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Although a strong association exists between poverty and tuberculosis
among white people, no such association exists among Asians. Over half
of tuberculosis cases in the United Kingdom occur in ethnic minorities,
and the epidemiology of tuberculosis differs fundamentally with
ethnicity. Hawker et al (p 1031) studied notifications of tuberculosis
in white and Asian residents of Birmingham separately and compared them
with measures of social deprivation for the relevant ethnic group. The
lack of association with poverty in Asians suggests ethnic differences
in the epidemiology of tuberculosis. Different strategies for
prevention of tuberculosis are therefore needed for different ethnic groups.