The impact of the war in Ukraine on the prevalence of MDR/RR-TB in Poland

BACKGROUND: The 2022 invasion of Ukraine by the Russian Federation triggered a refugee crisis, affecting the multidrug-/rifampicin-resistant TB (MDR/RR-TB) prevalence in neighbouring countries. This study examines the epidemiological trends and characteristics of MDR/RR-TB patients in Poland, focusi...

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Main Authors: A. Nowinski, E. Augustynowicz-Kopeć, J. Garnczarek, A. Halicka, M. Koszela, W. Litwiniuk, D. Maj, I. Mazur, J. Niestrój-Ostrowska, R. Podlasin, A. Regulska, M. Wielopolska, J. Wyrwiński, S. Wesołowski, M. Korzeniewska-Koseła
Format: Article
Language:English
Published: International Union Against Tuberculosis and Lung Disease (The Union) 2025-01-01
Series:IJTLD Open
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Online Access:https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2025/00000002/00000001/art00003
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author A. Nowinski
E. Augustynowicz-Kopeć
J. Garnczarek
A. Halicka
M. Koszela
W. Litwiniuk
D. Maj
I. Mazur
J. Niestrój-Ostrowska
R. Podlasin
A. Regulska
M. Wielopolska
J. Wyrwiński
S. Wesołowski
M. Korzeniewska-Koseła
author_facet A. Nowinski
E. Augustynowicz-Kopeć
J. Garnczarek
A. Halicka
M. Koszela
W. Litwiniuk
D. Maj
I. Mazur
J. Niestrój-Ostrowska
R. Podlasin
A. Regulska
M. Wielopolska
J. Wyrwiński
S. Wesołowski
M. Korzeniewska-Koseła
author_sort A. Nowinski
collection DOAJ
description BACKGROUND: The 2022 invasion of Ukraine by the Russian Federation triggered a refugee crisis, affecting the multidrug-/rifampicin-resistant TB (MDR/RR-TB) prevalence in neighbouring countries. This study examines the epidemiological trends and characteristics of MDR/RR-TB patients in Poland, focusing on the relative contribution of Ukrainian refugees. METHODS: Data from the Polish National Tuberculosis Registry and EPIC Project database, covering MDR/RR-TB cases reported between 2010 and Q1 2024, were analysed. RESULTS: The study included 794 MDR/RR-TB cases, showing a demographic shift post-2022. During the 10-year period up to 2021, a median of 48 MDR/RR-TB cases were reported annually in Poland. After 2022, these numbers doubled: 104 cases were reported in 2022 and 101 cases in 2023. Simultaneously, the number of Ukrainian MDR/RR-TB patients increased from 77 (13%) during 2010–2021 to 127 (58%) from 2022 to Q1 2024. CONCLUSION: Poland is observing an increased number of cases of MDR/RR-TB associated with the large number of displaced Ukrainian citizens who are now residing in Poland. There is a need to monitor the epidemiology of MDR/RR-TB and seek optimal screening and management strategies for TB among refugees from countries with high MDR/RR-TB incidence in Poland and Europe.
