Could a Tuberculosis Epidemic Occur in London as It Did in New York?
Author Information
Author(s): Andrew C. Hayward, Richard J. Coker
Primary Institution: University of Nottingham
Hypothesis
Could the kind of epidemic that occurred in New York City occur in London?
Conclusion
If TB control in London is not improved, the city could experience an epidemic similar to that in New York.
Supporting Evidence
- TB rates in London have increased similarly to those in New York City during the early epidemic.
- High rates of TB are found in areas with low socioeconomic conditions and large immigrant populations.
- Both cities have experienced outbreaks of multidrug-resistant TB, particularly among HIV-positive patients.
Takeaway
This study looks at how tuberculosis is spreading in London and compares it to an outbreak in New York City, warning that London could face a similar crisis if action isn't taken.
Methodology
The article compares TB epidemiology and control in London with that in New York City during the late 1980s.
Potential Biases
The study may be limited by the lack of comprehensive data collection on TB cases and treatment in London.
Limitations
Data on patient origins and treatment completion rates are not routinely collected in London.
Participant Demographics
Most TB cases in both cities are among nonwhite residents, with significant proportions among immigrants.
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