[Epidemiology of tuberculosis in Ile-de-France in 2001].
BACKGROUND
The incidence of tuberculosis in France is stable at around 10 per 100,000 per year since 1997. However in the Ile-de-France (which includes Paris and its suburbs) high population density, social deprivation and large numbers of immigrants result in the region providing more than half of the total number of cases notified in France.


METHODS
Retrospective analysis using data from the mandatory notification forms of patients diagnosed in 2001.


RESULTS
The incidence of tuberculosis in 2001 was 27.2 cases per 100,000 in the Ile-de-France region and 48.4 per 100,000 in the Paris area. The incidence was particularly high amongst young immigrants, especially those from Sub-Saharian countries. Pulmonary tuberculosis was the most commonly observed disease form (72% of cases). HIV infection was documented in 7.5% of subjects. Local tuberculosis control services were asked to intervene in only 30% of overall cases, and in only 50% of pulmonary cases living in crowded housing.


CONCLUSIONS
More resource is needed for the surveillance of tuberculosis and the implementation of public health initiatives in the Ile-de-France to strengthen the fight against tuberculosis.
Che
D
D
Institut de Veille Sanitaire, Saint Maurice, France. d.che@invs.sante.fr
Cailhol
J
J
Campese
C
C
Decludt
B
B
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D004641:Emigration and Immigration / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D010297:Paris / Q000453:epidemiology; D011156:Population Density; D011159:Population Surveillance; D015995:Prevalence; D012111:Residence Characteristics / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D017678:Sex Distribution; D012959:Socioeconomic Factors; D018881:Suburban Health / Q000706:statistics & numerical data*; D014376:Tuberculosis / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D014504:Urban Health / Q000706:statistics & numerical data*