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Epidemiology of Tuberculosis in The Republic of Mauritius “ Recent
Epidemiology of Tuberculosis in The Republic of Mauritius “ Recent
8
8
125
125
Tuberculosis in Mauritius
Tuberculosis in Mauritius
ORGANIZATION AND SET UP OF TB IN MAURITIUS
ORGANIZATION AND SET UP OF TB IN MAURITIUS
Notification and Incidence rate of Tuberculosis from 1974 to 2006
Notification and Incidence rate of Tuberculosis from 1974 to 2006
INCIDENCE RATE OF TB PER 100,000 INHABITANTS YEAR 1974 TO 2006
INCIDENCE RATE OF TB PER 100,000 INHABITANTS YEAR 1974 TO 2006
Trend Incidence Pulmonary TB 2001-2005
Trend Incidence Pulmonary TB 2001-2005
WHO Notification of TB 2002-2006
WHO Notification of TB 2002-2006
INCIDENCE / among Migrant workers
INCIDENCE / among Migrant workers
Age group and TB 2001-2005
Age group and TB 2001-2005
Sex ratio: M/F Age 15-24 : 2/1 Age 25-34 : 3/1 Age 35-44 :4/1 Age
Sex ratio: M/F Age 15-24 : 2/1 Age 25-34 : 3/1 Age 35-44 :4/1 Age
Pulmonary and Extra-pulmonary TB 2001-2005
Pulmonary and Extra-pulmonary TB 2001-2005
Extra pulmonary TB 2001-2005
Extra pulmonary TB 2001-2005
Trend of Incidence TB in districts 2001-2005
Trend of Incidence TB in districts 2001-2005
EVOLUTION INCIDENCE PER 100,000 INHABITANTS DISTRICT from 1993 AND
EVOLUTION INCIDENCE PER 100,000 INHABITANTS DISTRICT from 1993 AND
DEATH RATE TB PER 100,000 INHABITANTS 1991 TO 2006
DEATH RATE TB PER 100,000 INHABITANTS 1991 TO 2006
Cumulative cases HIV/AIDS ( 1st case at P D`or Hospital )
Cumulative cases HIV/AIDS ( 1st case at P D`or Hospital )
CO-INFECTION TB / HIV-AIDS
CO-INFECTION TB / HIV-AIDS
DOTS and case detection rate
DOTS and case detection rate
DOTS monitoring & outcomes 1995-2005
DOTS monitoring & outcomes 1995-2005
MDR TB 2001-2006
MDR TB 2001-2006
Risk factors predisposing to TB in % admitted at Poudre D`or Hospital
Risk factors predisposing to TB in % admitted at Poudre D`or Hospital
Conclusion
Conclusion
Thank You Merci
Thank You Merci
9 Districts in Mauritius population 1.2 M
9 Districts in Mauritius population 1.2 M
Tuberculosis in Mauritius
Tuberculosis in Mauritius
Notified cases and incidence of Tb 2001-2006
Notified cases and incidence of Tb 2001-2006
TREND OF NOTIFIED CASES YEAR 1974 -2006
TREND OF NOTIFIED CASES YEAR 1974 -2006
WHO Case notifications 1998-2005
WHO Case notifications 1998-2005

Презентация: «Epidemiology of Tuberculosis in The Republic of Mauritius Recent Trends (La Tuberculose ? L`ile Maurice)». Автор: Hal Marabel. Файл: «Epidemiology of Tuberculosis in The Republic of Mauritius Recent Trends (La Tuberculose ? L`ile Maurice).ppt». Размер zip-архива: 473 КБ.

Epidemiology of Tuberculosis in The Republic of Mauritius Recent Trends (La Tuberculose ? L`ile Maurice)

содержание презентации «Epidemiology of Tuberculosis in The Republic of Mauritius Recent Trends (La Tuberculose ? L`ile Maurice).ppt»
СлайдТекст
1 Epidemiology of Tuberculosis in The Republic of Mauritius “ Recent

Epidemiology of Tuberculosis in The Republic of Mauritius “ Recent

Trends ” (La Tuberculose ? L`ile Maurice)

