Migration histories of multidrug-resistant tuberculosis patients from the Thailand-Myanmar border, 2012–2014

Thi, Sein Sein; Parker, Daniel M.; Swe, Lei Lei; Pukrittayakamee, Sasithon; Ling, Clare; Amornpaisarnloet, K; Vincenti-Delmas, Michele; Nosten, François

doi:10.5588/ijtld.16.0658

Cited by 15 publications

(14 citation statements)

References 6 publications

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“…Our study brings in-depth understanding of fever conception and its believed causes, and identi es determinants associated with health-seeking behaviour amongst migrants from the Thai-Myanmar border where the burden of fever is high [5][6][7][8][9][10][11][12] . The only comparable study in the region was carried out in the early 2000s, whereas the economic context has dramatically changed since then, with a USD15 billion China-Thailand-Myanmar Special Economic Zone, and over USD25 billion-a-year gaming industry constructed on the Myanmar side of the border since 2019 37 .…”

Section: Discussionmentioning

confidence: 99%

“…In rural northern Thailand, a public health campaign aiming to limit antibiotic use was followed by a drastic reduction of general medicine availability in informal shops, pressurising villagers to seek health in hospital, 9-10 kilometres away from their village, even for mild symptoms such as headache 51 . Ignoring the language terminology and population beliefs may, therefore, worsen symptom identi cation and response, while being irrelevant to alleviate the burden of both febrile illness and AMR in Southeast Asia [5][6][7][8]54 .…”

Section: Discussionmentioning

confidence: 99%

“…Fever is one of the most frequent reasons for seeking health in Southeast Asia, particularly at the community-level [1][2][3][4] . Its burden is illustrated by repeated bacterial and viral outbreaks, as well as the emergence of severe infections such as melioidosis or multi-drug resistant tuberculosis [5][6][7][8][9] , and these are frequently reported amongst migrants, mainly because of limited healthcare access [10][11][12] . In parallel, the burden of malaria has reduced substantially over the past decade, through wide access to point-of-care tests providing a clear therapeutic guidance 13 .…”

Section: Introductionmentioning

confidence: 99%

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Fever and health-seeking behaviour among migrants living along the Thai-Myanmar border: a mixed-methods study

Khirikoekkong¹,

Asarath²,

Munruchaitrakun³

et al. 2021

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The decline of malaria in Southeast Asia has complexified how fever is perceived and what actions are taken towards it. Using a mixed-methods design, we investigated the concept of fever and the determinants influencing health-seeking behaviour among migrants on the Thai-Myanmar border, where rapid economic developments collide with precarious political and socio-economic conditions. Fever corresponded with a high diversity of terms, symptoms and believed causes. The qualitative analysis identified distance and legal status as key barriers for accessing health care. The quantitative analysis further investigated determinants influencing health-seeking behaviour: living near a town where a cost-free clinic operated was inversely associated with seeking care at health posts (adjusted odds ratio [aOR], 0.40, 95% confidence interval [95% CI] [0.19-0.86]), and public hospital attendance (aOR 0.31, 95% CI [0.14-0.67]). Living further away from the nearest town was associated with health posts attendance (aOR 1.05, 95% CI [1.00-1.10] per 1 km). Having legal status was inversely associated with cost-free clinics attendance (aOR 0.27, 95% CI [0.10-0.71]), and positively associated with private clinic (aOR 2.56, 95% CI [1.00-6.54]) and public hospital attendance (aOR 5.15, 95% CI [1.80-14.71]). Fever conception and believed causes are context-specific and should be investigated prior to any intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fever and health-seeking behaviour among migrants living along the Thai-Myanmar border: a mixed-methods study

Khirikoekkong¹,

Asarath²,

Munruchaitrakun³

et al. 2021

Preprint

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“…Regional economic difference is an important driving force for population mobility [5,10]. Existing research indicated that in areas with poor economic conditions, there is a high TB risk [11,12], and TB transmission has been con rmed to be associated with migration [13].…”

