Accelerating tuberculosis diagnosis in Mozambican prisons using digital chest X-rays with computer-aided detection: a longitudinal, comprehensive health intervention.

Amadin A Olotu¹, Justy Antony Chiramal², Rachel A Boehm¹, Aswathy M Nair³, Sanya Chawla³, Mário A Vicente⁴, Dulcidio A Matusse⁴, Sérgio T Uate⁴, Amândio S Munguambe⁴, Edwin J Prophete⁵, Victoria M Brown¹, Cremilde M Anli⁴, Shibu Vijayan³, Ivan R Calder⁵, Anne C Spaulding⁶

¹Center for the Health of Incarcerated Persons (CHIP), Rollins School of Public Health, Emory University, Atlanta, USA.

²Qure Ai Technologies Inc., New York, USA.

³Qure Ai, Bangalore, India.

⁴National Penitentiary Service of Mozambique (SERNAP), Maputo, Mozambique.

⁵Health Through Walls (HtW), North Miami, USA.

⁶Center for the Health of Incarcerated Persons (CHIP), Rollins School of Public Health, Emory University, Atlanta, USA. aspauld@emory.edu.

PubMed PMC DOI PDF

Abstract

BACKGROUND: Mozambique has a high burden of tuberculosis (TB) and in 2021, an estimated 18,000 persons with TB nationwide were not diagnosed. Estimates suggest that globally 47% of TB disease in prisons is undiagnosed. We implemented an integrated-care model health intervention to enhance the diagnosis and treatment of TB disease, provide TB preventive treatment (TPT), and identify and treat other…

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