Surveillance provides insight into epidemiology and spectrum of culture-confirmed mycobacterial disease in children
| Autor: | J. L. Ho, R. Milo, David L. Fitter, Curtis Blanton, H. Geffrard, W. Morose, Stephanie J. Salyer, Barbara J. Marston |
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| Rok vydání: | 2016 |
| Předmět: |
Pulmonary and Respiratory Medicine
Program evaluation Male Pediatrics medicine.medical_specialty Tuberculosis 030231 tropical medicine Antitubercular Agents HIV Infections 03 medical and health sciences South Africa 0302 clinical medicine Public health surveillance Tuberculosis Multidrug-Resistant Isoniazid Prevalence Medicine Humans National level 030212 general & internal medicine Child Data collection business.industry Coinfection Public health Infant Nontuberculous Mycobacteria Mycobacterium tuberculosis medicine.disease Mycobacterium bovis Infectious Diseases Anti-Retroviral Agents Family medicine Child Preschool Epidemiological Monitoring Aggregate data Female Rifampin business Contact tracing |
| Zdroj: | The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease. 20(9) |
| ISSN: | 1815-7920 |
| Popis: | TUBERCULOSIS (TB) is a serious public health problem in Haiti; disease rates are the highest in the Western hemisphere,1 and TB has been reported among the leading causes of death.2 Between 2005 and 2011, the Haitian National TB Program (Programme National de Lutte contre la Tuberculose, PNLT) consistently reported approximately 14 000 cases each year. Case detection coverage was thought to be incomplete, however, as during this time the World Health Organization (WHO) estimates of the annual numbers of incident cases ranged from 22 000 to 27 200.1 The true prevalence and potential causes of under-detection are poorly understood. Prevalence surveys, capture/recapture studies, and review of vital records can inform estimates of case-detection rates, but these have not been implemented in Haiti. The PNLT has conducted TB surveillance since the late 1980s. As of mid-2013, there were 233 diagnostic and treatment centers (Centres de Diagnostique et de Traitement, CDT) and 30 treatment centers (Centres de Traitement, CT) registering patients for treatment across Haiti’s 10 administrative departments.3 Several paper-based registries are used for data collection at the site level, including TB case, laboratory, contact tracing, and respiratory symptomatic registries. In 1997, International Child Care (ICC), a local non-governmental organization (NGO) partnering with the PNLT, established a nationallevel surveillance database containing individual case report data. In 2011, the PNLT established a separate case-based database, and both databases are currently being maintained during a period of transition from ICC to the PNLT. Data collection methods vary by region and by database. While ICC manually duplicates case registries to collect data at the site level, PNLT staff obtain photocopies of TB case registers during quarterly departmental meetings. Data entry and cleaning for both databases are performed at the central level, in Port-au-Prince, Haiti. During the quarterly department meetings, program and site-level data are reviewed and aggregate data reports are generated. To evaluate accuracy and completeness of reporting, and to determine if underreporting from facilities to the national level contributes to low national case registration, we evaluated TB surveillance in Haiti using a nationally representative sample of TB cases reported by the PNLT. |
| Databáze: | OpenAIRE |
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