[Tuberculosis in Poland in 2003].
In 2003 year decrease of tuberculosis notification rates in Poland has continued. In this year 10 125 tuberculosis cases (TB) were notified in Poland--incidence rate--26.5 per 100 000 population, with the large differences in notification rates between voivodeships (from 16.9 to 39.8/100 000). Between 1994-2003 notification rates decreased by 3.9% yearly overall. 87.8% of the TB cases notified were new cases. Pulmonary cases represented 90.9% of TB cases. Male to female sex ratio--2.1. Age specific rates were much lower in children--1.5/100 000 (100 cases)--1% of all TB cases and highest in person over 65 years--57.6/100 000 (27.9% all TB cases). Sixty percent of all pulmonary cases were confirmed by culture and 38% were sputum smear positive. Among all the pulmonary TB cases treated there were 292 cases with resistance to at least one drug. They represented 3.4% of bacteriologically positive pulmonary cases treated and from many years remains relatively low. There 892 death due tuberculosis reported in 2002 y.i.e. 2.3/100 000. Mortality among males--3.7 and 1.1/100 000 among females. Since many years the TB mortality is of the order 0.2% of total mortality and almost 40% mortality from infectious diseases. In 2003 year--93.5% new born babies were vaccinated BCG; 82% of all TB pulmonary cases were detect by symptoms and 4% by contact examination. Success rates (cured or completed) of treatment were reported in 83.3%; failed 1.0%; deaths during treatment were reported in 6.2% (2.4% from TB) treatment default in 7.8% treated cases.
Szczuka
Ireneusz
I
Zakład Epidemiologii i Organizacji Walki z Gruźlica, Instytut Gruźlicy i Chorób Płuc, Warszawa.
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D006266:Health Education / Q000379:methods; D006293:Health Promotion / Q000379:methods; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D011044:Poland / Q000453:epidemiology; D012042:Registries; D012307:Risk Factors; D012424:Rural Population / Q000706:statistics & numerical data; D017678:Sex Distribution; D014376:Tuberculosis / Q000175:diagnosis / Q000453:epidemiology; D018088:Tuberculosis, Multidrug-Resistant / Q000175:diagnosis / Q000453:epidemiology; D014397:Tuberculosis, Pulmonary / Q000175:diagnosis* / Q000453:epidemiology* / Q000401:mortality / Q000517:prevention & control; D014505:Urban Population / Q000706:statistics & numerical data