title: Evidence for a national problem: continued rise in tuberculosis case numbers in urban areas outside London.
abstract: WHO standards for tuberculosis (TB) control require monitoring and evaluation of TB control programmes. In London, TB rates have stabilised at 44 per 100,000 since 2005. In 38 urban areas outside London with TB rates above the national average, these continued to rise after 2004, to 28 per 100,000 in 2008 (15% increase). London has the highest proportion of TB cases in certain risk groups, but these are increasing rapidly outside London. Many TB control efforts focus on the capital, but with rates rising elsewhere in the country, this strategy is likely to fail in the long term.
authors.affiliation: TB Section, Respiratory Diseases Department, Health Protection Agency, Health Protection Services Colindale, London, UK. michelle.kruijshaar@hpa.org.uk
authors.forename: Michelle E
authors.initials: ME
authors.lastname: Kruijshaar
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Abubakar
authors.forename: Martin
authors.initials: M
authors.lastname: Dedicoat
authors.forename: Graham H
authors.initials: GH
authors.lastname: Bothamley
authors.forename: Helen
authors.initials: H
authors.lastname: Maguire
authors.forename: Jonathan
authors.initials: J
authors.lastname: Moore
authors.forename: Jonathan
authors.initials: J
authors.lastname: Crofts
authors.forename: Marc
authors.initials: M
authors.lastname: Lipman
mesh_terms: D004739:England / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008131:London / Q000453:epidemiology; D008297:Male; D011159:Population Surveillance; D014376:Tuberculosis / Q000453:epidemiology* / Q000208:ethnology / Q000517:prevention & control; D014504:Urban Health / Q000706:statistics & numerical data / Q000639:trends; D014852:Wales / Q000453:epidemiology; D055815:Young Adult