j.1365-3156.2008.02139.x DB - PRIME DP - Unbound Medicine ER -