Volume 97, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



In 2010, Haiti suffered from a devastating earthquake; data on the impact on the tuberculosis (TB) epidemic are limited. From January to June 2013, we conducted active case finding at the household level in a slum in Port-au-Prince. Community health workers identified individuals with cough ≥ 2 weeks, and referred them for evaluation. Contact tracing was conducted for patients with active TB. Of an estimated 7,500 residents screened, 394 (5%) had cough and were tested for TB. One hundred (25%) were diagnosed with active TB; 53 (53%) were smear positive. Ninety of these TB index cases provided 317 contacts, and 44 (14%) were diagnosed with active TB; 17 (39%) were smear positive. Overall, 144 TB cases were detected in 6 months (1,920/100,000; national estimate 200/100,000). We found a high burden of undiagnosed TB in Port-au-Prince 3 years after the earthquake. Further assessment of the burden of TB is indicated.


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  1. Report GT, 2015. Tuberculosis Country Profiles. World Health Organization Web Site. Available at: http://extranet.who.int/sree/Reports?op=Replet&name=%2FWHO_HQ_Reports%2FG2%2FPROD%2FEXT%2FTBCountryProfile&ISO2=HT&LAN=EN&outtype=html. Accessed July 21, 2016.
  2. Rouzier V et al., ., 2014. Factors impacting the provision of antiretroviral therapy to people living with HIV: the view from Haiti. Antivir Ther 19 (Suppl 3): 91104.[Crossref]
    [Google Scholar]
  3. United Nations Office for the Coordination of Humanitarian Affairs, 2011. Haiti: One Year Later. Available at: http://unocha.org/issues-in-depth/haiti-one-year-later. Accessed April 10, 2013.
  4. Ministère de la Santé Publique et de la Population, UNICEF, World Food Programme, 2012. Rapport de l'enquête nutritionnelle nationale avec la méthodologie SMART. Haïti, Port-au-Prince: UNICEF-Haïti, Ministère de la Santé Publique et de la Population. Available at: http://mspp.gouv.ht/site/downloads/SMART.pdf. Accessed December 1, 2014.
  5. WHO, 2013. Systematic Screening for Active Tuberculosis. Principles and Recommendations. Geneva, Switzerland: World Health Organization. Available at: http://www.who.int/tb/publications/Final_TB_Screening_guidelines.pdf. Accessed April 20, 2014.
  6. World Health Organization, 2014. Definitions and Reporting Framework for Tuberculosis–2013 Revision (updated December 2014). Available at: http://apps.who.int/iris/bitstream/10665/79199/1/9789241505345_eng.pdf?ua=1. Accessed March 5, 2015.
  7. Lorent N et al., ., 2014. Community-based active tuberculosis case, finding in poor urban settlements of Phnom Penh, Cambodia: a feasible and effective strategy. PLoS One 9: e92754.[Crossref]
    [Google Scholar]
  8. Ogbudebe CL et al., ., 2015. Reaching the underserved: Active tuberculosis case finding in urban slums in southeastern Nigeria. Int J Mycobacteriol 4: 1824.[Crossref]
    [Google Scholar]
  9. Sekandi JN, Neuhauser D, Smyth K, Whalen CC, 2009. Active case finding of undetected tuberculosis among chronic coughers in a slum setting in Kampala, Uganda. Int J Tuberc Lung Dis 13: 508513.
    [Google Scholar]
  10. The World Bank, 2016. Prevalence of HIV, Total (% of Population Ages 15–49). Available at: http://data.worldbank.org/indicator/SH.DYN.AIDS.ZS. Accessed July 21, 2016.
  11. Fox GJ, Barry SE, Britton WJ, Marks GB, 2013. Contact investigation for tuberculosis: a systematic review and meta-analysis. Eur Respir J 41: 140156.[Crossref]
    [Google Scholar]

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  • Received : 16 Aug 2016
  • Accepted : 06 Apr 2017
  • Published online : 30 May 2017
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