Protracted Tuberculosis Outbreak in a Pasifika Diaspora in Western Sydney, Australia: The Importance of Community Engagement.

Koirala, Archana; Smith, Katherine; Britton, Philip N; Howard-Jones, Annaleise R; Sintchenko, Vitali; Donnan, Ellen J; Ulbricht, Evan; Martinez, Elena et al. · J Infect Dis · 2025

case_series · Level IV

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Abstract

A prolonged tuberculosis outbreak, linked by whole-genome sequencing, occurred in a Pasifika extended family over 10 years (2013-2022) in Sydney, Australia. Despite Australia's low tuberculosis incidence, social and cultural complexities, and coronavirus disease 2019 (COVID-19) disruptions exacerbated transmission. Control required culturally sensitive, family-centered care and robust health system engagement.

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