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American Journal of Public Health, Vol. 85, Issue 11 1556-1559, Copyright © 1995 by American Public Health Association

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Tuberculosis screening among homeless persons with AIDS living in single-room-occupancy hotels.

M C Layton, M F Cantwell, G J Dorsinville, S E Valway, I M Onorato and T R Frieden

Bureau of Communicable Disease, New York City Department of Health, NY 10013, USA.

Congregate facilities for homeless persons with the acquired immunodeficiency syndrome (AIDS) are often endemic for tuberculosis. We evaluated tuberculosis screening methods at single-room-occupancy hotels housing persons with AIDS. Residents were screened by cross matching the New York City Tuberculosis Registry, interviewing for tuberculosis history, skin testing, and chest radiography. Cases were classified as either previously or newly diagnosed. Among the 106 participants, 16 (15%) previously diagnosed tuberculosis cases were identified. Participants' tuberculosis histories were identified by the questionnaire (100%) or by registry match (69%). Eight participants (50%) were noncompliant with therapy. These findings prompted the establishment of a directly observed therapy program on site.




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