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TB Notes 1, 2004
NOTICE: Tuberculosis Among Arriving Liberian
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