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Control of Tuberculosis in Australia

Control of Tuberculosis in Australia. Guy B. Marks. Woolcock Institute of Medical Research Department of Respiratory Medicine, Liverpool Hospital. Outline. Organisation of Care Descriptive Epidemiology

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Control of Tuberculosis in Australia

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  1. Control of Tuberculosis in Australia Guy B. Marks Woolcock Institute of Medical Research Department of Respiratory Medicine, Liverpool Hospital

  2. Outline • Organisation of Care • Descriptive Epidemiology • Roche P, Bastian I, Krause V, National Tuberculosis Advisory Committee, for Communicable Diseases Network Australia. Tuberculosis notifications in Australia, 2005. Commun Dis Intell. 2007;31:71-80. • Outcomes of Treatment • Program Priorities

  3. TB control in Australia • Under control of eight jurisdictions • DOTS in most but not all jurisdictions • Mostly public sector but private sector involvement in some activities • Other State TB control activities • Contact tracing • Screening high risk groups • National role • Data reporting • Screening intending migrants and visa applicants

  4. Incidence of TB in Australia, 1960 - 2005 1072 cases, 5.3 / 100,000 Roche et al. Comm Dis Intell 2007; 31:71-80

  5. Incidence in indigenous, non-indigenous Australian-born and overseas-born, Australia 1991 - 2005 923 cases19.1 / 100,000 27 cases5.9 / 100,000 122 cases0.8 / 100,00 Roche et al. Comm Dis Intell 2007; 31:71-80

  6. Incidence by country of birth,Australia, 2005 Roche et al. Comm Dis Intell 2007; 31:71-80

  7. Age-Distribution by Birthplace,Australia, 2005 Roche et al. Comm Dis Intell 2007; 31:71-80

  8. HIV co-infection • No representative data • HIV status report for 37% of notifications • Nine (2.3%) of these were HIV +ve

  9. Site of Disease Pulmonary only Extra-pulmonary only Pulm. + XP Roche et al. Comm Dis Intell 2007; 31:71-80

  10. Multi-drug Resistance RatesAustralia, 1995-2005 Lumb et al. Comm Dis Intell 2007; 31:80-86

  11. Outcomes of TB Cohort, Australia, 2004 11 deaths attributed to TB Roche et al. Comm Dis Intell 2007; 31:71-80

  12. Roche et al. Comm Dis Intell 2007; 31:71-80

  13. Priorities • Early detection • Awareness • Primary health care • Effective treatment completion • Free treatment • DOTS • Control of disease in high risk groups • Migrants • Contacts of infectious cases

  14. Control of TB in Migrants • Screening prior to migration or on application for change in visa status • Treatment of active and some inactive disease • Post-migration follow-up of migrants with evidence of past TB

  15. Conclusions • Australia is a low burden country • Many visitors and migrants from high-burden countries • TB control requires continued vigilance and active control measures

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