| Challenges and opportunities in a tuberculosis outbreak investigation in southern Mississippi, 2005-2007. | |
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MedLine Citation:
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PMID: 22024779 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: : Between December 2005 and November 2007, a cluster of 11 tuberculosis (TB) cases emerged in Jackson County, Mississippi. We investigated the potential sources of disease transmission and epidemiologic links in this cluster to prevent future transmission in the community. MATERIALS AND METHODS: : Cases of TB reported in Jackson County from December 2005 to November 2007 having matching genotypes or social links to patients with matching genotypes were included in the investigation. We interviewed patients, reviewed medical records, and performed contact investigations. RESULTS: : The combined genotyping and epidemiologic data pointed to ongoing TB transmission in this rural community. A combination of patient-specific and programmatic factors, including substance use, delays in TB diagnosis, nonadherence, and TB program staffing cuts, contributed to this outbreak in the context of the 2004 and 2005 Atlantic hurricane seasons. CONCLUSIONS: : To eliminate Mycobacterium tuberculosis transmission in this setting, recommendations for the TB program include enhanced coordination with substance abuse programs, community and provider education, and increased outreach capacity. |
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Authors:
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Emily Bloss; Kimberly Newbill; Heather Peto; Michael J Rice; Gail Ainsworth; Robert Travnicek; Mike Holcombe; Maryam B Haddad; John E Oeltmann |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Southern medical journal Volume: 104 ISSN: 1541-8243 ISO Abbreviation: South. Med. J. Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-10-25 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404522 Medline TA: South Med J Country: United States |
Other Details:
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Languages: eng Pagination: 731-5 Citation Subset: AIM; IM |
Affiliation:
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From the Division of Tuberculosis Elimination, Centers for Disease Control and Prevention, Atlanta, GA; Jackson County Health Department, Pascagoula, MS; District 9 Public Health Office, Gulfport, MS; and Mississippi State Department of Health, Jackson. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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