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	<title>Symptom Advice .com &#187; migrants</title>
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		<title>London &#8216;the TB capital of Europe&#8217;</title>
		<link>http://symptomadvice.com/london-the-tb-capital-of-europe/</link>
		<comments>http://symptomadvice.com/london-the-tb-capital-of-europe/#comments</comments>
		<pubDate>Sun, 02 Jan 2011 01:17:10 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[tuberculosis symptoms]]></category>
		<category><![CDATA[inadequate ventilation]]></category>
		<category><![CDATA[migrants]]></category>

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		<description><![CDATA[Britain &#105;&#115; &#110;&#111;&#119; the only Western European country with rising rates of tuberculosis, &#097;&#099;&#099;&#111;&#114;&#100;&#105;&#110;&#103; to the paper, with &#109;&#111;&#114;&#101; &#116;&#104;&#097;&#110; 9,000 cases &#110;&#111;&#119; diagnosed annually. Four in 10 cases &#097;&#114;&#101; diagnosed within London, with cases rising &#098;&#121; &#110;&#101;&#097;&#114;&#108;&#121; 50 per cent since 1999, &#102;&#114;&#111;&#109; 2,309 to 3,450. Doctors suspect these numbers underestimate the true extent [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/01/1293931030-43.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>Britain &#105;&#115; &#110;&#111;&#119; the only Western European country with rising rates of tuberculosis, &#097;&#099;&#099;&#111;&#114;&#100;&#105;&#110;&#103; to the paper, with &#109;&#111;&#114;&#101; &#116;&#104;&#097;&#110; 9,000 cases &#110;&#111;&#119; diagnosed annually. </p>
<p>Four in 10 cases &#097;&#114;&#101; diagnosed within London, with cases rising &#098;&#121; &#110;&#101;&#097;&#114;&#108;&#121; 50 per cent since 1999, &#102;&#114;&#111;&#109; 2,309 to 3,450. </p>
<p>Doctors suspect these numbers underestimate the true extent of the problem &#098;&#121; &#097;&#108;&#109;&#111;&#115;&#116; a &#116;&#104;&#105;&#114;&#100;. </p>
<p>&#8220;Victorian&#8221; living conditions among migrants &#097;&#114;&#101; behind the rise, &#115;&#097;&#105;&#100; Prof Alimuddin Zumla of University College London, a tuberculosis expert. </p>
<p>Prolonged, close contact with a person with &#8220;active&#8221; TB &#105;&#115; generally required for infection to occur. </p>
<p>Prof Zumla wrote: &#8220;The increase in the number of tuberculosis cases in the UK &#104;&#097;&#115; largely been in non-UK born groups; in 2009, these were black African (28 per cent), Indian (27 per cent), &#097;&#110;&#100; white (10 per cent).&#8221;</p>
<p>But &#105;&#116; appears &#109;&#097;&#110;&#121; people &#097;&#114;&#101; &#110;&#111;&#119; &#098;&#101;&#099;&#111;&#109;&#105;&#110;&#103; infected here, &#114;&#097;&#116;&#104;&#101;&#114; &#116;&#104;&#097;&#110; bringing &#105;&#116; in &#102;&#114;&#111;&#109; &#116;&#104;&#101;&#105;&#114; countries of origin. </p>
<p>&#8220;Interestingly &#109;&#097;&#110;&#121; of these cases were not in new migrants; 85 per cent of individuals born overseas &#104;&#097;&#100; lived in the UK for &#116;&#119;&#111; or &#109;&#111;&#114;&#101; years,&#8221; &#104;&#101; &#115;&#097;&#105;&#100;. </p>
<p>Tuberculosis was &#8220;common in London boroughs &#116;&#104;&#097;&#116; &#097;&#114;&#101; relatively deprived&#8221;, &#104;&#101; noted. </p>
<p>&#8220;Poor housing, inadequate ventilation, &#097;&#110;&#100; overcrowding &mdash;conditions prevalent in Victorian Britain &mdash;&#097;&#114;&#101; &#099;&#097;&#117;&#115;&#101;&#115; of the higher tuberculosis incidence rates in &#099;&#101;&#114;&#116;&#097;&#105;&#110; London boroughs.&#8221;</p>
<p>Tuberculosis was known &#097;&#115; &#8220;the white plague&#8221; &#100;&#117;&#114;&#105;&#110;&#103; Victorian times, &#097;&#115; &#105;&#116; &#099;&#097;&#117;&#115;&#101;&#115; a deathly pallor in its sufferers. </p>
<p>The disease &#105;&#115; caused &#098;&#121; a bacterial infection, &#117;&#115;&#117;&#097;&#108;&#108;&#121; of the lungs. </p>
<p>Most people fight &#111;&#102;&#102; the infection without experiencing symptoms. </p>
<p>Some people &#8211; &#109;&#111;&#114;&#101; frequently &#116;&#104;&#111;&#115;&#101; in poor health &#097;&#110;&#100; newborn babies &#8211; develop &#8220;active&#8221; tuberculosis. </p>
<p>Symptoms range &#102;&#114;&#111;&#109; the minor, such &#097;&#115; a persistent hacking cough, to breathlessness, joint pain &#097;&#110;&#100; &#101;&#118;&#101;&#110; meningitis. Tuberculosis &#099;&#097;&#117;&#115;&#101;&#115; three million deaths a year worldwide. </p></p>
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