BMJ  2006;332 (14 January), doi:10.1136/bmj.332.7533.0-c

Poverty, unemployment and raw milk are associated with TB in Russia

Exposure to raw milk and unemployment may be the most important contributors to tuberculosis in Russia. Coker and colleagues (p 85) carried out a case-control study on exposure to various risk factors before and during the development of pulmonary tuberculosis (TB) in 334 cases and 334 matched controls. A history of either imprisonment or detention in pretrial centres was highly associated with risk of tuberculosis, but because of the small numbers involved, incarceration does not contribute greatly to the overall burden of tuberculosis in Russia: the population attributable risk is only 0.8% for incarceration compared with 28% for being unemployed.

Credit: WHO

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