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Immigration screening for latent tuberculosis infection

Justin T Denholm
Med J Aust 2013; 198 (10): . || doi: 10.5694/13.10124
Published online: 3 June 2013

Epidemiologist Justin Denholm advocates universal screening of migrants from high-incidence countries

In Australia, 1222 cases of tuberculosis (TB) were notified in 2011, which represents an annual incidence of six cases per 100 000 population.1 Despite this relatively low incidence by global standards, TB disease continues to cause significant morbidity and mortality, and has a substantial impact on the health and wellbeing of affected individuals and communities.2 In addition to the direct clinical impact, effective management of TB imposes a substantial burden on health care systems and public health programs. Opportunities to reduce TB incidence further in Australia, therefore, would be welcome and should be actively pursued.


  • Victorian Infectious Diseases Service, Royal Melbourne Hospital, Melbourne, VIC.


Correspondence: justin.denholm@mh.org.au

Competing interests:

No relevant disclosures.

  • 1. World Health Organization. Global tuberculosis report 2012. http://www.who.int/tb/publications/global_report/en (accessed Apr 2013).
  • 2. Barry C, Waring J, Stapledon R, Konstantinos A. Tuberculosis notifications in Australia, 2008 and 2009. Commun Dis Intell Q Rep 2012; 36: 82-94.
  • 3. Barry C, Konstantinos A. Tuberculosis notifications in Australia, 2007. Commun Dis Intell Q Rep 2009; 33: 304-315.
  • 4. McBryde E, Denholm JT. Risk of active tuberculosis in immigrants: effects of age, region of origin and time since arrival in a low-exposure setting. Med J Aust 2012; 197: 458-461. <MJA full text>
  • 5. National Tuberculosis Advisory Committee. The strategic plan for control of tuberculosis in Australia: 2011–2015. Commun Dis Intell Q Rep 2012; 36: E286-E293.
  • 6. Flynn M, Brown L, Tesfai A, Lauer T. Post-migration screening for active tuberculosis in Victoria, Australia. Int J Tuberc Lung Dis 2012; 16: 50-55.
  • 7. Denholm JT, McBryde ES, Brown GV. Ethical evaluation of immigration screening policy for latent tuberculosis infection. Aust N Z J Public Health 2012; 36: 325-328.
  • 8. Pareek M, Watson JP, Ormerod LP, et al. Screening of immigrants in the UK for imported latent tuberculosis: a multicentre cohort study and cost-effectiveness analysis. Lancet Infect Dis 2011; 11: 435-444.

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