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The programme combined tuberculosis exposure testing using IGRA with tests for HIV, hepatitis B (HBV) and hepatitis C (HCV), tracking test yields, newly diagnosed cases, and linkage to care. Among 4,004 patients, yields were reported for HIV, HBV, HCV and IGRA positivity, with substantial new diagnoses across infections. Follow-up attendance and linkage to chemoprophylaxis were high, including high completion rates for initiated preventive treatment.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/101-community-based-testing-of-migrants-for-infectious-diseases-combat-id-the-effectiveness-of-routine-testing-for-infectious-diseases-among-migrants-attending-primary-care/448805/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/101-community-based-testing-of-migrants-for-infectious-diseases-combat-id-the-effectiveness-of-routine-testing-for-infectious-diseases-among-migrants-attending-primary-care/448805.png","ImageObject",300,407,{"name":92,"@type":93},"Taylor Morgan","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What screening approach does COMBAT-ID use for migrants in primary care?","Question",{"text":112,"@type":113},"It uses IGRA for tuberculosis exposure plus testing for HIV, HBV and HCV when patients first register with general practices.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What were the key testing results reported for HIV, HBV, HCV and IGRA?",{"text":117,"@type":113},"The abstract reports specific test yields for HIV, HBV and HCV, and an IGRA positivity rate, including coinfections and proportions with active versus latent TB.",{"name":119,"@type":110,"acceptedAnswer":120},"How effective was the programme in linking newly diagnosed patients to care and treatment?",{"text":121,"@type":113},"Linkage to care was high, with most new latent TB patients offered chemoprophylaxis and high start and completion rates; follow-up attendance for newly diagnosed HIV, HBV and HCV patients was also near-universal.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},448805,1790796534,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},1099523885336,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","2nd World Congress on Migration, Ethnicity, Race & Health Abstract Book vi77  \nAbstract citation ID: ckaf180.212  \n101 Community-based testing of migrants for infectious diseases (COMBAT-ID): the effectiveness of routine testing for infectious diseases among migrants attending primary care  \nRebecca Baggaley1, Christopher Martin3, Helen Eborall4, Marjan Gohar3, Kashif Aziz3, Muhammad Fahad3, George Hills3, Mayur Patel5,  \nIain Stephenson3, Pranabashis Haldar2, Ibrahim Abubakar1, Oliver Toovey3, Helena White3, William Jones3, Mark Pierce6, Rachna Vyas6,  \nNilesh Sanganee6, Caroline Trevithick6, Chris Griffiths7, Manish Pareek2 1University College London, London, United Kingdom  \n2University of Leicester, Leicester, United Kingdom  \n3University Hospitals of Leicester NHS Trust, Leicester, United Kingdom 4University of Edinburgh, Edinburgh, United Kingdom  \n5NHS Leicester Integrated Care Board, Leicester, United Kingdom 6NHS Leicester, Leicestershire & Rutland Integrated Care Board, Leicester, United Kingdom  \n7Queen Mary University of London, London, United Kingdom  \nOP 34: Diseases and Interventions 2, B304 (FCSH), September 5, 2025, 10:15-11:15  \nBackground: Migrants are at increased risk of chronic infections and have poorer outcomes. Early diagnosis and management can reduce morbidity, mortality and onward infection transmission. Methods: We evaluated the effectiveness of an integrated approach to screening migrants for exposure to tuberculosis (TB) with an interferon gamma release assay (IGRA) test, HIV, hepatitis B virus (HBV) and hepatitis C virus (HCV) infection when patients first registered with general practices (GPs) in Leicester, UK, using test yields, numbers of new diagnoses and numbers linked to care.  \nFindings: 4004 new migrant GP patients referred for testing were included (74% \u003C36 years, 53% female, with a range of self-reported ethnicities: 63% Asian ethnicities, 9% Black ethnicities, 5% White  \nvi78 European Journal of Public Health, Vol. 35, Supplement 6, 2025  \nand 12% Mixed/Other) . Test yield was 0􀀂48%(17/3545, 95%CI 0􀀂30- 0􀀂77%) for HIV, 3􀀂34%(117/3502, 95%CI 2􀀂80-3􀀂99%) for HBV and 0􀀂18% (6/3402, 0􀀂08-0􀀂38%) for HCV, with 19􀀂38% (496/2560, 95%CI 17􀀂89-20􀀂95%) positive on the IGRA test. There were two HIV-HBV, three HIV-TB and 19 HBV-TB coinfections. Of IGRApositive patients attending clinic, 7% had active TB and 92% had latent TB infection. 55% of active TB, 99% of latent TB, 61% of HBV, 35% of HIV and 83% of HCV infections were new diagnoses. There were high rates of linkage to care for those newly diagnosed. 98% of new latent TB patients were offered chemoprophylaxis, of whom 94% started treatment and of these, 95% completed the course. 100%, 97% and 100% of newly HIV-, HBV-and HCV-diagnosed patients attended follow-up, respectively.  \nInterpretation: This first primary care-based combined infection testing programme for recent migrants found high test yields for latent/active TB, HBV and HIV, substantial numbers of new diagnoses for these infections and excellent linkage to care. To influence UK screening guidelines, its cost-effectiveness and acceptability to other primary care settings must be evaluated.","cbCaieS9mtrKbHTw","https://ap.wps.com/l/cbCaieS9mtrKbHTw","pdf",71342,"English","# Background\n# Methods\n# Findings\n# Interpretation","[{\"question\":\"What screening approach does COMBAT-ID use for migrants in primary care?\",\"answer\":\"It uses IGRA for tuberculosis exposure plus testing for HIV, HBV and HCV when patients first register with general practices.\"},{\"question\":\"What were the key testing results reported for HIV, HBV, HCV and IGRA?\",\"answer\":\"The abstract reports specific test yields for HIV, HBV and HCV, and an IGRA positivity rate, including coinfections and proportions with active versus latent TB.\"},{\"question\":\"How effective was the programme in linking newly diagnosed patients to care and treatment?\",\"answer\":\"Linkage to care was high, with most new latent TB patients offered chemoprophylaxis and high start and completion rates; follow-up attendance for newly diagnosed HIV, HBV and HCV patients was also near-universal.\"}]","101 Community-based testing of migrants for infectious diseases (COMBAT-ID) - the effectiveness of routine testing for infectious diseases among migrants attending primary care | PDF",1790728786]