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spelling doaj-art-207ccfd4989f444f98e885dd61d211d92025-01-23T13:39:30ZengInternational Union Against Tuberculosis and Lung Disease (The Union)IJTLD Open3005-75902025-01-012161210.5588/ijtldopen.24.03573The impact of the war in Ukraine on the prevalence of MDR/RR-TB in PolandA. Nowinski0E. Augustynowicz-Kopeć1J. Garnczarek2A. Halicka3M. Koszela4W. Litwiniuk5D. Maj6I. Mazur7J. Niestrój-Ostrowska8R. Podlasin9A. Regulska10M. Wielopolska11J. Wyrwiński12S. Wesołowski13M. Korzeniewska-Koseła14Department of Tuberculosis Epidemiology and Surveillance, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland;Department of Microbiology, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland;Second Lung Disease Department in Tuszyn, Center for the Treatment of Lung Diseases and Rehabilitation, Lodz, Poland;Wielkopolskie Center of Pulmonology and Thoracic Surgery, Poznan, Poland;Lower Silesian Oncology, Pulmonology and Hematology Center, Wrocław, Poland;Department of Tuberculosis and Lung Diseases Treatment, Kuyavian-Pomeranian Pulmonology Centre, Bydgoszcz, Poland;Independent Public Tuberculosis and Lung Diseases Sanatorium, Tuberculosis and Lung Diseases Department, Poniatowa, Poland;Małopolski Hospital for Lung Diseases and Rehabilitation, Jaroszowiec, Poland;Hospital for Lung Diseases in Pilchowice, Pilchowice, Poland;Fourth Department, Hospital for Infectious Diseases, Warsaw, Poland;Hospital for Lung Diseases and Long-Term Care, Górno, Poland;Pediatric Department, Mazovian Center for Lung Diseases and Tuberculosis, Otwock, Poland;Independent Public Provincial Hospital, Department I of Tuberculosis and Lung Diseases, Szczecin Zdunowo, Poland.Department of Tuberculosis Epidemiology and Surveillance, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland;Department of Tuberculosis Epidemiology and Surveillance, National Tuberculosis and Lung Diseases Research Institute, Warsaw, Poland;BACKGROUND: The 2022 invasion of Ukraine by the Russian Federation triggered a refugee crisis, affecting the multidrug-/rifampicin-resistant TB (MDR/RR-TB) prevalence in neighbouring countries. This study examines the epidemiological trends and characteristics of MDR/RR-TB patients in Poland, focusing on the relative contribution of Ukrainian refugees. METHODS: Data from the Polish National Tuberculosis Registry and EPIC Project database, covering MDR/RR-TB cases reported between 2010 and Q1 2024, were analysed. RESULTS: The study included 794 MDR/RR-TB cases, showing a demographic shift post-2022. During the 10-year period up to 2021, a median of 48 MDR/RR-TB cases were reported annually in Poland. After 2022, these numbers doubled: 104 cases were reported in 2022 and 101 cases in 2023. Simultaneously, the number of Ukrainian MDR/RR-TB patients increased from 77 (13%) during 2010–2021 to 127 (58%) from 2022 to Q1 2024. CONCLUSION: Poland is observing an increased number of cases of MDR/RR-TB associated with the large number of displaced Ukrainian citizens who are now residing in Poland. There is a need to monitor the epidemiology of MDR/RR-TB and seek optimal screening and management strategies for TB among refugees from countries with high MDR/RR-TB incidence in Poland and Europe.https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2025/00000002/00000001/art00003polandukrainemdr/rr-tbmdr tbwarrefugees
spellingShingle A. Nowinski
E. Augustynowicz-Kopeć
J. Garnczarek
A. Halicka
M. Koszela
W. Litwiniuk
D. Maj
I. Mazur
J. Niestrój-Ostrowska
R. Podlasin
A. Regulska
M. Wielopolska
J. Wyrwiński
S. Wesołowski
M. Korzeniewska-Koseła
The impact of the war in Ukraine on the prevalence of MDR/RR-TB in Poland
IJTLD Open
poland
ukraine
mdr/rr-tb
mdr tb
war
refugees
title The impact of the war in Ukraine on the prevalence of MDR/RR-TB in Poland
title_full The impact of the war in Ukraine on the prevalence of MDR/RR-TB in Poland
title_fullStr The impact of the war in Ukraine on the prevalence of MDR/RR-TB in Poland
title_full_unstemmed The impact of the war in Ukraine on the prevalence of MDR/RR-TB in Poland
title_short The impact of the war in Ukraine on the prevalence of MDR/RR-TB in Poland
title_sort impact of the war in ukraine on the prevalence of mdr rr tb in poland
topic poland
ukraine
mdr/rr-tb
mdr tb
war
refugees
url https://www.ingentaconnect.com/contentone/iuatld/ijtldo/2025/00000002/00000001/art00003
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