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Abstract

We evaluated uptake and diagnostic outcomes of voluntary hepatitis B (HBV) and C virus (HCV) screening offered during routine tuberculosis entry screening to migrants in Gelderland and Amsterdam, the Netherlands, between 2013 and 2015. In Amsterdam, HIV screening was also offered. Overall, 54% (461/859) accepted screening. Prevalence of chronic HBV infection (HBsAg-positive) and HCV exposure (anti-HCV-positive) in Gelderland was 4.48% (9/201; 95% confidence interval (CI): 2.37–8.29) and 0.99% (2/203; 95% CI: 0.27–3.52), respectively, all infections were newly diagnosed. Prevalence of chronic HBV infection, HCV exposure and chronic HCV infection (HCV RNA-positive) in Amsterdam was 0.39% (1/256; 95% CI: 0.07–2.18), 1.17% (3/256; 95% CI: 0.40–3.39) and 0.39% (1/256; 95% CI: 0.07–2.18), respectively, with all chronic HBV/HCV infections previously diagnosed. No HIV infections were found. In univariate analyses, newly diagnosed chronic HBV infection was more likely in participants migrating for reasons other than work or study (4.35% vs 0.83%; odds ratio (OR) = 5.45; 95% CI: 1.12–26.60) and was less likely in participants in Amsterdam than Gelderland (0.00% vs 4.48%; OR = 0.04; 95% CI: 0.00–0.69). Regional differences in HBV prevalence might be explained by differences in the populations entering compulsory tuberculosis screening. Prescreening selection of migrants based on risk factors merits further exploration.

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/content/10.2807/1560-7917.ES.2018.23.11.17-00491
2018-03-15
2024-11-21
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2018.23.11.17-00491
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Integrating hepatitis B, hepatitis C and HIV screening into tuberculosis entry screening for migrants in the Netherlands, 2013 to 2015
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Janneke+P+Bil&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Bil Janneke P</a>, <a href="/search?value1=Peter+AG+Schrooders&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Schrooders Peter AG</a>, <a href="/search?value1=Maria+Prins&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Prins Maria</a>, <a href="/search?value1=Peter+M+Kouw&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Kouw Peter M</a>, <a href="/search?value1=Judith+HE+Klomp&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Klomp Judith HE</a>, <a href="/search?value1=Maarten+Scholing&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Scholing Maarten</a>, <a href="/search?value1=Lutje+PHM+Huijbregts&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Huijbregts Lutje PHM</a>, <a href="/search?value1=Gerard+JB+Sonder&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Sonder Gerard JB</a>, <a href="/search?value1=Toos+CHFM+Waegemaekers&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Waegemaekers Toos CHFM</a>, <a href="/search?value1=Henry+JC+de+Vries&option1=author&noRedirect=true" class="nonDisambigAuthorLink">de Vries Henry JC</a>, <a href="/search?value1=Wieneke+Meijer&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Meijer Wieneke</a>, <a href="/search?value1=Freke+R+Zuure&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Zuure Freke R</a>, <a href="/search?value1=Alma+Tostmann&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Tostmann Alma</a></span>. Integrating hepatitis B, hepatitis C and HIV screening into tuberculosis entry screening for migrants in the Netherlands, 2013 to 2015. <a href="/content/ecdc">Euro Surveill.</a> 2018;23(11):pii=17-00491. <a href="https://doi.org/10.2807/1560-7917.ES.2018.23.11.17-00491" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2018.23.11.17-00491</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 20 Jul 2017;&nbsp;&nbsp; <span class="generated">Accepted</span>: 27 Feb 2018 </span> </p>
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