[Epidemiologic surveillance of tuberculosis in French Polynesia between 1960 and 1990].
A monitoring and prevention policy for tuberculosis has been implemented in French Polynesia in 1960. Between 1960 and 1990, case-notification rate decreased dramatically from 568 to 30 per 100,000 with an average annual decrease rate of 9.1%. Cumulative case-notification rates calculated over the 30-year period for the 5 archipelagoes constituting the territory vary significantly: the highest rate has been observed in Gambier Islands. Sex ratio for the whole period was 1.1. The annual incidence rate, according to age-groups has been computerized using actuarial method. A cohort-effect is observed: given an age of individuals, the incidence rate becomes lower when shifting from an older cohort to a younger one. Also, an age-effect is to be emphasized: there is a decreasing trend of the rate in each cohort when the age of the individuals amid the cohort increases. The proportion of smear-positive tuberculosis cases increased from 38% in 1976 to 54% in 1990. A 0.57% annual risk of infection (ARI) has been estimated for 1977, and a 0.41% ARI for 1989. Tuberculosis mortally rate is documented since 1985, and varies between 10.8 and 2.1 per 100,000 since that year.
Glaziou
P
P
Institut Malardé, Papeete, Polynésie française.
Martin
P M
PM
Cartel
J L
JL
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005602:France; D006801:Humans; D015994:Incidence; D007223:Infant; D008875:Middle Aged; D011114:Polynesia / Q000453:epidemiology; D014376:Tuberculosis / Q000453:epidemiology*
Surveillance épidémiologique de la tuberculose en Polynésie française de 1960 à 1990.