title: Undernotification of tuberculosis in Otago: national implications.
abstract: OBJECTIVE
  To ascertain the reliability of notification of tuberculosis in Otago; to establish a more accurate incidence rate for cases of tuberculosis in Otago.
  
  
  METHODS
  Official notification information 1985-93 was cross checked against other record systems.
  
  
  RESULTS
  In the 1985-90 period the official notifications were underestimated by 33% (28/84) and during 1991-2 by 48.5% (17/35). The crude annual incidence rates for all cases were 7.3 per 100,000 for the 1985-90 period and 9.1 per 100,000 for the 1991-3.
  
  
  CONCLUSIONS
  The average annual crude incidence rates for tuberculosis were considerably higher than the official rates. Tuberculosis remains an important clinical and public health issue. Improvements in notification locally and nationally are required if the impact of the projected increase in tuberculosis is to be minimised.
authors.affiliation: Public Health Unit, HealthCare Otago.
authors.forename: A
authors.initials: A
authors.lastname: Menon
authors.forename: J L
authors.initials: JL
authors.lastname: Heydon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D018563:Disease Notification / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D009520:New Zealand / Q000453:epidemiology; D014397:Tuberculosis, Pulmonary / Q000453:epidemiology* / Q000208:ethnology