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A worldwide investigation of tuberculosis epidemics

A worldwide investigation of tuberculosis epidemics
A worldwide investigation of tuberculosis epidemics
We analyse the tuberculosis (TB) epidemics of 211 countries with a view to proposing more efficient and targeted TB control strategies. Countries are classified by how their TB case notification rates have evolved over time and the age distribution of those suffering from active TB disease in 2008. Further analysis of key statistics associated with each of the countries shows the impact of different indicators. As expected, HIV is a key driver of TB epidemics and affects their age-distribution and their scale. The level of development of a country and its wealth also vary with the shape and scale of a country’s TB epidemic. Immigration has an influence on the shape of TB epidemics, which is particularly pronounced in highly developed countries with low levels of TB disease in the native population. We conclude by proposing how the TB control programme in each country analysed should prioritise its efforts.
health service, statistics, cluster analysis, resource management, tuberculosis
1386-9620
223-238
Currie, Christine S.M.
dcfd0972-1b42-4fac-8a67-0258cfdeb55a
Hoad, Kathryn A.
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Currie, Christine S.M.
dcfd0972-1b42-4fac-8a67-0258cfdeb55a
Hoad, Kathryn A.
86cad5e0-46c9-4ec3-bd74-859270234241

Currie, Christine S.M. and Hoad, Kathryn A. (2012) A worldwide investigation of tuberculosis epidemics. Health Care Management Science, 15 (3), 223-238. (doi:10.1007/s10729-011-9182-7). (PMID:22083439)

Record type: Article

Abstract

We analyse the tuberculosis (TB) epidemics of 211 countries with a view to proposing more efficient and targeted TB control strategies. Countries are classified by how their TB case notification rates have evolved over time and the age distribution of those suffering from active TB disease in 2008. Further analysis of key statistics associated with each of the countries shows the impact of different indicators. As expected, HIV is a key driver of TB epidemics and affects their age-distribution and their scale. The level of development of a country and its wealth also vary with the shape and scale of a country’s TB epidemic. Immigration has an influence on the shape of TB epidemics, which is particularly pronounced in highly developed countries with low levels of TB disease in the native population. We conclude by proposing how the TB control programme in each country analysed should prioritise its efforts.

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Accepted/In Press date: 25 October 2011
Published date: September 2012
Keywords: health service, statistics, cluster analysis, resource management, tuberculosis
Organisations: Operational Research

Identifiers

Local EPrints ID: 202595
URI: http://eprints.soton.ac.uk/id/eprint/202595
ISSN: 1386-9620
PURE UUID: 36e92756-7a56-4b18-81b0-69b9f9182193
ORCID for Christine S.M. Currie: ORCID iD orcid.org/0000-0002-7016-3652

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Date deposited: 24 Apr 2012 10:06
Last modified: 15 Mar 2024 03:15

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Author: Kathryn A. Hoad

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