First tuberculosis prevalence survey in KwaZulu.
The results of a prevalence survey undertaken during 1974 are presented. A stratified 3-stage sampling technique was used to select 3 789 people from 10 randomly chosen sites in KwaZulu. One Heaf test and 2 Mantoux tests were performed on each of 1 769 children under 18 years of age, of whom 28,7% were found to have BCG scars. Of the radiographs taken of persons 15 years of age and older, 893 were found to be negative, 25 (2,7%) disclosed active tuberculosis (TB) and 3 (0,3%) miliary TB. Of the 1 136 sputum specimens collected and examined by fluorescence microscopy, 15 (1,3%) were found to be positive and 9 of them were confirmed by culture. Culture of 1 149 specimens yielded 9 (0,8%) isolations of Mycobacterium tuberculosis and 17 strains of other mycobacteria. The annual rate of infection was calculated at 1,4% by applying Styblo's epidemiological model, and a downward trend was indicated. A follow-up survey after 5 years is needed to confirm this trend.
D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000367:Age Factors; D044383:Black People; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D010808:Physical Examination; D012424:Rural Population; D013019:South Africa; D014374:Tuberculin Test; D014376:Tuberculosis / Q000453:epidemiology* / Q000517:prevention & control