ArticlePublic health reports (Washington, D.C. : 1974)2026
Trends in Active Tuberculosis Cases Diagnosed in New York City During the COVID-19 Pandemic.
Article in Public health reports (Washington, D.C. : 1974), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThe number of active tuberculosis (TB) cases reported in New York City in 2020 declined 20% from 2019. To describe this decrease, we examined the characteristics of TB patients before and during the COVID-19 pandemic.
methodsWe compared the characteristics of 2 groups of TB cases: (1) cases in New York City's TB surveillance registry diagnosed during the pandemic (March 1, 2020-February 28, 2022) and the stay-at-home order PAUSE (Policies that Assure Uniform Safety for Everyone) (March 23-June 7, 2020) and (2) cases diagnosed before the pandemic (March 1, 2018-February 29, 2020).
resultsWe identified 1088 patients with TB before the pandemic and 945 patients with TB during the pandemic; 62 patients were diagnosed with TB during PAUSE (53% fewer compared with the same dates in 2019). During the pandemic versus before the pandemic, a significantly higher proportion of patients were hospitalized at diagnosis (66.3% vs 60.1%;
conclusionsTB diagnoses precipitously declined during PAUSE. Disease severity and symptom duration increased among patients during the COVID-19 pandemic, indicating that TB diagnoses may have been delayed and that TB may have been underdiagnosed during the pandemic in New York City.
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