High rates of tuberculosis in end-stage renal failure: The impact of international migration

We studied a cohort of patients requiring renal dialysis who had migrated to the United Kingdom from tuberculosis (TB)endemic countries and found extremely high rates of TB (1,187 cases per 100,000 per year), partly associated with end-stage diabetic renal disease. We recommend enhanced vigilance and screening of such patients, both to reduce illness and death and to prevent nosocomial spread of TB among susceptible persons.