Chapter 13 : Crisis-Affected Populations and Tuberculosis

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Throughout history, tuberculosis (TB) as well as humanitarian crises have occurred, mostly episodically and sometimes together ( ). Higher TB incidence and adverse TB outcomes have often been associated with socioeconomic deprivation and other social risk factors, and during the 20th century, large TB incidence and mortality increases were observed during the two world wars in several European countries. This review aims to summarize the evidence of health effects in crises-affected populations, with a particular focus on TB epidemiology, care, and outcomes.

Citation: Zenner D. 2017. Crisis-Affected Populations and Tuberculosis, p 229-236. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0031-2016
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Figure 1

Determinants of health in humanitarian crises. Adapted from Dahlgren G, Whitehead M. (1991). Policies and Strategies to Promote Social Equity in Health. Stockholm, Sweden: Institute for Futures Studies. http://www.iffs.se/media/1326/20080109110739filmZ8UVQv2wQFShMRF6cuT.pdf ( ) with permission.

Citation: Zenner D. 2017. Crisis-Affected Populations and Tuberculosis, p 229-236. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0031-2016
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Figure 2

Steps in establishing a TB control program among persons affected by humanitarian crises. Adapted from the WHO field manual ( ) and the WHO EMRO guide for TB control in complex emergencies ( ).

Citation: Zenner D. 2017. Crisis-Affected Populations and Tuberculosis, p 229-236. In Schlossberg D (ed), Tuberculosis and Nontuberculous Mycobacterial Infections, Seventh Edition. ASM Press, Washington, DC. doi: 10.1128/microbiolspec.TNMI7-0031-2016
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