However, because Links of London Gingerbread Man would be consistent throughout the study period, observed trends would be unlikely to change importantly. Finally, we could not examine HIV disease severity because of lack of data on antiretroviral use, other opportunistic infections, CD4 cell count, and viral load. Despite these limitations, we observed disparities in the decline of TB rates in US-born and foreign-born Links of London Bee Charm groups. HIV/AIDS poses a considerable challenge to TB control. Within New York City and the United States, overall TB Links of London have declined; however, in New York City this decrease has not been as significant among foreign-born HIV-infected populations. Such disparities must be addressed if further declines in TB rates are to be achieved. [Reference] References 1. Schluger NW, Burzynski J. Tuberculosis and HIV infection: epidemiology, immunology, and treatment. HIV Clin Trials. 2001;2(4):356-365. 2. Sharma SK, Mohan A, Kadhiravan T. HIV-TB Links of London Snowflake Charms: epidemiology, diagnosis & management. Indian J Med Res. 2005;121(4):550-567. 3. Centers for Disease Control and Prevention. Reported HIV status of tuberculosis patients-United States, 1993-2005. MMWR Morb Mortal Wkly Rep. 2007;56(42):1103-1106. 4. American Thoracic Society, Centers for Disease Control and Prevention. Targeted tuberculin testing and treatment of latent tuberculosis infection. MMWR Recomm Rep. 2000;49(RR-6):1-51. 5. Comstock GW, Livesay VT, Woolpert SF. The prognosis of a positive tuberculin reaction in childhood and adolescence.
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