[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
December 27, 1995

Screening for Tuberculosis

Author Affiliations

US Embassy Cairo, Egypt

JAMA. 1995;274(24):1912-1913. doi:10.1001/jama.1995.03530240022029

To the Editor.  —The study of tuberculosis (TB) screening of schoolchildren by Dr Mohle-Boetani and colleagues1 highlights targeted screening of non—US-born children as a cost-effective mechanism to detect and treat TB infection. In the accompanying Editorial, Dr Starke2 reinforces this finding with multiple studies that document the high tuberculin skin test reactivity in non—US-born children. Both articles are compassionate and realistic in their concern about stigmatization of the target groups as an impediment to effective public health programs.Stigmatization occurs because a new population—immigrants attempting to blend into the resident population of the United States—is identified with a negative attribute, TB infection. Targeting part of an already blended population guarantees stigma. Unfortunately, a school examination is commonly the first time a new immigrant child is evaluated for TB. This situation is complicated by our current immigration medical screening system, which has no functioning mechanism to test anyone younger

First Page Preview View Large
First page PDF preview
First page PDF preview