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Risk for Prison-to-Community Tuberculosis Transmission, Thailand, 2017–2020

by Chiyasirinroje, Boonchai , Murray, Megan , Mahasirimongkol, Surakameth , Imsanguan, Worarat , Miyahara, Reiko , Palittapongarnpim, Prasit , Yanai, Hideki , Piboonsiri, Pundharika , Nedsuwan, Supalert , Tokunaga, Katsushi

in Age / Cohort Studies / Community-acquired infections / Disease transmission / Ethnicity / Genetic aspects / Genomes / Genomics / Health aspects / Health facilities / Humans / Imprisonment / incarceration / Medical research / Medicine, Experimental / Mycobacterium tuberculosis - genetics / Population / prison / Prisoners / Prisons / Public health / Risk factors / Risk for Prison-to-Community Tuberculosis Transmission, Thailand, 2017–2020 / Risk reduction / Statistics / Thailand / transmission / Tuberculosis / Tuberculosis - diagnosis / Whole genome sequencing

2023

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Risk for Prison-to-Community Tuberculosis Transmission, Thailand, 2017–2020

2023

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Risk for Prison-to-Community Tuberculosis Transmission, Thailand, 2017–2020

2023

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Journal Article

Risk for Prison-to-Community Tuberculosis Transmission, Thailand, 2017–2020

Chiyasirinroje, Boonchai,

Murray, Megan,

Mahasirimongkol, Surakameth,

Imsanguan, Worarat,

Miyahara, Reiko,

Palittapongarnpim, Prasit,

Yanai, Hideki,

Piboonsiri, Pundharika,

Nedsuwan, Supalert,

Tokunaga, Katsushi

2023

Overview

To determine contributions of previously incarcerated persons to tuberculosis (TB) transmission in the community, we performed a healthcare facility-based cohort study of TB patients in Thailand during 2017-2020. We used whole-genome sequencing of Mycobacterium tuberculosis isolates from patients to identify genotypic clusters and assess the association between previous incarceration and TB transmission in the community. We identified 4 large genotype clusters (>10 TB patients/cluster); 28% (14/50) of the patients in those clusters were formerly incarcerated. Formerly incarcerated TB patients were more likely than nonincarcerated patients to be included in large clusters. TB patients within the large genotype clusters were geographically dispersed throughout Chiang Rai Province. Community TB transmission in the community was associated with the presence of formerly incarcerated individuals in Thailand. To reduce the risk for prison-to-community transmission, we recommend TB screening at the time of entry and exit from prisons and follow-up screening in the community.

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Publisher

U.S. National Center for Infectious Diseases,Centers for Disease Control and Prevention

Subject

Age

/ Cohort Studies

/ Community-acquired infections

/ Disease transmission

/ Ethnicity

/ Genetic aspects

/ Genomes