Fifth Pacific Stop TB meeting Fiji Islands, May 4-7, 2010 Ministry of Health logo can be inserted here if desired Kingdom of Tonga By Saia.Penitani and Sitanilei.Hoko TB notifications: 2009 How many TB cases were notified in 2008? Sm+=11, Sm-=0, EP=2 = total cases 13 Laboratory Programmatic activities Description of laboratory issues in 2009 Question Response How many specimens did the laboratory send for culture and DST in 2009 How many of these specimens were drug resistant Total number of laboratory technicians competent in acid- fast microscopy 4 Total number of sputum specimens examined for AFB in 2009 341 Was quarterly workload data collected and provided to the NTP yes Did the laboratory participate in panel tests Did the laboratory participate in blinded slide re-checking Are the majority of smear results reported within 24 hours of receipt of specimen Were there any delays in testing due to stock out of laboratory supplies no Are the staining reagants prepared in the laboratory Description of programmatic activities in 2009 Question Response TB HIV collaborative activities yes Number and percentage of TB patients tested for HIV 8 Cases/100% tested for Hiv. Total number of patients whose tested positive Which programme carries out HIV testing of TB patients in your country? (NTP or NAP) NTP Contact tracing Number of sputum smear positive TB cases who whose contacts were traced 6 Total number of contacts screened 58 Total number of contacts with active TB Total number of contacts who received IPT Diabetes screening Total number of TB patients screened for diabetes mellitus Total number of TB patients with diabetes mellitus Is the interaction between TB and diabetes an issue in your country? (Y/N) TB drugs Were there any shortages of first line TB drugs in your country in 2009? No Does your National TB Programme used Fixed Dose Combination TB drugs? Prisoner screening Is your National TB Programme screening prisoners for TB? (Y/N) Total number of prisoners screened 110 Total number of prisoners with active TB Total number of prisoners who received IPT Age and sex distribution of TB cases notified to the NTP in 2009 Age group (years) Male Female Total 0-4 5-14 15-24 25-34 1 2 35-44 45-54 55-64 65+ 3 5 8 TB case notification rates: 2005-2009 2005 2006 2007 2008 2009 Number of TB notifications by type of TB: 2005-2009 Treatment outcome: 2007 and 2008 cohorts Treatment success is sum of cured and completed. Treatment success is total of sum of cured and completed treatment Treatment outcomes by type of TB, 2007-2008 Type of TB and outcome Year 2007 2008 New sputum smear positive Cured 13 11 Completed Died 1 Defaulted Failure Transfer out Total 14 Sputum smear negative 5 Extra pulmonary 4 2 Overall treatment success rate (new sputum smear positive cases) (%) 93% 100% (all cases) (%) 96% 92.3% Main issues Programmatic performance in Tonga is not an issue but we are working together with SPC as a technical assistance to be developing our screening guideline. Treatment success and case detection rates (new sputum smear positive cases): 2005-2009 2005 2006 2007 2008 2009 Conclusion Tonga has successful performance on screening of all TB cases for HIV, screening of all contacts of the index cases, screening of all prisoners for TB and never shortage of drugs. Guide to abbreviations: NA= not appropriate. NAP= National AIDS Programme. NTP= National TB Programme.