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A multinational Delphi consensus on tuberculosis screening of migrants in Europe

2025-11Artigo científico Acesso aberto
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dc.contributor.authorPinheiro, Marina
dc.contributor.authorAguiar, Ana
dc.contributor.authorMoreira, David N.
dc.contributor.authorAkkerman, Onno W.
dc.contributor.authorAl-Suwaidi, Zubaida
dc.contributor.authorAlffenaar, Jan-Willem C.
dc.contributor.authorArandjelović, Irena
dc.contributor.authorBrito, Ulisses
dc.contributor.authorde Colombani, Pierpaolo
dc.contributor.authorCurcic, Radmila
dc.contributor.authorGarcia-Basteiro, Alberto L.
dc.contributor.authorGoletti, Delia
dc.contributor.authorGünther, Gunar
dc.contributor.authorIbraim, Elmira
dc.contributor.authorKapata, Nathan
dc.contributor.authorLange, Christoph
dc.contributor.authorLipman, Marc
dc.contributor.authorJankovic Makek, Mateja
dc.contributor.authorMarais, Ben J.
dc.contributor.authorMariandyshev, Andrei
dc.contributor.authorMagis-Escurra, Cecile
dc.contributor.authorMigliori, Giovanni Battista
dc.contributor.authorSánchez Montalvá, Adrián
dc.contributor.authorNanovic, Zorica
dc.contributor.authorPalmero, Domingo Juan
dc.contributor.authorPriwitzer, Martin
dc.contributor.authorRaviglione, Mario C. B.
dc.contributor.authorSilva, Denise Rossato
dc.contributor.authorSalzer, Helmut J.F.
dc.contributor.authorSchwarzbach, Christian
dc.contributor.authorSpruijt, Ineke
dc.contributor.authorWinthrop, Kevin L.
dc.contributor.authorUdwadia, Zarir
dc.contributor.authorVasankari, Tuula
dc.contributor.authorVilaplana, Cristina
dc.contributor.authorDuarte, Raquel
dc.date.accessioned2026-02-16T14:07:47Z
dc.date.available2026-02-16T14:07:47Z
dc.date.issued2025-11
dc.description.abstractThe disproportionate burden of tuberculosis among migrants in the World Health Organization (WHO) European Region underscores the urgent need to address the public health challenges associated with global migration. Recommendations for screening of pulmonary tuberculosis (TB) and TB infection (TBI) are highly variable across European countries, highlighting the need for standardised practices and coordinated efforts to reduce TB risk more effectively. This study aims to produce a harmonised set of recommendations to contribute to elaboration for policy action using the Delphi method. It brings together a multidisciplinary panel of 33 TB experts from academia, healthcare, non-governmental organisations and government agencies across 22 countries to formulate consensus-based recommendations. The panel created 19 consensus statements and 36 recommendations for governments, health systems and other stakeholders. The recommendations span four key domains: 1) policy, 2) health systems and health professionals, 3) screening procedures and priority populations and 4) continued treatment and care. This study recommends a unified, evidence-based approach to TB screening in migrants, with free access to diagnosis and treatment, culturally sensitive care, use of digital tools and coordinated efforts across health systems to ensure effective and equitable TB control in Europe. Thus, the experts emphasised key recommendations that strike a balance between immediate health system interventions, screening procedures and cultural inclusivity to more effectively address TB among migrants. The findings of this study offer actionable policies to address gaps and weaknesses in Europe's response to tuberculosis among migrants, advancing efforts to eliminate TB as a public health threat.eng
dc.description.abstractShareable abstract: The findings of this study offer actionable policies to address gaps and weaknesses in Europe’s response to tuberculosis among migrants, advancing efforts to eliminate TB as a public health threat https://bit.ly/4m8DR0eng
dc.description.sponsorship((Support statement: This work was supported by FCT (Fundação para a Ciência e Tecnologia, I.P.) through the projects with references UIDB/04750/2020 and LA/P/0064/2020 and DOI identifiers https://doi.org/10.54499/UIDB/04750/2020 and https://doi.org/10.54499/LA/P/0064/2020. C. Lange is funded by the German Center for Infection Research (DZIF) under grant agreement TTU-TB02.709.
dc.identifier.citationERJ Open Res. 2025 Dec 22;11(6):00574-2025. doi: 10.1183/23120541.00574-2025. eCollection 2025 Nov
dc.identifier.doi10.1183/23120541.00574-2025
dc.identifier.eissn2312-0541
dc.identifier.pmid41438856
dc.identifier.urihttp://hdl.handle.net/10400.18/10946
dc.language.isoeng
dc.peerreviewedyes
dc.publisherEuropean Respiratory Society
dc.relationEpidemiology Research Unit - Institute of Public Health, University of Porto
dc.relationLaboratory for Integrative and Translational Research in Population Health
dc.relationLA/P/0064/2020
dc.relation.hasversionhttps://publications.ersnet.org/content/erjor/11/6/00574-2025
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.subjectTuberculosis
dc.subjectDelphi
dc.subjectMigrant
dc.subjectWorld Health Organization (WHO)
dc.subjectEurope
dc.subjectInfecções Respiratórias
dc.titleA multinational Delphi consensus on tuberculosis screening of migrants in Europeeng
dc.typejournal article
dcterms.referenceshttps://publications.ersnet.org/lookup/doi/10.1183/23120541.00574-2025#supplementary
dcterms.referenceshttps://publications.ersnet.org/content/erjor/11/6/00574-2025/DC1/embed/inline-supplementary-material-2.pdf
dcterms.referenceshttps://publications.ersnet.org/content/erjor/11/6/00574-2025/DC1/embed/inline-supplementary-material-3.pdf
dcterms.referenceshttps://publications.ersnet.org/content/erjor/11/6/00574-2025/DC1/embed/inline-supplementary-material-4.pdf
dcterms.referenceshttps://publications.ersnet.org/content/erjor/11/6/00574-2025/DC1/embed/inline-supplementary-material-5.pdf
dspace.entity.typePublication
oaire.awardTitleEpidemiology Research Unit - Institute of Public Health, University of Porto
oaire.awardTitleLaboratory for Integrative and Translational Research in Population Health
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F04750%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/LA%2FP%2F0064%2F2020/PT
oaire.citation.issue6
oaire.citation.startPage00574-2025
oaire.citation.titleERJ Open Research
oaire.citation.volume11
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isProjectOfPublication05f4f337-eeba-4c07-82ed-4202b21618a2
relation.isProjectOfPublication18ca3cb0-ef66-4dd8-b45e-4cb0654cd7e8
relation.isProjectOfPublication.latestForDiscovery05f4f337-eeba-4c07-82ed-4202b21618a2

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