SURVEILLANCE AND EPIDEMIOLOGY OF TUBERCULOSIS IN FIJI SPECIFIC DATA 1) TB Suspects examined – Tamavua Hospital (National TB Control Centre) Year 2001 D/Smear - 1047 Culture - 53 X-Rays - 328

D/Smear - 1319 Cultures - 811 X-Rays - 956 LAUTOKA HOSPITAL Year 2002 D/Smear - 1319 Cultures - 811 X-Rays - 956 LAUTOKA HOSPITAL SPT/Microscopy: Year 2000 - 335 2001 - 312 2002 - 634 2003 - 643

2) HEALTH FACILITIES National TB Control Centre - Tamavua Hospital Divisional Hospitals - 3 Sub-Divisional Hospitals - 16 Area Hospital - 3 : Rot. - E/Div Matutu - E/Div Wainibokasi - C/Div

Health Centres - 73 Nursing Stations - 101 DOTS Centres - 2 Tamavua Hospital and Lautoka Hospital Diagnostic Centres - 4 Tamavua & CWM Hospitals: Pop.: 318,089 / 44,646 Northern Div. - 1 “ : 166, 421 Western Div. - 1 “ : 343,829

3. TB CASES 2001: Forms: All types - 183 PTB - 136 Smear +ve - 74

Forms : All Types - 150 PTB - 111 Smear +ve - 77 “ -ve - 34 EPTB - 39 2002: Forms : All Types - 150 PTB - 111 Smear +ve - 77 “ -ve - 34 EPTB - 39

TREATMENT OUTCOMES (percents) 1998 1999 2000 2001 2002 Cured 82.2 92 80.6 84.9 Completed 7.6 4.8 Defaulted 8.9 8.1 5.5 Failed Died 1.3 8.2 Transferred out 1.6 1.4 Non evaluated

TB/HIV As from June 2002: Pop. = 814,000 Sero +ve = 100 AIDS = 15 HIV Prev. in TB Male = 61% Cases not Female = 39% Available/unknown Hetro Sexual = 50% Homos = 5% 20 – 29yrs = 51% 30 – 39yrs = 27% 40 – 49yrs = 10%

LATEST TB INDICATORS (YEAR) 1999 2000 2001 2002 No. of new cases (all types & rate 192 185/ 22 150/ 18 No new smear positive & rate 65/21 73/9 75/9 % smear positive out of total new cases 33.8 40 50 % retreatment cases out of total new plus retreatment % population with access to DOTS 100 DOTS cure rate 83 85 DOTS success rate 92 DOTS case detection rate 66/ 59 61/ 68

MORTALITY TB Mortality not readily available. Estimate Year 2002 - 5/100, 000

OVERALL ASSESSMENT OF NATIONAL INFORMATION SYSTEM Needs a lot of improvement in country coverage, timeliness of reporting. Problems identified: a) Recording and reporting systems needs to be improved. b) Modification in recording of vital statistics

TB CASES All types by region: DIVISION 2001 2002 Central 73 99 Eastern 11 1 Western 48 25 Northern 22

TB CASES ALL TYPES 1986 –2002

TRENDS IN NOTIFICATION