Dr R.Reesaul Chest Physician Chest Clinic P. D`or Hospital

2 8

8

3M

2M

97

12

6

1M

25

72

100

2M

22

45

10

1/3 of world population infected 10 M new cases yearly 3 M cases of death yearly

INCIDENCE AND MORTALITY OF TB WORLDWIDE PER 100,000 INHABITANTS 2006

50

43

30

190

125

350

90

122

3 125

125

2M

2M

Low incidence in a High risk region

1M

1M

8000

2M

20

120

40,000

INCIDENCE AND RATE OF TB IN THE INDIAN OCEAN PER 100,000 INHABITANTS in 2006

75

115

44

350

25

17

97

10 115

9 75

4 Tuberculosis in Mauritius

Tuberculosis in Mauritius

Population of 1.2 million( 2006) Tuberculosis is a notified disease to the MOH Free treatment of all persons with active TB Anti- TB drugs(1st line and 2nd line drugs ) are available only at MOH central pharmacy Only few cases treated in private

5 ORGANIZATION AND SET UP OF TB IN MAURITIUS

ORGANIZATION AND SET UP OF TB IN MAURITIUS

M.O.H

CHEST Clinic

AIDS Unit

Administration Procurement, Tenders Statistics, notifications…

In -patients 30 Beds TB

5 Out- patients in Regional Hospitals

W.H.O Africa

Specialized National Laboratory For TB detection

Home Visits Specialized Nurses DOTS, Drugs Counselling

Specialized Pharmacy Anti-TB Drugs BCG

Screening Contacts Migrant workers Prisoners Homes High risks

6 Notification and Incidence rate of Tuberculosis from 1974 to 2006

Notification and Incidence rate of Tuberculosis from 1974 to 2006

35

28

25

24

24

20

14

17

13

16

13

12

12

11

11

13

16

15

13

11

11

12

15

14

10

12

11

12

10

10

269

223

199

198

195

183

131

163

122

159

120

116

121

111

113

141

165

153

146

123

131

140

174

160

119

139

137

139

127

115

Years

Incidence per 100,000 inhabitant

Notified Cases

Years

Incidence per 100,000 inhabitant

Notified Cases

1974

1975

1976

1977

1978

1979

1980

1981

1982

1983

1984

1985

1986

1987

1988

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

7 INCIDENCE RATE OF TB PER 100,000 INHABITANTS YEAR 1974 TO 2006

INCIDENCE RATE OF TB PER 100,000 INHABITANTS YEAR 1974 TO 2006

8 Trend Incidence Pulmonary TB 2001-2005

Trend Incidence Pulmonary TB 2001-2005

9 WHO Notification of TB 2002-2006

WHO Notification of TB 2002-2006

Year

86

99

117

110

85

28

16

3

4

11

23

17

13

8

15

2

4

4

3

3

0

1

0

0

0

0

1

2

2

1

139

137

139

127

115

(99)

0

0

1

0

2

(1)

0

1

2

2

5

(6)

2002

2003

2004

2005

2006

2007

TB +HIV

458

698

1124

1822

2631

(3173)

New ss + P

New ss - P

New E.P

Relapse

Failure

Defaulter

Total

MDR

Total HIV/AIDS

10 INCIDENCE / among Migrant workers

INCIDENCE / among Migrant workers

TB Migrant workers

TB Migrant workers

2007 2006 2005 2004 2003

(97) 115 127 139 137

96 114 120 115

15 08 13 17

85 11011799

11 04 03 16

9.5 10 11 11.2

10.8

(15) 5 16 12 12

7.5

2002

139

124

23

86

28

11.8

10.6

11

7.9

2001

119

113

6

83

5

9.7

9.4

6

8.7

2000

160

142

18

92

31

13.9

12.3

13

8.0

1999

174

161

13

112

32

15.2

14.1

11

9.8

1998

140

126

14

105

21

12.4

11.0

7

9.3

1997

131

122

9

102

20

11.6

10.9

1

9.1

1996

123

116

7

98

18

11.2

10.5

2

8.9

1995

146

134

12

108

23

13.4

12.0

4

9.9

1994

153

142

11

116

26

14.9

13.0

3

10.7

1993

165

148

18

130

18

15.6

13.9

0

12.2

1992

141

126

15

114

12

13.4

12.0

2

10.8

1991

141

138

3

112

26

13.6

13.3

0

10.4

1990

119

113

6

102

11

11.6

11.0

0

10.0

YEARS

YEARS

TOTAL TB NOTIFIED

TOTAL TB NOTIFIED

New TOTAL PULMONARY TB

New TOTAL PULMONARY TB

New TOTAL EXTRA PULMONARY TB

New TOTAL EXTRA PULMONARY TB

ZN (+)

ZN (+)

ZN (-)

ZN (-)

INCIDENCE

INCIDENCE

INCIDENCE ZN (+)

INCIDENCE ZN (+)

