Epidemiology Of Tuberculosis (tb) In Albania 1998-2009

Transcript

In Albania, many people erroneously think that tuberculosis (TB) is a disease of the past-an illness that no longer constitutes a public health threat. Surveillance is an integral part of tuberculosis (TB) control. Albania has a highTB notification rate and there are doubts about underreporting. The evolution of the incidence of tuberculosis is presented, together with more detailed figures over the period 1998-2009. These figures were obtained by the monthly forms (called 14/Sh) compared with the individual notification data. Objective: To examine the distribution and sources of increased tuberculosis (TB) morbidity and reporting system deficiencies in the Albania from 1998 through 2009. Metodology: The study is descriptive one conductet during the period 1998-2009. The statistical analysis is based on data reported from regional level (regional epidemiological departments) to the central level (Public Health Institute). Results: The main findings were: discordance between the collected data (individual form) and reported data (monthly form); tuberculosis incidence rate shows little oscillations which ranges from 6.67 to 9.2 cases/100.000 population; 50% of the regions show a lack of information on the confirmation of diagnosis and laboratory examination type used for confirmation. Conclusion: TB disease in high-risk populations where it is difficult to detect, diagnose, and treat; limitations of current control measures and the need for new tests and treatments, including an effective vaccine; improving information system, regulation of individual form and personnel training.