1 / 20

TB epidemiology in Thailand

TB epidemiology in Thailand. Philippe Glaziou, on behalf of the epi team Bangkok, August 2013. TB in Thailand: key figures (2012). 80,000 new cases 11,000 TB deaths. Thailand among 22 countries with highest TB incidence. TB epidemiology: case notification rate. All forms. Smear pos.

brooke-vance
Download Presentation

TB epidemiology in Thailand

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. TB epidemiology in Thailand Philippe Glaziou, on behalf of the epi team Bangkok, August 2013

  2. TB in Thailand: key figures (2012) 80,000 new cases 11,000 TB deaths Thailand among 22 countries with highest TB incidence

  3. TB epidemiology: case notification rate All forms Smear pos

  4. Inconsistent trends by province

  5. Under-reporting of childhood TB (2010) Under-reporting of childhood TB estimated at 45% of diagnosed cases min(Uc) = 1 – (1 – Ut).(1 – Ub) Uc = under-reporting childhood Ut = overall under-reporting (prevalence survey) Ub = BTB under-reporting of BoE cases

  6. Treatment success 85% global Treatment success target

  7. At risk populations: health workers • Saraburi hospital: n=1800 health workers • average incidence = 206/100,000 person-year • Relative Risk ≈ 1.4

  8. At risk populations

  9. TB mortality (excluding HIV) Adjusted for incomplete coverageand ill-defined causes Raw data from VR

  10. Determinants of TB: economic growth 1997 financial crisis

  11. Determinants of TB: health system performance (U5MR) 13/1000

  12. Good performance of Thailand relative to country income group

  13. Determinants of TB: HIV in 15-49 yr old population Source: UNAIDS 2013

  14. HIV prevalence in TB Source: BTB surveillance

  15. Determinants of TB: rapid aging of the population Population estimates from UN Pop Division, 2013

  16. Population aging slows down the decline in TB

  17. TB incidence estimated in slow decline -3.4%/year

  18. Impact of TB control? • Cured 525,000 cases since 2000 (79% of 665,000) • Prevented the emergence of MDR-TB • 2006: 1.65% (new), 34.5% (retx), 6.4% (combined) • 2013: 1.89% (new), 16.6% (retx), 3.4% (combined) • Decline in TB incidence and mortality multifactorial • Economic growth, UCS, decline in HIV, TB control,…

  19. Global targets • MDG target 6c met (incidence reverted) • Thailand on track to meeting 50% reduction targets for prevalence and mortality (2015) But … • The burden of TB in Thailand is still high and requires a prioritized public health response

  20. ขอบคุณครับ

More Related