Paul Douglas

Recent Contributions

Reply to [ARCHIVED] Tuberculosis Among Migrants

Jan. 19, 2017
Cheers Matthew Yes it is very interesting. I have discussed our results with a number of paediatric TB specialists who have postulated similar theories to yours - that is length of exposure. Although what was interesting in our data were some of the outliers where the highest rate of LTBI ...

Reply to [ARCHIVED] Tuberculosis Among Migrants

Jan. 18, 2017
I agree Dylan. We should also look to the educational sector which is such a massive market, people of the right age and the real risk of harming other students!! There are models where we see employers or education having insurance schemes to cover health but I am not aware ...

Reply to [ARCHIVED] Tuberculosis Among Migrants

Jan. 18, 2017
Great comments Matt and a welcome addition. The UK sounds very much like Australia where we see nearly 90% of our TB notifications in the overseas born and we believe the overwhelming majority of these are part of reactivation, given that we have robust screening tools premigration. We have recently ...

Reply to [ARCHIVED] Tuberculosis Among Migrants

Jan. 18, 2017
Dear Arturo Eligan Greetings to you in Kabul. It is great to hear that you now have a geneXpert machine as we believe from DIBP that this is a wonderful adjunct in the management of TB. While for premigration screening we still ask that cultures and DST be undertaken for ...

Reply to [ARCHIVED] Tuberculosis Among Migrants

Jan. 17, 2017
Maria makes a good point - early screening is important to identify disease but as identified in the attached study by Walter and others - the risks are still there 9 years later! So how do we mitigate against this earlier? Should we screen all new migrants for latent infection ...


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