Los Angeles and New York City report the most cases of tuberculosis in children. New York City has reported increases in children for 3 of the last 4 years. One factor that has helped to prevent a decline in the number of tuberculosis cases in the United States is the continuing entry of refugees. undocumented aliens. and other immigrants from highincidence countries. Controlling tuberculosis has been made more difficult because of this. particularly in border and coastal cities. In 1981. 5.6 percent of new tuberculosis cases occurred in refugees. 13.5 percent of new cases occurred in Hispanic residents of the United States. many of whom are recently arrived. The Centers for Disease Control are currently funding intense tuberculosis control and prevention activities in 12 highincidence urban areas. These areas represent about 25 percent of the Nations tuberculosis morbidity.
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undocumented immigrants refugees