Economic analysis of CDC's culture- and smear-based tuberculosis instructions for Filipino immigrants.

ABSTRACT:

Setting

In 2007, the US Centers for Disease Control and Prevention (CDC) revised its tuberculosis (TB) technical instructions for panel physicians who administer mandatory medical examinations among US-bound immigrants. Many US-bound immigrants come from the Philippines, a high TB prevalence country.

Objective

To quantify economic and health impacts of smear- vs. culture-based TB screening.

Design

Decision tree modeling was used to compare three Filipino screening programs: 1) no screening, 2) smear-based screening, and 3) culture-based screening. The model incorporated pre-departure TB screening results from Filipino panel physicians and CDC databases with post-arrival follow-up outcomes. Costs (2013 $US) were examined from societal, immigrant, US Public Health Depar

SUBMITTER: Maskery B 

PROVIDER: S-EPMC6390485 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature