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[Comment] Time to rethink approaches to migrant health screening

The elimination of tuberculosis in Europe is a key public health priority,1 yet unprecedented levels of migration, especially from low-income or middle-income countries, pose challenges to achieving this goal. The overall incidence of tuberculosis in migrants is increasing in several countries, and—for example—migrants comprise more than 70% of all newly diagnosed cases in the UK, Sweden, the Netherlands, and Norway.2 Migrants are at higher risk of clinical tuberculosis as a result of coming from countries with a high burden of infection, the poverty they might face on arrival, and a plethora of barriers to accessing free statutory health care and screening.

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