[Tuberculosis in Poland in 2004].
In 2004 y. decrease of tuberculosis notification rates in Poland has continued. In this year 9493 tuberculosis cases notified, incidence rate was 24.9 per 100,000 population with the large differences in notification rates between voivodships / region from 14.5 in the West to 36.0 in the East. The incidence in 2004 was 6.0% lower than in previous years and 39.9% lover than in 1995y. Pulmonary cases represented 91.6% of all TB cases of which 59% were bacteriologically confirmed. Low proportion - 8.4% extrapulmonary TB cases which continues for many years may indicates inadequacies in diagnosis and registration of this form. Children TB cases - 120 incidence 1.9 - represented 1.3% of all TB cases notified in Poland. The incidence of tuberculosis increases with age from 1.9 in children to 51.7 among 65 and older. Mediane age group - 50-54. The incidence of men 34.1 is two times higher than in woman -14.2 and in rural population higher than in urban respectively 25.5 and 24.5. Among of all TB pulmonary cases were 395 cases - about 4.2% TB cases - with resistance to at least one drug. In these cases were about 100 MDR cases. Every years registered a dozen or so cases among HIV/AIDS patients. There were 813 (904) death due to tuberculosis from tuberculosis pulmonary 786/879 and 27 (25) from extrapulmonary tuberculosis reported in 2003 i.e. 2,4 /100.000. Mortality among males 3.5 (3.8) was four times higher than among females 8 (1.1). Almost 50% of all deaths were in patients 65 year of age and older. Since many years the TB mortality is of the order of 0.2% of total mortality and 37.8% (37.4%) from infections diseases.


CONCLUSIONS
In last decade decrease of TB has continued. The incidence of tuberculosis in Poland was about two times higher than mean incidence for Enlarge European Union. The distance between Poland and EU countries with lowest incidence TB is estimated 20-25 years.
Szczuka
Ireneusz
I
Instytut Gruźlicy i Chorób Płuc, Zakład Epidemiologii i Organizacji Walki z Gruźlica.
D000328:Adult; D002648:Child; D005060:Europe / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D011044:Poland / Q000453:epidemiology; D015996:Survival Rate; D014376:Tuberculosis / Q000453:epidemiology* / Q000382:microbiology