Sally Millership and Amelia Cummins
Abstract
Between 1997 and 2003 an annual average of 1867 new
entrants seen at the port of arrival were notified to the
communicable disease teams who now form the Essex
Health Protection Unit. We examined the number of individuals
who made contact with health services by linking
port health and tuberculosis databases with combinations
of surname, forename and date of birth the number of new
entrants developing tuberculosis. We also searched paper
records for all incidents of active tuberculosis in health
and residential care workers. Eighteen individuals were in
both port health and tuberculosis data sets; only one was
identified by new entrant screening. In the same period
there were 35 cases of active tuberculosis in health care
workers, only one of whom had been screened on arrival
in the United Kingdom, resulting in follow-up of 371 contacts.
The new entrant screening programme in Essex
should be stopped and resources diverted to improve followup
of new entrants, especially those who are health care
workers.
Keywords: new entrant, port health, tuberculosis
Identification of tuberculosis cases by port health screening in Essex 1997–2003