1. TUBERCULOSIS SURVEILLENCE KENYA
AFRICAN TB SURVEILENCE WORKSHOP,
HARARE:ZIMBABWE
Presented by:
Amos Kutwa
Head National Leprosy &Tuberculosis Program Kenya

2. Outline of the Presentation:
Introduction
Case finding report
Case holding
Constraints
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3. Introduction Pop: App 32 million people TB control: MoH/ NGOs/ Private
Central unit within NLTP/ NASCOP Division
10 Regional control zones/74 District zones manned by Technical officers
TB-ICC since 2002: USAID,CDC,WHO, KNCV, WB,CIDA,KAPTLD
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4. Health units implementing NLTP activities
GOK
NGO
Private
Total
Hospitals
129 67 15
211
Health Centers
467 53 12
532
Dispensaries
550 73 7
630
Others 8 24 32
1146
201 58
1405
Laboratories
528
150 42
720
AFB microscopy
381
126 35
542
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5. TB Case finding report 2002
TB case finding: 82,114 all types 34,337 PTB +
7-fold increase since early nineties
Average annual increase (5 yrs): 16%
50-55% of estimated incidence
40 % HIV + in SM+ (1994)
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6. 2002 Notification rates in Kenya
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7. Case Notification Rates Smear positive PTB and all Types TB Kenya 1990-2002
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8. Trend of case detection rates (WHO reports)
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9. Distribution of TB cases by type: 2002
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10. Age -sex Segregation:2002
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11. Trend of Treatment outcomes of New Smear Positive PTB on SCC :1993-2001
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12. SCC Treatment results 2001 cohort
Sm.+PTB Sm.-PTB EPTB Relapse
Rx success rate 80% 74% 74% 77%
Failure rate 0.3% %
Death rate % 7% 7% 10%
Defaulter rate % 12% % %
Transfer % 7% % 6%
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13. Nomadic Treatment results 2001 cohort
Sm.+PTB Sm.-PTB EPTB Relapse
Rx success rate 89% 87% % %
Failure rate 1% %
Death rate 4% 6% % %
Defaulter rate 4% 5% % %
Transfer 2% 2% % %
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14. Constraints to Surveillance
Manual data entry at facility/district level
Lack of capacity to analyze data at district level
Lack of capacity to determine the TB prevalence
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