Distribución y tendencia de la tuberculosis por grupos de edades y por municipios en Ciudad de la Habana, Cuba (1986-1998)

Abstract

Background: The province of Havana City, the capital and most densely populated city in Cuba, totals around 27% of the new cases of tuberculosis. This luticle is for the purpose of describing the distribution and trend of the tuberculosis cuses yates from 1986 to 1998, by municipalities and age groups in this province. Mcthod: A calculation was made of the rates and of the total percentage of deviation of these rates, in addition to the annual average deviation both throughout two time periods and between the two (1986-1993 and 1994-1998). The trends were culculated by simple linear regression. Results: Throughout the 1986-1993 period, the cuse rate for this province underwent a 6% increze. Throughout the 1994-1998 period, it dropped by 7.3%. The three most denselypopulated cities showed a higher rate increase. Of the 15 municipahties, only La Lisa showed a drop in the mtes throughout the entire period in question. The mtes by ages were similar throughout ;111 of the municipalities. being higher for individuals > 6.5 years of age. Six tenths (0.6%) of the c;Lses reported involved people under 15 yeais of age. The infantile tuberculosis rates were very low for the time period under analysis. Conclusions: The differences among the municipalities in question muke it necessary for different measures to be taken to achieve a greater impact and repercussion in Cuba. The drop in the rates detected over the last three years is indicative of the epidemic being brought under control and the nütional tuberculosis control program being reinstated.

Childhood tuberculosis incidence in Southeast Brazil, 1996

“…However, the incidence found in our study is higher than that of England 5 . In Cuba, tuberculosis incidence is approximately 5 cases/ 100,000 inhabitants 6 , and in Qatar the incidence is 7 cases/100,000 inhabitants 7 .…”

Pulmonary Tuberculosis in Latin America: Patchwork Studies Reveal Inequalities in Its Control – The Cases of Chiapas (Mexico), Chine (Ecuador) and Lima (Peru)

“…This situation, among others, has resulted in TB notification being irregular. Although the average incidence reported is 65/100,000, 3 given the important level of under-reporting of TB cases, the true extent of the disease in Ecuador is unknown. In Chine, an indigenous community of 653 inhabitants, in the parish of Angamarca, located in Cotopaxi Region, over 90% of its population have their basic needs unmet [15].…”

“…While it is true that published national and international figures often include estimates of sub-notification, they do not usually include gradients of the magnitude of the disease, or of the intra-or inter-regional under-notification rates, nor the differential rates between different population groups. According to several authors, calculation of the number of cases of TB disease is possible based on the expected evolution of cases of infection [2] or through linear regression modeling involving age-specific prevalence values across a range of differently aged populations [3]. Although this calculation technique for the frequency of TB and HIV status has been considered [4], there are currently no models in which population impact has been measured in terms of social factors.…”