TB anywhere is TB everywhere: the intersection of U.S. immigration enforcement policy and TB
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Authors
Little, Reed David
Subjects
tuberculosis (TB)
multidrug-resistant tuberculosis (MDR-TB)
latent tuberculosis infection (LTBI)
extensively drug-resistant tuberculosis (XDR-TB)
immigration enforcement
U.S. Customs and Immigration
borders
detention facility
immigration policies
public health
Alternatives to Detention
multidrug-resistant tuberculosis (MDR-TB)
latent tuberculosis infection (LTBI)
extensively drug-resistant tuberculosis (XDR-TB)
immigration enforcement
U.S. Customs and Immigration
borders
detention facility
immigration policies
public health
Alternatives to Detention
Advisors
Rollins, John
Richter, Anke
Date of Issue
2016-09
Date
Sep-16
Publisher
Monterey, California: Naval Postgraduate School
Language
Abstract
Tuberculosis (TB) is a significant health issue to both the general public and the officers who enforce our nation's immigration laws. Current immigration enforcement policies increase the likelihood that immigration officers will encounter people with TB. Should the United States alter its immigration enforcement policies to address more directly the threat that tuberculosis poses to public health? This thesis reviews this question through the lens of the Advisory Council on Tuberculosis's recommendation that the priority is to identify and treat all cases of active TB. This thesis provides a policy options analysis examining the status quo and three options suggested in the literature on TB: cure TB before removal, increase international cooperation in treating TB, and increase TB testing. This policy analysis identifies gaps in the Department of Homeland Security's (DHS) ability to identify and treat active TB in the aliens encountered through the immigration enforcement process. Additionally, it recommends that the DHS require that all detained aliens be screened for active TB by use of a chest X-ray. It further recommends that the DHS completely cure all aliens found to have active TB, whether detained or released from detention, prior to their removal from the United States.
Type
Thesis
Description
Series/Report No
Department
National Security Affairs
Organization
Identifiers
NPS Report Number
Sponsors
Funder
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Citation
Distribution Statement
Approved for public release; distribution is unlimited.
Rights
This publication is a work of the U.S. Government as defined in Title 17, United States Code, Section 101. Copyright protection is not available for this work in the United States.