       Document 0190
 DOCN  M9620190
 TI    [Tuberculosis in Switzerland]
 DT    9602
 AU    Shang H; Desgrandchamps D; Zurcher Hohenklinik Wald, Faltigberg-Wald.
 SO    Schweiz Rundsch Med Prax. 1995 Oct 3;84(40):1114-7. Unique Identifier :
       AIDSLINE MED/96027182
 AB    In Switzerland, in 1992, 957 persons suffered from tuberculosis; 52.3%
       were Swiss, 47.7% foreigners. Most of the swiss TB patients were more
       than 65 years old, whereas the foreigners generally were young patients
       originating from countries with high TB-infection rates. Asylum seekers
       had much higher TB-case rates (131 cases per 100,000) than other
       foreigners (27 cases per 100,000) or Swiss (9 cases per 100,000).
       Special refuge reception centers have been set up in Switzerland, in
       charge of tuberculosis screening procedures in this high-risk group on
       arrival to this country. Although HIV and AIDS patients bear a much
       higher risk of developing tuberculosis once infected, the HIV epidemic
       did not lead to an increase of tuberculosis in Switzerland so far, since
       young Swiss are rarely infected with tuberculosis. HIV-infected, drug
       addicts, homeless persons and alcoholics run a higher risk of
       contracting tuberculosis only when congregating with a person suffering
       from active tuberculosis not yet diagnosed or improperly treated. In
       order to maintain low levels of tuberculosis in Switzerland DOT
       (directly observed therapy) must be implemented in all patients with
       uncertain compliance, especially as cultural and social backgrounds
       become increasingly complex.
 DE    Adolescence  Adult  Aged  Child  Emigration and Immigration  English
       Abstract  Human  Middle Age  Refugees  Risk Factors  Social Conditions
       Switzerland/EPIDEMIOLOGY  Transients and Migrants
       Tuberculosis/*EPIDEMIOLOGY  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

