I have just read the article by Dr Kevin Elwood, entitled “Immigration medicals: What’s the point?” [BCMJ 2009;51:341] and I have a question: In the first paragraph, Dr Elwood states that TB in Canada has been steadily decreasing since the 1950s but immigration halted the decline.
On the other hand, in his last paragraph he states that the rates of TB in Canada continue to decline, a point forgotten and largely unexplained.
My question: which of the two is it?
Thank you for your response.
—Alex Porzecanski, MD
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Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
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