TOTALTB

PULMONARY TB

11 Age group and TB 2001-2005

Age group and TB 2001-2005

Few cases <14 , protection BCG vaccin ? Max cases age 25-44

12 Sex ratio: M/F Age 15-24 : 2/1 Age 25-34 : 3/1 Age 35-44 :4/1 Age

Sex ratio: M/F Age 15-24 : 2/1 Age 25-34 : 3/1 Age 35-44 :4/1 Age

45-54 : 2/1 Age >55 : 4/1

Case notifications and sex ratio

13 Pulmonary and Extra-pulmonary TB 2001-2005

Pulmonary and Extra-pulmonary TB 2001-2005

14 Extra pulmonary TB 2001-2005

Extra pulmonary TB 2001-2005

15 Trend of Incidence TB in districts 2001-2005

Trend of Incidence TB in districts 2001-2005

16 EVOLUTION INCIDENCE PER 100,000 INHABITANTS DISTRICT from 1993 AND

EVOLUTION INCIDENCE PER 100,000 INHABITANTS DISTRICT from 1993 AND

2005

Incidence 1993 - 15.6 per 100,000 inhabitants Incidence 2005 - 11 per 100,000 inhabitants

17

14

13

12

23

40

20

13

4

9

4

13

5

08

6

13

14

10

17 DEATH RATE TB PER 100,000 INHABITANTS 1991 TO 2006

DEATH RATE TB PER 100,000 INHABITANTS 1991 TO 2006

18 Cumulative cases HIV/AIDS ( 1st case at P D`or Hospital )

Cumulative cases HIV/AIDS ( 1st case at P D`or Hospital )

19 CO-INFECTION TB / HIV-AIDS

CO-INFECTION TB / HIV-AIDS

YEARS

Total Cases of HIV/AIDS

Cases TB / HIV

1999

230

1

2000

287

1

2001

356

1

2002

458

0

2003

698

1

2004 2005 2006 2007

1124 1822 2631 (3173)

2 2 5 (6)

20 DOTS and case detection rate

DOTS and case detection rate

Objectives of WHO Implementation of DOTS coverage ( Directly observed short course treatment) 100% Case detection rate of at least 70% of smear positive pulmonary TB cases Improve Cure rate > 80% Non-compliance spread of infection lead to : MDR ( Resistance to INAH & Rifampicin ) XDR TB( MDR and resistance to at least 3 major second line drugs )

21 DOTS monitoring & outcomes 1995-2005

DOTS monitoring & outcomes 1995-2005

22 MDR TB 2001-2006

MDR TB 2001-2006

2001

0

2002

0

2003

0

2004

1

2005

o

2006 2007

2 (1)

Years

Resistance INAH & RIF

23 Risk factors predisposing to TB in % admitted at Poudre D`or Hospital

Risk factors predisposing to TB in % admitted at Poudre D`or Hospital

Causes

%

Alcoholic Homeless

50-70%

DM

10 -15%

Contacts

5-10%

HIV

<5%

Migrant workers

5- 10%

24 Conclusion

Conclusion

Incidence TB stable 10-14 /100,000 since 1995 Incidence highest among age group 35-45 Increase of extra-pulmonary TB since1992 Low death rate < 1/100,000 since 1998 Increase of TB among migrant workers noted since 1998 Few cases of Co-infection TB / HIV-AIDS and MDR TB Cases MDR TB not among HIV/AIDS patients

25 Thank You Merci

Thank You Merci

26 9 Districts in Mauritius population 1.2 M

9 Districts in Mauritius population 1.2 M

27 Tuberculosis in Mauritius

Tuberculosis in Mauritius

Capital –District of Port Louis Area 1865 km? , 9 districts + Rodrigues Population of 1.2 million( 2006) Tuberculosis notified disease to MOH Gross national income per capita USD :12.45 Total expenditure on health as % GDP :4.3 Life expectancy at birth M/F :69/76 Free treatment of all persons with active TB Anti- TB drugs available only at MOH central pharmacy and few cases treated in private

28 Notified cases and incidence of Tb 2001-2006

Notified cases and incidence of Tb 2001-2006

29 TREND OF NOTIFIED CASES YEAR 1974 -2006

TREND OF NOTIFIED CASES YEAR 1974 -2006

YEARS

30 WHO Case notifications 1998-2005

WHO Case notifications 1998-2005

«Epidemiology of Tuberculosis in The Republic of Mauritius Recent Trends (La Tuberculose ? L`ile Maurice)»
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