The global dynamics of diabetes and tuberculosis: the impact of migration and policy implications

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dc.contributor.authorGirardi, E.
dc.contributor.authorSañé Schepisi, M.
dc.contributor.authorGoletti, D.
dc.contributor.authorBates, M.
dc.contributor.authorMwaba, P.
dc.contributor.authorYeboah-Manu, D.
dc.contributor.authorNtoumi, F.
dc.contributor.authorPalmieri, F.
dc.contributor.authorMaeurer, M.
dc.contributor.authorZumla, A.
dc.contributor.authorIppolito, G.
dc.date.accessioned2019-02-08T09:54:44Z
dc.date.available2019-02-08T09:54:44Z
dc.date.issued2017-03
dc.description.abstractThe convergence between tuberculosis (TB) and diabetes mellitus (DM) will represent a major public health challenge in the near future. DM increases the risk of developing TB by two to three times and also increases the risk of TB treatment failure, relapse, and death. The global prevalence of DM is predicted to rise significantly in the next two decades, particularly in some of the low- and middle-income countries with the highest TB burden. Migration may add further complexity to the effort to control the impact on TB of the growing DM pandemic. Migration may increase the risk of DM, although the magnitude of this association varies according to country of origin and ethnic group, due to genetic factors and lifestyle differences. Migrants with TB may have an increased prevalence of DM compared to the native population, and the risk of TB among persons with DM may be higher in migrants than in autochthonous populations. Screening for DM among migrants, screening migrants with DM for active and latent TB, and improving access to DM care, could contribute to mitigate the effects of DM on TB. © 2017 The Authorsen_US
dc.identifier.otherVolume 56,Pages 45-53
dc.identifier.otherhttps://doi.org/10.1016/j.ijid.2017.01.018
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/27359
dc.language.isoenen_US
dc.publisherInternational Journal of Infectious Diseasesen_US
dc.subjectCommunicable diseasesen_US
dc.subjectDiabetesen_US
dc.subjectMigrantsen_US
dc.subjectTuberculosisen_US
dc.titleThe global dynamics of diabetes and tuberculosis: the impact of migration and policy implicationsen_US
dc.typeArticleen_US

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