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LETTER |
The authors are with the Center for Immigrant Health, New York University School of Medicine, New York, NY.
Correspondence: Requests for reprints should be sent to Francesca Gany, MD, MS, Center for Immigrant Health, NYU School of Medicine, 550 First Ave, OBH CD 401, New York, NY 10016 (e-mail: fg12@nyu.edu).
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As Xia writes, creative tuberculosis (TB) prevention strategies and programs are indeed necessary to reach the large numbers of medically underserved immigrants in the United States. Rates of TB among foreign-born persons in the United States continue to increase,1 and there is a vast reservoir of latent tuberculosis infection (LTBI) among immigrants.2 Many at-risk immigrants face linguistic, cultural, economic, legal, and structural obstacles to early TB screening and treatment.3
The community must be an integral partner in the planning, implementation, and evaluation of TB control programs for immigrants. These programs should include active advisory boards; formative research (e.g., focus groups
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