title: Epidemiology of tuberculosis in WHO European Region and public health response.
abstract: OBJECTIVE
  To provide an overview of the tuberculosis (TB) and multi-drug resistant tuberculosis (MDR-TB) in the WHO European Region and evolution of public health response with focus on extra-pulmonary tuberculosis and Pott's disease.
  
  
  METHODS
  Authors reviewed regional strategic documents related to TB. The epidemiologic data were reviewed and analyzed.
  
  
  RESULTS
  In the absence of associated pulmonary TB, Pott's disease is reported as extra-pulmonary TB (up to 47 % of all TB cases in some settings). Due to limitations of the surveillance system, the epidemiology of Pott's disease and its treatment success are unknown. The Stop TB Strategy and Consolidated Action Plan to Prevent and Combat M/XDR-TB provide comprehensive roadmaps to address all types of TB.
  
  
  CONCLUSIONS
  There is a need to further analyze country data to document the extent of Pott's disease and develop specific guidelines for timely diagnosis and treatment of Pott's disease.
authors.affiliation: Communicable Diseases, Health Security and Environment, Tuberculosis and M/XDR-TB Programme, World Health Organization, Regional Office for Europe, Scherfigsvej 8, Copenhagen, Denmark. mdd@euro.who.int
authors.forename: Masoud
authors.initials: M
authors.lastname: Dara
authors.forename: Andrei
authors.initials: A
authors.lastname: Dadu
authors.forename: Kristin
authors.initials: K
authors.lastname: Kremer
authors.forename: Richard
authors.initials: R
authors.lastname: Zaleskis
authors.forename: Hans H P
authors.initials: HH
authors.lastname: Kluge
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D005060:Europe / Q000453:epidemiology; D006801:Humans; D011634:Public Health; D014376:Tuberculosis / Q000453:epidemiology*; D018088:Tuberculosis, Multidrug-Resistant / Q000453:epidemiology; D014944:World Health Organization
chemical_list: D000995:Antitubercular Agents