Document Detail


Epidemiology of laboratory confirmed tuberculosis in Victoria, 1990 to 2004.
MedLine Citation:
PMID:  18767423     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In Australia, most cases of tuberculosis (TB) occur in migrants. To inform control strategies for this group, we investigated all laboratory confirmed tuberculosis cases diagnosed by the State TB reference laboratory in Victoria between 1990 and 2004. The laboratory data were matched to notification data to determine country of birth and a multivariate model was constructed to compare Australian and non-Australian-born patients. The proportion of non-Australian-born cases increased over the period of the study and a shift in cases from South East Asia to African countries was observed. Non-Australian-born cases were more likely to be young, female, have extrapulmonary disease and show first line TB drug resistance. The shift in country of birth of TB cases in Victoria reflects migration patterns and the corresponding epidemiology of TB in the country of origin of these migrants. Ongoing migration from countries with high TB incidence raises the question whether it is possible to eliminate TB from Australia and new control strategies should be considered.
Authors:
Michelle E McPherson; David Leslie; Aina Sievers; Mahomed Patel; Heath Kelly
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Communicable diseases intelligence quarterly report     Volume:  32     ISSN:  1447-4514     ISO Abbreviation:  Commun Dis Intell Q Rep     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-09-04     Completed Date:  2008-10-28     Revised Date:  2013-10-29    
Medline Journal Info:
Nlm Unique ID:  101601804     Medline TA:  Commun Dis Intell Q Rep     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  237-41     Citation Subset:  IM    
Affiliation:
National Centre for Epidemiology and Population Health, Acton, Australian Capital Territory.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Antitubercular Agents / pharmacology
Asia, Southeastern
Child
Child, Preschool
Drug Resistance, Multiple, Bacterial
Emigrants and Immigrants
Emigration and Immigration
Female
Humans
Incidence
Infant
Infant, Newborn
Male
Middle Aged
Odds Ratio
Sex Distribution
Time Factors
Tuberculosis, Multidrug-Resistant / epidemiology*
Victoria / epidemiology
Chemical
Reg. No./Substance:
0/Antitubercular Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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