Tuberculosis (TB) control in high-risk settings and populations is a fascinating challenge, as it also is in the context of the World Health Organization (WHO) End TB strategy [1]; and it is frequently reported in medical journals. We previously described how an outbreak was built up among illicit drug users and homeless persons in Rotterdam, the Netherlands, and successfully controlled by a systematic targeted TB active case-finding programme, using a mobile digital X-ray unit (MDXU) [2, 3]. On the contrast, programmatic implications after an outbreak are rarely reported. This study evaluates the intervention among these urban risk groups by describing trends of TB disease, recent transmission, active case finding and treatment outcome, and by comparing efficiency and yield of screening during outbreak management (May 2002–2005) with post-outbreak screening (2006–2014).
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The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.
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The Canadian Observatory on Homelessness is the largest national research institute devoted to homelessness in Canada. The COH is the curator of the Homeless Hub.
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