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Mark G. Jameson, MD, MPH
Washington County Health Department Hagerstown, Md

JAMA. 1993;269(16):2084-2085.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—The recent article by Johnson et al¹ presented an excellent overview of the health of children adopted from Romania. As a physician who staffs a tuberculosis clinic that has treated a number of children from Romania, I would like to elaborate on the detection and treatment of tuberculosis discussed in the article.

The authors report that 65 children participated in the study. While 61 (94%) were screened for parasites and 58 (89%) were screened for hepatitis B, only 41 (63%) were screened for tuberculosis with a purified protein derivative (PPD). In 1991, foreign-born persons accounted for 26% of the active tuberculosis cases in the United States.² A majority of foreign-born persons who develop tuberculosis do so within the first 5 years after they enter the United States.³ Thus, screening of all these persons for tuberculosis on entry to the United States is important.

In . . . [Full Text PDF of this Article]

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