RT Journal Article
SR Electronic
T1 The development of tuberculosis in Bucharest in the last ten years
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP p2635
VO 38
IS Suppl 55
A1 Emilia Tabacu
A1 Elmira Ibraim
A1 Cristian Didilescu
YR 2011
UL http://erj.ersjournals.com/content/38/Suppl_55/p2635.abstract
AB Bucharest, capitale of Romania, with a population of 1 944 500 inhabitants, constitutes an important problem of epidemiological surveillance of tuberculosis due to a high percent of floating population, numerous overcrowds of persons in locations that are deteriorating (8528 inhabitants/km2), existence of vulnerable groups (homeless, roma population, poor, immigrants) with a lower social, economic and educational level, increasing number of the unemployed, etc.Objective: The study of the main indicators of the TB endemic in Bucharest in the last nine years.Material and method: We used the information existing in the official documents of the information system within the National Program of Tuberculosis Control.Results: A tendency of incidence increase has been installed, reaching from 65,9%ooo in 1985 to 154,1%000 in 2001, after which a decrease occurred yearly, reaching 68,3%ooo in 2010. A decrease of the incidence with 52% was recorded during 2001 – 2010. The incidence for new cases decrease from 135,8%ooo in 2001 to 57,5%ooo in 2010 and the incidence for relapses decrease from 18,3%ooo in 2001 to 10,9%ooo in 2010. The tuberculosis incidence in the 0-14 year children population decrease from 60,8%ooo in 2001 to 22,6%ooo in 2010. The source density was reduced from 12 sources/Km2 in 2001 to 5 sources/Km2 in 2009. The rate of the therapeutic success of the new source cases with pulmonary TB (M+) increased from 82,2% in the patient cohort from 2001 to 85,23% in those from 2009.Conclusions: Tuberculosis control in Bucharest benefits from a rather complex material basis which should be improved according to the present day epidemiological conditions.