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TB Notes 1, 2004


NOTICE: Tuberculosis Among Arriving Liberian Refugees

Approximately 8,000 Liberian refugees from Côte d’Ivoire (Ivory Coast) are being resettled to the United States over the next eight months. Overseas health assessments by the International Organization for Migration among approximately 2,000 Liberian refugees have identified nine cases of infectious TB (smear-positive, i.e., Class A) and 38 cases of clinically active, smear-negative TB (Class B1).  Most of theses cases are among adults 20-32 years of age. 

Because of the relatively high rates of TB and HIV reported among these refugees and the high risk of developing TB disease once infected, we recommend that all Liberian refuges be evaluated for active tuberculosis and tested for latent TB infection as soon as possible upon their arrival in the United States.

—Reported by Susan Maloney, MD, MPH
Div of Global Migration and Quarantine


Released October 2008
Centers for Disease Control and Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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