Section: Introductionmentioning

confidence: 99%

Modeling tuberculosis transmission flow in China

Wang¹,

Xu²,

Hu³

et al. 2020

Preprint

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Background: China has the largest population and third largest number of tuberculosis cases in the world. Tuberculosis still remains a major public health concern in China. The increasing floating population has become an important part of China’s socioeconomic process and brought the potential risk for infectious disease transmission in the huge population. Both the flow of tuberculosis population in the country and the role of massive floating population in tuberculosis transmission are yet unclear.Methods: 14,027 tuberculosis flow data were derived from the new smear-positive pulmonary tuberculosis cases in China in 2012, provided by the nationwide Infectious Disease Reporting System. Spatial interaction model was used to model the tuberculosis flow and the regional socioeconomic factors.Results: The Pearl River Delta in southern China and the Yangtze River Delta along China’s east coast presented as the largest destination and concentration areas of tuberculosis inflows. Socioeconomic factors were determinants of tuberculosis flow. A 10% increase in per capita GDP was associated with 2.1% decrease in tuberculosis outflows from the provinces of origin, and 0.5% increase in tuberculosis inflows to the destinations and 18.9% increase in intraprovincial flow. Per capita net income of rural households and per capita disposable income of urban households were positively associated with tuberculosis flows. A 10% increase in per capita net income corresponded to 3.6% increase in outflows from the origin, 12.8% increase in inflows to the destinations and 47.9% increase in intraprovincial flows. Tuberculosis incidence had positive impacts on tuberculosis flows. A 10% increase in the number of tuberculosis cases corresponded to 1.1% increase in tuberculosis inflows to the destinations, 2.0% increase in outflows from the origins, and 2.2% increase in intraprovincial flows. A 10% increase in the tuberculosis incidence rate was associated with 9.9% increase in tuberculosis intraprovincial flows. In addition, the tuberculosis flow had a significant spatial dependence and positively affected tuberculosis flows in the neighboring regions.Conclusions: Tuberculosis flows had clear spatial stratified heterogeneity and spatial autocorrelation; regional socio-economic characteristics had different and statistically significant effects on tuberculosis flows in the origin and destination, and income factor played an important role among the determinants.

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“…O uso de drogas pode fazer com que os medicamentos do tratamento da TB não sejam tomados com a regularidade necessária, aumentando o risco de resistência microbiológica e também favorecendo o abandono do tratamento, variáveis que não foram associadas aos imigrantes nessa pesquisa.A cultura de escarro é o método padrão ouro de diagnóstico da TB114 . Além disso, a associação positiva encontrada entre imigrantes e o resultado positivo desse teste pode estar relacionada ao fato de diversas pesquisas sugerirem maior número de casos de MDR-TB entre imigrantes do que entre a população autóctone[125][126] . O TRM-TB também é o teste mais indicado para o diagnóstico de TB em populações vulneráveis127 .…”

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Tuberculose em imigrantes: identificação e análise das características associadas

Gonçalves¹

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São Paulo é uma cidade global que concentra os maiores fluxos migratórios que chegam ao Brasil. A ausência de uma política migratória inclusiva não facilita e, muitas vezes dificulta, o acesso à saúde, direito do imigrante. Dessa forma, o presente estudo busca identificar as características associadas às populações de imigrantes e de não imigrantes acometidas pela tuberculose, residentes na cidade de São Paulo, bem como mostrar a dificuldade para a obtenção de dados para análise. Trata-se de um estudo descritivo, tipo levantamento. A população do estudo foi constituída por todos os casos de TB notificados durante o ano 2016. Para o estudo, foram utilizadas variáveis sociodemográficas, clínicas, de diagnóstico e de tratamento, obtidas pelo banco dados TB-WEB. Na análise dos dados, foram utilizadas técnicas de análise descritiva e testes estatísticos qui-quadrado com análise de resíduo padronizado e Mann Whitney para identificar as características associadas às populações de imigrantes versus não imigrantes. Os resultados encontrados possibilitam a melhor compreensão de variáveis de diagnóstico, clínicas, sociodemográficas e, também, variáveis de tratamento para o grupo de imigrantes no ano 2016 através da análise e discussão das associações encontradas, de forma a contribuir para o melhor conhecimento da dinâmica da TB nesse grupo e para o desenvolvimento de políticas e programas de saúde mais adequados e voltados para essa população. Palavras-chave: Epidemiologia. Tuberculose. Emigração e imigração. Emigrantes e imigrantes. Migração humana. Perfil de saúde.

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Migration histories of multidrug-resistant tuberculosis patients from the Thailand-Myanmar border, 2012–2014

Cited by 15 publications

References 6 publications

Fever and health-seeking behaviour among migrants living along the Thai-Myanmar border: a mixed-methods study

Fever and health-seeking behaviour among migrants living along the Thai-Myanmar border: a mixed-methods study

Modeling tuberculosis transmission flow in China

Tuberculose em imigrantes: identificação e análise das características associadas

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